NSG3160 Exam 2 Health Assessment Questions and
Answers latest Updated Rated A+
1. During a cardiovascular assessment, the nurse auscultates an S3 heart sound. This
finding is most commonly associated with:
A. Hypertension
• B. Heart failure
C. Aortic stenosis
D. Pericarditis
Rationale: An S3 sound indicates fluid overload and decreased ventricular compliance,
often seen in heart failure.
2. Which cranial nerve is tested when the patient sticks out their tongue?
A. CN IX
B. CN V
• C. CN XII
D. CN VII
Rationale: CN XII (Hypoglossal) controls tongue movement.
3. A nurse palpates the dorsalis pedis pulse. Where is this pulse located?
A. Behind the knee
B. At the wrist
• C. On the top of the foot
D. At the ankle
Rationale: The dorsalis pedis pulse is palpated on the dorsum of the foot.
4. Which lung sound is characterized by high-pitched, musical squeaks heard primarily
during expiration?
A. Crackles
• B. Wheezes
C. Rhonchi
D. Pleural rub
Rationale: Wheezes result from narrowed airways, common in asthma.
5. When assessing the abdomen, which sequence is correct?
A. Palpation, percussion, auscultation, inspection
B. Inspection, palpation, percussion, auscultation
• C. Inspection, auscultation, percussion, palpation
D. Auscultation, inspection, percussion, palpation
Rationale: Auscultation precedes percussion and palpation to avoid altering bowel
sounds.
6. A positive Romberg test indicates:
A. Normal balance
• B. Impaired proprioception
,C. Cerebellar dysfunction
D. Muscle weakness
Rationale: Loss of balance with eyes closed suggests proprioceptive deficits.
7. Which finding is expected in a patient with COPD?
A. Barrel chest
B. Clubbing of fingers
C. Prolonged expiration
• D. All of the above
Rationale: COPD manifests with barrel chest, clubbing, and prolonged expiration.
8. The Allen test evaluates:
A. Jugular venous pressure
• B. Patency of radial and ulnar arteries
C. Carotid bruit
D. Venous insufficiency
Rationale: Allen test checks collateral circulation in the hand.
9. Which percussion note is expected over a healthy lung?
A. Flat
B. Dull
• C. Resonant
D. Tympanic
Rationale: Resonance is normal over lung tissue.
10. A nurse notes a patient’s pupils constrict when exposed to light. This tests:
A. CN II only
• B. CN II and CN III
C. CN IV
D. CN VI
Rationale: CN II senses light; CN III mediates constriction.
11. Which finding is consistent with arterial insufficiency?
A. Warm skin
B. Brown pigmentation
• C. Pallor on elevation
D. Edema
Rationale: Arterial insufficiency causes pallor when the limb is elevated.
12. The nurse hears fine crackles at the lung bases. This is most often associated with:
A. Asthma
B. COPD
• C. Heart failure
D. Pleural effusion
Rationale: Fine crackles are typical in pulmonary edema from heart failure.
, 13. Which cranial nerve controls lateral eye movement?
A. CN III
B. CN IV
• C. CN VI
D. CN II
Rationale: CN VI (Abducens) controls lateral rectus muscle.
14. A nurse documents “clubbing.” This is most often associated with:
A. Hypertension
B. Diabetes
• C. Chronic hypoxia
D. Dehydration
Rationale: Clubbing results from long-term hypoxia.
15. Which heart valve is auscultated at the left 5th intercostal space, midclavicular line?
A. Aortic
B. Pulmonic
C. Tricuspid
• D. Mitral
Rationale: Mitral valve is best heard at the apex.
16. A nurse notes jugular venous distension. This finding suggests:
A. Dehydration
B. Hypertension
• C. Right-sided heart failure
D. Left-sided heart failure
Rationale: JVD is a hallmark of right-sided heart failure.
17. Which sound is expected over the stomach during percussion?
A. Resonant
B. Dull
• C. Tympanic
D. Flat
Rationale: Tympany is normal over air-filled stomach.
18. The nurse tests deep tendon reflexes. A grade of 4+ indicates:
A. Normal reflex
B. Hyporeflexia
• C. Hyperreflexia with clonus
D. Absent reflex
Rationale: 4+ indicates exaggerated reflexes with clonus.
