NSG 3160 Health Assessment Exam
NSG 3160 Health Assessment Exam 1
Actual Exam Newest Complete Verified
Questions And Correct Detailed Answers
with Rationales| Graded A+
1. The nurse suspects that a patient has appendicitis. Which of these procedures are
appropriate for use when assessing for appendicitis or a perforated appendix? Select all that
apply.
A) Test for Murphy's sign.
B) Test for Blumberg's sign.
C) Test for shifting dullness.
A+ TEST BANK 1
, NSG 3160 Health Assessment Exam
D) Perform iliopsoas muscle test.
E) Test for fluid wave. –
Correct Answer :
B) Test for Blumberg's sign.
D) Perform iliopsoas muscle test.
Pages: 543-544 | Page: 551. Testing for Blumberg's sign (rebound tenderness) and
performing the iliopsoas muscle test should be used to assess for appendicitis. Murphy's
sign is used to assess for an inflamed gallbladder or cholecystitis. Testing for a fluid wave
and shifting dullness is done to assess for ascites.
2. When assessing muscle strength, the nurse observes that a patient has complete range of
motion against gravity with full resistance. What Grade should the nurse record using a 0 to
5 point scale?
A) 2
B) 3
C) 4
D) 5 - Correct Answer :D) 5
Pages: 578-579. Complete range of motion against gravity is normal muscle strength and is
recorded as Grade 5 muscle strength.
A+ TEST BANK 2
, NSG 3160 Health Assessment Exam
113. The nurse is assessing the joints of a woman who has stated, "I have a long family
history of arthritis, and my joints hurt." The nurse suspects that she has osteoarthritis. Which
of these are symptoms of osteoarthritis? Select all that apply.
A) Symmetric joint involvement
B) Asymmetric joint involvement
C) Pain with motion of affected joints
D) Affected joints are swollen with hard, bony protuberances
E) Affected joints may have heat, redness, and swelling –
Correct Answer :
B) Asymmetric joint involvement
C) Pain with motion of affected joints
D) Affected joints are swollen with hard, bony protuberances
Page: 608. In osteoarthritis, asymmetric joint involvement commonly affects hands, knees,
hips, and lumbar and cervical segments of the spine. Affected joints have stiffness, swelling
with hard bony protuberances, pain with motion, and limitation of motion. The other
options reflect signs of rheumatoid arthritis.
4. During an assessment of an 80-year-old patient, the nurse notices the following: inability
to identify vibrations at the ankle and to identify position of big toe, slower and more
deliberate gait, and slightly impaired tactile sensation. All other neurologic findings are
normal. The nurse should interpret that these findings indicate:
A) cranial nerve dysfunction.
B) lesion in the cerebral cortex.
A+ TEST BANK 3
, NSG 3160 Health Assessment Exam
C) normal changes due to aging.
D) demyelinization of nerves due to a lesion. –
Correct Answer :C) normal changes due to aging.
Page: 629. Some aging adults show a slower response to requests, especially for those
calling for coordination of movements. The findings listed are normal in the absence of
other significant abnormal findings. The other responses are incorrect.
5. In obtaining a history on a 74-year-old patient the nurse notes that he drinks alcohol daily
and that he has noticed a tremor in his hands that affects his ability to hold things. With this
information, what should the nurse's response be?
A) "Does your family know you are drinking every day?"
B) "Does the tremor change when you drink the alcohol?"
C) "We'll do some tests to see what is causing the tremor."
D) "You really shouldn't drink so much alcohol; it may be causing your tremor." –
Correct Answer :B) "Does the tremor change when you drink the alcohol?"
Page: 632. Intention tremor/ senile tremor is relieved by alcohol, although this is not a
recommended treatment. The nurse should assess whether the person is abusing alcohol in
an effort to relieve the tremor.
6. During the neurologic assessment of a "healthy" 35-year-old patient, the nurse asks him to
relax his muscles completely. The nurse then moves each extremity through full range of
motion. Which of these results would the nurse expect to find?
