Galen NSG 3160 Exam 2 – Health
Assessment – Actual Questions & Answers
13-year-old girl being examined questions the asymmetry of her breasts. The best
response from the nurse is:
- "This may be an indication of hormonal imbalance. Re-check in 6 months"
- "One breast normally may grow faster than the other during development"
- "You will probably have fibrocystic disease when you are older"
- "I will give you a referral for a mammogram" - ------------ANS: "One breast normally
may grow faster than the other during development"
30 y/o woman reports 2 large moles below left breast. The nurse responds
- "I think you should be examined by a dermatologist"
- "Is there a possibility you are pregnant?"
- "This is a normal finding of supernumerary nipples that are not developed"
- "These are Montgomery glands, which are common" - ------------ANS: "This is a
normal finding of supernumerary nipples that are not developed"
A bimanual technique may be the preferred approach for a woman
- Who is having the first breast examination by a health care provider
- Who has felt a change in the breast during self-examination
- With pendulous breasts
- Who is pregnant - ------------ANS: With pendulous breasts
A cluster headache
A.) May be caused by alcohol and napping
B.) Are described as throbbing
C.) Can occur several times a month
D.) Is usually retro-orbital - ------------ANS: A.) May be caused by alcohol and
napping
A deviated septum may be common but is never __________________ -
------------ANS: A deviated septum may be common but is never NORMAL
A major characteristic of dementia is:
- Substance-induced
- Impairment of short- and long-term memory
- Hallucinations
- Sudden onset of symptoms - ------------ANS: Impairment of short- and long-term
memory
,A mental disorder is best defined as
A.) Presence of phobia
B.) A lack of rational thought and abstract researching
C.) Extreme behavior that is usually associated with stress
D.) Remote memory from years ago may be impacted - ------------ANS: C.) Extreme
behavior that is usually associated with stress
A nurse can assess a pt's attention span by giving a series of directions to follow and
note correct sequence performed
A.) True
B.) False - ------------ANS: A.) True
ABC or T?
Attention Span - ------------ANS: C - Cognitive
ABC or T?
Body Movement - ------------ANS: A - Appearance
ABC or T?
Dress - ------------ANS: A - Appearance
ABC or T?
Facial Expression - ------------ANS: B - Behavior
ABC or T?
Grooming - ------------ANS: A - Appearance
ABC or T?
Hygiene - ------------ANS: A - Appearance
ABC or T?
Judgment - ------------ANS: C - Cognitive
ABC or T?
Level of Consciousness - ------------ANS: B - Behavior
ABC or T?
Mood and Affect - ------------ANS: B - Behavior
ABC or T?
New learning - ------------ANS: C - Cognitive
, ABC or T?
Orientation - ------------ANS: C - Cognitive
ABC or T?
Perception - ------------ANS: T - Thought Process
ABC or T?
Posture - ------------ANS: A - Appearance
ABC or T?
Pupils - ------------ANS: A - Appearance
ABC or T?
Recent Memory - ------------ANS: C - Cognitive
ABC or T?
Remote Memory - ------------ANS: C - Cognitive
ABC or T?
Screen for suicidal thoughts - ------------ANS: T - Thought process
ABC or T?
Speech - ------------ANS: B - Behavior
ABC or T?
Thought content - ------------ANS: T - Thought process
ABCDE skin assessment - ------------ANS: A - asymmetry
B - border
C - color
D - diameter
E - elevation, enlargement
Abnormal profile sign and indication - ------------ANS: 180 degrees, no visible
"window", indicates respiratory problem
Alcohol intoxication - ------------ANS: Slurred speech, impaired memory, depression
Alcohol withdrawal - ------------ANS: Tremor of hands, nausea, tachycardia, anxiety,
insomnia
Anisocoria - ------------ANS: Unequal pupil size (opposite of PERRLA)
Assessment – Actual Questions & Answers
13-year-old girl being examined questions the asymmetry of her breasts. The best
response from the nurse is:
- "This may be an indication of hormonal imbalance. Re-check in 6 months"
- "One breast normally may grow faster than the other during development"
- "You will probably have fibrocystic disease when you are older"
- "I will give you a referral for a mammogram" - ------------ANS: "One breast normally
may grow faster than the other during development"
30 y/o woman reports 2 large moles below left breast. The nurse responds
- "I think you should be examined by a dermatologist"
- "Is there a possibility you are pregnant?"
- "This is a normal finding of supernumerary nipples that are not developed"
- "These are Montgomery glands, which are common" - ------------ANS: "This is a
normal finding of supernumerary nipples that are not developed"
A bimanual technique may be the preferred approach for a woman
- Who is having the first breast examination by a health care provider
- Who has felt a change in the breast during self-examination
- With pendulous breasts
- Who is pregnant - ------------ANS: With pendulous breasts
A cluster headache
A.) May be caused by alcohol and napping
B.) Are described as throbbing
C.) Can occur several times a month
D.) Is usually retro-orbital - ------------ANS: A.) May be caused by alcohol and
napping
A deviated septum may be common but is never __________________ -
------------ANS: A deviated septum may be common but is never NORMAL
A major characteristic of dementia is:
- Substance-induced
- Impairment of short- and long-term memory
- Hallucinations
- Sudden onset of symptoms - ------------ANS: Impairment of short- and long-term
memory
,A mental disorder is best defined as
A.) Presence of phobia
B.) A lack of rational thought and abstract researching
C.) Extreme behavior that is usually associated with stress
D.) Remote memory from years ago may be impacted - ------------ANS: C.) Extreme
behavior that is usually associated with stress
A nurse can assess a pt's attention span by giving a series of directions to follow and
note correct sequence performed
A.) True
B.) False - ------------ANS: A.) True
ABC or T?
Attention Span - ------------ANS: C - Cognitive
ABC or T?
Body Movement - ------------ANS: A - Appearance
ABC or T?
Dress - ------------ANS: A - Appearance
ABC or T?
Facial Expression - ------------ANS: B - Behavior
ABC or T?
Grooming - ------------ANS: A - Appearance
ABC or T?
Hygiene - ------------ANS: A - Appearance
ABC or T?
Judgment - ------------ANS: C - Cognitive
ABC or T?
Level of Consciousness - ------------ANS: B - Behavior
ABC or T?
Mood and Affect - ------------ANS: B - Behavior
ABC or T?
New learning - ------------ANS: C - Cognitive
, ABC or T?
Orientation - ------------ANS: C - Cognitive
ABC or T?
Perception - ------------ANS: T - Thought Process
ABC or T?
Posture - ------------ANS: A - Appearance
ABC or T?
Pupils - ------------ANS: A - Appearance
ABC or T?
Recent Memory - ------------ANS: C - Cognitive
ABC or T?
Remote Memory - ------------ANS: C - Cognitive
ABC or T?
Screen for suicidal thoughts - ------------ANS: T - Thought process
ABC or T?
Speech - ------------ANS: B - Behavior
ABC or T?
Thought content - ------------ANS: T - Thought process
ABCDE skin assessment - ------------ANS: A - asymmetry
B - border
C - color
D - diameter
E - elevation, enlargement
Abnormal profile sign and indication - ------------ANS: 180 degrees, no visible
"window", indicates respiratory problem
Alcohol intoxication - ------------ANS: Slurred speech, impaired memory, depression
Alcohol withdrawal - ------------ANS: Tremor of hands, nausea, tachycardia, anxiety,
insomnia
Anisocoria - ------------ANS: Unequal pupil size (opposite of PERRLA)