By LECDEN’’’’ NSG 500 Advanced Health Assessment Exam 2
,By LECDEN’’’’ NSG 500 Advanced Health Assessment Exam 2
NSG 500 Advanced Health Assessment Exam 2 | Actual Questions & Verified Answers (Wilkes
University
Question 1
A 65-year-old male presents with a complaint of progressive
difficulty seeing at night and decreased peripheral vision. The
nurse practitioner should suspect which condition?
A) Cataracts
B) Open-angle glaucoma
C) Age-related macular degeneration
D) Diabetic retinopathy
Correct Answer: B) Open-angle glaucoma
Rationale: Open-angle glaucoma is characterized by progressive
loss of peripheral vision and difficulty with night vision due to optic
nerve damage. This contrasts with cataracts (cloudy vision),
macular degeneration (central vision loss), and diabetic retinopathy
(floating spots or blurred vision). Early detection through tonometry
and visual field testing is critical to prevent irreversible blindness .
Question 2
During an otoscopic examination, the nurse practitioner notes a
pearly gray, translucent tympanic membrane with a visible cone of
light at the 5 o'clock position in the right ear. This finding
indicates:
,By LECDEN’’’’ NSG 500 Advanced Health Assessment Exam 2
A) Acute otitis media
B) A normal tympanic membrane
C) Otitis media with effusion
D) Tympanic membrane perforation
Correct Answer: B) A normal tympanic membrane
Rationale: A normal tympanic membrane appears pearly gray,
translucent, and intact with a visible cone of light. The cone of light
is located at the 5 o'clock position in the right ear and 7 o'clock
position in the left ear. A red, bulging membrane suggests acute
otitis media, while a retracted or dull membrane may indicate
effusion .
Question 3
Which technique should the nurse practitioner use to assess for a
pleural friction rub?
A) Palpation over the posterior chest during expiration
B) Auscultation over the anterior chest during inspiration and
expiration
C) Percussion over the lung bases
D) Inspection of the chest wall for asymmetry
Correct Answer: B) Auscultation over the anterior chest during
inspiration and expiration
Rationale: A pleural friction rub is best heard during both
inspiration and expiration over the anterior or lateral chest. It
sounds like a grating or rubbing noise, similar to walking on fresh
, By LECDEN’’’’ NSG 500 Advanced Health Assessment Exam 2
snow. It is caused by inflamed pleural surfaces rubbing together
and may be heard in conditions such as pleuritis or pulmonary
embolism .
Question 4
The nurse practitioner is assessing a patient with suspected heart
failure. Which finding on jugular venous pressure (JVP)
assessment would be most concerning?
A) JVP visible at 2 cm above the sternal angle
B) JVP visible at 4 cm above the sternal angle
C) JVP visible at 6 cm above the sternal angle
D) JVP visible at 8 cm above the sternal angle
Correct Answer: D) JVP visible at 8 cm above the sternal angle
Rationale: Normal jugular venous pressure is ≤3 cm above the
sternal angle (or ≤8 cm H₂O). A JVP >3 cm above the sternal angle
indicates elevated central venous pressure, which is concerning for
right-sided heart failure, pulmonary hypertension, or fluid overload.
A measurement of 8 cm is significantly elevated and requires
further evaluation .
Question 5
A 45-year-old female presents with fatigue, weight gain, cold
intolerance, and dry skin. Which physical examination finding
would be most consistent with her likely diagnosis?
,By LECDEN’’’’ NSG 500 Advanced Health Assessment Exam 2
NSG 500 Advanced Health Assessment Exam 2 | Actual Questions & Verified Answers (Wilkes
University
Question 1
A 65-year-old male presents with a complaint of progressive
difficulty seeing at night and decreased peripheral vision. The
nurse practitioner should suspect which condition?
A) Cataracts
B) Open-angle glaucoma
C) Age-related macular degeneration
D) Diabetic retinopathy
Correct Answer: B) Open-angle glaucoma
Rationale: Open-angle glaucoma is characterized by progressive
loss of peripheral vision and difficulty with night vision due to optic
nerve damage. This contrasts with cataracts (cloudy vision),
macular degeneration (central vision loss), and diabetic retinopathy
(floating spots or blurred vision). Early detection through tonometry
and visual field testing is critical to prevent irreversible blindness .
Question 2
During an otoscopic examination, the nurse practitioner notes a
pearly gray, translucent tympanic membrane with a visible cone of
light at the 5 o'clock position in the right ear. This finding
indicates:
,By LECDEN’’’’ NSG 500 Advanced Health Assessment Exam 2
A) Acute otitis media
B) A normal tympanic membrane
C) Otitis media with effusion
D) Tympanic membrane perforation
Correct Answer: B) A normal tympanic membrane
Rationale: A normal tympanic membrane appears pearly gray,
translucent, and intact with a visible cone of light. The cone of light
is located at the 5 o'clock position in the right ear and 7 o'clock
position in the left ear. A red, bulging membrane suggests acute
otitis media, while a retracted or dull membrane may indicate
effusion .
Question 3
Which technique should the nurse practitioner use to assess for a
pleural friction rub?
A) Palpation over the posterior chest during expiration
B) Auscultation over the anterior chest during inspiration and
expiration
C) Percussion over the lung bases
D) Inspection of the chest wall for asymmetry
Correct Answer: B) Auscultation over the anterior chest during
inspiration and expiration
Rationale: A pleural friction rub is best heard during both
inspiration and expiration over the anterior or lateral chest. It
sounds like a grating or rubbing noise, similar to walking on fresh
, By LECDEN’’’’ NSG 500 Advanced Health Assessment Exam 2
snow. It is caused by inflamed pleural surfaces rubbing together
and may be heard in conditions such as pleuritis or pulmonary
embolism .
Question 4
The nurse practitioner is assessing a patient with suspected heart
failure. Which finding on jugular venous pressure (JVP)
assessment would be most concerning?
A) JVP visible at 2 cm above the sternal angle
B) JVP visible at 4 cm above the sternal angle
C) JVP visible at 6 cm above the sternal angle
D) JVP visible at 8 cm above the sternal angle
Correct Answer: D) JVP visible at 8 cm above the sternal angle
Rationale: Normal jugular venous pressure is ≤3 cm above the
sternal angle (or ≤8 cm H₂O). A JVP >3 cm above the sternal angle
indicates elevated central venous pressure, which is concerning for
right-sided heart failure, pulmonary hypertension, or fluid overload.
A measurement of 8 cm is significantly elevated and requires
further evaluation .
Question 5
A 45-year-old female presents with fatigue, weight gain, cold
intolerance, and dry skin. Which physical examination finding
would be most consistent with her likely diagnosis?
