NSG 3160 / NSG3160 Exam 4 Galen | 2026/2027 |
Health Assessment | GI, GU, Musculoskeletal |
Questions & Answers with Rationales | Grade A |
Verified Solutions
The nurse is caring for an 80-year-old client who is visiting the health
clinic and states, "I can't walk as much as I used to." Which of the
following movements should the nurse ask the client to perform to
assess for motor dysfunction in the hip?
a. Adduct the hip while lying supine.
b. Externally rotate the hip while standing.
c. Abduct the hip while lying supine.
d. Internally rotate the hip while sitting.
Abduct the hip while lying supine.
The nurse is assessing a client's joints and notes stiffness with fixation of
the right hip. The nurse should document this as
a. dislocation.
b. ankylosis
c. Sublimation
d. contracture.
ankylosis
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When performing an abdominal assessment, the nurse inspects the
abdomen for symmetry, contour, pulsations, and skin characteristics.
Which of the following actions should the nurse take next?
a. Light palpation followed by deep palpation in all 4 quadrants.
b. Auscultate bowel sounds in all 4 quadrants.
c. Palpate the liver, spleen, and kidneys.
d. Auscultate for aortic pulsations in the upper abdomen.
Auscultate bowel sounds in all 4 quadrants.
The nurse is assessing the cerebellar function of the lower extremities.
Which of the following assessment techniques should the nurse use?
a. Assess the finger-to-nose test.
b. Have the client run each heel down the opposite shin.
c. Test the Babinski reflex.
d. Assess the client's deep tendon reflexes.
Have the client run each heel down the opposite shin.
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The nurse is caring for a female client who has a history of smoking one
and one-half packs of cigarettes for 20 years. The nurse identifies which
of the following as a risk for the client?
a. Liver disease.
b. Bleeding.
c. Infections.
d. Fractures.
Fractures
The nurse is caring for a client who states, "Whenever I open my mouth
real wide, I feel this popping sensation in front of my ears." To further
examine this, the nurse should
a. place a finger on the client's temporomandibular joint and ask them
to open and close their
mouth.
b. place the hands over the client's ears and ask them to open their
mouth "really wide."
c.place the index finger and thumb on the tragus and apply light
pressure to the auricle.
d.place 2 fingers on the soft tissue below the mandible and move
fingers laterally along the border.
place a finger on the client's temporomandibular joint and ask them to
open and close their
mouth.
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The nurse is preparing to perform a musculoskeletal assessment. Which
of the following demonstrates correct technique?
a. Proximal to distal.
b. Anterior to posterior.
c. Posterior to anterior.
d. Distal to proximal.
Proximal to distal
The nurse has obtained the health history from a client and is ready to
obtain blood pressure measurement. Which of the following is a priority
for the nurse to confirm before obtaining the blood pressure
measurement?
a. Lab work has been completed.
b. Removal of all clothing except underwear.
c. At least 5 minutes of rest has occurred.
d. The bladder is full.
At least 5 minutes of rest has occurred.