NSG 3009 Health Assessment Exam 2
STUDY GUIDE 2025/2026 QUESTIONS BANK
AND VERIFIED CORRECT SOLUTIONS WITH
RATIONALES || 100% GUARANTEED PASS
<RECENT VERSION>
1. How do you perform an eye exam? - ANSWER ✓ -Pupillary light reflex
exam: Shine penlight across pupil from the side and observe for direct and
consensual pupillary constriction.
Direct = constriction of illuminated pupil
Consensual = constriction of other pupil not being illuminated
-Diagnostics Positions Test: leads eyes through six cardinal fields to elicit
muscle weakness (nystagmus) during movement. Normal response is
parallel movement.
2. Consider developmental competencies related to ear exams.
(Infants) - ANSWER ✓ •The infant's eustachian tube is short and wide and
positioned horizontally than the adult's eustachian tube.
•This horizontal position makes it easier for pathogens to move from the
nasopharynx to the middle ear and increases the possibility of ear infections.
3. Consider developmental competencies related to ear exams.
(Adults) - ANSWER ✓ •Otosclerosis is a common cause if conductive
hearing loss in young adults between the ages of 20-40 years.
•It is a gradual bone formation that causes the stapes to become fixed in the
oval window which impedes the transmission of sound and causes
progressive deafness.
4. Contusion (Bruise) - ANSWER ✓ A mechanical injury (a blow) that results
in hemorrhage into tissues.
5. Macules (Abnormal) - ANSWER ✓ Small changes of color in the skin that
are neither raised nor depressed
,6. Papules (Abnormal) - ANSWER ✓ A small, raised solid pimple or swelling,
often forming part of a rash, typically inflamed, bur not producing pus.
7. Plaques (Abnormal) - ANSWER ✓ Elevated, dry, thickened area with well-
defined or ill-defined borders.
8. Wheal (Abnormal) - ANSWER ✓ An area of skin that is temporarily raised,
typically reddened and usually accompanied by itching.
9. Nodules (Abonormal) - ANSWER ✓ Elevated lesions on the skin. They are
larger than papules. Some are fixed to skin above or subcutaneous tissue
below.
10.Vesicle (Abnormal) - ANSWER ✓ A fluid-filled cavity or sac.
11.Bulla (Abnormal) - ANSWER ✓ A bubble-like cavity filled with air or fluid.
12.Jaundice (Abnormal) - ANSWER ✓ a condition in which the skin, sclera
(whites of the eyes) and mucous membranes
turn yellow. This yellow color is caused by a high level of bilirubin, a
yellow-orange bile pigment. Bile is fluid secreted by the liver. Bilirubin is
formed from the breakdown of red blood cells
13.basal cell carcinoma (Abnormal) - ANSWER ✓ malignant tumor of the
basal cell layer of the epidermis
14.squamous cell carcinoma (Abnormal) - ANSWER ✓ malignant tumor of the
squamous epithelial cells in the epidermis
15.malignant melanoma (Abnormal) - ANSWER ✓ Most serious form of skin
cancer; often characterized by black or dark brown patches on the skin that
may appear uneven in texture, jagged, or raised.
16.Lichenification (Abnormal) - ANSWER ✓ Prolonged scratching that
thickens the skins and produces tightly packed
sets of papules
,17.Keloid (Abnormal) - ANSWER ✓ overgrowth of scar tissue
18.Telangiectasia - ANSWER ✓ Caused by vascular dilation, permanently
enlarged and dilated blood
vessels that are visible on the skin surface
19.Spider or Star Angioma (similar to vascular spiders) - ANSWER ✓ A fiery
red star-shaped marking with a solid circular center; capillary radiations
extend from the center
20.Venous Lake (Abnormal) - ANSWER ✓ A blue-purple dilation of venules
and capillaries in a flaring pattern. Pressure causes them to empty or
disappear
21.Ecchymosis (Abnormal) - ANSWER ✓ A purplish patch resulting from
extravasation of blood into the skin
22.Purpura (Abnormal) - ANSWER ✓ Confluent and extensive patch of
petechiae and ecchymoses > 3 mm, flat, red,
purple
Cyst (Abnormal) - ANSWER ✓ A membranous sac or cavity containing a
liquid or semi-solid substance.
