NSG 3160 FINAL EXAM V2 | NSG 3160
HEALTH ASSESSMENT QUESTIONS
AND ANSWERS
1. During a neurological exam, the nurse asks the patient to identify a common object (e.g., a
key) placed in their hand while their eyes are closed. What is this technique testing?
A. Graphesthesia
B. Two-point discrimination
C. Stereognosis
D. Proprioception
Answer: C
Conceptual Explanation: Stereognosis is the ability to recognize an object by feel.
Graphesthesia involves identifying numbers traced on the skin.
2. When assessing for rebound tenderness in a patient with suspected appendicitis, the nurse
performs the Blumberg sign. Where should the nurse apply pressure?
A. Directly over the painful area in the RLQ
B. In the LLQ, away from the painful area
C. In the RUQ under the rib cage
,D. In the LUQ towards the midline
Answer: B
Conceptual Explanation: Rebound tenderness (Blumberg sign) is assessed by applying
pressure to an area away from the suspected inflammation and releasing quickly; pain on
release indicates peritoneal irritation.
3. A patient exhibits a ‘positive Babinski sign’. In a 45-year-old adult, this finding is most
indicative of which condition?
A. Upper motor neuron lesion
B. Lower motor neuron lesion
C. Normal neurological function
D. Cerebellar ataxia
Answer: A
Conceptual Explanation: A positive Babinski (dorsiflexion of the big toe) is abnormal in
adults and signifies an upper motor neuron lesion, such as a stroke or multiple sclerosis.
4. Which heart sound is frequently associated with fluid volume overload and heart failure in
an older adult?
A. S4 (Atrial gallop)
B. S3 (Ventricular gallop)
C. Systolic click
, D. Pericardial friction rub
Answer: B
Conceptual Explanation: S3 occurs early in diastole during rapid ventricular filling and is
often a sign of heart failure or volume overload in adults.
5. While assessing the respiratory system, the nurse notes increased tactile fremitus over the
right lower lobe. This finding is consistent with which condition?
A. Pneumothorax
B. Pneumonia (consolidation)
C. Pleural effusion
D. Emphysema
Answer: B
Conceptual Explanation: Tactile fremitus increases with lung consolidation (e.g.,
pneumonia) because sound travels better through solid/liquid medium than air.
6. The nurse is assessing a patient’s thyroid gland using the posterior approach. Which action
is correct?
A. Instruct the patient to hyperextend the neck to expose the gland.
B. Ask the patient to flex the neck forward slightly and tilt to the side being examined.
C. Place the fingers on the sternocleidomastoid muscle and press firmly.
D. Palpate only when the patient is exhaling deeply.
HEALTH ASSESSMENT QUESTIONS
AND ANSWERS
1. During a neurological exam, the nurse asks the patient to identify a common object (e.g., a
key) placed in their hand while their eyes are closed. What is this technique testing?
A. Graphesthesia
B. Two-point discrimination
C. Stereognosis
D. Proprioception
Answer: C
Conceptual Explanation: Stereognosis is the ability to recognize an object by feel.
Graphesthesia involves identifying numbers traced on the skin.
2. When assessing for rebound tenderness in a patient with suspected appendicitis, the nurse
performs the Blumberg sign. Where should the nurse apply pressure?
A. Directly over the painful area in the RLQ
B. In the LLQ, away from the painful area
C. In the RUQ under the rib cage
,D. In the LUQ towards the midline
Answer: B
Conceptual Explanation: Rebound tenderness (Blumberg sign) is assessed by applying
pressure to an area away from the suspected inflammation and releasing quickly; pain on
release indicates peritoneal irritation.
3. A patient exhibits a ‘positive Babinski sign’. In a 45-year-old adult, this finding is most
indicative of which condition?
A. Upper motor neuron lesion
B. Lower motor neuron lesion
C. Normal neurological function
D. Cerebellar ataxia
Answer: A
Conceptual Explanation: A positive Babinski (dorsiflexion of the big toe) is abnormal in
adults and signifies an upper motor neuron lesion, such as a stroke or multiple sclerosis.
4. Which heart sound is frequently associated with fluid volume overload and heart failure in
an older adult?
A. S4 (Atrial gallop)
B. S3 (Ventricular gallop)
C. Systolic click
, D. Pericardial friction rub
Answer: B
Conceptual Explanation: S3 occurs early in diastole during rapid ventricular filling and is
often a sign of heart failure or volume overload in adults.
5. While assessing the respiratory system, the nurse notes increased tactile fremitus over the
right lower lobe. This finding is consistent with which condition?
A. Pneumothorax
B. Pneumonia (consolidation)
C. Pleural effusion
D. Emphysema
Answer: B
Conceptual Explanation: Tactile fremitus increases with lung consolidation (e.g.,
pneumonia) because sound travels better through solid/liquid medium than air.
6. The nurse is assessing a patient’s thyroid gland using the posterior approach. Which action
is correct?
A. Instruct the patient to hyperextend the neck to expose the gland.
B. Ask the patient to flex the neck forward slightly and tilt to the side being examined.
C. Place the fingers on the sternocleidomastoid muscle and press firmly.
D. Palpate only when the patient is exhaling deeply.