A+ TEST BANK 4
NSG 3160 Health Assessment Exam 1
Actual Exam Newest Complete Verified
Questions And Correct Detailed Answers
with Rationales| Graded A+
1. The nurse suspects that a patient has appendicitis. Which of these procedures are
appropriate for use when assessing for appendicitis or a perforated appendix? Select all that
apply.
A) Test for Murphy's sign.
B) Test for Blumberg's sign.
C) Test for shifting dullness.
A+ TEST BANK 1
, NSG 3160 Health Assessment Exam
D) Perform iliopsoas muscle test.
E) Test for fluid wave. –
Correct Answer :
B) Test for Blumberg's sign.
D) Perform iliopsoas muscle test.
Pages: 543-544 | Page: 551. Testing for Blumberg's sign (rebound tenderness) and
performing the iliopsoas muscle test should be used to assess for appendicitis. Murphy's
sign is used to assess for an inflamed gallbladder or cholecystitis. Testing for a fluid wave
and shifting dullness is done to assess for ascites.
2. When assessing muscle strength, the nurse observes that a patient has complete range of
motion against gravity with full resistance. What Grade should the nurse record using a 0 to
5 point scale?
A) 2
B) 3
C) 4
D) 5 - Correct Answer :D) 5
Pages: 578-579. Complete range of motion against gravity is normal muscle strength and is
recorded as Grade 5 muscle strength.
A+ TEST BANK 2
, NSG 3160 Health Assessment Exam
113. The nurse is assessing the joints of a woman who has stated, "I have a long family
history of arthritis, and my joints hurt." The nurse suspects that she has osteoarthritis. Which
of these are symptoms of osteoarthritis? Select all that apply.
A) Symmetric joint involvement
B) Asymmetric joint involvement
C) Pain with motion of affected joints
D) Affected joints are swollen with hard, bony protuberances
E) Affected joints may have heat, redness, and swelling –
Correct Answer :
B) Asymmetric joint involvement
C) Pain with motion of affected joints
D) Affected joints are swollen with hard, bony protuberances
Page: 608. In osteoarthritis, asymmetric joint involvement commonly affects hands, knees,
hips, and lumbar and cervical segments of the spine. Affected joints have stiffness, swelling
with hard bony protuberances, pain with motion, and limitation of motion. The other
options reflect signs of rheumatoid arthritis.
4. During an assessment of an 80-year-old patient, the nurse notices the following: inability
to identify vibrations at the ankle and to identify position of big toe, slower and more
deliberate gait, and slightly impaired tactile sensation. All other neurologic findings are
normal. The nurse should interpret that these findings indicate:
A) cranial nerve dysfunction.
B) lesion in the cerebral cortex.
A+ TEST BANK 3
, NSG 3160 Health Assessment Exam
C) normal changes due to aging.
D) demyelinization of nerves due to a lesion. –
Correct Answer :C) normal changes due to aging.
Page: 629. Some aging adults show a slower response to requests, especially for those
calling for coordination of movements. The findings listed are normal in the absence of
other significant abnormal findings. The other responses are incorrect.
5. In obtaining a history on a 74-year-old patient the nurse notes that he drinks alcohol daily
and that he has noticed a tremor in his hands that affects his ability to hold things. With this
information, what should the nurse's response be?
A) "Does your family know you are drinking every day?"
B) "Does the tremor change when you drink the alcohol?"
C) "We'll do some tests to see what is causing the tremor."
D) "You really shouldn't drink so much alcohol; it may be causing your tremor." –
Correct Answer :B) "Does the tremor change when you drink the alcohol?"
Page: 632. Intention tremor/ senile tremor is relieved by alcohol, although this is not a
recommended treatment. The nurse should assess whether the person is abusing alcohol in
an effort to relieve the tremor.
6. During the neurologic assessment of a "healthy" 35-year-old patient, the nurse asks him to
relax his muscles completely. The nurse then moves each extremity through full range of
motion. Which of these results would the nurse expect to find?
A+ TEST BANK 4
