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NSG 1600 HEALTH ASSESSMENT MIDTERM EXAM 2 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWER, Exams of Nursing

Galen Health Institute - Tampa BayNursing

NSG 1600 HEALTH ASSESSMENT MIDTERM EXAM 2 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2025 GALEN COLLEGE OF NURSING

Typology: Exams

2024/2025

Available from 07/03/2025

Theexamwhisperer
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NSG 1600 HEALTH ASSESSMENT MIDTERM
EXAM 2 QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2025 GALEN COLLEGE OF
NURSING
1. A nurse is performing percussion during an abdominal assessment.
Which sound should the nurse expect to hear over most of the
abdomen?
Tympany
Tympany is the predominant sound over the abdomen because air in
the intestines rises to the surface when the patient is supine.
2. Which statement by a client indicates understanding of preparation
for a Pap smear?
“I will not douche before the test.”
Douching may wash away abnormal cells, leading to inaccurate
results.
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Partial preview of the text

Download NSG 1600 HEALTH ASSESSMENT MIDTERM EXAM 2 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWER and more Exams Nursing in PDF only on Docsity!

NSG 1600 HEALTH ASSESSMENT MIDTERM

EXAM 2 QUESTIONS AND CORRECT

ANSWERS (VERIFIED ANSWERS) PLUS

RATIONALES 2025 GALEN COLLEGE OF

NURSING

  1. A nurse is performing percussion during an abdominal assessment. Which sound should the nurse expect to hear over most of the abdomen? Tympany Tympany is the predominant sound over the abdomen because air in the intestines rises to the surface when the patient is supine.
  2. Which statement by a client indicates understanding of preparation for a Pap smear? “I will not douche before the test.” Douching may wash away abnormal cells, leading to inaccurate results.
  1. A nurse notes a pulsation below the sternum. What should the nurse suspect? Abdominal aortic pulsation Visible pulsations below the sternum are typically the abdominal aorta and are normal in some patients.
  2. Which technique does the nurse use first when assessing the abdomen? Inspection The correct order for abdominal assessment is inspection, auscultation, percussion, and palpation.
  3. Which finding during skin assessment should the nurse report immediately? Irregularly shaped mole with varied colors An irregular mole with varied colors may indicate melanoma and requires prompt evaluation.
  4. The nurse documents that the client has a 2+ pitting edema in the ankles. What does this mean? Moderate pitting that rebounds in 10–15 seconds 2+ indicates moderate pitting edema that rebounds within a short period.
  5. Which statement best describes the purpose of the general survey? Provides an overall impression of the patient’s health status
  1. Which statement indicates an accurate understanding of pain assessment? “Pain is what the patient says it is.” Pain is subjective and must be accepted as the patient reports it.
  2. Which technique is appropriate for assessing tactile fremitus? Palpation Tactile fremitus is felt by placing the hands on the chest wall.
  3. The nurse notes clubbing of the fingernails. What condition is associated with this finding? Chronic hypoxia Clubbing occurs in response to long-term oxygen deficiency.
  4. What is the best approach for palpating a tender abdomen? Palpate the tender area last This minimizes discomfort and guards against muscle guarding.
  5. Which finding indicates dehydration? Skin tenting Skin tenting indicates decreased turgor, often due to fluid volume deficit.
  6. What is the correct method for assessing the carotid arteries? One side at a time Palpating both carotids simultaneously can cause syncope.
  1. Which is an example of subjective data? Patient states, “I feel dizzy.” Subjective data comes directly from the patient’s report.
  2. Which factor affects blood pressure readings? Crossing the legs Crossing the legs can increase blood pressure readings.
  3. What is the purpose of auscultating the abdomen before palpation? To prevent altering bowel sounds Palpation can stimulate peristalsis, altering bowel sounds.
  4. Which finding during percussion indicates a possible mass in the abdomen? Dullness Dullness may indicate a mass, fluid, or enlarged organ.
  5. What does the nurse assess with the Snellen chart? Visual acuity The Snellen chart measures distance vision.
  6. Which part of the stethoscope is best for high-pitched sounds? Diaphragm The diaphragm detects high-pitched sounds such as breath and bowel sounds.
  1. Which question best assesses the severity of a patient’s pain? “On a scale of 0 to 10, how bad is your pain?” A numeric pain scale helps quantify pain severity.
  2. A nurse uses the bell of the stethoscope for which type of sound? Low-pitched sounds The bell detects low-pitched sounds like some murmurs and bruits.
  3. Which finding indicates jaundice? Yellow sclerae Yellowing of the sclerae is a classic sign of jaundice.
  4. What is the expected finding for capillary refill? Less than 3 seconds Normal capillary refill is brisk, less than 3 seconds.
  5. Which cultural consideration is important in health assessment? Avoid stereotyping based on appearance Cultural sensitivity avoids assumptions and supports patient-centered care.
  6. What is the purpose of palpating the sinuses? Assess for tenderness Tenderness may indicate sinusitis or inflammation.
  1. Which is an expected age-related change in the elderly? Decreased skin elasticity Skin becomes less elastic with aging.
  2. Which tool is used to screen for depression? PHQ- 9 The PHQ-9 is a validated tool for assessing depression severity.
  3. A nurse notes asymmetry in a patient’s facial movements. Which nerve may be involved? Cranial nerve VII Cranial nerve VII (facial) controls facial expressions.
  4. Which test assesses distant vision? Snellen chart The Snellen chart measures distant visual acuity.
  5. Which indicates orthostatic hypotension? Drop in BP when standing A significant drop in BP upon standing suggests orthostatic hypotension.
  6. Which finding during a lung assessment should be reported immediately? Stridor Stridor indicates upper airway obstruction and requires immediate intervention.

