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Exam 4 : NSG 3160 / NSG3160 (NEW 2026–2027)
Health Assessment Review | Questions with Multiple
Choices & Answers | Guaranteed Grade A- Galen
Q. Where should the nurse begin auscultating the abdomen then move in a circle?
a. LUQ b. RUQ c. LLQ d. RLQ ANSWERS D
Q. Which of the following does not describe normoactive bowel sounds?
a. >5 times in a min b. 5-30 gurgles in a min c. heard with a stethoscope d. high pitched ANSWERS A
Q. If the patient is suspected to have absent bowel sounds, how long should the nurse listen to each
quadrant? a. 1 min b. 5 min c. 2 min d. no change in normal assessment ANSWERS B
Q. Which of the following assessment findings would indicate possible kidney inflammation?
a. sharp pain in costovertebral angles b. sharp pain at the Angle of Louis c. Dull pain at the Angle of Louis d. Dull pain at the costovertebral angle ANSWERS A
Q. Which of the following is not an expected finding for the aging adult when assessing the GI system?
a. constipation b. Anemia c. oral dryness d. increased gastric acid ANSWERS D
Q. Which of the following is an incorrect statement involving colorectal cancer?
a. An expected order would be a high sensitivity fecal occult blood test b. those above 50 are at an increased risk c. a patients first colonoscopy should be between 30- 45 d. family hx increases risk ANSWERS C
Q. Which of the following would not be a recommendation to maintain gut health?
a. high fiber diet b. recommendation of drinking more juices c. high residual diet d. increase water intake ANSWERS C
Q. Which of the following does the nurse to expect the older male to report?
a. difficulty loosing an erection b. difficulty keeping an erection c. an erection lasting long after ejaculation d. decreased time in getting an erection ANSWERS B
Q. Which of the following does the nurse not expect an older female patient to report?
a. decreased vaginal secretions b. spotting after intercourse c. dyspareunia d. dysuria ANSWERS D
Q. Which of the following is an expected finding when assessing the penis?
a. Smegma b. Hypospadias c. Epispadias d. Phimosis ANSWERS A
Q. What cancer is being assessed when performing a papanicolaou test?
ANSWERS
Cervical
Q. What would the nurse educate the female patient to report if noticed while on antibiotics?
a. nausea b. vaginal fullness c. vaginal itching d. beginning menstration ANSWERS C
Q. Which of the following would best describe the desired outcome from a bone mineral density (BMD)
result? a. a score of 3 or below b. a positive finding c. higher value d. thicker bone ANSWERS C
Q. An elderly patient reports feeling/hearing a crackle when standing after sitting, which is the best action by
the nurse? a. palpate the knees while assessing ROM b. perform PROM on the knee and ankle c. test sensation in lower extremities d. Ask the patient if they have been diagnosed with a joint disease ANSWERS A
Q. The patient reports a crunchy sound/feeling when moving their joint, the nurse recognizes this is likely
ANSWERS
Crepitus
Q. What is the preferred position to place the patient when assessing the lower extremities?
ANSWERS
Supine
Which of the following tests would the nurse perform if the patient reports tingling and burning in their fingers? a. Phalange test b. Carpal Tunnel Test c. Simion Test d. Tinnel Test D Which of the following would be an expected recommendation to delay bone density loss? a. brisk walking b. power lifting c. word puzzles d. swimming A Which of the following would be at the highest risk for developing osteoporosis? a. 85-year-old Asian male b. 62-year-old female, lifts weights 4x a week c. retired, sedentary male d. post menopausal female, smokes d Which of the following would not be the most appropriate action/consideration for the musculoskeletal assessment? a. assess (palpate) all joints bilaterally, simultaneously b. perform proximal to distal (with each extremity/joint) c. Assessing gait and posture throughout this assessment d. Perform the GI assessment: inspect, auscultate, percuss, palpate D Which of the following would not be a consideration to take prior to beginning an assessment? a. Ask UAP to ensure the room is clean and free of clutter b. Turning off (decrease if unable) all background noise c. Ensure the patient is comfortable and bladder is empty d. Adequate lighting A Which of the following be the most appropriate consideration to explain prior to beginning your assessment?
