Examl 2:l NSG3160l /l NSGl 3160l (Latestl
2025/l 2026l Update)l Healthl Assessmentl
Reviewl |l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Galen
Q:l Whenl reviewingl thel usel ofl alcoholl byl olderl adults,l thel nursel notesl thatl olderl
adultsl havel severall characteristicsl thatl canl increasel thel riskl forl alcoholl use.l Whichl
wouldl increasel thel bioavailabilityl ofl alcoholl inl thel bloodl forl longerl periodsl inl thel
olderl adult?l (Selectl alll thatl apply.)
Increasedl musclel mass
Increasedl cardiacl output
Decreasedl kidneyl functioning
Decreasedl bloodl pressure
Decreasedl liverl metabolism
Answer:
Decreasedl kidneyl functioningl &l Decreasedl liverl metabolism
Q:l Thel nursel isl assessingl al 75-year-oldl man.l Whatl shouldl thel nursel expectl whenl
performingl thel mentall statusl portionl ofl thel assessment?
Al Willl havel difficultyl onl testsl ofl remotel memoryl becausel thisl abilityl typicallyl
decreasesl withl age.
Bl Willl havel nol decreasel inl anyl ofl hisl abilities,l includingl responsel time.
Cl Willl exhibitl al decreasel inl hisl responsel timel becausel ofl thel lossl ofl languagel andl al
decreasel inl generall knowledge.
Dl Mayl takel al littlel longerl tol respond,l butl hisl generall knowledgel andl abilitiesl shouldl
notl havel declined.
Answer:
Dl Mayl takel al littlel longerl tol respond,l butl hisl generall knowledgel andl abilitiesl shouldl
notl havel declined.
Q:l Duringl changel ofl shiftl report,l thel nursel hearsl thatl al patientl isl experiencingl
hallucinations.l Whichl isl anl examplel ofl al hallucination?
Al Manl believesl thatl hisl deadl wifel isl talkingl tol him.
Bl Manl believesl thatl thel dogl hasl curledl upl onl thel bed,l butl whenl hel getsl closerl hel
seesl thatl itl isl al blanket.
,Cl Womanl hearsl thel doorbelll ringl andl goesl tol answerl it,l butl nol onel isl there.
Dl Childl seesl al manl standingl inl hisl closet.l Whenl thel lightsl arel turnedl on,l itl isl onlyl al
dryl cleaningl bag.
Answer:
Al Manl believesl thatl hisl deadl wifel isl talkingl tol him.
Q:l Al 70-year-oldl womanl tellsl thel nursel thatl everyl timel shel getsl upl inl thel morningl
orl afterl she'sl beenl sittingl forl al while,l shel getsl "reallyl dizzy"l andl feelsl likel shel isl
goingl tol falll over.l Whatl isl thel bestl responsel byl thel nurse?
Al "Youl needl tol getl upl slowlyl whenl you'vel beenl lyingl downl orl sitting."
Bl "Havel youl beenl extremelyl tiredl lately?"
Cl "Youl probablyl justl needl tol drinkl morel liquids."
Dl "I'lll referl youl forl al completel neurologicl examination."
Answer:
Al "Youl needl tol getl upl slowlyl whenl you'vel beenl lyingl downl orl sitting."
Q:l Thel nursel isl assessingl thel neurologicl statusl ofl al patientl whol hasl al late-stagel
brainl tumor.l Withl thel reflexl hammer,l thel nursel drawsl al lightl strokel upl thel laterall sidel
ofl thel solel ofl thel footl andl inward,l acrossl thel balll ofl thel foot.l Inl response,l thel
patient'sl toesl fanl out,l andl thel bigl toel showsl dorsiflexion.l Howl shouldl thel nursel
interpretl thesel findings?
Al Achillesl reflex,l whichl isl anl expectedl response
Bl Clonus,l whichl isl al hyperactivel response
Cl Negativel Babinskil sign,l whichl isl normall forl adults
Dl Positivel Babinskil sign,l whichl isl abnormall forl adults
Answer:
Dl Positivel Babinskil sign,l whichl isl abnormall forl adults
Q:l Al 21-year-oldl patientl hasl al headl injuryl resultingl froml traumal andl isl unconscious.l
Therel arel nol otherl injuries.l Duringl thel assessmentl whatl wouldl thel nursel expectl tol findl
whenl testingl thel patient'sl deepl tendonl reflexes?
Al Reflexesl willl bel normal.
Bl Somel reflexesl willl bel present,l dependingl onl thel areal ofl injury.
Cl Reflexesl cannotl bel elicited.
