NURS 5220 Exam 1 V3 | NURS 5220
Advanced Health Assessment and
Diagnostic Reasoning Review | Actual
Q&A with Rationale (NURS5220 Exam 1) |
The University of Texas at Arlington
1. When performing a health history, the provider asks the patient about their tobacco use,
occupation, and living environment. Which section of the SOAP note does this information
belong to?
A. Review of Systems
B. Social History
C. Past Medical History
D. History of Present Illness
Answer: B
Rationale: Social History encompasses lifestyle factors such as substance use, occupational
hazards, and environmental conditions. This information is critical for identifying potential
risk factors for chronic diseases. The practitioner must document these details to formulate
a comprehensive and personalized management plan for the patient.
2. A clinician is evaluating a test’s ability to correctly identify those without a disease. This
measure is known as:
A. Sensitivity
,B. Positive Predictive Value
C. Incidence
D. Specificity
Answer: D
Rationale: Specificity refers to the proportion of individuals who do not have the condition
and test negative. A highly specific test has a low false-positive rate, which is essential for
ruling in a diagnosis. Understanding this concept is fundamental to diagnostic reasoning
and evidence-based practice in advanced nursing.
3. During the physical exam, the practitioner notes a ‘tympany’ sound while percussing the
abdomen. How should this finding be interpreted?
A. It is a normal finding over air-filled structures like the stomach.
B. It indicates the presence of a solid mass.
C. It suggests the presence of fluid or ascites.
D. It is an abnormal finding indicating bowel obstruction.
Answer: A
Rationale: Tympany is a high-pitched, drum-like sound produced by percussing over air-
filled viscus. It is the predominant sound heard over the abdomen due to the presence of
gas in the intestines and stomach. Recognizing normal percussion tones allows the
, examiner to distinguish healthy anatomy from pathological densities such as tumors or
fluid.
4. Which cranial nerve is primarily responsible for the motor function of the tongue?
A. Cranial Nerve XII (Hypoglossal)
B. Cranial Nerve IX (Glossopharyngeal)
C. Cranial Nerve X (Vagus)
D. Cranial Nerve VII (Facial)
Answer: A
Rationale: Cranial Nerve XII, the Hypoglossal nerve, provides motor innervation to all
intrinsic and most extrinsic muscles of the tongue. Assessment of this nerve involves asking
the patient to protrude the tongue and move it side to side. Any deviation or atrophy
observed during this test may indicate nerve damage or a central nervous system lesion.
5. A patient reports sharp, localized chest pain that increases with deep inspiration. This is
most characteristic of:
A. Myocardial Infarction
B. Pleuritic pain
C. Costochondritis
D. Esophageal Reflux
Answer: B
Advanced Health Assessment and
Diagnostic Reasoning Review | Actual
Q&A with Rationale (NURS5220 Exam 1) |
The University of Texas at Arlington
1. When performing a health history, the provider asks the patient about their tobacco use,
occupation, and living environment. Which section of the SOAP note does this information
belong to?
A. Review of Systems
B. Social History
C. Past Medical History
D. History of Present Illness
Answer: B
Rationale: Social History encompasses lifestyle factors such as substance use, occupational
hazards, and environmental conditions. This information is critical for identifying potential
risk factors for chronic diseases. The practitioner must document these details to formulate
a comprehensive and personalized management plan for the patient.
2. A clinician is evaluating a test’s ability to correctly identify those without a disease. This
measure is known as:
A. Sensitivity
,B. Positive Predictive Value
C. Incidence
D. Specificity
Answer: D
Rationale: Specificity refers to the proportion of individuals who do not have the condition
and test negative. A highly specific test has a low false-positive rate, which is essential for
ruling in a diagnosis. Understanding this concept is fundamental to diagnostic reasoning
and evidence-based practice in advanced nursing.
3. During the physical exam, the practitioner notes a ‘tympany’ sound while percussing the
abdomen. How should this finding be interpreted?
A. It is a normal finding over air-filled structures like the stomach.
B. It indicates the presence of a solid mass.
C. It suggests the presence of fluid or ascites.
D. It is an abnormal finding indicating bowel obstruction.
Answer: A
Rationale: Tympany is a high-pitched, drum-like sound produced by percussing over air-
filled viscus. It is the predominant sound heard over the abdomen due to the presence of
gas in the intestines and stomach. Recognizing normal percussion tones allows the
, examiner to distinguish healthy anatomy from pathological densities such as tumors or
fluid.
4. Which cranial nerve is primarily responsible for the motor function of the tongue?
A. Cranial Nerve XII (Hypoglossal)
B. Cranial Nerve IX (Glossopharyngeal)
C. Cranial Nerve X (Vagus)
D. Cranial Nerve VII (Facial)
Answer: A
Rationale: Cranial Nerve XII, the Hypoglossal nerve, provides motor innervation to all
intrinsic and most extrinsic muscles of the tongue. Assessment of this nerve involves asking
the patient to protrude the tongue and move it side to side. Any deviation or atrophy
observed during this test may indicate nerve damage or a central nervous system lesion.
5. A patient reports sharp, localized chest pain that increases with deep inspiration. This is
most characteristic of:
A. Myocardial Infarction
B. Pleuritic pain
C. Costochondritis
D. Esophageal Reflux
Answer: B
