NU 518 EXAM 2 – STUDY 420 QUESTIONS WITH CORRECT ANSWERS
ADVANCED NURSING PRACTICE REVIEW 2026 RECENT TESTED
QUESTIONS INCLUDED GRADED A+
A |49-year-old |administrative |assistant |comes |to |your |office |for |evaluation |of |dizziness. |You |elicit
|the |information |that |the |dizziness |is |a |spinning |sensation |of |sudden |onset, |worse |with |head
|position |changes. |The |episodes |last |a |few |seconds |and |then |go |away, |and |they |are |accompanied
|by |intense |nausea. |She |has |vomited |one |time. |She |denies |tinnitus. |You |perform |a |physical
|examination |of |the |head |and |neck |and |note |that |the |patient's |hearing |is |intact |to |Weber |and
|Rinne |and |that |there |is |nystagmus. |Her |gait |is |normal. |Based |on |this |description, |what |is |the |most
|likely |diagnosis?
A) Benign |positional |vertigo
B) Vestibular |neuronitis
C) Ménière's |disease
D) Acoustic |neuroma |- |CORRECT |ANSWER-A
A |55-year-old |bank |teller |comes |to |your |office |for |persistent |episodes |of |dizziness. |The |first
|episode |started |suddenly |and |lasted |3 |to |4 |hours. |He |experienced |a |lot |of |nausea |with |vomiting;
|the |episode |resolved |spontaneously. |He |has |had |five |episodes |in |the |past |1½ |weeks. |He |does
|note
some |tinnitus |that |comes |and |goes. |Upon |physical |examination, |you |note |that |he |has |a |normal
|gait. |The |Weber |localizes |to |the |right |side |and |the |air |conduction |is |equal |to |the |bone |conduction
|in |the |right |ear. |Nystagmus |is |present. |Based |on |this |description, |what |is |the |most |likely
|diagnosis?
A) Benign |positional |vertigo
B) Vestibular |neuronitis
C) Ménière's |disease
D) Acoustic |neuroma |- |CORRECT |ANSWER-C
,A |73-year-old |nurse |comes |to |your |office |for |evaluation |of |new |onset |of |tremors. |She |is |not |on |any
|medications |and |does |not |take |herbs |or |supplements. |She |has |no |chronic |medical |conditions. |She
|does |not |smoke |or |drink |alcohol. |She |walks |into |the |examination |room |with |slow |movements |and
|shuffling |steps. |She |has |decreased |facial |mobility |and |a |blunt |expression,
without |any |changes |in |hair |distribution |on |her |face. |Based |on |this |description, |what |is |the |most
|likely |reason |for |the |patient's |symptoms?
A) Cushing's |syndrome
B) Nephrotic |syndrome
C) Myxedema
D) Parkinson's |disease |- |CORRECT |ANSWER-D
A |29-year-old |physical |therapist |presents |for |evaluation |of |an |eyelid |problem. |On |observation, |the
|right |eyeball |appears |to |be |protruding |forward. |Based |on |this |description, |what |is |the |most |likely
|diagnosis?
A) Ptosis
B) Exophthalmos
C) Ectropion
D) Epicanthus |- |CORRECT |ANSWER-B
A |12-year-old |presents |to |the |clinic |with |his |father |for |evaluation |of |a |painful |lump |in |the |left |eye.
|It |started |this |morning. |He |denies |any |trauma |or |injury. |There |is |no |visual |disturbance. |Upon
|physical |examination, |there |is |a |red |raised |area |at |the |margin |of |the |eyelid |that |is |tender |to
|palpation; |no |tearing |occurs |with |palpation |of |the |lesion. |Based |on |this |description, |what |is |the
most |likely |diagnosis?
A) Dacryocystitis
B) Chalazion
C) Hordeolum
D) Xanthelasma |- |CORRECT |ANSWER-C
A |15-year-old |high |school |sophomore |presents |to |the |emergency |room |with |his |mother |for
|evaluation |of |an |area |of |blood |in |the |left |eye. |He |denies |trauma |or |injury |but |has |been |coughing
|forcefully |with |a |recent |cold. |He |denies |visual |disturbances, |eye |pain, |or |discharge |from |the |eye.
|On |physical |examination, |the |pupils |are |equal, |round, |and |reactive |to |light, |with |a |visual |acuity |of
,20/20 |in |each |eye |and |20/20 |bilaterally. |There |is |a |homogeneous, |sharply |demarcated |area |at |the
|lateral |aspect |of |the |base |of |the |left |eye. |The |cornea |is |clear. |Based |on |this |description, |what |is
|the |most |likely |diagnosis?
A) Conjunctivitis
B) Acute |iritis
C) Corneal |abrasion
D) Subconjunctival |hemorrhage |- |CORRECT |ANSWER-D
A |67-year-old |lawyer |comes |to |your |clinic |for |an |annual |examination. |He |denies |any |history |of |eye
|trauma. |He |denies |any |visual |changes. |You |inspect |his |eyes |and |find |a |triangular |thickening |of |the
|bulbar |conjunctiva |across |the |outer |surface |of |the |cornea. |He |has |a |normal |pupillary |reaction |to
|light |and |accommodation. |Based |on |this |description, |what |is |the |most |likely |diagnosis?
