Exam 1: NSG3160 / NSG 3160 (Latest )
Health Assessment | 100% Correct Questions &
ANSWER-s – Galen
Question 1:
Which of the following actions demonstrates proper physical assessment technique?
A. Auscultating through the gown
B. Cleaning the stethoscope before assessment
C. Palpating the abdomen before auscultating
D. Pressing the bell of the stethoscope firmly
ANSWER✔✨-: B
Rationale:
Option A is incorrect because auscultating through the gown creates artificial sounds and prevents
accurate assessment of breath sounds, heart sounds, or bowel sounds. The stethoscope must make
direct contact with the skin for accurate findings.
Option B is correct because cleaning the stethoscope before assessment is an infection control measure
that prevents cross-contamination between patients. This demonstrates proper technique and
maintains patient safety standards.
Option C is incorrect because palpating the abdomen before auscultating can alter bowel sounds. The
correct sequence for abdominal assessment is inspection, auscultation, percussion, then palpation to
avoid stimulating bowel activity before listening.
Option D is incorrect because the bell of the stethoscope should be applied lightly to the skin. Pressing it
firmly converts it to a diaphragm function. The bell is designed to detect low-frequency sounds when
applied with light pressure.
Question 2:
Which of the following palpation techniques is correct for light palpation?
A. Using thumb and finger
B. Using fingertips to assess for temperature
,C. Using ulnar surface of the hands to feel for vibrations
D. Using index finger in circular motion to assess surface abnormalities
ANSWER✔✨-: C
Rationale:
Option A is incorrect because using thumb and finger is typically used for grasping or pinching
techniques, not for light palpation of body surfaces.
Option B is incorrect because the dorsal surface (back) of the hands and fingers, not the fingertips, is
most sensitive to temperature changes. The fingertips are better for texture and pulse assessment.
Option C is correct because the ulnar surface (side) of the hands is most sensitive to vibrations and is the
appropriate technique for detecting tactile fremitus during respiratory assessment.
Option D is incorrect because light palpation uses the finger pads of multiple fingers in a gentle, circular
motion, not just the index finger. This technique assesses surface characteristics like texture, moisture,
and tenderness to a depth of approximately 1 cm.
Question 3:
A nurse is performing a general survey on a new client. Which observation is most concerning?
A. The client appears older than stated age
B. The client avoids eye contact
C. The client is wearing strong perfume
D. The client is resting quietly
ANSWER✔✨-: A
Rationale:
Option A is correct because appearing significantly older than stated age during a general survey may
indicate serious underlying health conditions, chronic illness, substance abuse, malnutrition, or severe
stress. This finding warrants further investigation as it could signal significant health concerns.
Option B is incorrect because avoiding eye contact, while noteworthy, can be culturally appropriate in
some populations or may indicate shyness, anxiety, or discomfort in new situations. It is not necessarily
the most concerning finding.
Option C is incorrect because wearing strong perfume, while potentially problematic for patients with
sensitivities or in healthcare settings with fragrance policies, is not a significant health concern requiring
immediate attention.
Option D is incorrect because resting quietly is generally a normal, non-concerning finding during a
general survey unless the patient should be exhibiting different behavior based on their condition.
Question 4:
,What is the correct sequence for physical examination techniques in most body systems?
A. Palpation, inspection, auscultation, percussion
B. Inspection, palpation, percussion, auscultation
C. Auscultation, inspection, palpation, percussion
D. Inspection, auscultation, percussion, palpation
ANSWER✔✨-: B
Rationale:
Option A is incorrect because starting with palpation would alter findings before inspection and could
interfere with other assessment techniques.
Option B is correct because the standard sequence is inspection (observing), palpation (feeling),
percussion (tapping), and auscultation (listening). This sequence prevents earlier techniques from
altering findings for later techniques.
Option C is incorrect because beginning with auscultation would not allow the nurse to first observe the
patient systematically.
Option D is incorrect for abdominal assessment specifically, but not for most other body systems. For
abdominal assessment, the sequence is inspection, auscultation, percussion, palpation to prevent
altering bowel sounds.
Question 5:
Which technique is most appropriate for assessing temperature variations on a patient's skin?
