NURSING COURSE CONTENT
NSG 3100 Exam 2 Questions and
Answers 2026/2027 | 100% Verified
2026/2027
Comprehensive Content Review
A+
A+ 5 100%
QUESTIONS VERIFIED CORE DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
Health Assessment & Physical Examination
Pharmacology & Medication Safety
Cardiovascular & Respiratory Nursing
Gastrointestinal, Renal & Endocrine Nursing
Neurological, Musculoskeletal & Professional Practice
STUVIAACTUALEXAM
, Health Assessment & Physical Examination
Question 1
Q1. A nurse is performing a head-to-toe assessment on a 68-year-old patient who was admitted for
pneumonia. When auscultating the posterior lungs, the nurse notes coarse crackles at the bilateral
bases that do not clear with coughing. This finding most likely indicates:
A. Consolidation from atelectasis
B. Fluid accumulation from heart failure or pulmonary edema
C. Normal age-related changes in the alveoli
D. Airway obstruction from a foreign body
Correct Answer: B
Rationale:
Coarse crackles that persist after coughing suggest fluid in the alveoli and interstitial spaces, commonly seen
in pulmonary edema or heart failure. Atelectasis crackles typically clear with coughing, and age-related
changes do not produce coarse crackles.
Question 2
Q2. During a cardiac assessment, a nurse palpates the patient's pulse and notes a rhythm that is
irregular with no predictable pattern. The nurse documents this as:
A. Sinus arrhythmia
B. Atrial fibrillation
C. Premature ventricular contractions
D. Pulse deficit
Correct Answer: B
Rationale:
An irregularly irregular rhythm with no pattern is the hallmark of atrial fibrillation. Sinus arrhythmia varies with
respiration in a predictable pattern, PVCs occur with a compensatory pause, and pulse deficit refers to an
apical-radial difference.
Question 3
Q3. A nurse is assessing a postoperative patient and notices a wound with beefy-red granulation
tissue, slight serous drainage, and edges that are well-approximated. The nurse recognizes this
as:
A. Normal healing by primary intention
B. Wound dehiscence with impending evisceration
C. Signs of a localized wound infection
D. Wound necrosis requiring surgical debridement
Correct Answer: A
Rationale:
Beefy-red granulation tissue, minimal serous drainage, and well-approximated edges are classic signs of
normal wound healing by primary intention. Infection would present with purulent drainage, erythema, and
edema, while dehiscence involves separation of wound edges.
, Question 4
Q4. When performing a neurological assessment, a nurse asks a patient to close their eyes and
identify a coin placed in their hand. This test evaluates which sensory pathway?
A. Corticospinal tract motor function
B. Dorsal column-medial lemniscus fine touch and proprioception
C. Spinothalamic tract pain and temperature sensation
D. Cerebellar coordination and balance
Correct Answer: B
Rationale:
The ability to identify an object by touch with eyes closed is stereognosis, which tests the dorsal
column-medial lemniscus pathway responsible for fine touch, vibration, and proprioception. The
spinothalamic tract carries pain and temperature, while the corticospinal tract is motor.
Question 5
Q5. A nurse is assessing a patient for jugular venous distension. The patient is positioned at 45
degrees with the head turned slightly to the left. The nurse observes pulsations of the internal
jugular vein above the clavicle more than 3 cm vertically. This finding indicates:
A. Normal jugular venous pressure in a healthy adult
B. Elevated central venous pressure suggesting fluid overload or right heart failure
C. Tricuspid regurgitation from valve dysfunction
D. Anxiety-induced sympathetic nervous system activation
Correct Answer: B
Rationale:
Jugular venous distension greater than 3 cm above the sternal angle at 45 degrees indicates elevated
central venous pressure. This is a key sign of right-sided heart failure, fluid overload, or superior vena cava
obstruction. Normal JVP is not visible above 3 cm at this angle.
Question 6
Q6. During a gastrointestinal assessment, a nurse percusses the abdomen and notes tympany
over the epigastrium and dullness over the right upper quadrant. The nurse interprets this as:
A. Normal findings: gas in the stomach and solid liver tissue
B. Abnormal fluid accumulation in the peritoneal cavity
C. Intestinal obstruction with air-fluid levels
D. Splenic enlargement in the left upper quadrant
Correct Answer: A
Rationale:
Tympany over the epigastrium is expected due to the air-filled stomach, and dullness over the right upper
quadrant reflects the solid liver. This is a normal percussion pattern. Dullness in dependent areas could
indicate ascites, and tympany throughout the abdomen might suggest obstruction.