Dl Alll reflexesl willl bel diminishedl butl present.
Answer:
Al Reflexesl willl bel normal.
,Q:l Al 4-year-oldl boyl isl broughtl tol thel emergencyl departmentl byl hisl mother.l Shel saysl
hel pointsl tol hisl stomachl andl says,l "Itl hurtsl sol bad."l Whichl painl assessmentl tooll
wouldl bel thel bestl choicel whenl assessingl thisl child'sl pain?
Al Numericl ratingl scale
Bl Descriptorl scale
Cl Briefl painl inventory
Dl Facesl Painl Scale—Revisedl (FPS-R)
Answer:
Dl Facesl Painl Scale—Revisedl (FPS-R)
Q:l Al patientl hasl hadl arthriticl painl inl herl hipsl forl severall yearsl sincel al hipl fracture.l
Shel isl ablel tol movel aroundl inl herl rooml andl hasl notl offeredl anyl complaintsl sol farl
thisl morning.l However,l whenl asked,l shel statesl thatl herl painl isl "badl thisl morning"l andl
ratesl itl atl anl 8l onl al 1-to-10l scale.l Whatl isl thel likelyl reasonl forl this?
Al Thel patientl doesl notl wantl tol troublel thel nursingl staffl withl herl complaints.
Bl Thel patientl hasl experiencedl chronicl painl forl yearsl andl hasl adaptedl tol it.
Cl Thel patientl isl notl inl painl butl ratesl itl highl tol receivel painl medication.
Dl Thel patientl isl addictedl tol herl painl medicationsl andl cannotl obtainl painl relief.
Answer:
Bl Thel patientl hasl experiencedl chronicl painl forl yearsl andl hasl adaptedl tol it.
Q:l Thel nursel isl askingl anl adolescentl aboutl illicitl substancel abuse.l Thel adolescentl
answers,l "Yes,l I'vel usedl marijuanal atl partiesl withl myl friends."l Whatl isl thel nextl
questionl thel nursel shouldl ask?
Al "Whenl wasl thel lastl timel youl usedl marijuana?"
Bl "Dol yourl parentsl knowl aboutl this?"
Cl "Whol arel thesel friends?"
Dl "Isl thisl al regularl habit?"
Answer:
Al "Whenl wasl thel lastl timel youl usedl marijuana?"
Q:l Thel nursel isl performingl al neurologicl assessmentl onl al 41-year-oldl womanl withl al
historyl ofl diabetes.l Whenl testingl herl abilityl tol feell thel vibrationsl ofl al tuningl fork,l thel
nursel noticesl thatl thel patientl isl unablel tol feell vibrationsl onl thel greatl toel orl anklel
bilaterally,l butl shel isl ablel tol feell vibrationsl onl bothl patellae.l Givenl thisl information,l
whatl wouldl thel nursel suspect?
Al Peripherall neuropathy
Bl Lesionl ofl sensoryl cortex
, Cl Hyperalgesia
Dl Hyperesthesia
Answer:
Al Peripherall neuropathy
Q:l Whenl thel nursel asksl al 68-year-oldl patientl tol standl withl hisl feetl togetherl andl
armsl atl hisl sidel withl hisl eyesl closed,l hel startsl tol swayl andl movesl hisl feetl fartherl
apart.l Howl shouldl thel nursel documentl thisl finding?
Al Ataxia
Bl Positivel Rombergl sign
Cl Lackl ofl coordination
Dl Negativel Homanl sign
Answer:
Bl Positivel Rombergl sign
Q:l Thel nursel isl evaluatingl al patient'sl pain.l Whichl isl anl examplel ofl acutel pain?
Al Lowerl backl pain
Bl Arthriticl pain
Cl Kidneyl stones
Dl Fibromyalgia
Answer:
Cl Kidneyl stones
Q:l Whenl assessingl agingl adults,l whatl isl onel ofl thel firstl thingsl thel nursel shouldl
assessl beforel makingl judgmentsl aboutl thel agingl person'sl mentall status?
Al Sensory-perceptivel abilities
Bl Generall intelligence
Cl Presencel ofl phobias
Dl Presencel ofl irrationall thinkingl patterns
Answer:
Al Sensory-perceptivel abilities
Q:l Al 45-year-oldl womanl isl atl thel clinicl forl al mentall statusl assessment.l Whichl
describesl thel expectingl findingsl onl thel Fourl Unrelatedl Wordsl Test?
