NURS 5220 Exam 1 V2 | NURS 5220
Advanced Health Assessment and
Diagnostic Reasoning Review | Actual
Q&A with Rationale (NURS5220 Exam 1) |
The University of Texas at Arlington
1. Which phase of the patient interview is specifically designed to allow the clinician to
summarize the main concerns and confirm the plan of care?
A. The Introduction
B. The Working Phase
C. The Termination
D. The Data Collection
Answer: C
Rationale: The termination phase occurs at the end of the interview process to summarize
findings. It provides an opportunity to clarify any misunderstandings and discuss the next
steps in the diagnostic plan. This ensures the patient and provider are in agreement before
concluding the visit.
2. When assessing a patient’s risk for melanoma, which of the following ‘ABCDE’ criteria
represents ‘E’?
A. Erythema
,B. Evolution
C. Exudate
D. Elevation
Answer: B
Rationale: The ‘E’ in the ABCDE mnemonic stands for evolution or change in the lesion
over time. This includes changes in size, shape, color, or the development of new symptoms
like bleeding. Monitoring evolution is a critical diagnostic reasoning step in identifying
potential malignancies.
3. A 45-year-old patient reports difficulty reading small print. Which cranial nerve is primarily
responsible for the accommodation reflex required for near vision?
A. Cranial Nerve II
B. Cranial Nerve VI
C. Cranial Nerve IV
D. Cranial Nerve III
Answer: D
Rationale: The Oculomotor nerve (CN III) controls the ciliary muscles which are
responsible for lens accommodation. While CN II (Optic) handles sensory input, CN III
manages the motor response for near vision focusing. Deficits in this nerve can lead to
blurred vision during near-point testing.
, 4. During percussion of a healthy lung field, which sound should the advanced practice nurse
expect to hear?
A. Tympany
B. Resonance
C. Flatness
D. Dullness
Answer: B
Rationale: Resonance is the low-pitched, clear, hollow sound heard over healthy lung
tissue. Dullness is typically heard over solid organs or fluid, while hyper-resonance
indicates hyperinflation. Identifying the correct percussion note is a fundamental
component of the respiratory assessment.
5. Which physical examination technique involves the use of the ulnar surface of the hands to
feel for vibrations as the patient speaks?
A. Percussion
B. Tactile Fremitus
C. Auscultation
D. Deep Palpation
Answer: B
Advanced Health Assessment and
Diagnostic Reasoning Review | Actual
Q&A with Rationale (NURS5220 Exam 1) |
The University of Texas at Arlington
1. Which phase of the patient interview is specifically designed to allow the clinician to
summarize the main concerns and confirm the plan of care?
A. The Introduction
B. The Working Phase
C. The Termination
D. The Data Collection
Answer: C
Rationale: The termination phase occurs at the end of the interview process to summarize
findings. It provides an opportunity to clarify any misunderstandings and discuss the next
steps in the diagnostic plan. This ensures the patient and provider are in agreement before
concluding the visit.
2. When assessing a patient’s risk for melanoma, which of the following ‘ABCDE’ criteria
represents ‘E’?
A. Erythema
,B. Evolution
C. Exudate
D. Elevation
Answer: B
Rationale: The ‘E’ in the ABCDE mnemonic stands for evolution or change in the lesion
over time. This includes changes in size, shape, color, or the development of new symptoms
like bleeding. Monitoring evolution is a critical diagnostic reasoning step in identifying
potential malignancies.
3. A 45-year-old patient reports difficulty reading small print. Which cranial nerve is primarily
responsible for the accommodation reflex required for near vision?
A. Cranial Nerve II
B. Cranial Nerve VI
C. Cranial Nerve IV
D. Cranial Nerve III
Answer: D
Rationale: The Oculomotor nerve (CN III) controls the ciliary muscles which are
responsible for lens accommodation. While CN II (Optic) handles sensory input, CN III
manages the motor response for near vision focusing. Deficits in this nerve can lead to
blurred vision during near-point testing.
, 4. During percussion of a healthy lung field, which sound should the advanced practice nurse
expect to hear?
A. Tympany
B. Resonance
C. Flatness
D. Dullness
Answer: B
Rationale: Resonance is the low-pitched, clear, hollow sound heard over healthy lung
tissue. Dullness is typically heard over solid organs or fluid, while hyper-resonance
indicates hyperinflation. Identifying the correct percussion note is a fundamental
component of the respiratory assessment.
5. Which physical examination technique involves the use of the ulnar surface of the hands to
feel for vibrations as the patient speaks?
A. Percussion
B. Tactile Fremitus
C. Auscultation
D. Deep Palpation
Answer: B
