NSG 3160 HEALTH ASSESSMENT FINAL
EXAM V2 QUESTIONS AND ANSWERS
1. When performing a physical assessment of the abdomen, in what order should the nurse
perform the assessment techniques?
A. Inspection, Auscultation, Percussion, Palpation
B. Inspection, Palpation, Percussion, Auscultation
C. Auscultation, Inspection, Palpation, Percussion
D. Palpation, Percussion, Auscultation, Inspection
Answer: A
Conceptual Explanation: Auscultation is performed before percussion and palpation to
prevent the stimulation of bowel sounds, which could lead to a false assessment of bowel
activity.
2. A patient presents with a ‘20/40’ vision result on the Snellen chart. How should the nurse
interpret this finding?
A. The patient can see at 40 feet what a normal eye sees at 20 feet.
B. The patient’s vision is twice as good as normal vision.
,C. The patient can see at 20 feet what a normal eye sees at 40 feet.
D. The patient can read 20 out of 40 letters on the chart correctly.
Answer: C
Conceptual Explanation: In Snellen chart notation, the top number indicates the distance
from the chart (20 feet), and the bottom number indicates the distance at which a normal
eye could read that particular line.
3. Which heart sound is caused by the closure of the atrioventricular (mitral and tricuspid)
valves?
A. S2
B. S1
C. S3
D. S4
Answer: B
Conceptual Explanation: S1 occurs with the closure of the AV valves and signals the
beginning of systole. S2 occurs with the closure of the semilunar valves.
4. A nurse is assessing a patient for a possible deep vein thrombosis (DVT). Which finding is
most clinically significant?
A. Bilateral pitting edema in the lower extremities
B. Unilateral warmth, swelling, and redness of the calf
, C. Patient reports leg cramps after walking two blocks
D. Brownish discoloration of the skin around the ankles
Answer: B
Conceptual Explanation: Unilateral swelling and inflammation are classic signs of DVT,
whereas bilateral edema usually points to systemic issues like heart failure.
5. During a respiratory assessment, the nurse hears low-pitched, bubbling, moist sounds that
persist from early inspiration to early expiration. These are best described as:
A. Wheezes
B. Fine crackles
C. Pleural friction rub
D. Coarse crackles
Answer: D
Conceptual Explanation: Coarse crackles are low-pitched, bubbling, and gurgling sounds
that start in early inspiration and can extend into expiration.
6. The nurse is testing Cranial Nerve VII. Which action should the nurse ask the patient to
perform?
A. Shrug the shoulders against resistance
B. Stick out the tongue and move it side to side
C. Smile, frown, and puff out the cheeks
EXAM V2 QUESTIONS AND ANSWERS
1. When performing a physical assessment of the abdomen, in what order should the nurse
perform the assessment techniques?
A. Inspection, Auscultation, Percussion, Palpation
B. Inspection, Palpation, Percussion, Auscultation
C. Auscultation, Inspection, Palpation, Percussion
D. Palpation, Percussion, Auscultation, Inspection
Answer: A
Conceptual Explanation: Auscultation is performed before percussion and palpation to
prevent the stimulation of bowel sounds, which could lead to a false assessment of bowel
activity.
2. A patient presents with a ‘20/40’ vision result on the Snellen chart. How should the nurse
interpret this finding?
A. The patient can see at 40 feet what a normal eye sees at 20 feet.
B. The patient’s vision is twice as good as normal vision.
,C. The patient can see at 20 feet what a normal eye sees at 40 feet.
D. The patient can read 20 out of 40 letters on the chart correctly.
Answer: C
Conceptual Explanation: In Snellen chart notation, the top number indicates the distance
from the chart (20 feet), and the bottom number indicates the distance at which a normal
eye could read that particular line.
3. Which heart sound is caused by the closure of the atrioventricular (mitral and tricuspid)
valves?
A. S2
B. S1
C. S3
D. S4
Answer: B
Conceptual Explanation: S1 occurs with the closure of the AV valves and signals the
beginning of systole. S2 occurs with the closure of the semilunar valves.
4. A nurse is assessing a patient for a possible deep vein thrombosis (DVT). Which finding is
most clinically significant?
A. Bilateral pitting edema in the lower extremities
B. Unilateral warmth, swelling, and redness of the calf
, C. Patient reports leg cramps after walking two blocks
D. Brownish discoloration of the skin around the ankles
Answer: B
Conceptual Explanation: Unilateral swelling and inflammation are classic signs of DVT,
whereas bilateral edema usually points to systemic issues like heart failure.
5. During a respiratory assessment, the nurse hears low-pitched, bubbling, moist sounds that
persist from early inspiration to early expiration. These are best described as:
A. Wheezes
B. Fine crackles
C. Pleural friction rub
D. Coarse crackles
Answer: D
Conceptual Explanation: Coarse crackles are low-pitched, bubbling, and gurgling sounds
that start in early inspiration and can extend into expiration.
6. The nurse is testing Cranial Nerve VII. Which action should the nurse ask the patient to
perform?
A. Shrug the shoulders against resistance
B. Stick out the tongue and move it side to side
C. Smile, frown, and puff out the cheeks