“I’ll check my BP after drinking coffee.” Caffeine can temporarily raise BP, so it’s best to avoid it before measurement.

  1. Which is an example of objective data? Blood pressure 128/76 mmHg Objective data are measurable and observed by the nurse.
  2. Which part of the hand is best for assessing temperature? Dorsal surface The back (dorsal) of the hand is more sensitive to temperature differences.
  3. What is an expected normal finding for adult heart rate? 60 – 100 bpm A normal resting heart rate for adults ranges from 60–100 beats per minute.
  4. When should the nurse perform hand hygiene? Before and after patient contact Hand hygiene prevents the spread of infection and is done before and after every patient encounter.
  5. Which finding during an eye exam should the nurse report immediately? Sudden loss of vision

Sudden vision loss may indicate retinal detachment or stroke and requires immediate intervention.

  1. Which test assesses near vision? Rosenbaum chart The Rosenbaum chart screens for near vision acuity.
  2. Which action demonstrates correct use of a tuning fork for vibration sense? Place on bony prominence Vibration sense is best assessed over a bony area.
  3. Which sound indicates air moving through narrowed bronchi? Wheezing Wheezes are high-pitched sounds caused by air passing through narrowed airways.
  4. What does the nurse assess with the Glasgow Coma Scale? Level of consciousness The Glasgow Coma Scale evaluates eye, verbal, and motor responses.
  5. Which finding is consistent with a healthy tympanic membrane? Pearly gray and translucent A normal eardrum should be pearly gray, shiny, and intact.
  6. Which is an expected finding for a patient with right-sided heart failure? Jugular vein distention
  1. Which is the correct angle for inserting a rectal thermometer? Insert 1–1.5 inches for adults This ensures accurate core temperature measurement.
  2. Which technique helps the nurse assess for a hernia? Have the patient bear down Straining increases intra-abdominal pressure, making hernias more visible.
  3. Which finding suggests an enlarged thyroid? Visible mass at base of neck An enlarged thyroid may appear as a swelling in the neck.
  4. What does a positive Phalen’s test indicate? Carpal tunnel syndrome Tingling with wrist flexion suggests median nerve compression.
  5. Which part of the stethoscope should the nurse use to listen for bruits? Bell The bell picks up low-pitched vascular sounds like bruits.
  6. Which assessment finding requires further evaluation in a newborn? Sunken anterior fontanel This may indicate dehydration.
  1. Which term describes difficulty speaking? Dysphasia Dysphasia refers to impaired language production.
  2. What should the nurse do when a patient reports pain during palpation? Stop and assess further Continuing may cause harm; assess the pain first.
  3. Which location is best for assessing central cyanosis? Oral mucosa Central cyanosis is best seen in the lips and tongue.
  4. What should the nurse do if bowel sounds are absent? Listen for 5 minutes in each quadrant True absence of bowel sounds must be confirmed by auscultating for a full 5 minutes.
  5. Which sign is associated with deep vein thrombosis? Unilateral leg swelling One-sided swelling is a key sign of DVT.
  6. Which is a normal finding when assessing the lymph nodes in children? Small, movable, and nontender In young children, small movable nodes are common.
