NSG 3160 Final Exam Complete Study Guide, Practice
Questions & Comprehensive Exam Prep 2026–2027
A 22-year-old man comes to the clinic for an examination after falling off his motorcycle and landing on
his left side on the handle bars. The nurse suspects that he may have injured his spleen. Which of these
statements is true regarding assessment of the spleen in this situation? - correct answers -An enlarged
spleen should not be palpated because it can easily rupture.
While examining a patient, the nurse observes abdominal pulsations between the xiphoid process and
umbilicus. What does the nurse suspect? - correct answers -Normal abdominal aortic pulsations
A patient is having difficulty swallowing medications and food. How should the nurse document this? -
correct answers -dysphagia
During the change-of-shift report, the student nurse hears that a patient has hepatomegaly. What
should the student recognizes that this term means? - correct answers -enlarged liver
During an abdominal assessment, the nurse elicits tenderness on light palpation in the right lower
quadrant. The nurse recognizes this finding could indicate a problem with what structure? - correct
answers -appendix
During the examination portion of a patient's visit, she will be in lithotomy position. Which statement
reflects some things that the nurse can do to make this position more comfortable for her? - correct
answers -Elevate her head and shoulders to maintain eye contact.
The nurse is preparing to interview a postmenopausal woman. Which of these statements is true as it
applies to obtaining the health history of a postmenopausal woman? - correct answers -The nurse
should ask a postmenopausal woman if she has ever had vaginal bleeding.
1
, The nurse is performing a genital examination on a male patient and notices urethral drainage. What
should the nurse do when collecting urethral discharge for microscopic examination and culture? -
correct answers -compress the glans between the examiner's thumb and forefinger and collect any
discharge.
Which of these statements is most appropriate when the nurse is obtaining a genitourinary history from
an older man? - correct answers -Do you need to get up at night to urinate?
During a group discussion on men's health, what group should the nurse inform them has the highest
incidence of prostate cancer? - correct answers -Blacks
A 30-year-old woman is visiting the clinic because of "pain in my bottom when I have a bowel
movement." The nurse should assess for which problem? - correct answers -Hemorrhoids
The nurse is watching a new graduate nurse perform auscultation of a patient's abdomen. Which
statement by the new graduate shows a correct understanding of the reason auscultation precedes
percussion and palpation of the abdomen? - correct answers -Auscultation prevents distortion of bowel
sounds that might occur after percussion and palpation.
The nurse is describing a scaphoid abdomen. When assessing the contour of the abdomen from the rib
margin to the pubic bone, what would the contour look like? - correct answers -concave
During an assessment, the nurse notices that a patient's umbilicus is enlarged and everted. It is
positioned midline with no change in skin color. The nurse recognizes that the patient may have which
condition? - correct answers -Umbilical hernia
During an abdominal assessment, the nurse is unable to hear bowel sounds in a patient's abdomen. How
long should the nurse listen before reporting absent bowel sounds? - correct answers -5 minutes
2
Questions & Comprehensive Exam Prep 2026–2027
A 22-year-old man comes to the clinic for an examination after falling off his motorcycle and landing on
his left side on the handle bars. The nurse suspects that he may have injured his spleen. Which of these
statements is true regarding assessment of the spleen in this situation? - correct answers -An enlarged
spleen should not be palpated because it can easily rupture.
While examining a patient, the nurse observes abdominal pulsations between the xiphoid process and
umbilicus. What does the nurse suspect? - correct answers -Normal abdominal aortic pulsations
A patient is having difficulty swallowing medications and food. How should the nurse document this? -
correct answers -dysphagia
During the change-of-shift report, the student nurse hears that a patient has hepatomegaly. What
should the student recognizes that this term means? - correct answers -enlarged liver
During an abdominal assessment, the nurse elicits tenderness on light palpation in the right lower
quadrant. The nurse recognizes this finding could indicate a problem with what structure? - correct
answers -appendix
During the examination portion of a patient's visit, she will be in lithotomy position. Which statement
reflects some things that the nurse can do to make this position more comfortable for her? - correct
answers -Elevate her head and shoulders to maintain eye contact.
The nurse is preparing to interview a postmenopausal woman. Which of these statements is true as it
applies to obtaining the health history of a postmenopausal woman? - correct answers -The nurse
should ask a postmenopausal woman if she has ever had vaginal bleeding.
1
, The nurse is performing a genital examination on a male patient and notices urethral drainage. What
should the nurse do when collecting urethral discharge for microscopic examination and culture? -
correct answers -compress the glans between the examiner's thumb and forefinger and collect any
discharge.
Which of these statements is most appropriate when the nurse is obtaining a genitourinary history from
an older man? - correct answers -Do you need to get up at night to urinate?
During a group discussion on men's health, what group should the nurse inform them has the highest
incidence of prostate cancer? - correct answers -Blacks
A 30-year-old woman is visiting the clinic because of "pain in my bottom when I have a bowel
movement." The nurse should assess for which problem? - correct answers -Hemorrhoids
The nurse is watching a new graduate nurse perform auscultation of a patient's abdomen. Which
statement by the new graduate shows a correct understanding of the reason auscultation precedes
percussion and palpation of the abdomen? - correct answers -Auscultation prevents distortion of bowel
sounds that might occur after percussion and palpation.
The nurse is describing a scaphoid abdomen. When assessing the contour of the abdomen from the rib
margin to the pubic bone, what would the contour look like? - correct answers -concave
During an assessment, the nurse notices that a patient's umbilicus is enlarged and everted. It is
positioned midline with no change in skin color. The nurse recognizes that the patient may have which
condition? - correct answers -Umbilical hernia
During an abdominal assessment, the nurse is unable to hear bowel sounds in a patient's abdomen. How
long should the nurse listen before reporting absent bowel sounds? - correct answers -5 minutes
2
