NSG 121
Health Assessment
Final Exam Review (Qns & Ans)
2025
1. Which of the following is the most reliable method to assess a
patient's hydration status?
a) Skin turgor
b) Capillary refill
c) Daily weight
d) Urine color
ANS: c) Daily weight
Rationale: Daily weight measurements provide the most
accurate assessment of fluid balance and hydration status.
©2025
,2. What is the primary purpose of the Glasgow Coma Scale
(GCS)?
a) To assess pain levels
b) To evaluate cognitive function
c) To measure level of consciousness
d) To determine motor strength
ANS: c) To measure level of consciousness
Rationale: The GCS is a tool used to assess a patient's level
of consciousness by evaluating eye, verbal, and motor responses.
3. Which assessment finding is most indicative of deep vein
thrombosis (DVT)?
a) Bilateral leg swelling
b) Unilateral leg swelling and pain
c) Presence of varicose veins
d) Generalized edema
ANS: b) Unilateral leg swelling and pain
Rationale: DVT typically presents with unilateral swelling
and pain due to a clot in a deep vein.
4. What is the significance of assessing for a positive Babinski
reflex in an adult patient?
©2025
, a) Normal finding
b) Indicates lower motor neuron damage
c) Suggests upper motor neuron lesion
d) Sign of peripheral neuropathy
ANS: c) Suggests upper motor neuron lesion
Rationale: A positive Babinski reflex in an adult indicates a
potential upper motor neuron lesion.
5. Which lung sound is characterized by high-pitched, musical
wheezing heard primarily during expiration?
a) Crackles
b) Rhonchi
c) Stridor
d) Wheezing
ANS: d) Wheezing
Rationale: Wheezing is a high-pitched, musical sound
typically heard during expiration and is associated with narrowed
airways.
Fill-in-the-Blank Questions
©2025
Health Assessment
Final Exam Review (Qns & Ans)
2025
1. Which of the following is the most reliable method to assess a
patient's hydration status?
a) Skin turgor
b) Capillary refill
c) Daily weight
d) Urine color
ANS: c) Daily weight
Rationale: Daily weight measurements provide the most
accurate assessment of fluid balance and hydration status.
©2025
,2. What is the primary purpose of the Glasgow Coma Scale
(GCS)?
a) To assess pain levels
b) To evaluate cognitive function
c) To measure level of consciousness
d) To determine motor strength
ANS: c) To measure level of consciousness
Rationale: The GCS is a tool used to assess a patient's level
of consciousness by evaluating eye, verbal, and motor responses.
3. Which assessment finding is most indicative of deep vein
thrombosis (DVT)?
a) Bilateral leg swelling
b) Unilateral leg swelling and pain
c) Presence of varicose veins
d) Generalized edema
ANS: b) Unilateral leg swelling and pain
Rationale: DVT typically presents with unilateral swelling
and pain due to a clot in a deep vein.
4. What is the significance of assessing for a positive Babinski
reflex in an adult patient?
©2025
, a) Normal finding
b) Indicates lower motor neuron damage
c) Suggests upper motor neuron lesion
d) Sign of peripheral neuropathy
ANS: c) Suggests upper motor neuron lesion
Rationale: A positive Babinski reflex in an adult indicates a
potential upper motor neuron lesion.
5. Which lung sound is characterized by high-pitched, musical
wheezing heard primarily during expiration?
a) Crackles
b) Rhonchi
c) Stridor
d) Wheezing
ANS: d) Wheezing
Rationale: Wheezing is a high-pitched, musical sound
typically heard during expiration and is associated with narrowed
airways.
Fill-in-the-Blank Questions
©2025
