NURS 5220: ADVANCED HEALTH
ASSESSMENT COMPREHENSIVE
QUESTIONS AND ANSWERS (MODULES
1-5)
1. During a comprehensive health history, a patient reports a ‘sharp, stabbing pain’ in the
chest that worsens with deep inspiration. Which component of the symptom analysis is
represented by this description?
A. Setting
B. Quality
C. Severity
D. Timing
Answer: B
Conceptual Explanation: Quality refers to the character or description of the symptom,
such as sharp, dull, or stabbing.
,2. A 45-year-old patient presents with a new lesion on the back. It is 7mm in diameter, has
irregular borders, and shows variegated shades of brown and black. Which ‘ABCDE’ criteria is
most concerning for melanoma in this description?
A. Asymmetry and Color
B. Border and Diameter
C. Border, Color, and Diameter
D. Evolution and Elevation
Answer: C
Conceptual Explanation: Irregular borders (B), variegated colors (C), and a diameter
greater than 6mm (D) are classic warning signs for melanoma.
3. When assessing the thyroid gland using the posterior approach, which maneuver helps the
clinician palpate the lobes more effectively?
A. Asking the patient to swallow a sip of water
B. Asking the patient to hyper-extend the neck
C. Applying firm bilateral pressure simultaneously
D. Having the patient perform a Valsalva maneuver
Answer: A
Conceptual Explanation: Swallowing causes the thyroid gland and cartilage to move
upward, allowing the lobes to slide under the examiner’s fingers.
, 4. A patient presents with a ‘curtain-like’ shadow over their vision in the left eye. They deny
pain but report seeing floaters and flashes of light earlier. What is the most likely diagnosis?
A. Acute Angle-Closure Glaucoma
B. Retinal Detachment
C. Macular Degeneration
D. Cataracts
Answer: B
Conceptual Explanation: Flashing lights, floaters, and a painless shadow or curtain over
the visual field are pathognomonic for retinal detachment.
5. During a Weber test, the patient reports that the sound is heard louder in the right ear.
During the Rinne test, BC > AC in the right ear. What is the interpretation?
A. Sensineural hearing loss in the left ear
B. Conductive hearing loss in the right ear
C. Normal hearing
D. Sensineural hearing loss in the right ear
Answer: B
Conceptual Explanation: In conductive loss, sound lateralizes to the impaired ear in the
Weber test, and Bone Conduction is greater than Air Conduction in the Rinne test.
ASSESSMENT COMPREHENSIVE
QUESTIONS AND ANSWERS (MODULES
1-5)
1. During a comprehensive health history, a patient reports a ‘sharp, stabbing pain’ in the
chest that worsens with deep inspiration. Which component of the symptom analysis is
represented by this description?
A. Setting
B. Quality
C. Severity
D. Timing
Answer: B
Conceptual Explanation: Quality refers to the character or description of the symptom,
such as sharp, dull, or stabbing.
,2. A 45-year-old patient presents with a new lesion on the back. It is 7mm in diameter, has
irregular borders, and shows variegated shades of brown and black. Which ‘ABCDE’ criteria is
most concerning for melanoma in this description?
A. Asymmetry and Color
B. Border and Diameter
C. Border, Color, and Diameter
D. Evolution and Elevation
Answer: C
Conceptual Explanation: Irregular borders (B), variegated colors (C), and a diameter
greater than 6mm (D) are classic warning signs for melanoma.
3. When assessing the thyroid gland using the posterior approach, which maneuver helps the
clinician palpate the lobes more effectively?
A. Asking the patient to swallow a sip of water
B. Asking the patient to hyper-extend the neck
C. Applying firm bilateral pressure simultaneously
D. Having the patient perform a Valsalva maneuver
Answer: A
Conceptual Explanation: Swallowing causes the thyroid gland and cartilage to move
upward, allowing the lobes to slide under the examiner’s fingers.
, 4. A patient presents with a ‘curtain-like’ shadow over their vision in the left eye. They deny
pain but report seeing floaters and flashes of light earlier. What is the most likely diagnosis?
A. Acute Angle-Closure Glaucoma
B. Retinal Detachment
C. Macular Degeneration
D. Cataracts
Answer: B
Conceptual Explanation: Flashing lights, floaters, and a painless shadow or curtain over
the visual field are pathognomonic for retinal detachment.
5. During a Weber test, the patient reports that the sound is heard louder in the right ear.
During the Rinne test, BC > AC in the right ear. What is the interpretation?
A. Sensineural hearing loss in the left ear
B. Conductive hearing loss in the right ear
C. Normal hearing
D. Sensineural hearing loss in the right ear
Answer: B
Conceptual Explanation: In conductive loss, sound lateralizes to the impaired ear in the
Weber test, and Bone Conduction is greater than Air Conduction in the Rinne test.