a. I need your complete focus during the assessment b. Each system I assess may require you to move/be in certain positions c. I will report all abnormal finding to your physician ASAP d. You look dirty, is this typical or from your recent trauma? B The patient asks if you have to wear gloves throughout the assessment. Which would be the best response? a. Any time I am touching your mucous membranes, open areas, and anywhere wet b. Throughout the entire assessment c. Any time I touch any of your openings d. Whenever you request I wear them A Which of the following would not be considered an expected/normal finding? Absent turgor Which of the following would not be considered an expected/normal finding? a. Elderly with loose skin (hanging) b. Thrill palpated over anterior chest c. Clear lung sounds throughout d. Negative Romberg Test B Which of the following would not be considered an expected/normal finding? a. 0-1 + edema of all extremities b. S1&S2 heart sounds c. 20/20 vision per Snellen Chart d. Pupil constriction when light shown in eyes A Which of the following would not be considered an expected/normal finding? a. Light reflected in same position when light shown in eyes b. Symmetrical chest expansion c. Ability to identify soft vs. hard object when touched with eyes closed d. CVA tenderness D Which of the following would not be considered an expected/normal finding? a. Identification of exposed odor, bilateral (nostrils) b. Nystagmus during cardinal positions of gaze
A
Which of the following is the second portion of the assessment when assessing the GI system? a. inspect b. percussion c. palpation d. auscultation D Which of the following is not assessed while the patient is supine? a. GI b. Hips and Knees c. Head and neck d. femoral artery and inguinal nodes C Which of the following is not an assessment for cerebellar function? a. Romberg test b. nose to finger c. Heel to shin d. Rapid alternating movements A Which of the following would be used to assess the Facial Nerve? Having the patient.... a. smile b. swallow c. stick out tongue d. clench the teeth A Which of the following would be used to assess the Optic nerve? a. Snellen chart b. Assessing gag reflex c. Cardinal gaze d. Shrug shoulders A What would be used to assess CN XII? a. Turn Head
b. Puff Cheeks c. Moving tongue up, down, left, and right d. Confrontation test C What would be used to assess CN VII? a. identify odor b. wrinkle forehead c. whisper voice test d. pupil accomodation B what is not an age related change of GI symptoms decreased peristalsis causing increased risk of aspiration 3 multiple choice options what are foods that help in digestion apples, yogurt, multi/whole grain bread, wheat germ, beans, high fiber 2 multiple choice options How does age effect the liver? decreased liver size causing increase in gall stones and impaired drug metabolism 3 multiple choice options Disease Risk factors for colon cancer Family history, Chronic chrons disease, IBS, type 2 diabetes 2 multiple choice options genetic Risk factors for developing colon cancer hereditary/genetic Lynch syndrome, older age 45+, Powel disease 1 multiple choice option What are not a modifiable risk factor for colon cancer depression, and anxiety 3 multiple choice options Correct auscultation technique for abdomen RLQ RUQ LUQ LLQ 3 multiple choice options Describe proper technique for abdominal assessment. Inspect auscultate percuss and palpate
menorrhagia excessive bleeding during menstruation 3 multiple choice options urge incontinence strong urge to urinate that cannot be controlled 3 multiple choice options stress incontinence the inability to control the voiding of urine under physical stress such as running, sneezing, laughing, or coughing 3 multiple choice options Phimosis unable to retract foreskin 3 multiple choice options Paraphimosis foreskin retracted and fixed behind the glans penis 3 multiple choice options hypospadias the urethral meatus opens on ventral side of glans or shaft epispadias congenital defect in which the urinary meatus is located on the upper surface of the penis polyuria excessive urination oliguria scanty urination what is normal for meatus positioned just about centrally what are benefits of circumcision? elective removal of the foreskin that reduces infection risk and cleaning
What is smegma; where is it usually found? normal combo of shed skin cells, oils, and moisture found under foreskin 80 y.o. male patient presents with symptoms of a UTI and an obstructed urine stream. The nurse understands that this age-related condition is called. Benign prostrate hyperplasia Tea colored urine? liver disease, especially with pale stools and jaundice; myoglobinuria; some medications and food dyes; blood in urine pink colored urine w/ menses, foods(beets, berries), laxatives, kidney stones, UTI Red colored urine
- blood in urine
- nephritis, cystitis
- cancer (prostate, bladder)
- following prostate surgery Orange colored urine
- Medication side effect: Rifampin for meningitis, Pyridium, Warfarin (Coumadin) *Some foods, food dyes, laxatives
- Dehydration
- Jaundice (bilirubinemia) Inspecting a penis the nurse notes the meatus dorsally located epispadias 3 multiple choice options T/F teaching good colon health involves notifying patients about high fiber diets True 1 multiple choice option All of the following are GI age-related changes EXCEPT Increased saliva 3 multiple choice options T/F if a patient has a spleen injury you should palpate it to assess if it is enlarged? False 1 multiple choice option
The nurse should wear gloves when performing head to toe assessment on what? mouth and tongue 3 multiple choice options MS assessments should be assessed proximal to distal T/F True 1 multiple choice option When there is evidence of redness, to assess temp, what is the best surface to assess with? the dorsa surface of the hand 3 multiple choice options when doing a MS assessment the nurse should palpate joints on both sides to compare 3 multiple choice options
- The nurse is percussing the seventh right intercostal space at the midclavicular line over theliver. Which sound should thenurse expect to hear? Dullness 3 multiple choice options
- Which structure is located in the left lower quadrant of the abdomen? Sigmoid colon 3 multiple choice options
- A patient is having difficulty swallowing medications and food. the nurse would document that this patient has: Dysphagia. 3 multiple choice options
- The nurse suspects that a patient has a distended bladder. How should thenurse assess for this condition? percuss and palpate the midline area above thesuprapubic bone. 3 multiple choice options
- The nurse is aware that one change that may occur in thegastrointestinal system of an aging adult is: Decreased gastric acid secretion. 3 multiple choice options
- A 22-year-old man comes to theclinic for an examination after falling off his motorcycle and landing on his left side on thehandle bars. thenurse suspects that he may have injured his spleen. Which of these statements is true regarding assessment of thespleen in this situation?
