NSG 3600 / NSG3600 EXAMs 1, 2, 3 & 4: (NEW 2026/2027 UPDATE) | QUESTIONS & ANSWERS| GRADE A| …
OBJECTIVE ASSESSMENT - EXAM
NSG 3600 / NSG3600 EXAMs 1,
2, 3 & 4
(NEW 2026/2027 UPDATE)
QUESTIONS & ANSWERS |
GRADE A
PACKAGE DEAL - 2026/2027
Official Exam
A+ Verified EDITION 2026/2027 PASSING 80%
Comprehensive baccalaureate nursing assessment covering health assessment,
pharmacology, pathophysiology, nursing interventions, and professional
standards across four examination modules.
C O V E R PA G E - 1
,SECTIONS COVERED
Section 1: Health Assessment & Physical Examination
Section 2: Pharmacology & Medication Administration
Section 3: Pathophysiology & Disease Management
Section 4: Nursing Interventions & Patient Care Planning
Section 5: Legal, Ethical & Professional Nursing Standards
This examination is a comprehensive assessment covering the core content areas of NSG 3600. Each
question is worth one mark, for a total of 50 marks. A passing score of 80% (40/50) is required. Read each
question carefully, select the single best answer from the four options provided, and review the rationale for
each correct answer. All questions are at the application/analysis level of Bloom's Taxonomy, requiring you to
apply nursing knowledge to clinical scenarios and analyze patient situations.
Section 1: Health Assessment & Physical Examination
Q1
A 52-year-old female presents to the clinic reporting a new-onset lump in her left breast discovered
during self-examination. The nurse performs a clinical breast assessment and notes a firm, non-mobile,
irregular mass at the 2 o'clock position. The nurse understands that which characteristic is most
concerning for potential malignancy?
A. The lump is tender to palpation on compression
B. The lump has irregular borders and is fixed to surrounding tissue
C. The lump increases in size during the menstrual cycle
D. The lump is located in the upper outer quadrant only
Correct Answer: A
Rationale: Irregular borders and fixation to surrounding tissue are classic red-flag features suggesting
malignancy, as malignant tumors tend to infiltrate local tissue rather than remain encapsulated. Tender lumps
are more commonly associated with benign cystic changes, and cyclical size changes suggest hormonal
responsiveness typical of fibroadenomas.
Q2
During a routine physical examination, a 45-year-old male patient's blood pressure is recorded at 158/96
mmHg in the right arm while seated. The nurse should take which action next to confirm this reading
before proceeding with classification?
A. Document the reading as Stage 2 hypertension and refer immediately
B. Retake the measurement in the same arm after the patient rests for 5 minutes
C. Measure blood pressure in the left arm while the patient stands
D. Instruct the patient to perform deep breathing exercises and remeasure
Correct Answer: B
Rationale: Current guidelines require confirmation of an elevated blood pressure reading by repeating the
measurement after the patient has rested quietly for at least 5 minutes in the same position. Immediate
classification without confirmation may lead to misdiagnosis, and measuring in a different position or arm
before confirming the initial reading introduces unnecessary variables.
, Q3
A nurse is performing a neurological assessment on a 68-year-old patient who recently experienced a
transient ischemic attack. When testing cranial nerve XII, the nurse observes that the patient's tongue
deviates to the left side upon protrusion. The nurse correctly interprets this finding as indicating a lesion
on which side?
A. Bilateral, because both hypoglossal nerves are affected
B. Neither side, because tongue deviation is a normal variant in older adults
C. Left side, because the tongue deviates toward the weak side
D. Right side, because the tongue deviates away from the lesion
Correct Answer: C
Rationale: The hypoglossal nerve (CN XII) innervates the ipsilateral side of the tongue. When the nerve is
damaged on one side, the intact contralateral muscle pushes the tongue toward the weakened side, causing
deviation toward the lesion. This is a fundamental principle of cranial nerve assessment.
Q4
A 35-year-old patient presents with a persistent cough and the nurse auscultates fine crackles in the
bilateral lower lung fields. The nurse recognizes that fine crackles are most commonly associated with
which pathophysiological process?
A. Pleural inflammation causing friction between lung surfaces
B. Mucus pooling in the large bronchi during expiration
C. Airway narrowing due to bronchospasm
D. Fluid accumulation in the alveoli causing sudden opening during inspiration
Correct Answer: D
Rationale: Fine crackles are caused by the sudden opening of collapsed alveoli during inspiration, often due
to fluid accumulation or interstitial lung disease. Bronchospasm produces wheezing, mucus in large airways
produces coarse crackles or rhonchi, and pleural inflammation produces a friction rub.
Q5
A nurse is assessing a patient's peripheral vascular status and notes that the dorsalis pedis pulse is
absent on the right foot but present on the left. The capillary refill time on the right foot is 4 seconds. The
nurse should prioritize which assessment action next?
A. Apply a warm compress to the right foot and reassess in 30 minutes
B. Assess the posterior tibial pulse on the right foot
C. Document the findings as a normal anatomical variant
D. Measure the circumference of both ankles for comparison
Correct Answer: A
Rationale: When the dorsalis pedis pulse is absent, the nurse should assess the posterior tibial pulse to
determine if arterial insufficiency is present or if the dorsalis pedis is congenitally absent. The prolonged
capillary refill of 4 seconds suggests compromised perfusion, making this assessment critical before
attributing the finding to a normal variant.
Q6
During an abdominal assessment, the nurse percusses the left upper quadrant of a patient with chronic
liver disease and notes a dull sound where tympany is normally expected. The nurse suspects
splenomegaly. Which additional finding would best support this assessment conclusion?
