NSG 200 Final Exam UPDATED QUESTIONS
AND CORRECT ANSWERS
During the head-to-toe assessment, the nurse should first:
A. Inspect the patient's general appearance
B. Palpate the abdomen
C. Auscultate breath sounds
D. Check pupillary response - CORRECT ANSWER Answer: A. Inspect the patient's
general appearance
• Rationale: Inspection is usually the first step in any physical assessment. It allows the nurse
to observe the patient's overall condition, including posture, hygiene, skin color, and general
demeanor.
When assessing the head and neck, which cranial nerve is tested by having the patient stick
out their tongue?
A. Cranial nerve I (Olfactory)
B. Cranial nerve VII (Facial)
C. Cranial nerve IX (Glossopharyngeal)
D. Cranial nerve XII (Hypoglossal) - CORRECT ANSWER • Answer: D. Cranial nerve
XII (Hypoglossal)
• Rationale: Cranial nerve XII controls the movement of the tongue. Having the patient stick
out their tongue tests the motor function of this nerve.
What are the main components of the cardiovascular system?
A. Lungs, arteries, veins
B. Heart, blood vessels, blood
C. Heart, kidneys, capillaries
D. Arteries, veins, lymph nodes - CORRECT ANSWER Answer: B. Heart, blood
vessels, blood
• Rationale: The cardiovascular system consists of the heart (which pumps blood), blood
vessels (which carry blood throughout the body), and the blood itself (which transports
oxygen, nutrients, and waste).
,When palpating the abdomen, the nurse should assess for:
A. Bowel sounds
B. Tenderness, masses, and organomegaly
C. Respiratory effort
D. Jugular venous distension - CORRECT ANSWER Answer: B. Tenderness, masses,
and organomegaly
• Rationale: When palpating the abdomen, the nurse is assessing for tenderness (pain),
masses (tumors or abnormal growths), and organomegaly (enlarged organs).
During the neurological assessment, the nurse tests:
A. Cranial nerves
B. Deep tendon reflexes
C. Muscle strength
D. All of the above - CORRECT ANSWER Answer: D. All of the above
• Rationale: A neurological assessment includes testing cranial nerves, deep tendon reflexes,
and muscle strength to assess the function of the nervous system.
Which of the following should be assessed when evaluating the respiratory system?
A. Respiratory rate, effort, breath sounds
B. Pupillary response
C. Bowel sounds
D. Jugular venous distension - CORRECT ANSWER Answer: A. Respiratory rate,
effort, breath sounds
• Rationale: The respiratory system is primarily assessed by observing the respiratory rate,
effort (e.g., signs of labored breathing), and listening to breath sounds for abnormalities.
The nurse should assess the cardiovascular system by:
A. Palpating peripheral pulses
B. Checking pupillary response
,C. Auscultating heart sounds
D. Both A and C - CORRECT ANSWER Answer: D. Both A and C
• Rationale: The cardiovascular system is assessed by palpating peripheral pulses (to check
circulation) and auscultating heart sounds (to detect any abnormal heart rhythms or
murmurs).
When assessing the musculoskeletal system, the nurse evaluates:
A. Range of motion
B. Muscle strength
C. Gait
D. All of the above - CORRECT ANSWER Answer: D. All of the above
• Rationale: The musculoskeletal system assessment includes evaluating range of motion
(joint movement), muscle strength (ability to move muscles), and gait (walking pattern) to
identify abnormalities.
The mental status assessment includes evaluating:
A. Orientation
B. Memory
C. Judgment
D. All of the above - CORRECT ANSWER Answer: D. All of the above
• Rationale: Mental status assessment evaluates orientation (awareness of person, place, and
time), memory (recall of past events), and judgment (ability to make decisions).
Which of the following is part of the neurological assessment?
A. Testing cranial nerves
B. Assessing cerebellar function
C. Evaluating sensory function
D. All of the above - CORRECT ANSWER Answer: D. All of the above
• Rationale: The neurological assessment includes testing cranial nerves, cerebellar function
(coordination), and sensory function (touch, pain, etc.).
, Which of the following is assessed when evaluating the gastrointestinal system?
A. Bowel sounds
B. Abdominal contour and tenderness
C. Presence of masses or organomegaly
D. All of the above - CORRECT ANSWER Answer: D. All of the above
• Rationale: The gastrointestinal system assessment includes listening for bowel sounds,
checking abdominal contour and tenderness, and assessing for masses or organomegaly.
The nurse should assess the patient's skin for:
A. Temperature only
B. Turgor and moisture
C. Color, lesions, and temperature
D. Color, moisture, lesions, and turgor - CORRECT ANSWER Answer: D. Color,
moisture, lesions, and turgor
• Rationale: Skin assessment includes checking for color (normal vs. abnormal), moisture
(hydration levels), lesions (injuries or abnormalities), and turgor (skin elasticity).
When testing cerebellar function, the nurse may ask the patient to:
A. Walk heel-to-toe in a straight line
B. Rapidly alternate between pronation and supination of the hands
C. Touch their finger to the nurse's finger, then to their nose
D. All of the above - CORRECT ANSWER Answer: D. All of the above
• Rationale: Testing cerebellar function includes activities like walking heel-to-toe (balance),
rapidly alternating between pronation and supination (coordination), and touching the finger
to the nose (fine motor skills).
