NSG 3160 Health Assessment Exam 4B Review of 250
latest real exam questions and correct answers graded
A+ Galen College/ Galen NSG 3160 Exam 4 Review –
Questions and answers 2026-2027
During an abdominal assessment, the nurse elicits tenderness on light palpation in
the right lower quadrant. The nurse interprets that this finding could indicate a
disorder of which of these structures?
A. Appendix
B. Spleen
C. Gallbladder
D. Stomach
-ANSWER- A
During an examination, the patient tells the nurse that she sometimes feels as if
objects are spinning around her. The nurse would document that she occasionally
experiences:
A. Vertigo
B. Syncope
C. Dizziness
D. Lightheadedness
-ANSWER- A
A patient tells the nurse, Sometimes I wake up at night and I have real trouble
breathing. I have to sit up in bed to get a good breath. When documenting this
information, the nurse would note:
A. Paroxysmal nocturnal dyspnea
B. Orthopnea
C. Dyspnea
D. Apnea
-ANSWER- A
1
,During the examination of a patient, the nurse notices that the patient has several
small, flat macules on the posterior portion of her thorax. These macules are less
than 1 cm wide. Another name for these macules is:
A. Freckles
B. Nevi
C. Papules
D. Vesicles
-ANSWER- A
During an examination, the nurse notices that a patient's legs turn white when they
are raised above the patient's head. The nurse should suspect:
A. Chronic arterial insufficiency
B. Chronic venous insufficiency
C. Deep vein thrombosis
D. Lymphedema
-ANSWER- A
The nurse documents that a patient has coarse, thickened skin and brown
discoloration over the lower legs. Pulses are present. This finding is probably the
result of:
A. Chronic venous insufficiency
B. Chronic arterial insufficiency
C. Deep vein thrombosis
D. Lymphedema
-ANSWER- A
The nurse notices that a patient has ulcerations on the tips of the toes and on the
lateral aspect of the ankles. This finding indicates:
A. Arterial insufficiency
B. Venous insufficiency
C. Deep vein thrombosis
D. Lymphedema
-ANSWER- A
The nurse has just recorded a positive iliopsoas test on a patient who has
abdominal pain. This test is used to confirm a(n):
A. Perforated appendix
B. Cholecystitis
C. Pancreatitis
2
,D. Diverticulitis
-ANSWER- A
The nurse will measure a patient's near vision with which tool?
A. Jaeger card
B. Snellen chart
C. Rosenbaum card
D. Ishihara chart
-ANSWER- A
If the nurse records the results to the Hirschberg test, the nurse has:
A. Tested the corneal light reflex
B. Tested visual acuity
C. Tested visual fields
D. Tested extraocular muscles
-ANSWER- A
During the examination of a patient's mouth, the nurse observes a nodular bony
ridge down the middle of the hard palate. The nurse would chart this finding as:
A. Torus palatinus
B. Torus mandibularis
C. Cleft palate
D. Bifid uvula
-ANSWER- A
During examination, the nurse finds that a patient is unable to distinguish objects
placed in his hand. The nurse would document:
A. Astereognosis
B. Agraphesthesia
C. Anosmia
D. Ageusia
-ANSWER- A
After the examination of an infant, the nurse documents opisthotonos. The nurse
recognizes that this finding often occurs with:
A. Meningeal irritation
B. Cerebral palsy
C. Muscular dystrophy
D. Spinal cord injury
-ANSWER- A
3
, After assessing a female patient, the nurse notices flesh-colored, soft, pointed,
moist, papules in a cauliflower-like patch around her introitus. This finding is most
likely:
A. Human papillomavirus
B. Herpes simplex virus
C. Syphilitic chancre
D. Chancroid
-ANSWER- A
While recording in a patient's medical record, the nurse notices that a patient's
Hematest results are positive. This finding means that there is(are):
A. Occult blood in his stool
B. Visible blood in his stool
C. Blood in his urine
D. Blood in his emesis
-ANSWER- A
While examining a 48-year-old patient's eyes, the nurse notices that he had to
move the handheld vision screener farther away from his face. The nurse would
suspect:
A. Presbyopia
B. Myopia
C. Hyperopia
D. Astigmatism
-ANSWER- A
The nurse is assessing the abdomen of an older adult. Which statement regarding
the older adult and abdominal assessment is true?