A) Corneal |arcus
B) Cataracts
C) Corneal |scar
D) Pterygium |- |CORRECT |ANSWER-D
Which |of |the |following |is |a |"red |flag" |regarding |patients |presenting |with |headache?
A) Unilateral |headache
B) Pain |over |the |sinuses
C) Age |over |50
D) Phonophobia |and |photophobia |- |CORRECT |ANSWER-C
A |sudden, |painless |unilateral |vision |loss |may |be |caused |by |which |of |the |following?
A) Retinal |detachment
B) Corneal |ulcer
C) Acute |glaucoma
D) Uveitis |- |CORRECT |ANSWER-A
Sudden, |painful |unilateral |loss |of |vision |may |be |caused |by |which |of |the |following |conditions?
A) Vitreous |hemorrhage
B) Central |retinal |artery |occlusion
, C) Macular |degeneration
D) Optic |neuritis |- |CORRECT |ANSWER-D
Diplopia, |which |is |present |with |one |eye |covered, |can |be |caused |by |which |of |the |following
|problems?
A) Weakness |of |CN |III
B) Weakness |of |CN |IV
C) A |lesion |of |the |brainstem
D) An |irregularity |in |the |cornea |or |lens |- |CORRECT |ANSWER-D
A |patient |complains |of |epistaxis. |Which |other |cause |should |be |considered?
A) Intracranial |hemorrhage
B) Hematemesis
C) Intestinal |hemorrhage
D) Hematoma |of |the |nasal |septum |- |CORRECT |ANSWER-B
Glaucoma |is |the |leading |cause |of |blindness |in |African |Americans |and |the |second |leading |cause |of
|blindness |overall. |What |features |would |be |noted |on |funduscopic |examination?
A) Increased |cup-to-disc |ratio
B) AV |nicking
C) Cotton |wool |spots
D) Microaneurysms |- |CORRECT |ANSWER-A
Very |sensitive |methods |for |detecting |hearing |loss |include |which |of |the |following?
A) The |whisper |test
B) The |finger |rub |test
C) The |tuning |fork |test
D) Audiometric |testing |- |CORRECT |ANSWER-D
Which |area |of |the |fundus |is |the |central |focal |point |for |incoming |images?
A) The |fovea
ADVANCED NURSING PRACTICE REVIEW 2026 RECENT TESTED
QUESTIONS INCLUDED GRADED A+
A |49-year-old |administrative |assistant |comes |to |your |office |for |evaluation |of |dizziness. |You |elicit
|the |information |that |the |dizziness |is |a |spinning |sensation |of |sudden |onset, |worse |with |head
|position |changes. |The |episodes |last |a |few |seconds |and |then |go |away, |and |they |are |accompanied
|by |intense |nausea. |She |has |vomited |one |time. |She |denies |tinnitus. |You |perform |a |physical
|examination |of |the |head |and |neck |and |note |that |the |patient's |hearing |is |intact |to |Weber |and
|Rinne |and |that |there |is |nystagmus. |Her |gait |is |normal. |Based |on |this |description, |what |is |the |most
|likely |diagnosis?
A) Benign |positional |vertigo
B) Vestibular |neuronitis
C) Ménière's |disease
D) Acoustic |neuroma |- |CORRECT |ANSWER-A
A |55-year-old |bank |teller |comes |to |your |office |for |persistent |episodes |of |dizziness. |The |first
|episode |started |suddenly |and |lasted |3 |to |4 |hours. |He |experienced |a |lot |of |nausea |with |vomiting;
|the |episode |resolved |spontaneously. |He |has |had |five |episodes |in |the |past |1½ |weeks. |He |does
|note
some |tinnitus |that |comes |and |goes. |Upon |physical |examination, |you |note |that |he |has |a |normal
|gait. |The |Weber |localizes |to |the |right |side |and |the |air |conduction |is |equal |to |the |bone |conduction
|in |the |right |ear. |Nystagmus |is |present. |Based |on |this |description, |what |is |the |most |likely
|diagnosis?
A) Benign |positional |vertigo
B) Vestibular |neuronitis
C) Ménière's |disease
D) Acoustic |neuroma |- |CORRECT |ANSWER-C
,A |73-year-old |nurse |comes |to |your |office |for |evaluation |of |new |onset |of |tremors. |She |is |not |on |any
|medications |and |does |not |take |herbs |or |supplements. |She |has |no |chronic |medical |conditions. |She
|does |not |smoke |or |drink |alcohol. |She |walks |into |the |examination |room |with |slow |movements |and
|shuffling |steps. |She |has |decreased |facial |mobility |and |a |blunt |expression,
without |any |changes |in |hair |distribution |on |her |face. |Based |on |this |description, |what |is |the |most
|likely |reason |for |the |patient's |symptoms?
