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NSG 3160 HEALTH ASSESSMENT FINAL EXAM V2 QUESTIONS AND ANSWERS

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NSG 3160 HEALTH ASSESSMENT FINAL EXAM V2 QUESTIONS AND ANSWERS

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NSG 3160 HEALTH ASSESSMENT FINAL
EXAM V2 QUESTIONS AND ANSWERS



1. During an abdominal assessment, in which order should the physical examination

techniques be performed?

A. Inspection, Palpation, Percussion, Auscultation


B. Inspection, Auscultation, Percussion, Palpation


C. Auscultation, Inspection, Palpation, Percussion


D. Percussion, Auscultation, Inspection, Palpation


Answer: B


Conceptual Explanation: The abdomen is always auscultated before percussion and

palpation to prevent the stimulation of bowel sounds, which could lead to false findings.


2. When assessing a patient for jugular venous distention (JVD), at what angle should the

head of the bed be positioned?

A. 45 degrees


B. 90 degrees


C. 15 degrees


D. 0 degrees

,Answer: A


Conceptual Explanation: JVD is typically assessed with the patient semi-Fowler’s at a 30-

to 45-degree angle to accurately measure the vertical distance from the sternal angle.


3. A patient presents with a ‘strawberry tongue.’ This clinical finding is most characteristic of

which condition?

A. Scarlet fever


B. Vitamin B12 deficiency


C. Oral candidiasis


D. Leukoplakia


Answer: A


Conceptual Explanation: Scarlet fever often presents with a ‘strawberry tongue,’ where

the tongue appears bright red with prominent papillae.


4. Which heart sound is considered a ‘ventricular gallop’ and is frequently associated with

heart failure in older adults?

A. S3


B. S2


C. S1


D. S4


Answer: A

, Conceptual Explanation: S3 occurs early in diastole during the rapid ventricular filling

phase and is often a sign of fluid volume overload or heart failure in adults.


5. A 70-year-old patient exhibits a slow, shuffling gait and a ‘pill-rolling’ tremor. These are

classic assessment findings for:

A. Multiple Sclerosis


B. Amyotrophic Lateral Sclerosis


C. Parkinson’s Disease


D. Huntington’s Disease


Answer: C


Conceptual Explanation: Parkinson’s disease is characterized by bradykinesia, resting

tremors (pill-rolling), and a shuffling gait.


6. While assessing the lungs, the nurse hears high-pitched, musical sounds primarily during

expiration. How should this be documented?

A. Coarse crackles


B. Wheezes


C. Pleural friction rub


D. Stridor


Answer: B

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