A. Abdominal musculature is thinner
B. Abdominal musculature is thicker
C. Bowel sounds are louder
D. Abdominal organs are larger
-ANSWER- A
During an assessment of a newborn infant, the nurse recalls that pyloric stenosis
would be exhibited by:
A. Projectile vomiting
B. Bilious vomiting
4
latest real exam questions and correct answers graded
A+ Galen College/ Galen NSG 3160 Exam 4 Review –
Questions and answers 2026-2027
During an abdominal assessment, the nurse elicits tenderness on light palpation in
the right lower quadrant. The nurse interprets that this finding could indicate a
disorder of which of these structures?
A. Appendix
B. Spleen
C. Gallbladder
D. Stomach
-ANSWER- A
During an examination, the patient tells the nurse that she sometimes feels as if
objects are spinning around her. The nurse would document that she occasionally
experiences:
A. Vertigo
B. Syncope
C. Dizziness
D. Lightheadedness
-ANSWER- A
A patient tells the nurse, Sometimes I wake up at night and I have real trouble
breathing. I have to sit up in bed to get a good breath. When documenting this
information, the nurse would note:
A. Paroxysmal nocturnal dyspnea
B. Orthopnea
C. Dyspnea
D. Apnea
-ANSWER- A
1
,During the examination of a patient, the nurse notices that the patient has several
small, flat macules on the posterior portion of her thorax. These macules are less
than 1 cm wide. Another name for these macules is:
A. Freckles
B. Nevi
C. Papules
D. Vesicles
-ANSWER- A
During an examination, the nurse notices that a patient's legs turn white when they
are raised above the patient's head. The nurse should suspect:
A. Chronic arterial insufficiency
B. Chronic venous insufficiency
C. Deep vein thrombosis
D. Lymphedema
-ANSWER- A
The nurse documents that a patient has coarse, thickened skin and brown
discoloration over the lower legs. Pulses are present. This finding is probably the
result of:
A. Chronic venous insufficiency
B. Chronic arterial insufficiency
C. Deep vein thrombosis
D. Lymphedema
-ANSWER- A
The nurse notices that a patient has ulcerations on the tips of the toes and on the
lateral aspect of the ankles. This finding indicates:
A. Arterial insufficiency
B. Venous insufficiency
C. Deep vein thrombosis
D. Lymphedema
-ANSWER- A
The nurse has just recorded a positive iliopsoas test on a patient who has
abdominal pain. This test is used to confirm a(n):
A. Perforated appendix
B. Cholecystitis
C. Pancreatitis
2
,D. Diverticulitis
-ANSWER- A
The nurse will measure a patient's near vision with which tool?
A. Jaeger card
B. Snellen chart
C. Rosenbaum card
D. Ishihara chart
-ANSWER- A
If the nurse records the results to the Hirschberg test, the nurse has:
A. Tested the corneal light reflex
B. Tested visual acuity
C. Tested visual fields
D. Tested extraocular muscles
-ANSWER- A
During the examination of a patient's mouth, the nurse observes a nodular bony
ridge down the middle of the hard palate. The nurse would chart this finding as:
A. Torus palatinus
B. Torus mandibularis
C. Cleft palate
D. Bifid uvula
-ANSWER- A
During examination, the nurse finds that a patient is unable to distinguish objects
placed in his hand. The nurse would document:
A. Astereognosis
B. Agraphesthesia
C. Anosmia
D. Ageusia
-ANSWER- A
After the examination of an infant, the nurse documents opisthotonos. The nurse
recognizes that this finding often occurs with:
A. Meningeal irritation
B. Cerebral palsy
C. Muscular dystrophy
D. Spinal cord injury
-ANSWER- A
3
, After assessing a female patient, the nurse notices flesh-colored, soft, pointed,
moist, papules in a cauliflower-like patch around her introitus. This finding is most
likely:
A. Human papillomavirus
B. Herpes simplex virus
C. Syphilitic chancre
D. Chancroid
-ANSWER- A
While recording in a patient's medical record, the nurse notices that a patient's
Hematest results are positive. This finding means that there is(are):
A. Occult blood in his stool
B. Visible blood in his stool
C. Blood in his urine
D. Blood in his emesis
-ANSWER- A
While examining a 48-year-old patient's eyes, the nurse notices that he had to
move the handheld vision screener farther away from his face. The nurse would
suspect:
A. Presbyopia
B. Myopia
C. Hyperopia
D. Astigmatism
-ANSWER- A
The nurse is assessing the abdomen of an older adult. Which statement regarding
the older adult and abdominal assessment is true?
A. Abdominal musculature is thinner
B. Abdominal musculature is thicker
C. Bowel sounds are louder
D. Abdominal organs are larger
-ANSWER- A
During an assessment of a newborn infant, the nurse recalls that pyloric stenosis
would be exhibited by:
A. Projectile vomiting
B. Bilious vomiting
4
