NSG 3160 Exam 1 V2 | NSG 3160 Health
Assessment | Actual Q&A with Rationale (NSG3160
Exam 1) | Galen
1. A nurse is conducting an initial interview with a client. Which approach is most effective for
encouraging the client to provide detailed information about their health concerns?
A. Using closed-ended questions to obtain specific data quickly.
B. Providing the nurse’s personal opinion on the client’s symptoms.
C. Asking multiple questions at once to save time.
D. Using open-ended questions to allow the client to express themselves.
Correct Answer: D
Explanation: Open-ended questions are designed to elicit a narrative response and
encourage the client to talk. This technique helps the nurse understand the client’s
perspective and feelings regarding their health. It is superior to closed-ended questions
when the goal is to gather detailed, qualitative information during the initial assessment.
2. Which of the following data collected by the nurse would be classified as objective data?
A. Client’s blood pressure is measured at 140/90 mmHg.
B. Client states they have a throbbing headache.
C. Client reports feeling dizzy when standing up.
D. Client expresses concern about an upcoming surgery.
,Correct Answer: A
Explanation: Objective data is information that is observable and measurable by the nurse
through physical examination or diagnostic tests. Blood pressure readings, heart rate, and
skin color are all examples of objective findings. Subjective data, conversely, consists of
information reported by the client, such as pain or feelings.
3. During the physical examination, the nurse uses the bell of the stethoscope to listen for
which type of sounds?
A. High-pitched sounds like breath sounds.
B. Normal heart sounds (S1 and S2).
C. Low-pitched sounds such as heart murmurs or bruits.
D. Bowel sounds in the four quadrants.
Correct Answer: C
Explanation: The bell of the stethoscope is best suited for hearing low-pitched sounds,
such as extra heart sounds or vascular murmurs. The diaphragm is used for high-pitched
sounds, including lung sounds and normal heart sounds. Understanding which side of the
chest piece to use is critical for an accurate physical assessment.
4. A nurse is performing a general survey on a client. Which components should be included
in this assessment? Select all that apply.
A. Physical appearance and hygiene.
B. Body structure and posture.
, C. Mobility and gait.
D. Behavior and facial expression.
E. Auscultation of the apical pulse.
F. Palpation of the abdominal organs.
Correct Answer: A, B, C, D
Explanation: The general survey is a study of the whole person, covering general health
state and any obvious physical characteristics. It includes physical appearance, body
structure, mobility, and behavior observed upon first meeting the client. Auscultation and
palpation are specific physical examination techniques that follow the general survey.
5. When assessing a client’s pulse, the nurse notes the rhythm is irregular. What should be
the nurse’s next action?
A. Count the radial pulse for 30 seconds and multiply by 2.
B. Document the pulse as ‘normal’ since the rate is 72.
C. Wait 15 minutes and retake the radial pulse.
D. Measure the apical pulse for a full minute.
Correct Answer: D
Explanation: If a peripheral pulse rhythm is irregular, the nurse must assess the apical
pulse for one full minute to obtain the most accurate rate and rhythm. This helps determine
Assessment | Actual Q&A with Rationale (NSG3160
Exam 1) | Galen
1. A nurse is conducting an initial interview with a client. Which approach is most effective for
encouraging the client to provide detailed information about their health concerns?
A. Using closed-ended questions to obtain specific data quickly.
B. Providing the nurse’s personal opinion on the client’s symptoms.
C. Asking multiple questions at once to save time.
D. Using open-ended questions to allow the client to express themselves.
Correct Answer: D
Explanation: Open-ended questions are designed to elicit a narrative response and
encourage the client to talk. This technique helps the nurse understand the client’s
perspective and feelings regarding their health. It is superior to closed-ended questions
when the goal is to gather detailed, qualitative information during the initial assessment.
2. Which of the following data collected by the nurse would be classified as objective data?
A. Client’s blood pressure is measured at 140/90 mmHg.
B. Client states they have a throbbing headache.
C. Client reports feeling dizzy when standing up.
D. Client expresses concern about an upcoming surgery.
,Correct Answer: A
Explanation: Objective data is information that is observable and measurable by the nurse
through physical examination or diagnostic tests. Blood pressure readings, heart rate, and
skin color are all examples of objective findings. Subjective data, conversely, consists of
information reported by the client, such as pain or feelings.
3. During the physical examination, the nurse uses the bell of the stethoscope to listen for
which type of sounds?
A. High-pitched sounds like breath sounds.
B. Normal heart sounds (S1 and S2).
C. Low-pitched sounds such as heart murmurs or bruits.
D. Bowel sounds in the four quadrants.
Correct Answer: C
Explanation: The bell of the stethoscope is best suited for hearing low-pitched sounds,
such as extra heart sounds or vascular murmurs. The diaphragm is used for high-pitched
sounds, including lung sounds and normal heart sounds. Understanding which side of the
chest piece to use is critical for an accurate physical assessment.
4. A nurse is performing a general survey on a client. Which components should be included
in this assessment? Select all that apply.
A. Physical appearance and hygiene.
B. Body structure and posture.
, C. Mobility and gait.
D. Behavior and facial expression.
E. Auscultation of the apical pulse.
F. Palpation of the abdominal organs.
Correct Answer: A, B, C, D
Explanation: The general survey is a study of the whole person, covering general health
state and any obvious physical characteristics. It includes physical appearance, body
structure, mobility, and behavior observed upon first meeting the client. Auscultation and
palpation are specific physical examination techniques that follow the general survey.
5. When assessing a client’s pulse, the nurse notes the rhythm is irregular. What should be
the nurse’s next action?
A. Count the radial pulse for 30 seconds and multiply by 2.
B. Document the pulse as ‘normal’ since the rate is 72.
C. Wait 15 minutes and retake the radial pulse.
D. Measure the apical pulse for a full minute.
Correct Answer: D
Explanation: If a peripheral pulse rhythm is irregular, the nurse must assess the apical
pulse for one full minute to obtain the most accurate rate and rhythm. This helps determine
