NSG 3160 HEALTH ASSESSMENT FINAL
EXAM V2 QUESTIONS AND ANSWERS
1. When assessing the abdomen, which of the following is the correct sequence of
examination techniques?
A. Inspection, Palpation, Percussion, Auscultation
B. Percussion, Inspection, Auscultation, Palpation
C. Inspection, Auscultation, Percussion, Palpation
D. Auscultation, Inspection, Palpation, Percussion
Answer: C
Conceptual Explanation: Auscultation is performed before percussion and palpation to
prevent the stimulation of bowel sounds, which would lead to an inaccurate assessment.
2. Which heart sound is produced by the closure of the atrioventricular (mitral and tricuspid)
valves?
A. S3
B. S2
C. S1
D. S4
,Answer: C
Conceptual Explanation: S1, the ‘lub’ sound, signals the beginning of systole and results
from the closure of the AV valves.
3. A nurse notes increased tactile fremitus during a respiratory assessment. This finding is
most consistent with which condition?
A. Pneumothorax
B. Pneumonia with consolidation
C. Pleural effusion
D. Emphysema
Answer: B
Conceptual Explanation: Consolidation of lung tissue (as in pneumonia) increases the
transmission of vibrations, resulting in increased tactile fremitus.
4. The nurse is performing Murphy’s sign during an abdominal assessment. A positive result
indicates inflammation of which organ?
A. Gallbladder
B. Liver
C. Spleen
D. Appendix
Answer: A
, Conceptual Explanation: Murphy’s sign is specific for cholecystitis; the patient
experiences sharp pain and stops inspiration when the gallbladder is palpated.
5. Which cranial nerve is responsible for assessing facial symmetry, such as when a patient
smiles or puffs their cheeks?
A. Cranial Nerve V (Trigeminal)
B. Cranial Nerve VII (Facial)
C. Cranial Nerve X (Vagus)
D. Cranial Nerve XII (Hypoglossal)
Answer: B
Conceptual Explanation: The Facial nerve (CN VII) controls the muscles of facial
expression.
6. While testing deep tendon reflexes, the nurse finds the patient has an average, normal
response. How should this be documented?
A. 2+
B. 4+
C. 1+
D. 0
Answer: A
EXAM V2 QUESTIONS AND ANSWERS
1. When assessing the abdomen, which of the following is the correct sequence of
examination techniques?
A. Inspection, Palpation, Percussion, Auscultation
B. Percussion, Inspection, Auscultation, Palpation
C. Inspection, Auscultation, Percussion, Palpation
D. Auscultation, Inspection, Palpation, Percussion
Answer: C
Conceptual Explanation: Auscultation is performed before percussion and palpation to
prevent the stimulation of bowel sounds, which would lead to an inaccurate assessment.
2. Which heart sound is produced by the closure of the atrioventricular (mitral and tricuspid)
valves?
A. S3
B. S2
C. S1
D. S4
,Answer: C
Conceptual Explanation: S1, the ‘lub’ sound, signals the beginning of systole and results
from the closure of the AV valves.
3. A nurse notes increased tactile fremitus during a respiratory assessment. This finding is
most consistent with which condition?
A. Pneumothorax
B. Pneumonia with consolidation
C. Pleural effusion
D. Emphysema
Answer: B
Conceptual Explanation: Consolidation of lung tissue (as in pneumonia) increases the
transmission of vibrations, resulting in increased tactile fremitus.
4. The nurse is performing Murphy’s sign during an abdominal assessment. A positive result
indicates inflammation of which organ?
A. Gallbladder
B. Liver
C. Spleen
D. Appendix
Answer: A
, Conceptual Explanation: Murphy’s sign is specific for cholecystitis; the patient
experiences sharp pain and stops inspiration when the gallbladder is palpated.
5. Which cranial nerve is responsible for assessing facial symmetry, such as when a patient
smiles or puffs their cheeks?
A. Cranial Nerve V (Trigeminal)
B. Cranial Nerve VII (Facial)
C. Cranial Nerve X (Vagus)
D. Cranial Nerve XII (Hypoglossal)
Answer: B
Conceptual Explanation: The Facial nerve (CN VII) controls the muscles of facial
expression.
6. While testing deep tendon reflexes, the nurse finds the patient has an average, normal
response. How should this be documented?
A. 2+
B. 4+
C. 1+
D. 0
Answer: A
