NURS 5220: ADVANCED HEALTH
ASSESSMENT COMPREHENSIVE
QUESTIONS AND ANSWERS
1. During a fundoscopic examination, the clinician notes ‘silver wiring’ and arteriovenous (AV)
nicking. These findings are most characteristic of which condition?
A. Diabetic retinopathy
B. Increased intracranial pressure
C. Hypertensive retinopathy
D. Age-related macular degeneration
Answer: C
Conceptual Explanation: Silver wiring and AV nicking are classic signs of chronic
hypertension affecting the retinal vasculature.
2. A patient presents with a loss of central vision but retains peripheral vision. Which of the
following is the most likely diagnosis?
A. Glaucoma
B. Macular degeneration
,C. Cataracts
D. Retinal detachment
Answer: B
Conceptual Explanation: Macular degeneration specifically impacts the macula, leading to
a loss of central vision, while glaucoma typically affects peripheral vision first.
3. When performing the Rinne test, the patient reports that bone conduction is heard longer
than air conduction in the affected ear. This indicates:
A. Sensorineural hearing loss
B. Conductive hearing loss
C. A normal finding
D. Central auditory processing disorder
Answer: B
Conceptual Explanation: In conductive hearing loss, bone conduction (BC) is greater than
or equal to air conduction (AC). Normally, AC > BC.
4. A Weber test that lateralizes to the ‘good’ ear (the ear without hearing loss) suggests which
type of hearing loss in the ‘bad’ ear?
A. Sensorineural
B. Conductive
C. Mixed
, D. Functional
Answer: A
Conceptual Explanation: In sensorineural hearing loss, the sound lateralizes to the
unaffected (better-hearing) ear.
5. While inspecting the tympanic membrane (TM), the clinician notes a chalky white patch.
This is most likely:
A. Acute otitis media
B. Tympanosclerosis
C. Serous effusion
D. Cholesteatoma
Answer: B
Conceptual Explanation: Tympanosclerosis is a scarring process of the TM, often
following infections, appearing as chalky white patches.
6. Which finding on a nasal examination is most suggestive of allergic rhinitis?
A. Pale, boggy, bluish turbinates
B. Beefy red, swollen turbinates
C. Purulent discharge from the middle meatus
D. A deviated septum with crusting
ASSESSMENT COMPREHENSIVE
QUESTIONS AND ANSWERS
1. During a fundoscopic examination, the clinician notes ‘silver wiring’ and arteriovenous (AV)
nicking. These findings are most characteristic of which condition?
A. Diabetic retinopathy
B. Increased intracranial pressure
C. Hypertensive retinopathy
D. Age-related macular degeneration
Answer: C
Conceptual Explanation: Silver wiring and AV nicking are classic signs of chronic
hypertension affecting the retinal vasculature.
2. A patient presents with a loss of central vision but retains peripheral vision. Which of the
following is the most likely diagnosis?
A. Glaucoma
B. Macular degeneration
,C. Cataracts
D. Retinal detachment
Answer: B
Conceptual Explanation: Macular degeneration specifically impacts the macula, leading to
a loss of central vision, while glaucoma typically affects peripheral vision first.
3. When performing the Rinne test, the patient reports that bone conduction is heard longer
than air conduction in the affected ear. This indicates:
A. Sensorineural hearing loss
B. Conductive hearing loss
C. A normal finding
D. Central auditory processing disorder
Answer: B
Conceptual Explanation: In conductive hearing loss, bone conduction (BC) is greater than
or equal to air conduction (AC). Normally, AC > BC.
4. A Weber test that lateralizes to the ‘good’ ear (the ear without hearing loss) suggests which
type of hearing loss in the ‘bad’ ear?
A. Sensorineural
B. Conductive
C. Mixed
, D. Functional
Answer: A
Conceptual Explanation: In sensorineural hearing loss, the sound lateralizes to the
unaffected (better-hearing) ear.
5. While inspecting the tympanic membrane (TM), the clinician notes a chalky white patch.
This is most likely:
A. Acute otitis media
B. Tympanosclerosis
C. Serous effusion
D. Cholesteatoma
Answer: B
Conceptual Explanation: Tympanosclerosis is a scarring process of the TM, often
following infections, appearing as chalky white patches.
6. Which finding on a nasal examination is most suggestive of allergic rhinitis?
A. Pale, boggy, bluish turbinates
B. Beefy red, swollen turbinates
C. Purulent discharge from the middle meatus
D. A deviated septum with crusting
