NSG 3250 Adult Health I Exam 3
Questions & Answers 2026/2027
Comprehensive Exam Review with
Rationales Galen College of Nursing
Comprehensive Examination Question Bank • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS RATIONALES
159 Questions 12 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 159 verified questions with detailed rationales covering adult health nursing concepts.
Each item pairs a board-style question with the correct answer and a concise explanation of the underlying
principle, making it suitable for exam preparation, course review, and comprehensive understanding of adult
health issues.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus Questions Share (%)
Focuses on the evaluation of brain functions and common
Neurological Assessment neurological symptoms. 15 Qs 9.4%
Covers identification and management strategies for different
Stroke Management types of strokes. 14 Qs 8.8%
Examines types of headaches, their treatments, and
Headache Disorders management strategies. 13 Qs 8.2%
Deep Vein Thrombosis (DVT) Addresses prevention, symptoms, and complications of DVT. 13 Qs 8.2%
Discusses the signs, symptoms, and management of fat
Fat Embolism Syndrome embolism syndrome. 13 Qs 8.2%
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Explores types of hearing loss and associated management
Hearing Loss and Audiology strategies. 13 Qs 8.2%
Covers dietary recommendations and their effects on health
Nutritional Considerations conditions. 13 Qs 8.2%
Focuses on pharmacological treatments for various
Medication Management conditions. 13 Qs 8.2%
Respiratory and Cardiac
Function Examines critical life functions and their assessment. 13 Qs 8.2%
Reviews methods to enhance communication with patients
Patient Communication Tools with impairments. 13 Qs 8.2%
Describes appropriate responses to common emergencies in
Emergency Response in Nursing nursing. 13 Qs 8.2%
Surgical Recovery and Discusses recovery protocols and complications following
Postoperative Care surgery. 13 Qs 8.2%
Total Exam Coverage 12 Integrated Topic Modules 159 Qs 100.0%
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TOPIC 1: NEUROLOGICAL ASSESSMENT
15 Questions • 9.4% of Exam • Focuses on the evaluation of brain functions and common neurological symptoms.
QUESTION 1
Left Cerebral Hemisphere
Answer: Controls language, reasoning, and mathematical skills.
Rationale: The left cerebral hemisphere is typically dominant for language processing, logical reasoning, and analytical
skills. This lateralization of function dictates its role in complex cognitive tasks.
QUESTION 2
Aphasia
Answer: Impaired ability to communicate verbally or in writing.
Rationale: Aphasia is a neurological deficit characterized by an impaired ability to produce or comprehend language,
manifesting as difficulties with verbal expression or written communication. This dysfunction stems from damage to specific
brain regions responsible for language processing.
QUESTION 3
Brainstem
Answer: Includes midbrain, pons, and medulla; vital functions.
Rationale: The brainstem, comprising the midbrain, pons, and medulla oblongata, is responsible for regulating essential
life-sustaining functions such as breathing, heart rate, and consciousness. This anatomical structure serves as the critical
relay center between the cerebrum, cerebellum, and spinal cord.
QUESTION 4
Neurological Exam
Answer: Assessment of brain and nervous system functions.
Rationale: A neurological exam systematically evaluates cranial nerves, motor and sensory pathways, reflexes, and
cognitive function to identify abnormalities within the central and peripheral nervous systems.
This comprehensive assessment is designed to pinpoint the location and nature of potential neurological deficits.
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QUESTION 5
Right-sided weakness
Answer: Common symptom indicating potential stroke on the left side.
Rationale: The corticospinal tracts decussate (cross over) in the brainstem, meaning the left hemisphere of the brain
controls motor function on the right side of the body. Therefore, a lesion in the left cerebral hemisphere, such as a stroke,
commonly manifests as right-sided hemiparesis.
QUESTION 6
Neurological symptoms
Answer: Signs indicating potential brain issues, like seizures.
Rationale: Neurological symptoms are objective or subjective manifestations that suggest dysfunction within the nervous
system, encompassing the brain, spinal cord, and peripheral nerves; seizures are a prime example of such a manifestation,
arising from abnormal electrical activity in the brain. This question tests the understanding of what constitutes a neurological
symptom and its implications for central nervous system integrity.
QUESTION 7
Locked-in syndrome
Answer: Condition with full consciousness but inability to move.
Rationale: Locked-in syndrome is characterized by intact consciousness and cognition, with preserved awareness and
mental function, but profound paralysis of nearly all voluntary muscles, leading to an inability to move or communicate
verbally. This condition represents a severe disruption of the corticospinal tracts, leaving the brain's awareness intact but its
motor output pathways blocked.
QUESTION 8
Akinetic mutism
Answer: Condition where patient is unresponsive but can open eyes.
Rationale: Akinetic mutism is characterized by a lack of spontaneous movement and speech, yet preserved eye opening
and visual tracking, reflecting severe disruption of frontal lobe executive functions and reticular activating system output.
The key concept tested is the differential diagnosis of disorders of consciousness, specifically distinguishing akinetic mutism
from other states like coma or vegetative state.
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