Wilkes University
2 TSET · 005 GSN
W
Passan School of Nursing
EST. 1933
UNITY AMIDST DIVERSITY
NSG 500 Test 2
A DVA N C E D H E A LT H A SS E SS M E N T: E Y E S , E A RS , T H O RA X , C A R D I AC , A B D O M E N &
S P E C I A L P O P U L AT I O N S
INSTITUTION Wilkes University COURSE CODE NSG 500
PROGRAM Master of Science in Nursing — EXAM Test 2 — Comprehensive Systems
FNP Assessment
EXAM TITLE Wilkes NSG 500 Test 2 TOTAL QUESTIONS 150+ Questions
COURSE TITLE Advanced Health Assessment FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Eye examination, ear examination, cranial nerves, thoracic and lung assessment, cardiac assessment,
abdominal assessment, breast examination, and special tests are all testable content.
▸ Visual field defects, hearing tests (Rinne/Weber), heart sounds and murmurs, abdominal signs, and
genitourinary examination are emphasized.
▸ Correct answers and clinical rationales appear below each question for comprehensive exam
preparation.
▸ All content reflects advanced health assessment standards and NSG 500 course objectives.
, SECTION I — ADVANCED HEALTH ASSESSMENT: HEAD-
Questions 1 – 150+
TO-TOE SYSTEMS EXAMINATION
1. The abbreviations for right eye, left eye, and both eyes are:
A. OD, OS, OU — OD = right, OS = left, OU = both
B. RE, LE, BE
C. OD, OS, OB
D. RT, LT, BL
CORRECT ANSWER A — OD = right, OS = left, OU = both
RATIONALE OD (oculus dexter) = right eye, OS (oculus sinister) = left eye, OU (oculus uterque)
= both eyes. These Latin abbreviations are the universal standard in
ophthalmology and medical documentation. Choice B, C, and D are incorrect or
non-standard abbreviations. The NSG 500 emphasizes using correct medical
terminology in documentation — OD/OS/OU are the accepted abbreviations for
eye examinations, prescriptions, and referrals. Understanding these terms is
essential for interpreting ophthalmology notes and communicating accurately
with eye care specialists.
2. Hyperopia is best described as:
A. Nearsightedness — difficulty seeing distant objects
B. Farsightedness — difficulty seeing close objects
C. Imperfectly shaped cornea affecting light focus
D. Impaired vision as a result of aging
CORRECT ANSWER B — Farsightedness — difficulty seeing close objects
RATIONALE Hyperopia (farsightedness) is a refractive error where light focuses behind the
retina, making close objects appear blurry while distant objects remain clear. It is
often present from childhood. Myopia (Choice A) is nearsightedness — difficulty
seeing distant objects. Astigmatism (Choice C) is an irregularly shaped cornea
causing distorted focus at all distances. Presbyopia (Choice D) is age-related loss
of lens elasticity causing difficulty with near vision after age 40. The NSG 500
emphasizes distinguishing between these four common refractive errors, as each
has different clinical implications and correction methods.
,3. The correct order of abdominal examination is:
A. Inspection, palpation, percussion, auscultation
B. Inspection, auscultation, percussion, palpation
C. Auscultation, inspection, palpation, percussion
D. Palpation, percussion, inspection, auscultation
CORRECT ANSWER B — Inspection, auscultation, percussion, palpation
RATIONALE The abdominal examination is the critical exception to the standard assessment
sequence. The correct order is: Inspection → Auscultation → Percussion →
Palpation. Auscultation is performed BEFORE percussion and palpation because
these maneuvers can stimulate peristalsis and alter bowel sounds, potentially
masking abnormalities or creating false findings. In all other body systems, the
standard sequence (Inspection → Palpation → Percussion → Auscultation)
applies. Choice A is the standard sequence for non-abdominal exams. Choice C
and D are incorrect. The NSG 500 emphasizes this exception as a key clinical
distinction — performing the abdominal exam in the wrong order can produce
misleading findings.
, 4. Bitemporal hemianopsia indicates a lesion at the:
A. Optic nerve
B. Optic chiasm — loss of both temporal visual fields
C. Optic tract
D. Occipital lobe
CORRECT ANSWER B — Optic chiasm
RATIONALE Bitemporal hemianopsia — loss of both temporal (outer) visual fields — is the
classic visual field defect produced by a lesion at the optic chiasm, most
commonly from a pituitary tumor compressing the decussating nasal retinal
fibers. This pattern occurs because fibers from the nasal (medial) retina cross at
the chiasm while temporal fibers remain ipsilateral. Optic nerve lesion (Choice A)
produces monocular blindness. Optic tract lesion (Choice C) produces
homonymous hemianopsia. Occipital lobe lesion (Choice D) also produces
homonymous visual field defects. The NSG 500 emphasizes that visual field
defects can localize neurological lesions — bitemporal hemianopsia is
pathognomonic for chiasmal compression.
