NSG 6020 Midterm Exam 2026 | Complete
Exam with 100 Verified Questions and
100% Correct answers (Graded A+)
1. What is the primary purpose of a comprehensive health history?
• ---Answer---: b) To gather holistic data for clinical decision-making.
• Rationale: It collects medical, social, and family history to guide care
plans.
2. Which component is included in the Review of Systems (ROS)?
• ---Answer---: b) Patient's symptoms across body systems.
• Rationale: ROS identifies potential issues not mentioned in the chief
complaint.
3. What does the acronym OLDCARTS stand for in symptom analysis?
• ---Answer---: a) Onset, Location, Duration, Characteristics,
Aggravating factors, Relieving factors, Timing, Severity.
4. What is the correct sequence for a physical examination?
• ---Answer---: b) Inspection, palpation, percussion, auscultation.
• Rationale: Auscultation is performed last in abdominal exams to
avoid altering bowel sounds.
5. What is the purpose of cultural competence in health assessment?
• ---Answer---: b) To respect and integrate patients' cultural beliefs.
,6. Which heart sound is heard during systole?
• ---Answer---: c) S1.
• Rationale: S1 is caused by mitral and tricuspid valve closure.
7. What is the normal respiratory rate for an adult at rest?
• ---Answer---: b) 12–20 breaths per minute.
8. What does a bruit indicate when auscultating the carotid artery?
• ---Answer---: b) Possible arterial narrowing.
9. Which technique is used to assess for costovertebral angle (CVA)
tenderness?
• ---Answer---: c) Percussion.
10.What is the significance of a positive Romberg test?
• ---Answer---: b) Peripheral neuropathy or balance issues.
11.What is the purpose of the Mini-Mental State Examination (MMSE)?
• ---Answer---: b) Evaluate cognitive function.
12.What is a common finding in a patient with pneumonia during chest
auscultation?
• ---Answer---: b) Crackles.
13.What is the primary sign of an upper airway obstruction?
• ---Answer---: Stridor (high-pitched inspiratory sound).
14.Which lymph node is most concerning for malignancy?
• ---Answer---: Supraclavicular (Virchow's node).
15.What does "PERRLA" stand for in an eye exam?
, • ---Answer---: Pupils Equal, Round, Reactive to Light and
Accommodation.
16.How is the strength of a pulse documented?
• ---Answer---: 0 (absent) to 4+ (bounding), with 2+ being normal.
17.What is the significance of a "clubbing" of the nails?
• ---Answer---: Chronic hypoxia or pulmonary disease.
18.Which cranial nerve is tested by asking the patient to puff out their
cheeks?
• ---Answer---: CN VII (Facial nerve).
19.What is the normal range for body temperature (Fahrenheit)?
• ---Answer---: 97.8°F – 99.1°F.
20.What is orthostatic hypotension?
• ---Answer---: A drop in SBP ≥20 mmHg or DBP ≥10 mmHg upon
standing.
21.What does "turgor" assess?
• ---Answer---: Skin elasticity and hydration status.
22.What is the primary function of the thyroid gland?
• ---Answer---: To regulate metabolism.
23.What is "dysphagia"?
• ---Answer---: Difficulty swallowing.
24.Which test assesses visual acuity?
• ---Answer---: Snellen chart.
Exam with 100 Verified Questions and
100% Correct answers (Graded A+)
1. What is the primary purpose of a comprehensive health history?
• ---Answer---: b) To gather holistic data for clinical decision-making.
• Rationale: It collects medical, social, and family history to guide care
plans.
2. Which component is included in the Review of Systems (ROS)?
• ---Answer---: b) Patient's symptoms across body systems.
• Rationale: ROS identifies potential issues not mentioned in the chief
complaint.
3. What does the acronym OLDCARTS stand for in symptom analysis?
• ---Answer---: a) Onset, Location, Duration, Characteristics,
Aggravating factors, Relieving factors, Timing, Severity.
4. What is the correct sequence for a physical examination?
• ---Answer---: b) Inspection, palpation, percussion, auscultation.
• Rationale: Auscultation is performed last in abdominal exams to
avoid altering bowel sounds.
5. What is the purpose of cultural competence in health assessment?
• ---Answer---: b) To respect and integrate patients' cultural beliefs.
,6. Which heart sound is heard during systole?
• ---Answer---: c) S1.
• Rationale: S1 is caused by mitral and tricuspid valve closure.
7. What is the normal respiratory rate for an adult at rest?
• ---Answer---: b) 12–20 breaths per minute.
8. What does a bruit indicate when auscultating the carotid artery?
• ---Answer---: b) Possible arterial narrowing.
9. Which technique is used to assess for costovertebral angle (CVA)
tenderness?
• ---Answer---: c) Percussion.
10.What is the significance of a positive Romberg test?
• ---Answer---: b) Peripheral neuropathy or balance issues.
11.What is the purpose of the Mini-Mental State Examination (MMSE)?
• ---Answer---: b) Evaluate cognitive function.
12.What is a common finding in a patient with pneumonia during chest
auscultation?
• ---Answer---: b) Crackles.
13.What is the primary sign of an upper airway obstruction?
• ---Answer---: Stridor (high-pitched inspiratory sound).
14.Which lymph node is most concerning for malignancy?
• ---Answer---: Supraclavicular (Virchow's node).
15.What does "PERRLA" stand for in an eye exam?
, • ---Answer---: Pupils Equal, Round, Reactive to Light and
Accommodation.
16.How is the strength of a pulse documented?
• ---Answer---: 0 (absent) to 4+ (bounding), with 2+ being normal.
17.What is the significance of a "clubbing" of the nails?
• ---Answer---: Chronic hypoxia or pulmonary disease.
18.Which cranial nerve is tested by asking the patient to puff out their
cheeks?
• ---Answer---: CN VII (Facial nerve).
19.What is the normal range for body temperature (Fahrenheit)?
• ---Answer---: 97.8°F – 99.1°F.
20.What is orthostatic hypotension?
• ---Answer---: A drop in SBP ≥20 mmHg or DBP ≥10 mmHg upon
standing.
21.What does "turgor" assess?
• ---Answer---: Skin elasticity and hydration status.
22.What is the primary function of the thyroid gland?
• ---Answer---: To regulate metabolism.
23.What is "dysphagia"?
• ---Answer---: Difficulty swallowing.
24.Which test assesses visual acuity?
• ---Answer---: Snellen chart.
