NSG 3160 / NSG3160 Exam 2 – Health
Assessment (2026/2027 Update) |
Verified Questions & Answers with
Rationale - Galen College of Nursing
1. Which finding is considered subjective data?
A. Blood pressure is 138/84 mmHg
B. Skin is warm and dry
C. Patient reports a burning sensation in the feet
D. Pupils are equal and reactive
CORRECT ANSWER: C. Patient reports a burning sensation in the feet
Rationale:
Subjective data are symptoms reported by the patient. Objective data are findings the nurse
observes, measures, or assesses directly.
2. Which finding is most characteristic of a healthy adult skin assessment?
A. Cyanosis
B. Warm, intact skin with uniform pigmentation appropriate for the patient
C. Generalized petechiae
D. Unilateral severe edema
CORRECT ANSWER: B. Warm, intact skin with uniform pigmentation appropriate for the
patient
Rationale:
Normal skin should generally be intact and appropriately colored for the patient's baseline
complexion. Cyanosis, petechiae, and significant unilateral edema can indicate abnormalities.
3. What does poor skin turgor most commonly suggest?
,A. Dehydration
B. Hypertension
C. Hyperglycemia
D. Increased muscle mass
CORRECT ANSWER: A. Dehydration
Rationale:
Decreased skin elasticity can occur with fluid volume depletion. Skin turgor should be
interpreted alongside other findings because aging also decreases skin elasticity.
4. Which lesion is a flat, circumscribed area of color change that is not elevated?
A. Papule
B. Nodule
C. Macule
D. Vesicle
CORRECT ANSWER: C. Macule
Rationale:
A macule is a flat, nonpalpable, circumscribed change in skin color. A papule is elevated, while a
vesicle contains fluid.
5. Which assessment finding is most concerning for possible melanoma?
A. Symmetrical, uniformly colored lesion
B. Small lesion that has remained unchanged for years
C. Lesion with asymmetry, irregular borders, and multiple colors
D. Freckle that becomes lighter during winter
CORRECT ANSWER: C. Lesion with asymmetry, irregular borders, and multiple colors
Rationale:
The ABCDE approach to suspicious pigmented lesions includes Asymmetry, Border irregularity,
Color variation, Diameter, and Evolution/change.
6. What does clubbing of the fingernails potentially indicate?
, A. Chronic hypoxemia
B. Acute dehydration
C. Normal aging in every patient
D. Low blood glucose
CORRECT ANSWER: A. Chronic hypoxemia
Rationale:
Digital clubbing can be associated with chronic cardiopulmonary disease and prolonged
hypoxemia. It is an abnormal finding that warrants further assessment.
Neurological Assessment
7. A nurse asks a patient to identify the current location and date. Which aspect of
neurological assessment is being evaluated?
A. Coordination
B. Orientation
C. Deep tendon reflexes
D. Sensory discrimination
CORRECT ANSWER: B. Orientation
Rationale:
Orientation commonly includes awareness of person, place, time, and situation.
8. A patient understands what the nurse is saying but cannot produce meaningful spoken
words. Which condition is most consistent with this finding?
A. Expressive aphasia
B. Receptive aphasia
C. Dysphagia
D. Dysarthria
CORRECT ANSWER: A. Expressive aphasia
Rationale:
Expressive, or Broca, aphasia affects the ability to produce language. The patient may
understand language but have difficulty expressing thoughts verbally.
Assessment (2026/2027 Update) |
Verified Questions & Answers with
Rationale - Galen College of Nursing
1. Which finding is considered subjective data?
A. Blood pressure is 138/84 mmHg
B. Skin is warm and dry
C. Patient reports a burning sensation in the feet
D. Pupils are equal and reactive
CORRECT ANSWER: C. Patient reports a burning sensation in the feet
Rationale:
Subjective data are symptoms reported by the patient. Objective data are findings the nurse
observes, measures, or assesses directly.
2. Which finding is most characteristic of a healthy adult skin assessment?
A. Cyanosis
B. Warm, intact skin with uniform pigmentation appropriate for the patient
C. Generalized petechiae
D. Unilateral severe edema
CORRECT ANSWER: B. Warm, intact skin with uniform pigmentation appropriate for the
patient
Rationale:
Normal skin should generally be intact and appropriately colored for the patient's baseline
complexion. Cyanosis, petechiae, and significant unilateral edema can indicate abnormalities.
3. What does poor skin turgor most commonly suggest?
,A. Dehydration
B. Hypertension
C. Hyperglycemia
D. Increased muscle mass
CORRECT ANSWER: A. Dehydration
Rationale:
Decreased skin elasticity can occur with fluid volume depletion. Skin turgor should be
interpreted alongside other findings because aging also decreases skin elasticity.
4. Which lesion is a flat, circumscribed area of color change that is not elevated?
A. Papule
B. Nodule
C. Macule
D. Vesicle
CORRECT ANSWER: C. Macule
Rationale:
A macule is a flat, nonpalpable, circumscribed change in skin color. A papule is elevated, while a
vesicle contains fluid.
5. Which assessment finding is most concerning for possible melanoma?
A. Symmetrical, uniformly colored lesion
B. Small lesion that has remained unchanged for years
C. Lesion with asymmetry, irregular borders, and multiple colors
D. Freckle that becomes lighter during winter
CORRECT ANSWER: C. Lesion with asymmetry, irregular borders, and multiple colors
Rationale:
The ABCDE approach to suspicious pigmented lesions includes Asymmetry, Border irregularity,
Color variation, Diameter, and Evolution/change.
6. What does clubbing of the fingernails potentially indicate?
, A. Chronic hypoxemia
B. Acute dehydration
C. Normal aging in every patient
D. Low blood glucose
CORRECT ANSWER: A. Chronic hypoxemia
Rationale:
Digital clubbing can be associated with chronic cardiopulmonary disease and prolonged
hypoxemia. It is an abnormal finding that warrants further assessment.
Neurological Assessment
7. A nurse asks a patient to identify the current location and date. Which aspect of
neurological assessment is being evaluated?
A. Coordination
B. Orientation
C. Deep tendon reflexes
D. Sensory discrimination
CORRECT ANSWER: B. Orientation
Rationale:
Orientation commonly includes awareness of person, place, time, and situation.
8. A patient understands what the nurse is saying but cannot produce meaningful spoken
words. Which condition is most consistent with this finding?
A. Expressive aphasia
B. Receptive aphasia
C. Dysphagia
D. Dysarthria
CORRECT ANSWER: A. Expressive aphasia
Rationale:
Expressive, or Broca, aphasia affects the ability to produce language. The patient may
understand language but have difficulty expressing thoughts verbally.
