NSG 3160 HEALTH ASSESSMENT FINAL
EXAM V2 QUESTIONS AND ANSWERS
1. When assessing a patient’s lungs, the nurse notes a low-pitched, snoring sound that clears
with coughing. How should this be documented?
A. Rhonchi
B. Stridor
C. Wheezes
D. Pleural friction rub
Answer: A
Conceptual Explanation: Rhonchi are continuous, low-pitched snoring sounds caused by
secretions in the large airways and often clear after coughing.
2. Which cranial nerve is primarily responsible for the sensation of the face and the muscles
of mastication?
A. Cranial Nerve VII (Facial)
B. Cranial Nerve V (Trigeminal)
C. Cranial Nerve III (Oculomotor)
,D. Cranial Nerve IX (Glossopharyngeal)
Answer: B
Conceptual Explanation: The Trigeminal nerve (CN V) provides sensory innervation to
the face and controls the muscles used for chewing.
3. During a cardiac assessment, the nurse hears a high-pitched, scratchy sound during both
systole and diastole. This is most likely:
A. An S3 gallop
B. A Grade III murmur
C. An S4 gallop
D. A pericardial friction rub
Answer: D
Conceptual Explanation: A pericardial friction rub is a high-pitched, scratchy sound
caused by inflammation of the pericardial sac, heard throughout the cardiac cycle.
4. Which physical exam technique is performed first when assessing the abdomen?
A. Palpation
B. Percussion
C. Auscultation
D. Inspection
, Answer: D
Conceptual Explanation: Inspection is always first; however, for the abdomen,
auscultation follows inspection to avoid altering bowel sounds with palpation or
percussion.
5. A patient presents with a ‘shifting dullness’ during abdominal percussion. What does this
clinical finding suggest?
A. Intestinal obstruction
B. Hepatomegaly
C. Ascites
D. Fecal impaction
Answer: C
Conceptual Explanation: Shifting dullness occurs when fluid (ascites) moves to the
dependent side of the abdomen, changing the percussion note from tympany to dullness.
6. The ‘ABCDE’ rule is used to evaluate skin lesions for potential melanoma. What does the ‘E’
stand for?
A. Erythema
B. Elevation
C. Evolving
D. Exudate
EXAM V2 QUESTIONS AND ANSWERS
1. When assessing a patient’s lungs, the nurse notes a low-pitched, snoring sound that clears
with coughing. How should this be documented?
A. Rhonchi
B. Stridor
C. Wheezes
D. Pleural friction rub
Answer: A
Conceptual Explanation: Rhonchi are continuous, low-pitched snoring sounds caused by
secretions in the large airways and often clear after coughing.
2. Which cranial nerve is primarily responsible for the sensation of the face and the muscles
of mastication?
A. Cranial Nerve VII (Facial)
B. Cranial Nerve V (Trigeminal)
C. Cranial Nerve III (Oculomotor)
,D. Cranial Nerve IX (Glossopharyngeal)
Answer: B
Conceptual Explanation: The Trigeminal nerve (CN V) provides sensory innervation to
the face and controls the muscles used for chewing.
3. During a cardiac assessment, the nurse hears a high-pitched, scratchy sound during both
systole and diastole. This is most likely:
A. An S3 gallop
B. A Grade III murmur
C. An S4 gallop
D. A pericardial friction rub
Answer: D
Conceptual Explanation: A pericardial friction rub is a high-pitched, scratchy sound
caused by inflammation of the pericardial sac, heard throughout the cardiac cycle.
4. Which physical exam technique is performed first when assessing the abdomen?
A. Palpation
B. Percussion
C. Auscultation
D. Inspection
, Answer: D
Conceptual Explanation: Inspection is always first; however, for the abdomen,
auscultation follows inspection to avoid altering bowel sounds with palpation or
percussion.
5. A patient presents with a ‘shifting dullness’ during abdominal percussion. What does this
clinical finding suggest?
A. Intestinal obstruction
B. Hepatomegaly
C. Ascites
D. Fecal impaction
Answer: C
Conceptual Explanation: Shifting dullness occurs when fluid (ascites) moves to the
dependent side of the abdomen, changing the percussion note from tympany to dullness.
6. The ‘ABCDE’ rule is used to evaluate skin lesions for potential melanoma. What does the ‘E’
stand for?
A. Erythema
B. Elevation
C. Evolving
D. Exudate
