NSG 3160 Exam 4
Health Assessment
Galen College of Nursing
2026/2027 |Newly Released
50 Verified questions & Answers with Detailed NCLEX-
Style Rationales
Graded A+
NGN Case Study 1: Use the EHR tabs to answer questions 1 through 6.
Patient: Marcus Webb
Age: 24
Gender: Male
History Tab:
Marcus presents to the emergency department reporting severe abdominal pain that started this
morning around the umbilicus and has since moved to the right lower quadrant. He reports two
episodes of vomiting and a low-grade fever. He states the pain is sharp and worse when he
coughs or hits a bump in the car ride over.
Physical Exam Tab:
General: Patient is lying still on the stretcher with knees drawn up.
Abdomen: Inspection reveals no visible masses or scars. Bowel sounds are hypoactive in the
RLQ. Upon palpation, the nurse notes tenderness at McBurney’s point. When the nurse presses
deeply over the left lower quadrant and quickly releases, the patient reports increased pain in the
RLQ.
, Q1: Based on the History and Physical Exam findings, which specific sign is the patient
exhibiting?
A. Murphy’s sign
B. Blumberg’s sign
C. Grey Turner’s sign
D. Cullen’s sign
Correct Answer: B
Rationale: Blumberg’s sign is rebound tenderness, specifically pain upon release of pressure on
the contralateral side (or same side), indicating peritoneal irritation. Murphy’s sign is associated
with cholecystitis, while Grey Turner’s and Cullen’s signs are associated with retroperitoneal
hemorrhage or pancreatitis.
Q2: The nurse interprets the location of the pain at McBurney’s point as indicative of pathology
involving which organ?
A. Stomach
B. Sigmoid colon
C. Appendix
D. Gallbladder
Correct Answer: C
Rationale: McBurney’s point is located in the right lower quadrant (RLQ), approximately one-
third of the distance from the anterior superior iliac spine to the umbilicus. Tenderness at this
specific point is the hallmark sign of appendicitis.
Q3: While assessing the abdomen, the nurse follows the IAPP sequence. Place the following
assessment techniques in the correct order.
A. Inspection
B. Palpation
C. Percussion
D. Auscultation
A. A, D, C, B
B. A, B, C, D
C. A, C, D, B
D. D, A, C, B
Correct Answer: A
Rationale: The correct sequence for an abdominal assessment is Inspection, Auscultation,
Percussion, and then Palpation. Auscultation is performed before percussion and palpation
because those hands-on techniques can alter bowel sounds or mask vascular sounds.
Health Assessment
Galen College of Nursing
2026/2027 |Newly Released
50 Verified questions & Answers with Detailed NCLEX-
Style Rationales
Graded A+
NGN Case Study 1: Use the EHR tabs to answer questions 1 through 6.
Patient: Marcus Webb
Age: 24
Gender: Male
History Tab:
Marcus presents to the emergency department reporting severe abdominal pain that started this
morning around the umbilicus and has since moved to the right lower quadrant. He reports two
episodes of vomiting and a low-grade fever. He states the pain is sharp and worse when he
coughs or hits a bump in the car ride over.
Physical Exam Tab:
General: Patient is lying still on the stretcher with knees drawn up.
Abdomen: Inspection reveals no visible masses or scars. Bowel sounds are hypoactive in the
RLQ. Upon palpation, the nurse notes tenderness at McBurney’s point. When the nurse presses
deeply over the left lower quadrant and quickly releases, the patient reports increased pain in the
RLQ.
, Q1: Based on the History and Physical Exam findings, which specific sign is the patient
exhibiting?
A. Murphy’s sign
B. Blumberg’s sign
C. Grey Turner’s sign
D. Cullen’s sign
Correct Answer: B
Rationale: Blumberg’s sign is rebound tenderness, specifically pain upon release of pressure on
the contralateral side (or same side), indicating peritoneal irritation. Murphy’s sign is associated
with cholecystitis, while Grey Turner’s and Cullen’s signs are associated with retroperitoneal
hemorrhage or pancreatitis.
Q2: The nurse interprets the location of the pain at McBurney’s point as indicative of pathology
involving which organ?
A. Stomach
B. Sigmoid colon
C. Appendix
D. Gallbladder
Correct Answer: C
Rationale: McBurney’s point is located in the right lower quadrant (RLQ), approximately one-
third of the distance from the anterior superior iliac spine to the umbilicus. Tenderness at this
specific point is the hallmark sign of appendicitis.
Q3: While assessing the abdomen, the nurse follows the IAPP sequence. Place the following
assessment techniques in the correct order.
A. Inspection
B. Palpation
C. Percussion
D. Auscultation
A. A, D, C, B
B. A, B, C, D
C. A, C, D, B
D. D, A, C, B
Correct Answer: A
Rationale: The correct sequence for an abdominal assessment is Inspection, Auscultation,
Percussion, and then Palpation. Auscultation is performed before percussion and palpation
because those hands-on techniques can alter bowel sounds or mask vascular sounds.