A. Palmar surface of the hand
B. Fingertips
C. Dorsal surface of the hand
D. Ulnar surface of the hand
ANSWER✔✨-: C
Rationale:
Option A is incorrect because the palmar surface (palm) is less sensitive to temperature changes
compared to the dorsal surface.
Option B is incorrect because fingertips are most sensitive to texture, size, and consistency, not
temperature variations.
Option C is correct because the dorsal surface (back) of the hands and fingers has thinner skin and is
most sensitive to temperature variations, making it the ideal location for assessing skin temperature.
, Option D is incorrect because the ulnar surface is most sensitive to vibrations and is used for assessing
tactile fremitus, not temperature.
Question 6:
When performing a health history interview, which communication technique is most effective?
A. Asking multiple questions at once to save time
B. Using medical terminology to ensure accuracy
C. Allowing silences for the patient to gather thoughts
D. Interrupting to clarify information immediately
ANSWER✔✨-: C
Rationale:
Option A is incorrect because asking multiple questions at once confuses patients and may result in
incomplete or inaccurate responses. Questions should be asked one at a time.
Option B is incorrect because using medical terminology can confuse patients who may not understand
technical terms. Information should be communicated in lay language that patients can understand.
Option C is correct because allowing silences gives patients time to think, process emotions, and
formulate responses. This demonstrates respect and often elicits more complete information.
Option D is incorrect because interrupting patients can make them feel unheard and may prevent them
from sharing important information. Clarification should be sought after the patient completes their
thought.
Question 7:
Which finding during inspection of the skin requires immediate follow-up?
A. A 2 cm café-au-lait spot on the back
B. Petechiae on the lower extremities
C. A 0.5 cm cherry angioma on the chest
D. Vitiligo on the hands
ANSWER✔✨-: B
Rationale:
Option A is incorrect because café-au-lait spots are benign pigmented lesions. While multiple large spots
may indicate neurofibromatosis, a single spot is typically not an emergency.
Option B is correct because petechiae (small pinpoint hemorrhages) may indicate serious conditions
such as thrombocytopenia, coagulation disorders, sepsis, or vasculitis. This finding requires immediate
investigation.
Health Assessment | 100% Correct Questions &
ANSWER-s – Galen
Question 1:
Which of the following actions demonstrates proper physical assessment technique?
A. Auscultating through the gown
B. Cleaning the stethoscope before assessment
C. Palpating the abdomen before auscultating
D. Pressing the bell of the stethoscope firmly
ANSWER✔✨-: B
Rationale:
Option A is incorrect because auscultating through the gown creates artificial sounds and prevents
accurate assessment of breath sounds, heart sounds, or bowel sounds. The stethoscope must make
direct contact with the skin for accurate findings.
Option B is correct because cleaning the stethoscope before assessment is an infection control measure
that prevents cross-contamination between patients. This demonstrates proper technique and
maintains patient safety standards.
Option C is incorrect because palpating the abdomen before auscultating can alter bowel sounds. The
correct sequence for abdominal assessment is inspection, auscultation, percussion, then palpation to
avoid stimulating bowel activity before listening.
Option D is incorrect because the bell of the stethoscope should be applied lightly to the skin. Pressing it
firmly converts it to a diaphragm function. The bell is designed to detect low-frequency sounds when
applied with light pressure.
Question 2:
Which of the following palpation techniques is correct for light palpation?
A. Using thumb and finger
B. Using fingertips to assess for temperature
,C. Using ulnar surface of the hands to feel for vibrations
D. Using index finger in circular motion to assess surface abnormalities
ANSWER✔✨-: C
Rationale:
Option A is incorrect because using thumb and finger is typically used for grasping or pinching
techniques, not for light palpation of body surfaces.
Option B is incorrect because the dorsal surface (back) of the hands and fingers, not the fingertips, is
most sensitive to temperature changes. The fingertips are better for texture and pulse assessment.
Option C is correct because the ulnar surface (side) of the hands is most sensitive to vibrations and is the
appropriate technique for detecting tactile fremitus during respiratory assessment.
Option D is incorrect because light palpation uses the finger pads of multiple fingers in a gentle, circular
motion, not just the index finger. This technique assesses surface characteristics like texture, moisture,
and tenderness to a depth of approximately 1 cm.