  1. Which is the first step of the nursing process? Assessment The nursing process begins with data collection.
  2. Which finding is normal for percussion over the liver? Dullness Solid organs like the liver produce a dull sound.
  3. Which is a normal respiratory pattern in a healthy adult? Eupnea Eupnea means normal, unlabored breathing.
  4. What is the correct term for pinpoint, nonblanchable red spots? Petechiae Petechiae may indicate bleeding disorders.
  5. Which abnormal skin finding requires priority follow-up? New mole with irregular border Irregular moles can be signs of melanoma.
  6. Which test is used to assess cranial nerve II? Visual acuity test Cranial nerve II is the optic nerve.
  7. What should the nurse do before palpating the carotid artery? Auscultate for bruits Bruits indicate turbulent blood flow.
  1. Which finding is normal for a breast exam? One breast slightly larger than the other Asymmetry is normal in many individuals.
  2. Which position helps examine the rectum? Left lateral (Sims’) position Sims’ allows access for rectal exam.
  3. Which pulse site is used during CPR in an adult? Carotid The carotid artery is used to assess central circulation during CPR.
  4. Which question helps assess mobility? “Do you use assistive devices?” This helps determine risk for falls.
  5. Which tool is used to assess for scoliosis? Adam’s forward bend test Visible curvature indicates scoliosis.
  6. What is the expected percussion note over the stomach? Tympany Air in the stomach produces tympany.
  7. Which finding is expected during cardiac auscultation? S1 louder than S2 at apex S1 is loudest at the apex; S2 at the base.
  1. What is an expected finding when palpating the spleen? Not palpable A healthy spleen is usually nonpalpable.
  2. Which finding indicates a normal gait? Arms swing in opposition to legs This shows balance and coordination.
  3. Which position best facilitates lung expansion? High Fowler’s This position maximizes chest expansion.
  4. Which sign suggests appendicitis? Rovsing’s sign Pain in RLQ when LLQ is palpated indicates possible appendicitis.
  5. Which sounds are normal when auscultating the abdomen? High-pitched gurgles These indicate active peristalsis.
  6. Which question assesses alcohol use? “How many drinks do you have per week?” Specific questions provide accurate data.
  7. Which is a normal finding for the Weber test? Sound heard equally in both ears Equal lateralization indicates normal hearing.
  1. Which patient should the nurse assess first? Patient with sudden chest pain Chest pain may indicate cardiac ischemia; it’s a priority.
  2. Which is the best site to check for dependent edema? Ankles Fluid often collects in dependent areas.
  3. Which technique helps distinguish a bruit from a murmur? Location and timing Bruits are vascular and heard over arteries; murmurs are cardiac.
  4. Which tool is used to screen for cognitive impairment? Mini-Mental State Examination (MMSE) The MMSE evaluates cognitive function.
  5. Which action helps ensure accurate daily weights? Weigh at same time each day Consistency increases reliability.
  6. Which sign suggests dehydration in an older adult? Orthostatic hypotension Fluid volume deficit may cause a BP drop when standing.
  7. Which pulse is most appropriate for assessing circulation to the hand? Ulnar pulse The ulnar pulse can be assessed if radial is weak.