19. Which finding is consistent with venous insufficiency?
A. Pallor
B. Cool skin
• C. Brown pigmentation
Answers latest Updated Rated A+
1. During a cardiovascular assessment, the nurse auscultates an S3 heart sound. This
finding is most commonly associated with:
A. Hypertension
• B. Heart failure
C. Aortic stenosis
D. Pericarditis
Rationale: An S3 sound indicates fluid overload and decreased ventricular compliance,
often seen in heart failure.
2. Which cranial nerve is tested when the patient sticks out their tongue?
A. CN IX
B. CN V
• C. CN XII
D. CN VII
Rationale: CN XII (Hypoglossal) controls tongue movement.
3. A nurse palpates the dorsalis pedis pulse. Where is this pulse located?
A. Behind the knee
B. At the wrist
• C. On the top of the foot
D. At the ankle
Rationale: The dorsalis pedis pulse is palpated on the dorsum of the foot.
4. Which lung sound is characterized by high-pitched, musical squeaks heard primarily
during expiration?
A. Crackles
• B. Wheezes
C. Rhonchi
D. Pleural rub
Rationale: Wheezes result from narrowed airways, common in asthma.
5. When assessing the abdomen, which sequence is correct?
A. Palpation, percussion, auscultation, inspection
B. Inspection, palpation, percussion, auscultation
• C. Inspection, auscultation, percussion, palpation
D. Auscultation, inspection, percussion, palpation
Rationale: Auscultation precedes percussion and palpation to avoid altering bowel
sounds.
6. A positive Romberg test indicates:
A. Normal balance
• B. Impaired proprioception
,C. Cerebellar dysfunction
D. Muscle weakness
Rationale: Loss of balance with eyes closed suggests proprioceptive deficits.
7. Which finding is expected in a patient with COPD?
A. Barrel chest
B. Clubbing of fingers
C. Prolonged expiration
• D. All of the above
Rationale: COPD manifests with barrel chest, clubbing, and prolonged expiration.
8. The Allen test evaluates:
A. Jugular venous pressure
• B. Patency of radial and ulnar arteries
C. Carotid bruit
D. Venous insufficiency
Rationale: Allen test checks collateral circulation in the hand.
9. Which percussion note is expected over a healthy lung?
A. Flat
B. Dull
• C. Resonant
D. Tympanic
Rationale: Resonance is normal over lung tissue.
10. A nurse notes a patient’s pupils constrict when exposed to light. This tests:
A. CN II only
• B. CN II and CN III
C. CN IV
D. CN VI
Rationale: CN II senses light; CN III mediates constriction.
11. Which finding is consistent with arterial insufficiency?
A. Warm skin
B. Brown pigmentation
• C. Pallor on elevation
D. Edema
Rationale: Arterial insufficiency causes pallor when the limb is elevated.
12. The nurse hears fine crackles at the lung bases. This is most often associated with:
A. Asthma
B. COPD
• C. Heart failure
D. Pleural effusion
Rationale: Fine crackles are typical in pulmonary edema from heart failure.
, 13. Which cranial nerve controls lateral eye movement?
A. CN III
B. CN IV
• C. CN VI
D. CN II
Rationale: CN VI (Abducens) controls lateral rectus muscle.
14. A nurse documents “clubbing.” This is most often associated with:
A. Hypertension
B. Diabetes
• C. Chronic hypoxia
D. Dehydration
Rationale: Clubbing results from long-term hypoxia.
15. Which heart valve is auscultated at the left 5th intercostal space, midclavicular line?
A. Aortic
B. Pulmonic
C. Tricuspid
• D. Mitral
Rationale: Mitral valve is best heard at the apex.
16. A nurse notes jugular venous distension. This finding suggests:
A. Dehydration
B. Hypertension
• C. Right-sided heart failure
D. Left-sided heart failure
Rationale: JVD is a hallmark of right-sided heart failure.
17. Which sound is expected over the stomach during percussion?
A. Resonant
B. Dull
• C. Tympanic
D. Flat
Rationale: Tympany is normal over air-filled stomach.
18. The nurse tests deep tendon reflexes. A grade of 4+ indicates:
A. Normal reflex
B. Hyporeflexia
• C. Hyperreflexia with clonus
D. Absent reflex
Rationale: 4+ indicates exaggerated reflexes with clonus.
19. Which finding is consistent with venous insufficiency?
A. Pallor
B. Cool skin
• C. Brown pigmentation
