NSG 3160 HEALTH ASSESSMENT FINAL
EXAM V2 QUESTIONS AND ANSWERS
1. During a neurological assessment, the nurse asks the patient to identify a common object,
such as a key, placed in their hand while their eyes are closed. This technique tests which of
the following?
A. Graphesthesia
B. Stereognosis
C. Two-point discrimination
D. Proprioception
Answer: B
Conceptual Explanation: Stereognosis is the ability to recognize objects by feeling their
form, size, and weight. Graphesthesia is the ability to ‘read’ a number traced on the skin.
2. When auscultating the heart of a 70-year-old patient, the nurse hears a soft, low-pitched
sound at the apex immediately following S2. Which action should the nurse take next?
A. Document this as a normal finding in the elderly.
B. Prepare the patient for an emergency echocardiogram.
C. Immediately notify the physician of a potential S4 gallop.
,D. Position the patient in a left lateral decubitus position and re-listen with the bell.
Answer: D
Conceptual Explanation: A soft, low-pitched sound after S2 is an S3. In older adults, it is
often a sign of heart failure. The left lateral position brings the apex closer to the chest wall,
and the bell is best for low-pitched sounds.
3. A patient presents with sharp, stabbing chest pain that worsens with deep inspiration and
is relieved by sitting upright and leaning forward. The nurse suspects:
A. Pericarditis
B. Angina pectoris
C. Myocardial infarction
D. Pulmonary embolism
Answer: A
Conceptual Explanation: Pericarditic pain is characteristically pleuritic (worse with
inspiration) and positional (relieved by leaning forward).
4. Which clinical finding is most characteristic of chronic arterial insufficiency in the lower
extremities?
A. Painless ulcerations with irregular borders at the medial malleolus
B. Pale, cool skin with diminished or absent pulses
C. Brownish skin discoloration and non-pitting edema
, D. Warm skin with prominent, dilated tortuous veins
Answer: B
Conceptual Explanation: Arterial insufficiency results from decreased blood flow, leading
to coolness, pallor, and weak pulses. Venous insufficiency typically presents with brownish
pigment and edema.
5. During an abdominal assessment, the nurse notes a positive Blumberg sign. What does this
indicate?
A. Gallbladder inflammation
B. Kidney infection
C. Splenic enlargement
D. Peritoneal irritation or appendicitis
Answer: D
Conceptual Explanation: Blumberg sign refers to rebound tenderness, which is a reliable
sign of peritoneal inflammation, often seen in appendicitis.
6. A nurse is performing a respiratory assessment on a patient with suspected lobar
pneumonia. Which percussion note is expected over the affected area?
A. Resonance
B. Dullness
C. Hyperresonance
EXAM V2 QUESTIONS AND ANSWERS
1. During a neurological assessment, the nurse asks the patient to identify a common object,
such as a key, placed in their hand while their eyes are closed. This technique tests which of
the following?
A. Graphesthesia
B. Stereognosis
C. Two-point discrimination
D. Proprioception
Answer: B
Conceptual Explanation: Stereognosis is the ability to recognize objects by feeling their
form, size, and weight. Graphesthesia is the ability to ‘read’ a number traced on the skin.
2. When auscultating the heart of a 70-year-old patient, the nurse hears a soft, low-pitched
sound at the apex immediately following S2. Which action should the nurse take next?
A. Document this as a normal finding in the elderly.
B. Prepare the patient for an emergency echocardiogram.
C. Immediately notify the physician of a potential S4 gallop.
,D. Position the patient in a left lateral decubitus position and re-listen with the bell.
Answer: D
Conceptual Explanation: A soft, low-pitched sound after S2 is an S3. In older adults, it is
often a sign of heart failure. The left lateral position brings the apex closer to the chest wall,
and the bell is best for low-pitched sounds.
3. A patient presents with sharp, stabbing chest pain that worsens with deep inspiration and
is relieved by sitting upright and leaning forward. The nurse suspects:
A. Pericarditis
B. Angina pectoris
C. Myocardial infarction
D. Pulmonary embolism
Answer: A
Conceptual Explanation: Pericarditic pain is characteristically pleuritic (worse with
inspiration) and positional (relieved by leaning forward).
4. Which clinical finding is most characteristic of chronic arterial insufficiency in the lower
extremities?
A. Painless ulcerations with irregular borders at the medial malleolus
B. Pale, cool skin with diminished or absent pulses
C. Brownish skin discoloration and non-pitting edema
, D. Warm skin with prominent, dilated tortuous veins
Answer: B
Conceptual Explanation: Arterial insufficiency results from decreased blood flow, leading
to coolness, pallor, and weak pulses. Venous insufficiency typically presents with brownish
pigment and edema.
5. During an abdominal assessment, the nurse notes a positive Blumberg sign. What does this
indicate?
A. Gallbladder inflammation
B. Kidney infection
C. Splenic enlargement
D. Peritoneal irritation or appendicitis
Answer: D
Conceptual Explanation: Blumberg sign refers to rebound tenderness, which is a reliable
sign of peritoneal inflammation, often seen in appendicitis.
6. A nurse is performing a respiratory assessment on a patient with suspected lobar
pneumonia. Which percussion note is expected over the affected area?
A. Resonance
B. Dullness
C. Hyperresonance
