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Complete Practice Questions & Rationales
Exam Overview & Quick Facts
Feature Details
Course NSG 3160 – Health Assessment
Institution Galen College of Nursing
Exam Exam 2
Academic Year 2026/2027
Format Multiple-choice questions with rationales
Question 1
During an integumentary assessment, the nurse notes a lesion that is
elevated, solid, and less than 1 cm in diameter. The nurse should document
this finding as a:
A. Macule
B. Papule
C. Nodule
D. Plaque
,*Correct Answer: B. *
Rationale: A papule is a solid, elevated lesion less than 1 cm in diameter. A
macule is flat and non-palpable, a nodule is solid and greater than 1 cm, and
a plaque is an elevated, flat-topped lesion greater than 1 cm.
Question 2
Which substance displays signs of intoxication including pupillary
constriction (miosis), respiratory depression, and sedation?
A. Cocaine
B. Nicotine
C. Cannabis
D. Opiates
*Correct Answer: D. *
Rationale: Opiate intoxication causes pupillary constriction (miosis),
respiratory depression, and sedation. Cocaine causes pupillary dilation and
central nervous system stimulation. Cannabis causes conjunctival injection
and increased appetite.
Question 3
Which cranial nerve is responsible for the sense of smell?
A. Cranial Nerve II (Optic)
B. Cranial Nerve I (Olfactory)
C. Cranial Nerve III (Oculomotor)
D. Cranial Nerve V (Trigeminal)
*Correct Answer: B. *
,Rationale: Cranial Nerve I (Olfactory) is responsible for the sense of smell. It is
tested by asking the patient to identify familiar scents with eyes closed, one
nostril at a time.
Question 4
The nurse is assessing a patient's extraocular eye movements (EOMs).
Which cranial nerves are being evaluated?
A. Cranial Nerves I, II, and III
B. Cranial Nerves III, IV, and VI
C. Cranial Nerves II, III, and IV
D. Cranial Nerves IV, V, and VI
*Correct Answer: B. *
Rationale: Extraocular eye movements (EOMs) assess Cranial Nerves III
(Oculomotor), IV (Trochlear), and VI (Abducens). These nerves control the six
cardinal positions of gaze. The patient is asked to follow the examiner's finger
through the six directions without moving their head.
Question 5
During a respiratory assessment, the nurse notes a patient's chest has an
increased anteroposterior (AP) diameter with a barrel-shaped appearance.
This finding is most consistent with:
A. Pneumonia
B. Emphysema/COPD
C. Asthma
D. Pulmonary fibrosis
*Correct Answer: B. *
, Rationale: Barrel chest (increased AP diameter) is a classic finding in
emphysema and COPD due to hyperinflation of the lungs from air trapping.
Asthma may cause hyperinflation during acute attacks but is not typically
associated with a fixed barrel chest.
Question 6
What is the correct sequence of techniques used during an abdominal
examination?
A. Inspection, Palpation, Percussion, Auscultation
B. Inspection, Auscultation, Percussion, Palpation
C. Palpation, Inspection, Auscultation, Percussion
D. Auscultation, Inspection, Palpation, Percussion
*Correct Answer: B. *
Rationale: The correct order for abdominal assessment is Inspection,
Auscultation, Percussion, and Palpation. Auscultation must be performed
before percussion and palpation to avoid artificially altering bowel sounds.
Question 7
A patient presents with a severe headache and reports that light makes the
pain worse. This sensitivity to light is known as:
A. Phonophobia
B. Photophobia
C. Hyperacusis
D. Dysosmia
*Correct Answer: B. *