Al Recallsl fourl unrelatedl wordsl afterl al 60-minutel delay
Bl Recallsl fourl unrelatedl wordsl afterl al 30-minutel delay
Cl Inventsl fourl unrelatedl wordsl withinl 5l minutes
2025/l 2026l Update)l Healthl Assessmentl
Reviewl |l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Galen
Q:l Whenl reviewingl thel usel ofl alcoholl byl olderl adults,l thel nursel notesl thatl olderl
adultsl havel severall characteristicsl thatl canl increasel thel riskl forl alcoholl use.l Whichl
wouldl increasel thel bioavailabilityl ofl alcoholl inl thel bloodl forl longerl periodsl inl thel
olderl adult?l (Selectl alll thatl apply.)
Increasedl musclel mass
Increasedl cardiacl output
Decreasedl kidneyl functioning
Decreasedl bloodl pressure
Decreasedl liverl metabolism
Answer:
Decreasedl kidneyl functioningl &l Decreasedl liverl metabolism
Q:l Thel nursel isl assessingl al 75-year-oldl man.l Whatl shouldl thel nursel expectl whenl
performingl thel mentall statusl portionl ofl thel assessment?
Al Willl havel difficultyl onl testsl ofl remotel memoryl becausel thisl abilityl typicallyl
decreasesl withl age.
Bl Willl havel nol decreasel inl anyl ofl hisl abilities,l includingl responsel time.
Cl Willl exhibitl al decreasel inl hisl responsel timel becausel ofl thel lossl ofl languagel andl al
decreasel inl generall knowledge.
Dl Mayl takel al littlel longerl tol respond,l butl hisl generall knowledgel andl abilitiesl shouldl
notl havel declined.
Answer:
Dl Mayl takel al littlel longerl tol respond,l butl hisl generall knowledgel andl abilitiesl shouldl
notl havel declined.
Q:l Duringl changel ofl shiftl report,l thel nursel hearsl thatl al patientl isl experiencingl
hallucinations.l Whichl isl anl examplel ofl al hallucination?
Al Manl believesl thatl hisl deadl wifel isl talkingl tol him.
Bl Manl believesl thatl thel dogl hasl curledl upl onl thel bed,l butl whenl hel getsl closerl hel
seesl thatl itl isl al blanket.
,Cl Womanl hearsl thel doorbelll ringl andl goesl tol answerl it,l butl nol onel isl there.
Dl Childl seesl al manl standingl inl hisl closet.l Whenl thel lightsl arel turnedl on,l itl isl onlyl al
dryl cleaningl bag.
Answer:
Al Manl believesl thatl hisl deadl wifel isl talkingl tol him.
Q:l Al 70-year-oldl womanl tellsl thel nursel thatl everyl timel shel getsl upl inl thel morningl
orl afterl she'sl beenl sittingl forl al while,l shel getsl "reallyl dizzy"l andl feelsl likel shel isl
goingl tol falll over.l Whatl isl thel bestl responsel byl thel nurse?
Al "Youl needl tol getl upl slowlyl whenl you'vel beenl lyingl downl orl sitting."
Bl "Havel youl beenl extremelyl tiredl lately?"
Cl "Youl probablyl justl needl tol drinkl morel liquids."
Dl "I'lll referl youl forl al completel neurologicl examination."
Answer:
Al "Youl needl tol getl upl slowlyl whenl you'vel beenl lyingl downl orl sitting."
Q:l Thel nursel isl assessingl thel neurologicl statusl ofl al patientl whol hasl al late-stagel
brainl tumor.l Withl thel reflexl hammer,l thel nursel drawsl al lightl strokel upl thel laterall sidel
ofl thel solel ofl thel footl andl inward,l acrossl thel balll ofl thel foot.l Inl response,l thel
patient'sl toesl fanl out,l andl thel bigl toel showsl dorsiflexion.l Howl shouldl thel nursel
interpretl thesel findings?
Al Achillesl reflex,l whichl isl anl expectedl response
Bl Clonus,l whichl isl al hyperactivel response
Cl Negativel Babinskil sign,l whichl isl normall forl adults
Dl Positivel Babinskil sign,l whichl isl abnormall forl adults
Answer:
Dl Positivel Babinskil sign,l whichl isl abnormall forl adults
Q:l Al 21-year-oldl patientl hasl al headl injuryl resultingl froml traumal andl isl unconscious.l
Therel arel nol otherl injuries.l Duringl thel assessmentl whatl wouldl thel nursel expectl tol findl
whenl testingl thel patient'sl deepl tendonl reflexes?
Al Reflexesl willl bel normal.
Bl Somel reflexesl willl bel present,l dependingl onl thel areal ofl injury.
Cl Reflexesl cannotl bel elicited.
Dl Alll reflexesl willl bel diminishedl butl present.
