NSG 6020 HEALTH ASSESSMENT MIDTERM EXAM QUESTIONS AND ANSWERS

NSG 6020 HEALTH ASSESSMENT
MIDTERM EXAM QUESTIONS AND
ANSWERS



1. When conducting a physical examination, which assessment technique should be

performed first for the abdomen?

A. Palpation


B. Percussion


C. Inspection


D. Auscultation


Answer: C


Conceptual Explanation: For the abdominal exam, inspection is always performed first to

observe surface characteristics before any manipulation occurs.


2. A patient with COPD presents with a barrel chest. What is the expected AP to transverse

diameter ratio?

A. 1:2


B. 1:1


C. 2:1

,D. 3:4


Answer: B


Conceptual Explanation: In patients with COPD, air trapping leads to a barrel chest where

the anteroposterior (AP) diameter increases, resulting in a 1:1 ratio.


3. Which heart sound is considered a ‘ventricular gallop’ and is often associated with heart

failure or fluid overload?

A. S1


B. S3


C. S2


D. S4


Answer: B


Conceptual Explanation: S3 occurs in early diastole during rapid ventricular filling and is

a hallmark sign of fluid volume overload or heart failure in adults.


4. A positive Murphy’s sign is indicative of which condition?

A. Acute Appendicitis


B. Acute Cholecystitis


C. Splenomegaly


D. Nephrolithiasis

, Answer: B


Conceptual Explanation: Murphy’s sign involves pain and sudden cessation of inspiration

during palpation of the gallbladder, indicating cholecystitis.


5. Which cranial nerve is responsible for the motor function of the tongue?

A. CN XII


B. CN XI


C. CN X


D. CN IX


Answer: A


Conceptual Explanation: Cranial Nerve XII (Hypoglossal) controls the muscles of the

tongue.


6. In the SOAP note format, where would you document the patient’s reported symptoms?

A. Plan


B. Objective


C. Assessment


D. Subjective


Answer: D