NSG 3100 Exam 2 Questions and Answers 2026/2027 | 100% Verified 2026/2027 Page 3
NSG 3100 Exam 2 Questions and
Answers 2026/2027 | 100% Verified
2026/2027
Comprehensive Content Review
A+
A+ 5 100%
QUESTIONS VERIFIED CORE DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
Health Assessment & Physical Examination
Pharmacology & Medication Safety
Cardiovascular & Respiratory Nursing
Gastrointestinal, Renal & Endocrine Nursing
Neurological, Musculoskeletal & Professional Practice
STUVIAACTUALEXAM
, Health Assessment & Physical Examination
Question 1
Q1. A nurse is performing a head-to-toe assessment on a 68-year-old patient who was admitted for
pneumonia. When auscultating the posterior lungs, the nurse notes coarse crackles at the bilateral
bases that do not clear with coughing. This finding most likely indicates:
A. Consolidation from atelectasis
B. Fluid accumulation from heart failure or pulmonary edema
C. Normal age-related changes in the alveoli
D. Airway obstruction from a foreign body
Correct Answer: B
Rationale:
Coarse crackles that persist after coughing suggest fluid in the alveoli and interstitial spaces, commonly seen
in pulmonary edema or heart failure. Atelectasis crackles typically clear with coughing, and age-related
changes do not produce coarse crackles.
Question 2
Q2. During a cardiac assessment, a nurse palpates the patient's pulse and notes a rhythm that is
irregular with no predictable pattern. The nurse documents this as:
A. Sinus arrhythmia
B. Atrial fibrillation
C. Premature ventricular contractions
D. Pulse deficit
Correct Answer: B
Rationale:
An irregularly irregular rhythm with no pattern is the hallmark of atrial fibrillation. Sinus arrhythmia varies with
respiration in a predictable pattern, PVCs occur with a compensatory pause, and pulse deficit refers to an
apical-radial difference.
Question 3
Q3. A nurse is assessing a postoperative patient and notices a wound with beefy-red granulation
tissue, slight serous drainage, and edges that are well-approximated. The nurse recognizes this
as:
A. Normal healing by primary intention
B. Wound dehiscence with impending evisceration
C. Signs of a localized wound infection
D. Wound necrosis requiring surgical debridement
Correct Answer: A
Rationale:
Beefy-red granulation tissue, minimal serous drainage, and well-approximated edges are classic signs of
normal wound healing by primary intention. Infection would present with purulent drainage, erythema, and
edema, while dehiscence involves separation of wound edges.
, Question 4
Q4. When performing a neurological assessment, a nurse asks a patient to close their eyes and
identify a coin placed in their hand. This test evaluates which sensory pathway?
A. Corticospinal tract motor function
B. Dorsal column-medial lemniscus fine touch and proprioception
C. Spinothalamic tract pain and temperature sensation
D. Cerebellar coordination and balance
Correct Answer: B
Rationale:
The ability to identify an object by touch with eyes closed is stereognosis, which tests the dorsal
column-medial lemniscus pathway responsible for fine touch, vibration, and proprioception. The
spinothalamic tract carries pain and temperature, while the corticospinal tract is motor.
Question 5
Q5. A nurse is assessing a patient for jugular venous distension. The patient is positioned at 45
degrees with the head turned slightly to the left. The nurse observes pulsations of the internal
jugular vein above the clavicle more than 3 cm vertically. This finding indicates:
A. Normal jugular venous pressure in a healthy adult
B. Elevated central venous pressure suggesting fluid overload or right heart failure
C. Tricuspid regurgitation from valve dysfunction
D. Anxiety-induced sympathetic nervous system activation
Correct Answer: B
Rationale:
Jugular venous distension greater than 3 cm above the sternal angle at 45 degrees indicates elevated
central venous pressure. This is a key sign of right-sided heart failure, fluid overload, or superior vena cava
obstruction. Normal JVP is not visible above 3 cm at this angle.
Question 6
Q6. During a gastrointestinal assessment, a nurse percusses the abdomen and notes tympany
over the epigastrium and dullness over the right upper quadrant. The nurse interprets this as:
A. Normal findings: gas in the stomach and solid liver tissue
B. Abnormal fluid accumulation in the peritoneal cavity
C. Intestinal obstruction with air-fluid levels
D. Splenic enlargement in the left upper quadrant
Correct Answer: A
Rationale:
Tympany over the epigastrium is expected due to the air-filled stomach, and dullness over the right upper
quadrant reflects the solid liver. This is a normal percussion pattern. Dullness in dependent areas could
indicate ascites, and tympany throughout the abdomen might suggest obstruction.
NSG 3100 Exam 2 Questions and Answers 2026/2027 | 100% Verified 2026/2027 Page 3
