NUR 6001 Exam 2 – Advanced Health
Assessment – (2026) Actual Questions &
Answers (WPU)
During an ophthalmoscopic examination of a 45-year-old patient, you note
arteriovenous (AV) nicking. This finding is most strongly associated with which of
the following conditions?
A) Diabetic retinopathy
B) Hypertensive retinopathy
C) Open-angle glaucoma
D) Macular degeneration
Answer: B
Rationale: AV nicking occurs when a sclerosed arteriole crosses over a venule,
compressing it. This is a classic sign of chronic hypertension due to long-term
vascular damage. Diabetic retinopathy typically presents with microaneurysms
and dot-and-blot hemorrhages.
A patient presents with a sudden onset of severe, sharp eye pain, nausea,
vomiting, and a mid-dilated, non-reactive pupil. Intraocular pressure is 48 mmHg.
What is the most likely diagnosis?
A) Acute angle-closure glaucoma
B) Uveitis
C) Conjunctivitis
D) Corneal abrasion
Answer: A
,Rationale: Acute angle-closure glaucoma presents with extremely high intraocular
pressure, severe pain (often referred to the head/nausea), a mid-dilated and non-
reactive pupil, and a hazy cornea. It is a medical emergency. Uveitis typically
presents with a small, irregular pupil and ciliary flush.
When assessing the corneal reflex, the cranial nerves involved are:
A) CN II and CN III
B) CN III and CN IV
C) CN V and CN VII
D) CN VI and CN VIII
Answer: C
Rationale: The afferent (sensory) limb of the corneal reflex is the ophthalmic
branch of the trigeminal nerve (CN V), and the efferent (motor) limb is the facial
nerve (CN VII), which causes the blink.
You are performing a Weber test on a patient. The sound lateralizes to the right
ear. What does this indicate?
A) Conductive hearing loss in the right ear or sensorineural hearing loss in the left
ear
B) Sensorineural hearing loss in the right ear or conductive hearing loss in the left
ear
C) Bilateral sensorineural hearing loss
D) Normal hearing
Answer: A
Rationale: In the Weber test, sound lateralizes to the ear with a conductive
hearing loss (because ambient noise is blocked, making the bone conduction
sound louder) or away from an ear with sensorineural hearing loss.
On otoscopic examination, you visualize a pearly gray, translucent tympanic
membrane with a cone of light at the 5 o'clock position in the right ear. How do
you document this finding?
,A) Otitis media with effusion
B) Normal tympanic membrane
C) Perforated tympanic membrane
D) Otitis externa
Answer: B
Rationale: A pearly gray, translucent membrane with the light reflex appropriately
located (typically 5 o'clock in the right ear, 7 o'clock in the left ear) is the hallmark
of a normal tympanic membrane.
A 60-year-old patient presents with a unilateral headache, jaw claudication, and
visual changes. What assessment finding would most strongly support a diagnosis
of temporal arteritis?
A) Tender, thickened temporal artery with decreased pulse
B) Swollen, erythematous temporal vein
C) Pulsatile temporal mass that bruits
D) Temporal scalp ulceration
Answer: A
Rationale: Temporal (giant cell) arteritis causes inflammation of the temporal
artery, leading to tenderness, thickening, and diminished or absent pulse. Jaw
claudication and visual changes (due to ophthalmic artery involvement) are classic
systemic symptoms.
When inspecting the nasal cavity, you note a pale, boggy, bluish-gray mucosa with
clear watery discharge. This is most consistent with:
A) Acute bacterial rhinosinusitis
B) Allergic rhinitis
C) Nasal polyps
D) Cocaine abuse
Answer: B
, Rationale: Allergic rhinitis causes mast cell degranulation leading to edema, which
manifests as pale, boggy, bluish-gray turbinates with clear, watery discharge.
Bacterial rhinosinusitis typically presents with purulent (yellow/green) discharge
and erythematous mucosa.
You ask the patient to stick out their tongue, and it deviates to the right side.
Which cranial nerve is affected?
A) Left CN IX
B) Right CN XII
C) Left CN X
D) Right CN XI
Answer: B
Rationale: The hypoglossal nerve (CN XII) controls tongue movement. A lesion to
the right CN XII causes the tongue to deviate toward the side of the lesion (right)
due to unopposed action of the opposing genioglossus muscle.
A patient presents with a "floppy" ear that is painful, erythematous, and swollen.
The patient has a history of recent prolonged sleeping on that side. What is the
most likely diagnosis?
A) Relapsing polychondritis
B) Auricular hematoma
C) Cellulitis
D) Chondrodermatitis nodularis helicis
Answer: B
Rationale: An auricular hematoma (cauliflower ear) occurs from trauma or
prolonged pressure, leading to bleeding between the cartilage and
perichondrium. It presents as a fluctuant, swollen, erythematous ear.
What is the primary purpose of performing the "snout" reflex during a
neurological assessment?