Answer:
Al Reflexesl willl bel normal.
,Q:l Al 4-year-oldl boyl isl broughtl tol thel emergencyl departmentl byl hisl mother.l Shel saysl
hel pointsl tol hisl stomachl andl says,l "Itl hurtsl sol bad."l Whichl painl assessmentl tooll
wouldl bel thel bestl choicel whenl assessingl thisl child'sl pain?
Al Numericl ratingl scale
Bl Descriptorl scale
Cl Briefl painl inventory
Dl Facesl Painl Scale—Revisedl (FPS-R)
Answer:
Dl Facesl Painl Scale—Revisedl (FPS-R)
Q:l Al patientl hasl hadl arthriticl painl inl herl hipsl forl severall yearsl sincel al hipl fracture.l
Shel isl ablel tol movel aroundl inl herl rooml andl hasl notl offeredl anyl complaintsl sol farl
thisl morning.l However,l whenl asked,l shel statesl thatl herl painl isl "badl thisl morning"l andl
ratesl itl atl anl 8l onl al 1-to-10l scale.l Whatl isl thel likelyl reasonl forl this?
Al Thel patientl doesl notl wantl tol troublel thel nursingl staffl withl herl complaints.
Bl Thel patientl hasl experiencedl chronicl painl forl yearsl andl hasl adaptedl tol it.
Cl Thel patientl isl notl inl painl butl ratesl itl highl tol receivel painl medication.
Dl Thel patientl isl addictedl tol herl painl medicationsl andl cannotl obtainl painl relief.
Answer:
Bl Thel patientl hasl experiencedl chronicl painl forl yearsl andl hasl adaptedl tol it.
Q:l Thel nursel isl askingl anl adolescentl aboutl illicitl substancel abuse.l Thel adolescentl
answers,l "Yes,l I'vel usedl marijuanal atl partiesl withl myl friends."l Whatl isl thel nextl
questionl thel nursel shouldl ask?
Al "Whenl wasl thel lastl timel youl usedl marijuana?"
Bl "Dol yourl parentsl knowl aboutl this?"
Cl "Whol arel thesel friends?"
Dl "Isl thisl al regularl habit?"
Answer:
Al "Whenl wasl thel lastl timel youl usedl marijuana?"
Q:l Thel nursel isl performingl al neurologicl assessmentl onl al 41-year-oldl womanl withl al
historyl ofl diabetes.l Whenl testingl herl abilityl tol feell thel vibrationsl ofl al tuningl fork,l thel
nursel noticesl thatl thel patientl isl unablel tol feell vibrationsl onl thel greatl toel orl anklel
bilaterally,l butl shel isl ablel tol feell vibrationsl onl bothl patellae.l Givenl thisl information,l
whatl wouldl thel nursel suspect?
Al Peripherall neuropathy
Bl Lesionl ofl sensoryl cortex
, Cl Hyperalgesia
Dl Hyperesthesia
Answer:
Al Peripherall neuropathy
Q:l Whenl thel nursel asksl al 68-year-oldl patientl tol standl withl hisl feetl togetherl andl
armsl atl hisl sidel withl hisl eyesl closed,l hel startsl tol swayl andl movesl hisl feetl fartherl
apart.l Howl shouldl thel nursel documentl thisl finding?
Al Ataxia
Bl Positivel Rombergl sign
Cl Lackl ofl coordination
Dl Negativel Homanl sign
Answer:
Bl Positivel Rombergl sign
Q:l Thel nursel isl evaluatingl al patient'sl pain.l Whichl isl anl examplel ofl acutel pain?
Al Lowerl backl pain
Bl Arthriticl pain
Cl Kidneyl stones
Dl Fibromyalgia
Answer:
Cl Kidneyl stones
Q:l Whenl assessingl agingl adults,l whatl isl onel ofl thel firstl thingsl thel nursel shouldl
assessl beforel makingl judgmentsl aboutl thel agingl person'sl mentall status?
Al Sensory-perceptivel abilities
Bl Generall intelligence
Cl Presencel ofl phobias
Dl Presencel ofl irrationall thinkingl patterns
Answer:
Al Sensory-perceptivel abilities
Q:l Al 45-year-oldl womanl isl atl thel clinicl forl al mentall statusl assessment.l Whichl
describesl thel expectingl findingsl onl thel Fourl Unrelatedl Wordsl Test?
Al Recallsl fourl unrelatedl wordsl afterl al 60-minutel delay
Bl Recallsl fourl unrelatedl wordsl afterl al 30-minutel delay
Cl Inventsl fourl unrelatedl wordsl withinl 5l minutes