OBJECTIVE ASSESSMENT - EXAM
NSG 3600 / NSG3600 EXAMs 1,
2, 3 & 4
(NEW 2026/2027 UPDATE)
QUESTIONS & ANSWERS |
GRADE A
PACKAGE DEAL - 2026/2027
Official Exam
A+ Verified EDITION 2026/2027 PASSING 80%
Comprehensive baccalaureate nursing assessment covering health assessment,
pharmacology, pathophysiology, nursing interventions, and professional
standards across four examination modules.
C O V E R PA G E - 1
,SECTIONS COVERED
Section 1: Health Assessment & Physical Examination
Section 2: Pharmacology & Medication Administration
Section 3: Pathophysiology & Disease Management
Section 4: Nursing Interventions & Patient Care Planning
Section 5: Legal, Ethical & Professional Nursing Standards
This examination is a comprehensive assessment covering the core content areas of NSG 3600. Each
question is worth one mark, for a total of 50 marks. A passing score of 80% (40/50) is required. Read each
question carefully, select the single best answer from the four options provided, and review the rationale for
each correct answer. All questions are at the application/analysis level of Bloom's Taxonomy, requiring you to
apply nursing knowledge to clinical scenarios and analyze patient situations.
Section 1: Health Assessment & Physical Examination
Q1
A 52-year-old female presents to the clinic reporting a new-onset lump in her left breast discovered
during self-examination. The nurse performs a clinical breast assessment and notes a firm, non-mobile,
irregular mass at the 2 o'clock position. The nurse understands that which characteristic is most
concerning for potential malignancy?
A. The lump is tender to palpation on compression
B. The lump has irregular borders and is fixed to surrounding tissue
C. The lump increases in size during the menstrual cycle
D. The lump is located in the upper outer quadrant only
Correct Answer: A
Rationale: Irregular borders and fixation to surrounding tissue are classic red-flag features suggesting
malignancy, as malignant tumors tend to infiltrate local tissue rather than remain encapsulated. Tender lumps
are more commonly associated with benign cystic changes, and cyclical size changes suggest hormonal
responsiveness typical of fibroadenomas.
Q2
During a routine physical examination, a 45-year-old male patient's blood pressure is recorded at 158/96
mmHg in the right arm while seated. The nurse should take which action next to confirm this reading
before proceeding with classification?
A. Document the reading as Stage 2 hypertension and refer immediately
B. Retake the measurement in the same arm after the patient rests for 5 minutes
C. Measure blood pressure in the left arm while the patient stands
D. Instruct the patient to perform deep breathing exercises and remeasure
Correct Answer: B
Rationale: Current guidelines require confirmation of an elevated blood pressure reading by repeating the
measurement after the patient has rested quietly for at least 5 minutes in the same position. Immediate
classification without confirmation may lead to misdiagnosis, and measuring in a different position or arm
before confirming the initial reading introduces unnecessary variables.
, Q3
A nurse is performing a neurological assessment on a 68-year-old patient who recently experienced a
transient ischemic attack. When testing cranial nerve XII, the nurse observes that the patient's tongue
deviates to the left side upon protrusion. The nurse correctly interprets this finding as indicating a lesion
on which side?
A. Bilateral, because both hypoglossal nerves are affected
B. Neither side, because tongue deviation is a normal variant in older adults
C. Left side, because the tongue deviates toward the weak side
D. Right side, because the tongue deviates away from the lesion
Correct Answer: C
Rationale: The hypoglossal nerve (CN XII) innervates the ipsilateral side of the tongue. When the nerve is
damaged on one side, the intact contralateral muscle pushes the tongue toward the weakened side, causing
deviation toward the lesion. This is a fundamental principle of cranial nerve assessment.
Q4
A 35-year-old patient presents with a persistent cough and the nurse auscultates fine crackles in the
bilateral lower lung fields. The nurse recognizes that fine crackles are most commonly associated with
which pathophysiological process?
A. Pleural inflammation causing friction between lung surfaces
B. Mucus pooling in the large bronchi during expiration
C. Airway narrowing due to bronchospasm
D. Fluid accumulation in the alveoli causing sudden opening during inspiration
Correct Answer: D
Rationale: Fine crackles are caused by the sudden opening of collapsed alveoli during inspiration, often due
to fluid accumulation or interstitial lung disease. Bronchospasm produces wheezing, mucus in large airways
produces coarse crackles or rhonchi, and pleural inflammation produces a friction rub.
Q5
A nurse is assessing a patient's peripheral vascular status and notes that the dorsalis pedis pulse is
absent on the right foot but present on the left. The capillary refill time on the right foot is 4 seconds. The
nurse should prioritize which assessment action next?
A. Apply a warm compress to the right foot and reassess in 30 minutes
B. Assess the posterior tibial pulse on the right foot
C. Document the findings as a normal anatomical variant
D. Measure the circumference of both ankles for comparison
Correct Answer: A
Rationale: When the dorsalis pedis pulse is absent, the nurse should assess the posterior tibial pulse to
determine if arterial insufficiency is present or if the dorsalis pedis is congenitally absent. The prolonged
capillary refill of 4 seconds suggests compromised perfusion, making this assessment critical before
attributing the finding to a normal variant.
Q6
During an abdominal assessment, the nurse percusses the left upper quadrant of a patient with chronic
liver disease and notes a dull sound where tympany is normally expected. The nurse suspects
splenomegaly. Which additional finding would best support this assessment conclusion?