A) To assess upper motor neuron lesions
Assessment – (2026) Actual Questions &
Answers (WPU)
During an ophthalmoscopic examination of a 45-year-old patient, you note
arteriovenous (AV) nicking. This finding is most strongly associated with which of
the following conditions?
A) Diabetic retinopathy
B) Hypertensive retinopathy
C) Open-angle glaucoma
D) Macular degeneration
Answer: B
Rationale: AV nicking occurs when a sclerosed arteriole crosses over a venule,
compressing it. This is a classic sign of chronic hypertension due to long-term
vascular damage. Diabetic retinopathy typically presents with microaneurysms
and dot-and-blot hemorrhages.
A patient presents with a sudden onset of severe, sharp eye pain, nausea,
vomiting, and a mid-dilated, non-reactive pupil. Intraocular pressure is 48 mmHg.
What is the most likely diagnosis?
A) Acute angle-closure glaucoma
B) Uveitis
C) Conjunctivitis
D) Corneal abrasion
Answer: A
,Rationale: Acute angle-closure glaucoma presents with extremely high intraocular
pressure, severe pain (often referred to the head/nausea), a mid-dilated and non-
reactive pupil, and a hazy cornea. It is a medical emergency. Uveitis typically
presents with a small, irregular pupil and ciliary flush.
When assessing the corneal reflex, the cranial nerves involved are:
A) CN II and CN III
B) CN III and CN IV
C) CN V and CN VII
D) CN VI and CN VIII
Answer: C
Rationale: The afferent (sensory) limb of the corneal reflex is the ophthalmic
branch of the trigeminal nerve (CN V), and the efferent (motor) limb is the facial
nerve (CN VII), which causes the blink.
You are performing a Weber test on a patient. The sound lateralizes to the right
ear. What does this indicate?
A) Conductive hearing loss in the right ear or sensorineural hearing loss in the left
ear
B) Sensorineural hearing loss in the right ear or conductive hearing loss in the left
ear
C) Bilateral sensorineural hearing loss
D) Normal hearing
Answer: A
Rationale: In the Weber test, sound lateralizes to the ear with a conductive
hearing loss (because ambient noise is blocked, making the bone conduction
sound louder) or away from an ear with sensorineural hearing loss.
On otoscopic examination, you visualize a pearly gray, translucent tympanic
membrane with a cone of light at the 5 o'clock position in the right ear. How do
you document this finding?
,A) Otitis media with effusion
B) Normal tympanic membrane
C) Perforated tympanic membrane
D) Otitis externa
Answer: B
Rationale: A pearly gray, translucent membrane with the light reflex appropriately
located (typically 5 o'clock in the right ear, 7 o'clock in the left ear) is the hallmark
of a normal tympanic membrane.
A 60-year-old patient presents with a unilateral headache, jaw claudication, and
visual changes. What assessment finding would most strongly support a diagnosis
of temporal arteritis?
A) Tender, thickened temporal artery with decreased pulse
B) Swollen, erythematous temporal vein
C) Pulsatile temporal mass that bruits
D) Temporal scalp ulceration
Answer: A
Rationale: Temporal (giant cell) arteritis causes inflammation of the temporal
artery, leading to tenderness, thickening, and diminished or absent pulse. Jaw
claudication and visual changes (due to ophthalmic artery involvement) are classic
systemic symptoms.
When inspecting the nasal cavity, you note a pale, boggy, bluish-gray mucosa with
clear watery discharge. This is most consistent with:
A) Acute bacterial rhinosinusitis
B) Allergic rhinitis
C) Nasal polyps
D) Cocaine abuse
Answer: B
, Rationale: Allergic rhinitis causes mast cell degranulation leading to edema, which
manifests as pale, boggy, bluish-gray turbinates with clear, watery discharge.
Bacterial rhinosinusitis typically presents with purulent (yellow/green) discharge
and erythematous mucosa.
You ask the patient to stick out their tongue, and it deviates to the right side.
Which cranial nerve is affected?
A) Left CN IX
B) Right CN XII
C) Left CN X
D) Right CN XI
Answer: B
Rationale: The hypoglossal nerve (CN XII) controls tongue movement. A lesion to
the right CN XII causes the tongue to deviate toward the side of the lesion (right)
due to unopposed action of the opposing genioglossus muscle.
A patient presents with a "floppy" ear that is painful, erythematous, and swollen.
The patient has a history of recent prolonged sleeping on that side. What is the
most likely diagnosis?
A) Relapsing polychondritis
B) Auricular hematoma
C) Cellulitis
D) Chondrodermatitis nodularis helicis
Answer: B
Rationale: An auricular hematoma (cauliflower ear) occurs from trauma or
prolonged pressure, leading to bleeding between the cartilage and
perichondrium. It presents as a fluctuant, swollen, erythematous ear.
What is the primary purpose of performing the "snout" reflex during a
neurological assessment?
A) To assess upper motor neuron lesions
