NSG 3160 EXAM 2 /ACTUAL NSG 3160 EXAM 2 HEALTH
ASSESSMENT EXAM ACTUAL TEST BANK 2026/2027
PRACTICE QUESTIONS AND STUDY GUIDE COMPLETE
ACCURATE EXAM REAL QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES
(RELIABLE ANSWERS) CURRENTLY UPDATED VERSION
2026 EDITION |GUARANTEED PASS A+ |FULL REVISED
NSG 3160 EXAM 2 HEALTH ASSESSMENT APPROVED
EXAM | JUST RELEASED
1. The nurse just received report on the neurological unit. Which of
the following findings would be of most concern?
A. Patient with chronic dementia A&Ox1
B. Patient with a head injury who does not remember what was
happening before or during the injury
C. Patient reporting headache, denies any injury, no external
abnormalities noted
D. Patient reporting generalized weakness
Correct Answer: B
Rationale: A patient with a head injury who cannot remember events
before or during the injury is experiencing retrograde amnesia, which
is concerning and indicates potential neurological compromise.
While dementia (A) is chronic, and headache with no injury (C) or
,generalized weakness (D) are concerning, the acute head injury with
memory loss represents an acute change that requires immediate
attention.
2. Patient reports having a head injury while out with friends and
reporting ETOH intake. Which of the following statements would
concern you the most?
A. "I was being goofy and tripped."
B. "My legs feel unsteady."
C. "I am having trouble focusing."
D. "It is hard to swallow when taking a drink."
Correct Answer: D
Rationale: Difficulty swallowing (dysphagia) is a priority finding as it
indicates potential brainstem involvement or cranial nerve
dysfunction, which can compromise the airway (ABCs). This is more
concerning than unsteady gait, trouble focusing, or the mechanism of
injury.
3. Which of the following statements made by the student nurse
requires further education?
,A. "One method to assess cranial nerve V would be to have the
person puff their cheeks. Then press on their cheeks to ensure the air
escapes equally bilaterally."
B. "To assess the acoustic, or vestibulocochlear, nerve would be to
administer the whisper test. An expected finding is for the patient to
correctly repeat at least four of the six phrases."
C. "When assessing the pupil, if the patient has an increased ICP
there will be a sudden, unilateral, dilated, and nonreactive change
in the pupils."
D. "To assess cranial nerve XII, ask the patient to protrude their
tongue, ensuring no tremors or wasting are present, and that the
tongue is midline."
Correct Answer: C
Rationale: Increased intracranial pressure (ICP) typically causes a
bilateral, not unilateral, change in pupils. A sudden, unilateral,
dilated, and nonreactive pupil is more characteristic of cranial nerve
III (oculomotor nerve) compression, which can occur with
herniation syndromes. The student's statement about ICP requires
further education as it inaccurately describes the pupillary findings
associated with increased ICP.
4. While practicing the Romberg Test, which of the following
statements, if made by the student nurse, would show understanding
of this test?
, A. "An expected finding for this test is negative. If negative, the
patient will not sway, or become unbalanced and fall."
B. "An expected finding for this test is positive. If positive, the
patient will not sway, or become unbalanced and fall."
C. "An unexpected finding for this test is negative. If negative, the
patient will not sway, or become unbalanced and fall."
D. "An unexpected finding for this test is positive. If positive, the
patient will not sway, or become unbalanced and fall."
Correct Answer: A
Rationale: The Romberg test assesses balance and proprioception. A
negative (normal) finding means the patient can stand with feet
together, arms at sides, and eyes closed for approximately 20 seconds
without swaying or falling. A positive finding indicates an inability
to maintain balance, suggesting cerebellar or vestibular dysfunction.
5. Mental status is defined as:
A. A patient's emotional and cognitive function
B. The patient's conscious, mood, and affect
C. General Intelligence
D. Patient's perception
Correct Answer: A
ASSESSMENT EXAM ACTUAL TEST BANK 2026/2027
PRACTICE QUESTIONS AND STUDY GUIDE COMPLETE
ACCURATE EXAM REAL QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES
(RELIABLE ANSWERS) CURRENTLY UPDATED VERSION
2026 EDITION |GUARANTEED PASS A+ |FULL REVISED
NSG 3160 EXAM 2 HEALTH ASSESSMENT APPROVED
EXAM | JUST RELEASED
1. The nurse just received report on the neurological unit. Which of
the following findings would be of most concern?
A. Patient with chronic dementia A&Ox1
B. Patient with a head injury who does not remember what was
happening before or during the injury
C. Patient reporting headache, denies any injury, no external
abnormalities noted
D. Patient reporting generalized weakness
Correct Answer: B
Rationale: A patient with a head injury who cannot remember events
before or during the injury is experiencing retrograde amnesia, which
is concerning and indicates potential neurological compromise.
While dementia (A) is chronic, and headache with no injury (C) or
,generalized weakness (D) are concerning, the acute head injury with
memory loss represents an acute change that requires immediate
attention.
2. Patient reports having a head injury while out with friends and
reporting ETOH intake. Which of the following statements would
concern you the most?
A. "I was being goofy and tripped."
B. "My legs feel unsteady."
C. "I am having trouble focusing."
D. "It is hard to swallow when taking a drink."
Correct Answer: D
Rationale: Difficulty swallowing (dysphagia) is a priority finding as it
indicates potential brainstem involvement or cranial nerve
dysfunction, which can compromise the airway (ABCs). This is more
concerning than unsteady gait, trouble focusing, or the mechanism of
injury.
3. Which of the following statements made by the student nurse
requires further education?
,A. "One method to assess cranial nerve V would be to have the
person puff their cheeks. Then press on their cheeks to ensure the air
escapes equally bilaterally."
B. "To assess the acoustic, or vestibulocochlear, nerve would be to
administer the whisper test. An expected finding is for the patient to
correctly repeat at least four of the six phrases."
C. "When assessing the pupil, if the patient has an increased ICP
there will be a sudden, unilateral, dilated, and nonreactive change
in the pupils."
D. "To assess cranial nerve XII, ask the patient to protrude their
tongue, ensuring no tremors or wasting are present, and that the
tongue is midline."
Correct Answer: C
Rationale: Increased intracranial pressure (ICP) typically causes a
bilateral, not unilateral, change in pupils. A sudden, unilateral,
dilated, and nonreactive pupil is more characteristic of cranial nerve
III (oculomotor nerve) compression, which can occur with
herniation syndromes. The student's statement about ICP requires
further education as it inaccurately describes the pupillary findings
associated with increased ICP.
4. While practicing the Romberg Test, which of the following
statements, if made by the student nurse, would show understanding
of this test?
, A. "An expected finding for this test is negative. If negative, the
patient will not sway, or become unbalanced and fall."
B. "An expected finding for this test is positive. If positive, the
patient will not sway, or become unbalanced and fall."
C. "An unexpected finding for this test is negative. If negative, the
patient will not sway, or become unbalanced and fall."
D. "An unexpected finding for this test is positive. If positive, the
patient will not sway, or become unbalanced and fall."
Correct Answer: A
Rationale: The Romberg test assesses balance and proprioception. A
negative (normal) finding means the patient can stand with feet
together, arms at sides, and eyes closed for approximately 20 seconds
without swaying or falling. A positive finding indicates an inability
to maintain balance, suggesting cerebellar or vestibular dysfunction.
5. Mental status is defined as:
A. A patient's emotional and cognitive function
B. The patient's conscious, mood, and affect
C. General Intelligence
D. Patient's perception
Correct Answer: A