The Romberg test is used to assess:
A. Cranial nerve function
B. Muscle strength
C. Balance and coordination
AND CORRECT ANSWERS
During the head-to-toe assessment, the nurse should first:
A. Inspect the patient's general appearance
B. Palpate the abdomen
C. Auscultate breath sounds
D. Check pupillary response - CORRECT ANSWER Answer: A. Inspect the patient's
general appearance
• Rationale: Inspection is usually the first step in any physical assessment. It allows the nurse
to observe the patient's overall condition, including posture, hygiene, skin color, and general
demeanor.
When assessing the head and neck, which cranial nerve is tested by having the patient stick
out their tongue?
A. Cranial nerve I (Olfactory)
B. Cranial nerve VII (Facial)
C. Cranial nerve IX (Glossopharyngeal)
D. Cranial nerve XII (Hypoglossal) - CORRECT ANSWER • Answer: D. Cranial nerve
XII (Hypoglossal)
• Rationale: Cranial nerve XII controls the movement of the tongue. Having the patient stick
out their tongue tests the motor function of this nerve.
What are the main components of the cardiovascular system?
A. Lungs, arteries, veins
B. Heart, blood vessels, blood
C. Heart, kidneys, capillaries
D. Arteries, veins, lymph nodes - CORRECT ANSWER Answer: B. Heart, blood
vessels, blood
• Rationale: The cardiovascular system consists of the heart (which pumps blood), blood
vessels (which carry blood throughout the body), and the blood itself (which transports
oxygen, nutrients, and waste).
,When palpating the abdomen, the nurse should assess for:
A. Bowel sounds
B. Tenderness, masses, and organomegaly
C. Respiratory effort
D. Jugular venous distension - CORRECT ANSWER Answer: B. Tenderness, masses,
and organomegaly
• Rationale: When palpating the abdomen, the nurse is assessing for tenderness (pain),
masses (tumors or abnormal growths), and organomegaly (enlarged organs).
During the neurological assessment, the nurse tests:
A. Cranial nerves
B. Deep tendon reflexes
C. Muscle strength
D. All of the above - CORRECT ANSWER Answer: D. All of the above
• Rationale: A neurological assessment includes testing cranial nerves, deep tendon reflexes,
and muscle strength to assess the function of the nervous system.
Which of the following should be assessed when evaluating the respiratory system?
A. Respiratory rate, effort, breath sounds
B. Pupillary response
C. Bowel sounds
D. Jugular venous distension - CORRECT ANSWER Answer: A. Respiratory rate,
effort, breath sounds
• Rationale: The respiratory system is primarily assessed by observing the respiratory rate,
effort (e.g., signs of labored breathing), and listening to breath sounds for abnormalities.
The nurse should assess the cardiovascular system by:
A. Palpating peripheral pulses
B. Checking pupillary response
,C. Auscultating heart sounds
D. Both A and C - CORRECT ANSWER Answer: D. Both A and C
• Rationale: The cardiovascular system is assessed by palpating peripheral pulses (to check
circulation) and auscultating heart sounds (to detect any abnormal heart rhythms or
murmurs).
When assessing the musculoskeletal system, the nurse evaluates:
A. Range of motion
B. Muscle strength
C. Gait
D. All of the above - CORRECT ANSWER Answer: D. All of the above
• Rationale: The musculoskeletal system assessment includes evaluating range of motion
(joint movement), muscle strength (ability to move muscles), and gait (walking pattern) to
identify abnormalities.
The mental status assessment includes evaluating:
A. Orientation
B. Memory
C. Judgment
D. All of the above - CORRECT ANSWER Answer: D. All of the above
• Rationale: Mental status assessment evaluates orientation (awareness of person, place, and
time), memory (recall of past events), and judgment (ability to make decisions).
Which of the following is part of the neurological assessment?
A. Testing cranial nerves
B. Assessing cerebellar function
C. Evaluating sensory function
D. All of the above - CORRECT ANSWER Answer: D. All of the above
• Rationale: The neurological assessment includes testing cranial nerves, cerebellar function
(coordination), and sensory function (touch, pain, etc.).
, Which of the following is assessed when evaluating the gastrointestinal system?
A. Bowel sounds
B. Abdominal contour and tenderness
C. Presence of masses or organomegaly
D. All of the above - CORRECT ANSWER Answer: D. All of the above
• Rationale: The gastrointestinal system assessment includes listening for bowel sounds,
checking abdominal contour and tenderness, and assessing for masses or organomegaly.
The nurse should assess the patient's skin for:
A. Temperature only
B. Turgor and moisture
C. Color, lesions, and temperature
D. Color, moisture, lesions, and turgor - CORRECT ANSWER Answer: D. Color,
moisture, lesions, and turgor
• Rationale: Skin assessment includes checking for color (normal vs. abnormal), moisture
(hydration levels), lesions (injuries or abnormalities), and turgor (skin elasticity).
When testing cerebellar function, the nurse may ask the patient to:
A. Walk heel-to-toe in a straight line
B. Rapidly alternate between pronation and supination of the hands
C. Touch their finger to the nurse's finger, then to their nose
D. All of the above - CORRECT ANSWER Answer: D. All of the above
• Rationale: Testing cerebellar function includes activities like walking heel-to-toe (balance),
rapidly alternating between pronation and supination (coordination), and touching the finger
to the nose (fine motor skills).
The Romberg test is used to assess:
A. Cranial nerve function
B. Muscle strength
C. Balance and coordination
