NSG 500 Quiz #2 Comprehensive Practice Test: Verified Questions,
Correct Answers, and Complete Solutions | 2026 Updated Edition
1. If a patient presents with a family history of breast cancer and reports a new breast
lump, what should be the next step in their evaluation?
Schedule a follow-up appointment in one year.
Conduct a thorough clinical examination and consider imaging studies.
Advise the patient to monitor the lump for six months.
Refer the patient to a nutritionist.
2. Describe the significance of McBurney's point in the diagnosis of appendicitis.
McBurney's point is a test for gallbladder disease.
McBurney's point is a specific location on the abdomen that, when tender,
indicates potential appendicitis.
McBurney's point is a measurement for kidney size.
McBurney's point is used to assess liver function.
3. A patient presents with shortness of breath and a history of smoking. Upon
examination, you note decreased breath sounds and a barrel chest. What condition
is most likely indicated by these findings?
, Laryngeal obstruction
Tumor
Pleural effusion
Emphysema
4. Which of the following assessment findings for Mrs. Collon is the most significant
risk factor for the development of her colon cancer?
Chronic constipation.
History of inflammatory bowel disease.
Long-term use of laxatives.
History of smoking.
5. The universal sign of laryngeal obstruction is:
sweating stridor (crowing
sounds) mydriasis
tachycardia
6. What is the grading scale used for heart murmurs?
Grades 1 to 10
Grades A to F
Grades I to VI
Grades 1 to 5
7. What are the four main components of the gastrointestinal physical exam
sequence?
, Inspection, Palpation, Auscultation, Percussion
Palpation, Percussion, Inspection, Auscultation
Inspection, Auscultation, Percussion, Palpation
Auscultation, Inspection, Palpation, Percussion
8. During a routine examination, you hear a venous hum in a child. What should your
next step be?
Schedule a follow-up appointment in one week.
Refer the child for an echocardiogram immediately.
Document the finding and reassure the parents that it is usually benign.
Order a complete blood count to check for infection.
9. Which is the correct technique for performing a fundoscopic examination with a
traditional ophthalmoscope?
Examine the patient's right eye with your right eye, and the left eye with your
left eye.
Examine the patient's right eye with your left eye, and the left eye with your
right eye.
Examine the patient's right and left eyes with your dominant eye.
Examine the patient's right and left eyes with your nondominant eye.
10. What is a common symptom of a tympanic membrane (TM) rupture?
, Headache
Fever
Ear pain
Nausea
11. In a clinical scenario, if a patient exhibits stridor and difficulty breathing, what type
of obstruction might you suspect and what immediate action should be taken?
Obstruction below the glottis; administer bronchodilators.
Obstruction below the glottis; perform a tracheostomy.
Obstruction above the glottis; provide oxygen therapy only.
Obstruction above the glottis; secure the airway.
12. During a HEENT examination, a patient presents with significant hearing loss and
dry mucous membranes. How should these findings be interpreted in the context of
aging?
These findings are typical in younger patients and require further
investigation.
These findings may indicate normal aging processes affecting hearing and
hydration.
These findings are unrelated to aging and indicate a need for further
neurological evaluation.
These findings suggest an acute infection requiring immediate treatment.
13. In a patient with limited diaphragmatic excursion, what potential health issue might
you suspect?
Correct Answers, and Complete Solutions | 2026 Updated Edition
1. If a patient presents with a family history of breast cancer and reports a new breast
lump, what should be the next step in their evaluation?
Schedule a follow-up appointment in one year.
Conduct a thorough clinical examination and consider imaging studies.
Advise the patient to monitor the lump for six months.
Refer the patient to a nutritionist.
2. Describe the significance of McBurney's point in the diagnosis of appendicitis.
McBurney's point is a test for gallbladder disease.
McBurney's point is a specific location on the abdomen that, when tender,
indicates potential appendicitis.
McBurney's point is a measurement for kidney size.
McBurney's point is used to assess liver function.
3. A patient presents with shortness of breath and a history of smoking. Upon
examination, you note decreased breath sounds and a barrel chest. What condition
is most likely indicated by these findings?
, Laryngeal obstruction
Tumor
Pleural effusion
Emphysema
4. Which of the following assessment findings for Mrs. Collon is the most significant
risk factor for the development of her colon cancer?
Chronic constipation.
History of inflammatory bowel disease.
Long-term use of laxatives.
History of smoking.
5. The universal sign of laryngeal obstruction is:
sweating stridor (crowing
sounds) mydriasis
tachycardia
6. What is the grading scale used for heart murmurs?
Grades 1 to 10
Grades A to F
Grades I to VI
Grades 1 to 5
7. What are the four main components of the gastrointestinal physical exam
sequence?
, Inspection, Palpation, Auscultation, Percussion
Palpation, Percussion, Inspection, Auscultation
Inspection, Auscultation, Percussion, Palpation
Auscultation, Inspection, Palpation, Percussion
8. During a routine examination, you hear a venous hum in a child. What should your
next step be?
Schedule a follow-up appointment in one week.
Refer the child for an echocardiogram immediately.
Document the finding and reassure the parents that it is usually benign.
Order a complete blood count to check for infection.
9. Which is the correct technique for performing a fundoscopic examination with a
traditional ophthalmoscope?
Examine the patient's right eye with your right eye, and the left eye with your
left eye.
Examine the patient's right eye with your left eye, and the left eye with your
right eye.
Examine the patient's right and left eyes with your dominant eye.
Examine the patient's right and left eyes with your nondominant eye.
10. What is a common symptom of a tympanic membrane (TM) rupture?
, Headache
Fever
Ear pain
Nausea
11. In a clinical scenario, if a patient exhibits stridor and difficulty breathing, what type
of obstruction might you suspect and what immediate action should be taken?
Obstruction below the glottis; administer bronchodilators.
Obstruction below the glottis; perform a tracheostomy.
Obstruction above the glottis; provide oxygen therapy only.
Obstruction above the glottis; secure the airway.
12. During a HEENT examination, a patient presents with significant hearing loss and
dry mucous membranes. How should these findings be interpreted in the context of
aging?
These findings are typical in younger patients and require further
investigation.
These findings may indicate normal aging processes affecting hearing and
hydration.
These findings are unrelated to aging and indicate a need for further
neurological evaluation.
These findings suggest an acute infection requiring immediate treatment.
13. In a patient with limited diaphragmatic excursion, what potential health issue might
you suspect?