Question 3:
A nurse is performing a general survey on a new client. Which observation is most concerning?
A. The client appears older than stated age
B. The client avoids eye contact
C. The client is wearing strong perfume
D. The client is resting quietly
ANSWER✔✨-: A
Rationale:
Option A is correct because appearing significantly older than stated age during a general survey may
indicate serious underlying health conditions, chronic illness, substance abuse, malnutrition, or severe
stress. This finding warrants further investigation as it could signal significant health concerns.
Option B is incorrect because avoiding eye contact, while noteworthy, can be culturally appropriate in
some populations or may indicate shyness, anxiety, or discomfort in new situations. It is not necessarily
the most concerning finding.
Option C is incorrect because wearing strong perfume, while potentially problematic for patients with
sensitivities or in healthcare settings with fragrance policies, is not a significant health concern requiring
immediate attention.
Option D is incorrect because resting quietly is generally a normal, non-concerning finding during a
general survey unless the patient should be exhibiting different behavior based on their condition.
Question 4:
,What is the correct sequence for physical examination techniques in most body systems?
A. Palpation, inspection, auscultation, percussion
B. Inspection, palpation, percussion, auscultation
C. Auscultation, inspection, palpation, percussion
D. Inspection, auscultation, percussion, palpation
ANSWER✔✨-: B
Rationale:
Option A is incorrect because starting with palpation would alter findings before inspection and could
interfere with other assessment techniques.
Option B is correct because the standard sequence is inspection (observing), palpation (feeling),
percussion (tapping), and auscultation (listening). This sequence prevents earlier techniques from
altering findings for later techniques.
Option C is incorrect because beginning with auscultation would not allow the nurse to first observe the
patient systematically.
Option D is incorrect for abdominal assessment specifically, but not for most other body systems. For
abdominal assessment, the sequence is inspection, auscultation, percussion, palpation to prevent
altering bowel sounds.
Question 5:
Which technique is most appropriate for assessing temperature variations on a patient's skin?
A. Palmar surface of the hand
B. Fingertips
C. Dorsal surface of the hand
D. Ulnar surface of the hand
ANSWER✔✨-: C
Rationale:
Option A is incorrect because the palmar surface (palm) is less sensitive to temperature changes
compared to the dorsal surface.
Option B is incorrect because fingertips are most sensitive to texture, size, and consistency, not
temperature variations.
Option C is correct because the dorsal surface (back) of the hands and fingers has thinner skin and is
most sensitive to temperature variations, making it the ideal location for assessing skin temperature.
, Option D is incorrect because the ulnar surface is most sensitive to vibrations and is used for assessing
tactile fremitus, not temperature.
Question 6:
When performing a health history interview, which communication technique is most effective?
A. Asking multiple questions at once to save time
B. Using medical terminology to ensure accuracy
C. Allowing silences for the patient to gather thoughts
D. Interrupting to clarify information immediately
ANSWER✔✨-: C
Rationale:
Option A is incorrect because asking multiple questions at once confuses patients and may result in
incomplete or inaccurate responses. Questions should be asked one at a time.
Option B is incorrect because using medical terminology can confuse patients who may not understand
technical terms. Information should be communicated in lay language that patients can understand.
Option C is correct because allowing silences gives patients time to think, process emotions, and
formulate responses. This demonstrates respect and often elicits more complete information.
Option D is incorrect because interrupting patients can make them feel unheard and may prevent them
from sharing important information. Clarification should be sought after the patient completes their
thought.
Question 7:
Which finding during inspection of the skin requires immediate follow-up?
A. A 2 cm café-au-lait spot on the back
B. Petechiae on the lower extremities
C. A 0.5 cm cherry angioma on the chest
D. Vitiligo on the hands
ANSWER✔✨-: B
Rationale:
Option A is incorrect because café-au-lait spots are benign pigmented lesions. While multiple large spots
may indicate neurofibromatosis, a single spot is typically not an emergency.
Option B is correct because petechiae (small pinpoint hemorrhages) may indicate serious conditions
such as thrombocytopenia, coagulation disorders, sepsis, or vasculitis. This finding requires immediate
investigation.