23.What is ABCDE method for skin cancer teaching? - ANSWER ✓ A:
asymmetry: not regularly round or oval, two halves of lesion do not look the
same
B: border: notching, scalloping, ragged edges, poorly defined margins
C: color: areas of brown, tan, black, blue, red, white, or combination
D: diameter: greater than 6 mm
E: evolving: refers to the "ugly duckling" sign, in which the suspicious
lesion stands out as looking different
24.Cranial nerves - ANSWER ✓ Number, name, function, how to test, concerns
if damaged.
25.CN I - ANSWER ✓ Olfactory: smell
26.CN II - ANSWER ✓ Optic: vision
, 27.CN III - ANSWER ✓ Oculomotore: eye movements, pupil constriction
28.CN IV - ANSWER ✓ Trochlear: eye movement (superior oblique)
29.CN V - ANSWER ✓ Trigeminal: facial sensation, chewing
30.CN VI - ANSWER ✓ Abducens: eye movement (lateral)
31.CN VII - ANSWER ✓ Facial: facial sensation, taste
32.CN VIII - ANSWER ✓ Vestibulocochlear: hearing, balance
33.CN IX - ANSWER ✓ Glossopharyngeal: swallowing, taste
34.CN X - ANSWER ✓ Vagus: speech, swallowing
35.CN XI - ANSWER ✓ Spinal Accessory: shoulder/head movement
36.CN XII - ANSWER ✓ Hypoglossal: tongue movement
37.Tactile discrimination - ANSWER ✓ sharp and dull sensation
38.Stereognosis - ANSWER ✓ identify object by touch
39.Graphesthesia - ANSWER ✓ recognize number/letter drawn on hand
40.Romberg - ANSWER ✓ balance with eyes closed; swaying = abnormal
41.Babinski - ANSWER ✓ normal in infants; abnormal in adults = CNS issue
42.GCS score - ANSWER ✓ Range: 3 (coma) to 15 (normal)
43.Muscle strength - ANSWER ✓ 0-5 scale
44.Stroke - ANSWER ✓ sudden weakness, speech/language issues, facial
droop
STUDY GUIDE 2025/2026 QUESTIONS BANK
AND VERIFIED CORRECT SOLUTIONS WITH
RATIONALES || 100% GUARANTEED PASS
<RECENT VERSION>
1. How do you perform an eye exam? - ANSWER ✓ -Pupillary light reflex
exam: Shine penlight across pupil from the side and observe for direct and
consensual pupillary constriction.
Direct = constriction of illuminated pupil
Consensual = constriction of other pupil not being illuminated
-Diagnostics Positions Test: leads eyes through six cardinal fields to elicit
muscle weakness (nystagmus) during movement. Normal response is
parallel movement.
2. Consider developmental competencies related to ear exams.
(Infants) - ANSWER ✓ •The infant's eustachian tube is short and wide and
positioned horizontally than the adult's eustachian tube.
•This horizontal position makes it easier for pathogens to move from the
nasopharynx to the middle ear and increases the possibility of ear infections.
3. Consider developmental competencies related to ear exams.
(Adults) - ANSWER ✓ •Otosclerosis is a common cause if conductive
hearing loss in young adults between the ages of 20-40 years.
•It is a gradual bone formation that causes the stapes to become fixed in the
oval window which impedes the transmission of sound and causes
progressive deafness.
4. Contusion (Bruise) - ANSWER ✓ A mechanical injury (a blow) that results
in hemorrhage into tissues.
5. Macules (Abnormal) - ANSWER ✓ Small changes of color in the skin that
are neither raised nor depressed
,6. Papules (Abnormal) - ANSWER ✓ A small, raised solid pimple or swelling,
often forming part of a rash, typically inflamed, bur not producing pus.
7. Plaques (Abnormal) - ANSWER ✓ Elevated, dry, thickened area with well-
defined or ill-defined borders.
8. Wheal (Abnormal) - ANSWER ✓ An area of skin that is temporarily raised,
typically reddened and usually accompanied by itching.
9. Nodules (Abonormal) - ANSWER ✓ Elevated lesions on the skin. They are
larger than papules. Some are fixed to skin above or subcutaneous tissue
below.