A) Cushing's |syndrome
B) Nephrotic |syndrome
C) Myxedema
D) Parkinson's |disease |- |CORRECT |ANSWER-D
A |29-year-old |physical |therapist |presents |for |evaluation |of |an |eyelid |problem. |On |observation, |the
|right |eyeball |appears |to |be |protruding |forward. |Based |on |this |description, |what |is |the |most |likely
|diagnosis?
A) Ptosis
B) Exophthalmos
C) Ectropion
D) Epicanthus |- |CORRECT |ANSWER-B
A |12-year-old |presents |to |the |clinic |with |his |father |for |evaluation |of |a |painful |lump |in |the |left |eye.
|It |started |this |morning. |He |denies |any |trauma |or |injury. |There |is |no |visual |disturbance. |Upon
|physical |examination, |there |is |a |red |raised |area |at |the |margin |of |the |eyelid |that |is |tender |to
|palpation; |no |tearing |occurs |with |palpation |of |the |lesion. |Based |on |this |description, |what |is |the
most |likely |diagnosis?
A) Dacryocystitis
B) Chalazion
C) Hordeolum
D) Xanthelasma |- |CORRECT |ANSWER-C
A |15-year-old |high |school |sophomore |presents |to |the |emergency |room |with |his |mother |for
|evaluation |of |an |area |of |blood |in |the |left |eye. |He |denies |trauma |or |injury |but |has |been |coughing
|forcefully |with |a |recent |cold. |He |denies |visual |disturbances, |eye |pain, |or |discharge |from |the |eye.
|On |physical |examination, |the |pupils |are |equal, |round, |and |reactive |to |light, |with |a |visual |acuity |of
,20/20 |in |each |eye |and |20/20 |bilaterally. |There |is |a |homogeneous, |sharply |demarcated |area |at |the
|lateral |aspect |of |the |base |of |the |left |eye. |The |cornea |is |clear. |Based |on |this |description, |what |is
|the |most |likely |diagnosis?
A) Conjunctivitis
B) Acute |iritis
C) Corneal |abrasion
D) Subconjunctival |hemorrhage |- |CORRECT |ANSWER-D
A |67-year-old |lawyer |comes |to |your |clinic |for |an |annual |examination. |He |denies |any |history |of |eye
|trauma. |He |denies |any |visual |changes. |You |inspect |his |eyes |and |find |a |triangular |thickening |of |the
|bulbar |conjunctiva |across |the |outer |surface |of |the |cornea. |He |has |a |normal |pupillary |reaction |to
|light |and |accommodation. |Based |on |this |description, |what |is |the |most |likely |diagnosis?
A) Corneal |arcus
B) Cataracts
C) Corneal |scar
D) Pterygium |- |CORRECT |ANSWER-D
Which |of |the |following |is |a |"red |flag" |regarding |patients |presenting |with |headache?
A) Unilateral |headache
B) Pain |over |the |sinuses
C) Age |over |50
D) Phonophobia |and |photophobia |- |CORRECT |ANSWER-C
A |sudden, |painless |unilateral |vision |loss |may |be |caused |by |which |of |the |following?
A) Retinal |detachment
B) Corneal |ulcer
C) Acute |glaucoma
D) Uveitis |- |CORRECT |ANSWER-A
Sudden, |painful |unilateral |loss |of |vision |may |be |caused |by |which |of |the |following |conditions?
A) Vitreous |hemorrhage
B) Central |retinal |artery |occlusion
, C) Macular |degeneration
D) Optic |neuritis |- |CORRECT |ANSWER-D
Diplopia, |which |is |present |with |one |eye |covered, |can |be |caused |by |which |of |the |following
|problems?
A) Weakness |of |CN |III
B) Weakness |of |CN |IV
C) A |lesion |of |the |brainstem
D) An |irregularity |in |the |cornea |or |lens |- |CORRECT |ANSWER-D
A |patient |complains |of |epistaxis. |Which |other |cause |should |be |considered?
A) Intracranial |hemorrhage
B) Hematemesis
C) Intestinal |hemorrhage
D) Hematoma |of |the |nasal |septum |- |CORRECT |ANSWER-B
Glaucoma |is |the |leading |cause |of |blindness |in |African |Americans |and |the |second |leading |cause |of
|blindness |overall. |What |features |would |be |noted |on |funduscopic |examination?
A) Increased |cup-to-disc |ratio
B) AV |nicking
C) Cotton |wool |spots
D) Microaneurysms |- |CORRECT |ANSWER-A
Very |sensitive |methods |for |detecting |hearing |loss |include |which |of |the |following?
A) The |whisper |test
B) The |finger |rub |test
C) The |tuning |fork |test
D) Audiometric |testing |- |CORRECT |ANSWER-D
Which |area |of |the |fundus |is |the |central |focal |point |for |incoming |images?
A) The |fovea