An enlarged spleen should not be palpated because it can easily rupture. 3 multiple choice options
- A patients abdomen is bulging and stretched in appearance. thenurse should describe this finding as: Protuberant. 3 multiple choice options
- The nurse is describing a scaphoid abdomen. To thehorizontal plane, a scaphoid contour of theabdomen depicts a ______ profile Concave 3 multiple choice options
- While examining a patient, thenurse observes abdominal pulsations between thexiphoid process and umbilicus. thenurse would suspect that these are: Normal abdominal aortic pulsations. 3 multiple choice options
- A patient has hypoactive bowel sounds. thenurse knows that a potential cause of hypoactive bowel sounds is: Peritonitis. 3 multiple choice options
- The nurse is watching a new graduate nurse perform auscultation of a patients abdomen. Which statement by thenew graduate shows a correct understanding of thereason auscultation precedes percussion and palpation of theabdomen? Auscultation prevents distortion of bowel sounds that might occur after percussion and palpation. 3 multiple choice options
- The nurse is listening to bowel sounds. Which of these statements is true of bowel sounds? Bowel sounds: Are usually high-pitched, gurgling, and irregular sounds. 3 multiple choice options
- The physician comments that a patient has abdominal borborygmi. thenurse knows that this term refers to: Hyperactive bowel sounds. 3 multiple choice options
- During an abdominal assessment, thenurse would consider which of these findings as normal? Tympanic percussion note in the umbilical region 3 multiple choice options
- During an assessment of a newborn infant, thenurse recalls that pyloric stenosis would be exhibited by: Projectile vomiting. 3 multiple choice options
- The nurse is reviewing theassessment of an aortic aneurysm. Which of these statements istrue regarding an aortic aneurysm? A pulsating mass is usually present. 3 multiple choice options
- During an abdominal assessment, thenurse is unable to hear bowel sounds in a patients abdomen. Before reporting this finding as silent bowel sounds, thenurse should listen for at least: 5 minutes. 3 multiple choice options
- A patient is suspected of having inflammation of thegallbladder, or cholecystitis. thenurse should conduct which of these techniques to assess for this condition? Test for Murphy sign 3 multiple choice options
- Just before going home, a new mother asks thenurse about theinfants umbilical cord. Which of these statements is correct? It should fall off in 10 to 14 days. 3 multiple choice options
- Which of these percussion findings would thenurse expect to find in a patient with a large amount of ascites? Dullness across the abdomen 3 multiple choice options
- A 40-year-old man states that his physician told him that he has a hernia. He asks thenurse to explain what a hernia is. Which response by thenurse is appropriate? A hernia is a loop of bowel protruding through a weak spot in theabdominal muscles. 3 multiple choice options
- A 45-year-old man is in theclinic for a physical examination. During theabdominal assessment, thenurse percusses theabdomen and notices an area of dullness above theright costal margin of approximately 11 cm. thenurse should: Consider this finding as normal, and proceed with the examination. 3 multiple choice options
- When palpating theabdomen of a 20-year-old patient, thenurse notices thepresence of tenderness in theleft upper quadrant with deep palpation. Which of these structures is most likely to be involved? Spleen 3 multiple choice options
- The nurse is reviewing statistics for lactose intolerance. In theUnited States, theincidence of lactose intolerance is higher in adults of which ethnic group? Blacks 3 multiple choice options
- The nurse is assessing a patient for possible peptic ulcer disease. Which condition or history often causes this problem? Frequent use of nonsteroidal anti inflammatory drugs 3 multiple choice options
- During reporting, thestudent nurse hears that a patient has hepatomegaly and recognizes that this term refers to: Enlarged liver. 3 multiple choice options
- During an assessment, thenurse notices that a patients umbilicus is enlarged and everted. It is positioned midline with no change in skin color. thenurse recognizes that thepatient may have which condition? Umbilical hernia 3 multiple choice options
- During an abdominal assessment, thenurse tests for a fluid wave. A positive fluid wave test occurs with: Ascites. 3 multiple choice options
- The nurse is preparing to examine a patient who has been complaining of right lower quadrant pain. Which technique is correct during the assessment? Examine the tender area last. 3 multiple choice options
- During a health history, thepatient tells thenurse, I have pain all thetime in my stomach. Its worse 2 hours after I eat, but it gets better if I eat again! Based on these symptoms, thenurse suspects that thepatient has which condition? Duodenal ulcer 3 multiple choice options