10.Vesicle (Abnormal) - ANSWER ✓ A fluid-filled cavity or sac.
11.Bulla (Abnormal) - ANSWER ✓ A bubble-like cavity filled with air or fluid.
12.Jaundice (Abnormal) - ANSWER ✓ a condition in which the skin, sclera
(whites of the eyes) and mucous membranes
turn yellow. This yellow color is caused by a high level of bilirubin, a
yellow-orange bile pigment. Bile is fluid secreted by the liver. Bilirubin is
formed from the breakdown of red blood cells
13.basal cell carcinoma (Abnormal) - ANSWER ✓ malignant tumor of the
basal cell layer of the epidermis
14.squamous cell carcinoma (Abnormal) - ANSWER ✓ malignant tumor of the
squamous epithelial cells in the epidermis
15.malignant melanoma (Abnormal) - ANSWER ✓ Most serious form of skin
cancer; often characterized by black or dark brown patches on the skin that
may appear uneven in texture, jagged, or raised.
16.Lichenification (Abnormal) - ANSWER ✓ Prolonged scratching that
thickens the skins and produces tightly packed
sets of papules
,17.Keloid (Abnormal) - ANSWER ✓ overgrowth of scar tissue
18.Telangiectasia - ANSWER ✓ Caused by vascular dilation, permanently
enlarged and dilated blood
vessels that are visible on the skin surface
19.Spider or Star Angioma (similar to vascular spiders) - ANSWER ✓ A fiery
red star-shaped marking with a solid circular center; capillary radiations
extend from the center
20.Venous Lake (Abnormal) - ANSWER ✓ A blue-purple dilation of venules
and capillaries in a flaring pattern. Pressure causes them to empty or
disappear
21.Ecchymosis (Abnormal) - ANSWER ✓ A purplish patch resulting from
extravasation of blood into the skin
22.Purpura (Abnormal) - ANSWER ✓ Confluent and extensive patch of
petechiae and ecchymoses > 3 mm, flat, red,
purple
Cyst (Abnormal) - ANSWER ✓ A membranous sac or cavity containing a
liquid or semi-solid substance.
23.What is ABCDE method for skin cancer teaching? - ANSWER ✓ A:
asymmetry: not regularly round or oval, two halves of lesion do not look the
same
B: border: notching, scalloping, ragged edges, poorly defined margins
C: color: areas of brown, tan, black, blue, red, white, or combination
D: diameter: greater than 6 mm
E: evolving: refers to the "ugly duckling" sign, in which the suspicious
lesion stands out as looking different
24.Cranial nerves - ANSWER ✓ Number, name, function, how to test, concerns
if damaged.
25.CN I - ANSWER ✓ Olfactory: smell
26.CN II - ANSWER ✓ Optic: vision
, 27.CN III - ANSWER ✓ Oculomotore: eye movements, pupil constriction
28.CN IV - ANSWER ✓ Trochlear: eye movement (superior oblique)
29.CN V - ANSWER ✓ Trigeminal: facial sensation, chewing
30.CN VI - ANSWER ✓ Abducens: eye movement (lateral)
31.CN VII - ANSWER ✓ Facial: facial sensation, taste
32.CN VIII - ANSWER ✓ Vestibulocochlear: hearing, balance
33.CN IX - ANSWER ✓ Glossopharyngeal: swallowing, taste
34.CN X - ANSWER ✓ Vagus: speech, swallowing
35.CN XI - ANSWER ✓ Spinal Accessory: shoulder/head movement
36.CN XII - ANSWER ✓ Hypoglossal: tongue movement
37.Tactile discrimination - ANSWER ✓ sharp and dull sensation
38.Stereognosis - ANSWER ✓ identify object by touch
39.Graphesthesia - ANSWER ✓ recognize number/letter drawn on hand
40.Romberg - ANSWER ✓ balance with eyes closed; swaying = abnormal
41.Babinski - ANSWER ✓ normal in infants; abnormal in adults = CNS issue
42.GCS score - ANSWER ✓ Range: 3 (coma) to 15 (normal)
43.Muscle strength - ANSWER ✓ 0-5 scale
44.Stroke - ANSWER ✓ sudden weakness, speech/language issues, facial
droop
