NURS 5220: ADVANCED HEALTH
ASSESSMENT - COMPREHENSIVE
EXAM QUESTIONS AND ANSWERS
1. A 65-year-old patient presents with a mid-systolic crescendo-decrescendo murmur heard
best at the second right intercostal space, radiating to the carotids. Which condition is most
likely?
A. Mitral Regurgitation
B. Mitral Stenosis
C. Aortic Regurgitation
D. Aortic Stenosis
Answer: D
Conceptual Explanation: Aortic stenosis is characterized by a mid-systolic crescendo-
decrescendo murmur at the right second intercostal space that typically radiates to the
neck/carotids.
,2. During a respiratory assessment, you note increased tactile fremitus over the right lower
lobe. This finding is most consistent with:
A. Pneumothorax
B. Pleural Effusion
C. Emphysema
D. Lobar Pneumonia
Answer: D
Conceptual Explanation: Tactile fremitus is increased in conditions where lung tissue is
consolidated, such as pneumonia, because sound travels better through solid/liquid media
than air.
3. When assessing the cranial nerves, a patient is unable to differentiate between sharp and
dull touch on the cheek. Which cranial nerve is likely affected?
A. CN VII (Facial)
B. CN III (Oculomotor)
C. CN V (Trigeminal)
D. CN IV (Trochlear)
E. CN VI (Abducens)
Answer: C
, Conceptual Explanation: The Trigeminal nerve (CN V) is responsible for facial sensation,
including the ophthalmic, maxillary, and mandibular branches.
4. A positive Murphy’s sign is an indication of which of the following clinical conditions?
A. Acute Appendicitis
B. Nephrolithiasis
C. Acute Pancreatitis
D. Acute Cholecystitis
Answer: D
Conceptual Explanation: Murphy’s sign is elicited by palpating the gallbladder area while
the patient takes a deep breath; a sudden halt in inspiration due to pain indicates
cholecystitis.
5. Which specialized test should be used to assess for a torn meniscus in the knee?
A. Lachman Test
B. Anterior Drawer Test
C. McMurray Test
D. Valgus Stress Test
Answer: C
Conceptual Explanation: The McMurray test involves rotating the knee with
internal/external stress to detect clicks or pain associated with meniscal tears.
ASSESSMENT - COMPREHENSIVE
EXAM QUESTIONS AND ANSWERS
1. A 65-year-old patient presents with a mid-systolic crescendo-decrescendo murmur heard
best at the second right intercostal space, radiating to the carotids. Which condition is most
likely?
A. Mitral Regurgitation
B. Mitral Stenosis
C. Aortic Regurgitation
D. Aortic Stenosis
Answer: D
Conceptual Explanation: Aortic stenosis is characterized by a mid-systolic crescendo-
decrescendo murmur at the right second intercostal space that typically radiates to the
neck/carotids.
,2. During a respiratory assessment, you note increased tactile fremitus over the right lower
lobe. This finding is most consistent with:
A. Pneumothorax
B. Pleural Effusion
C. Emphysema
D. Lobar Pneumonia
Answer: D
Conceptual Explanation: Tactile fremitus is increased in conditions where lung tissue is
consolidated, such as pneumonia, because sound travels better through solid/liquid media
than air.
3. When assessing the cranial nerves, a patient is unable to differentiate between sharp and
dull touch on the cheek. Which cranial nerve is likely affected?
A. CN VII (Facial)
B. CN III (Oculomotor)
C. CN V (Trigeminal)
D. CN IV (Trochlear)
E. CN VI (Abducens)
Answer: C
, Conceptual Explanation: The Trigeminal nerve (CN V) is responsible for facial sensation,
including the ophthalmic, maxillary, and mandibular branches.
4. A positive Murphy’s sign is an indication of which of the following clinical conditions?
A. Acute Appendicitis
B. Nephrolithiasis
C. Acute Pancreatitis
D. Acute Cholecystitis
Answer: D
Conceptual Explanation: Murphy’s sign is elicited by palpating the gallbladder area while
the patient takes a deep breath; a sudden halt in inspiration due to pain indicates
cholecystitis.
5. Which specialized test should be used to assess for a torn meniscus in the knee?
A. Lachman Test
B. Anterior Drawer Test
C. McMurray Test
D. Valgus Stress Test
Answer: C
Conceptual Explanation: The McMurray test involves rotating the knee with
internal/external stress to detect clicks or pain associated with meniscal tears.
