NSG 3160 STANDARD EXAMS ANSWERS AND
QUESTIONS SET A+
✔✔Difference between AUDIT and AUDIT-C - ✔✔AUDIT = full 10-item test; AUDIT-C =
3-item quick screen for hazardous drinking.
✔✔Substance causing pinpoint pupils and respiratory depression - ✔✔Opioids.
✔✔Alcohol withdrawal symptoms onset - ✔✔4-72 hours (tremor, tachycardia, sweating,
hallucinations, seizures).
✔✔Substances producing red eyes and euphoria - ✔✔Cannabis.
✔✔Classic signs of stimulant (cocaine) use - ✔✔Euphoria, talkativeness, dilated pupils,
tachycardia, ↑ BP.
✔✔Benzodiazepine withdrawal risks - ✔✔Anxiety, tremor, seizure; taper slowly to
prevent complications.
✔✔Substances with life-threatening withdrawal - ✔✔Alcohol and benzodiazepines.
✔✔Populations to screen for intimate partner violence (IPV) - ✔✔All women of
reproductive age and any patient with suspicious injuries.
✔✔IPV screening tool - ✔✔HITS (Hurt, Insult, Threaten, Scream) or STaT.
✔✔Signs inconsistent with abuse history - ✔✔Injuries at different healing stages, vague
explanations, delays in care.
✔✔Documentation of abuse - ✔✔Use direct quotes, objective descriptions, and body
diagrams/photos.
✔✔Nurse's legal responsibility in suspected abuse - ✔✔Mandatory reporting for
children, elders, and vulnerable adults.
, ✔✔Reason for separate partner interview - ✔✔Ensures victim safety and confidentiality.
✔✔Child behavior signaling abuse - ✔✔Extreme watchfulness or avoiding physical
contact.
✔✔Elder Abuse Suspicion Index (EASI) - ✔✔6-item screen identifying abuse in older
adults.
✔✔Basic physical exam techniques in order - ✔✔Inspection, Palpation, Percussion,
Auscultation.
✔✔Correct order for abdominal exam - ✔✔Inspection → Auscultation → Percussion →
Palpation.
✔✔Technique using sense of touch - ✔✔Palpation.
✔✔Percussion note over air-filled organs - ✔✔Tympany.
✔✔Percussion note over dense organs - ✔✔Dullness.
✔✔Bell of the stethoscope - ✔✔Detects low-pitched sounds (murmurs, bruits).
✔✔Part of hand assessing temperature - ✔✔The dorsal (back) surface.
✔✔When to perform hand hygiene - ✔✔Before and after every patient contact and after
removing gloves.
✔✔Maintaining patient comfort during assessment - ✔✔Provide privacy, drape properly,
warm hands and instruments.
✔✔Two identifiers for patient safety - ✔✔Name and date of birth.
✔✔Areas included in the general survey - ✔✔Physical appearance, Body structure,
Mobility, Behavior.
✔✔When general survey begins - ✔✔The moment the nurse first encounters the
patient.
✔✔Normal BMI range - ✔✔18.5-24.9.
✔✔Waist circumference increasing cardiometabolic risk - ✔✔> 35 inches (women) or >
40 inches (men).
QUESTIONS SET A+
✔✔Difference between AUDIT and AUDIT-C - ✔✔AUDIT = full 10-item test; AUDIT-C =
3-item quick screen for hazardous drinking.
✔✔Substance causing pinpoint pupils and respiratory depression - ✔✔Opioids.
✔✔Alcohol withdrawal symptoms onset - ✔✔4-72 hours (tremor, tachycardia, sweating,
hallucinations, seizures).
✔✔Substances producing red eyes and euphoria - ✔✔Cannabis.
✔✔Classic signs of stimulant (cocaine) use - ✔✔Euphoria, talkativeness, dilated pupils,
tachycardia, ↑ BP.
✔✔Benzodiazepine withdrawal risks - ✔✔Anxiety, tremor, seizure; taper slowly to
prevent complications.
✔✔Substances with life-threatening withdrawal - ✔✔Alcohol and benzodiazepines.
✔✔Populations to screen for intimate partner violence (IPV) - ✔✔All women of
reproductive age and any patient with suspicious injuries.
✔✔IPV screening tool - ✔✔HITS (Hurt, Insult, Threaten, Scream) or STaT.
✔✔Signs inconsistent with abuse history - ✔✔Injuries at different healing stages, vague
explanations, delays in care.
✔✔Documentation of abuse - ✔✔Use direct quotes, objective descriptions, and body
diagrams/photos.
✔✔Nurse's legal responsibility in suspected abuse - ✔✔Mandatory reporting for
children, elders, and vulnerable adults.
, ✔✔Reason for separate partner interview - ✔✔Ensures victim safety and confidentiality.
✔✔Child behavior signaling abuse - ✔✔Extreme watchfulness or avoiding physical
contact.
✔✔Elder Abuse Suspicion Index (EASI) - ✔✔6-item screen identifying abuse in older
adults.
✔✔Basic physical exam techniques in order - ✔✔Inspection, Palpation, Percussion,
Auscultation.
✔✔Correct order for abdominal exam - ✔✔Inspection → Auscultation → Percussion →
Palpation.
✔✔Technique using sense of touch - ✔✔Palpation.
✔✔Percussion note over air-filled organs - ✔✔Tympany.
✔✔Percussion note over dense organs - ✔✔Dullness.
✔✔Bell of the stethoscope - ✔✔Detects low-pitched sounds (murmurs, bruits).
✔✔Part of hand assessing temperature - ✔✔The dorsal (back) surface.
✔✔When to perform hand hygiene - ✔✔Before and after every patient contact and after
removing gloves.
✔✔Maintaining patient comfort during assessment - ✔✔Provide privacy, drape properly,
warm hands and instruments.
✔✔Two identifiers for patient safety - ✔✔Name and date of birth.
✔✔Areas included in the general survey - ✔✔Physical appearance, Body structure,
Mobility, Behavior.
✔✔When general survey begins - ✔✔The moment the nurse first encounters the
patient.
✔✔Normal BMI range - ✔✔18.5-24.9.
✔✔Waist circumference increasing cardiometabolic risk - ✔✔> 35 inches (women) or >
40 inches (men).
