NSG 3160 EXAM 2 (GALEN) NEWEST 2026 ACTUAL
EXAM TEST BANK| HEALTH ASSESSMENT EXAM 2
REVIEW WITH 300 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ (BRAND NEW!!)
Question 1
A nurse is assessing a patient’s pupils. Which finding would be
considered abnormal?
A) Both pupils constrict when a light is shined in one eye
B) Pupils are 4 mm in diameter in dim light
C) One pupil constricts, the other dilates when light is shined
D) Both pupils react briskly to light
Correct Answer: C
Rationale: When light is shined in one eye, both pupils should
constrict (direct and consensual reflex). A dilated pupil in the
opposite eye (Marcus Gunn pupil) indicates a neurological
problem such as optic nerve damage.
Question 2
During a respiratory assessment, a nurse notes a prolonged
1
,expiratory phase and audible wheezing. This is most consistent
with:
A) Pneumothorax
B) Asthma exacerbation
C) Lobar pneumonia
D) Pulmonary embolism
Correct Answer: B
Rationale: Asthma causes bronchoconstriction, leading to
prolonged expiration and wheezing. Pneumothorax presents with
absent breath sounds, pneumonia with crackles, and PE with
sudden dyspnea ± crackles.
Question 3
Where is the point of maximal impulse (PMI) normally located?
A) 2nd intercostal space, left sternal border
B) 4th intercostal space, midclavicular line
C) 5th intercostal space, midclavicular line
D) 6th intercostal space, anterior axillary line
Correct Answer: C
Rationale: The PMI (apical pulse) is normally at the 5th ICS, left
2
,midclavicular line. Displacement can indicate cardiomegaly or
other cardiac conditions.
Question 4
A nurse palpates a patient’s thyroid gland. Which finding is
normal?
A) Diffuse tender enlargement
B) Nonpalpable isthmus
C) Palpable firm nodule
D) Smooth, rubbery, non-tender lobes
Correct Answer: D
Rationale: The normal thyroid is smooth, slightly rubbery, non-
tender, and may be palpable in thin patients. Enlargement,
tenderness, or nodules suggest pathology.
Question 5
When auscultating heart sounds, S2 is best heard at the:
A) Apex
B) Base
C) Left lower sternal border
D) Erb’s point
3
, Correct Answer: B
Rationale: S2 (“dub”) represents aortic and pulmonic valve
closure and is best heard at the base (2nd ICS right and left
sternal borders). S1 is best at the apex.
Question 6
A patient reports double vision. The nurse documents this as:
A) Nystagmus
B) Strabismus
C) Diplopia
D) Ptosis
Correct Answer: C
Rationale: Diplopia = double vision. Nystagmus = involuntary
eye movement. Strabismus = misalignment. Ptosis = drooping
eyelid.
Question 7
During percussion of the posterior chest, a nurse hears a dull note
over the right lower lobe. This suggests:
A) Normal lung
B) Pneumothorax
4
EXAM TEST BANK| HEALTH ASSESSMENT EXAM 2
REVIEW WITH 300 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ (BRAND NEW!!)
Question 1
A nurse is assessing a patient’s pupils. Which finding would be
considered abnormal?
A) Both pupils constrict when a light is shined in one eye
B) Pupils are 4 mm in diameter in dim light
C) One pupil constricts, the other dilates when light is shined
D) Both pupils react briskly to light
Correct Answer: C
Rationale: When light is shined in one eye, both pupils should
constrict (direct and consensual reflex). A dilated pupil in the
opposite eye (Marcus Gunn pupil) indicates a neurological
problem such as optic nerve damage.
Question 2
During a respiratory assessment, a nurse notes a prolonged
1
,expiratory phase and audible wheezing. This is most consistent
with:
A) Pneumothorax
B) Asthma exacerbation
C) Lobar pneumonia
D) Pulmonary embolism
Correct Answer: B
Rationale: Asthma causes bronchoconstriction, leading to
prolonged expiration and wheezing. Pneumothorax presents with
absent breath sounds, pneumonia with crackles, and PE with
sudden dyspnea ± crackles.
Question 3
Where is the point of maximal impulse (PMI) normally located?
A) 2nd intercostal space, left sternal border
B) 4th intercostal space, midclavicular line
C) 5th intercostal space, midclavicular line
D) 6th intercostal space, anterior axillary line
Correct Answer: C
Rationale: The PMI (apical pulse) is normally at the 5th ICS, left
2
,midclavicular line. Displacement can indicate cardiomegaly or
other cardiac conditions.
Question 4
A nurse palpates a patient’s thyroid gland. Which finding is
normal?
A) Diffuse tender enlargement
B) Nonpalpable isthmus
C) Palpable firm nodule
D) Smooth, rubbery, non-tender lobes
Correct Answer: D
Rationale: The normal thyroid is smooth, slightly rubbery, non-
tender, and may be palpable in thin patients. Enlargement,
tenderness, or nodules suggest pathology.
Question 5
When auscultating heart sounds, S2 is best heard at the:
A) Apex
B) Base
C) Left lower sternal border
D) Erb’s point
3
, Correct Answer: B
Rationale: S2 (“dub”) represents aortic and pulmonic valve
closure and is best heard at the base (2nd ICS right and left
sternal borders). S1 is best at the apex.
Question 6
A patient reports double vision. The nurse documents this as:
A) Nystagmus
B) Strabismus
C) Diplopia
D) Ptosis
Correct Answer: C
Rationale: Diplopia = double vision. Nystagmus = involuntary
eye movement. Strabismus = misalignment. Ptosis = drooping
eyelid.
Question 7
During percussion of the posterior chest, a nurse hears a dull note
over the right lower lobe. This suggests:
A) Normal lung
B) Pneumothorax
4