2 TSET · 005 GSN
W
Passan School of Nursing
EST. 1933
UNITY AMIDST DIVERSITY
NSG 500 Test 2
A DVA N C E D H E A LT H A SS E SS M E N T: E Y E S , E A RS , T H O RA X , C A R D I AC , A B D O M E N &
S P E C I A L P O P U L AT I O N S
INSTITUTION Wilkes University COURSE CODE NSG 500
PROGRAM Master of Science in Nursing — EXAM Test 2 — Comprehensive Systems
FNP Assessment
EXAM TITLE Wilkes NSG 500 Test 2 TOTAL QUESTIONS 150+ Questions
COURSE TITLE Advanced Health Assessment FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Eye examination, ear examination, cranial nerves, thoracic and lung assessment, cardiac assessment,
abdominal assessment, breast examination, and special tests are all testable content.
▸ Visual field defects, hearing tests (Rinne/Weber), heart sounds and murmurs, abdominal signs, and
genitourinary examination are emphasized.
▸ Correct answers and clinical rationales appear below each question for comprehensive exam
preparation.
▸ All content reflects advanced health assessment standards and NSG 500 course objectives.
, SECTION I — ADVANCED HEALTH ASSESSMENT: HEAD-
Questions 1 – 150+
TO-TOE SYSTEMS EXAMINATION
1. The abbreviations for right eye, left eye, and both eyes are:
A. OD, OS, OU — OD = right, OS = left, OU = both
B. RE, LE, BE
C. OD, OS, OB
D. RT, LT, BL
CORRECT ANSWER A — OD = right, OS = left, OU = both
RATIONALE OD (oculus dexter) = right eye, OS (oculus sinister) = left eye, OU (oculus uterque)
= both eyes. These Latin abbreviations are the universal standard in
ophthalmology and medical documentation. Choice B, C, and D are incorrect or
non-standard abbreviations. The NSG 500 emphasizes using correct medical
terminology in documentation — OD/OS/OU are the accepted abbreviations for
eye examinations, prescriptions, and referrals. Understanding these terms is
essential for interpreting ophthalmology notes and communicating accurately
with eye care specialists.
2. Hyperopia is best described as:
A. Nearsightedness — difficulty seeing distant objects
B. Farsightedness — difficulty seeing close objects
C. Imperfectly shaped cornea affecting light focus
D. Impaired vision as a result of aging
CORRECT ANSWER B — Farsightedness — difficulty seeing close objects
RATIONALE Hyperopia (farsightedness) is a refractive error where light focuses behind the
retina, making close objects appear blurry while distant objects remain clear. It is
often present from childhood. Myopia (Choice A) is nearsightedness — difficulty
seeing distant objects. Astigmatism (Choice C) is an irregularly shaped cornea
causing distorted focus at all distances. Presbyopia (Choice D) is age-related loss
of lens elasticity causing difficulty with near vision after age 40. The NSG 500
emphasizes distinguishing between these four common refractive errors, as each
has different clinical implications and correction methods.
,3. The correct order of abdominal examination is:
A. Inspection, palpation, percussion, auscultation
B. Inspection, auscultation, percussion, palpation
C. Auscultation, inspection, palpation, percussion
D. Palpation, percussion, inspection, auscultation
CORRECT ANSWER B — Inspection, auscultation, percussion, palpation
RATIONALE The abdominal examination is the critical exception to the standard assessment
sequence. The correct order is: Inspection → Auscultation → Percussion →
Palpation. Auscultation is performed BEFORE percussion and palpation because
these maneuvers can stimulate peristalsis and alter bowel sounds, potentially
masking abnormalities or creating false findings. In all other body systems, the
standard sequence (Inspection → Palpation → Percussion → Auscultation)
applies. Choice A is the standard sequence for non-abdominal exams. Choice C
and D are incorrect. The NSG 500 emphasizes this exception as a key clinical
distinction — performing the abdominal exam in the wrong order can produce
misleading findings.
, 4. Bitemporal hemianopsia indicates a lesion at the:
A. Optic nerve
B. Optic chiasm — loss of both temporal visual fields
C. Optic tract
D. Occipital lobe
CORRECT ANSWER B — Optic chiasm
RATIONALE Bitemporal hemianopsia — loss of both temporal (outer) visual fields — is the
classic visual field defect produced by a lesion at the optic chiasm, most
commonly from a pituitary tumor compressing the decussating nasal retinal
fibers. This pattern occurs because fibers from the nasal (medial) retina cross at
the chiasm while temporal fibers remain ipsilateral. Optic nerve lesion (Choice A)
produces monocular blindness. Optic tract lesion (Choice C) produces
homonymous hemianopsia. Occipital lobe lesion (Choice D) also produces
homonymous visual field defects. The NSG 500 emphasizes that visual field
defects can localize neurological lesions — bitemporal hemianopsia is
pathognomonic for chiasmal compression.
