NURS 5334 ADVANCED HEALTH
ASSESSMENT UTA 2026/2027
QUESTIONS AND ANSWERS
1. During a cardiac assessment, the practitioner notes a low-pitched sound occurring in early
diastole, immediately following S2. This is most likely:
A. S4 atrial gallop
B. Midsystolic click
C. S3 ventricular gallop
D. Pericardial friction rub
Answer: C
Conceptual Explanation: S3 occurs early in diastole during the rapid ventricular filling
phase and is often associated with heart failure or fluid overload in adults.
2. When performing a funduscopic examination, the nurse practitioner observes ‘A-V nicking.’
This finding is most indicative of:
A. Hypertensive retinopathy
B. Diabetic retinopathy
C. Acute glaucoma
,D. Macular degeneration
Answer: A
Conceptual Explanation: A-V nicking occurs when a thickened retinal artery crosses over
a vein, a hallmark sign of chronic hypertension.
3. A patient presents with acute abdominal pain. The clinician performs a test by deeply
palpating the left lower quadrant and the patient reports pain in the right lower quadrant.
This is known as:
A. Murphy’s sign
B. Rovsing’s sign
C. McBurney’s sign
D. Psoas sign
Answer: B
Conceptual Explanation: Rovsing’s sign is referred rebound tenderness indicative of
peritoneal irritation, specifically appendicitis.
4. A 65-year-old male complains of a ‘curtain’ closing over his vision in the left eye. This
symptom is most concerning for:
A. Cataracts
B. Glaucoma
C. Retinal detachment
, D. Presbyopia
Answer: C
Conceptual Explanation: A sensation of a curtain or shadow across the visual field is a
classic symptom of retinal detachment and requires emergency referral.
5. In which location is the murmur of Aortic Stenosis best auscultated?
A. Second right intercostal space
B. Second left intercostal space
C. Fourth left intercostal space
D. Apex of the heart
Answer: A
Conceptual Explanation: The aortic area is located at the second right intercostal space at
the sternal border.
6. Which of the following physical exam findings is characteristic of consolidation in the lung,
such as in lobar pneumonia?
A. Hyperresonance on percussion
B. Increased tactile fremitus
C. Decreased tactile fremitus
D. Vesicular breath sounds throughout
ASSESSMENT UTA 2026/2027
QUESTIONS AND ANSWERS
1. During a cardiac assessment, the practitioner notes a low-pitched sound occurring in early
diastole, immediately following S2. This is most likely:
A. S4 atrial gallop
B. Midsystolic click
C. S3 ventricular gallop
D. Pericardial friction rub
Answer: C
Conceptual Explanation: S3 occurs early in diastole during the rapid ventricular filling
phase and is often associated with heart failure or fluid overload in adults.
2. When performing a funduscopic examination, the nurse practitioner observes ‘A-V nicking.’
This finding is most indicative of:
A. Hypertensive retinopathy
B. Diabetic retinopathy
C. Acute glaucoma
,D. Macular degeneration
Answer: A
Conceptual Explanation: A-V nicking occurs when a thickened retinal artery crosses over
a vein, a hallmark sign of chronic hypertension.
3. A patient presents with acute abdominal pain. The clinician performs a test by deeply
palpating the left lower quadrant and the patient reports pain in the right lower quadrant.
This is known as:
A. Murphy’s sign
B. Rovsing’s sign
C. McBurney’s sign
D. Psoas sign
Answer: B
Conceptual Explanation: Rovsing’s sign is referred rebound tenderness indicative of
peritoneal irritation, specifically appendicitis.
4. A 65-year-old male complains of a ‘curtain’ closing over his vision in the left eye. This
symptom is most concerning for:
A. Cataracts
B. Glaucoma
C. Retinal detachment
, D. Presbyopia
Answer: C
Conceptual Explanation: A sensation of a curtain or shadow across the visual field is a
classic symptom of retinal detachment and requires emergency referral.
5. In which location is the murmur of Aortic Stenosis best auscultated?
A. Second right intercostal space
B. Second left intercostal space
C. Fourth left intercostal space
D. Apex of the heart
Answer: A
Conceptual Explanation: The aortic area is located at the second right intercostal space at
the sternal border.
6. Which of the following physical exam findings is characteristic of consolidation in the lung,
such as in lobar pneumonia?
A. Hyperresonance on percussion
B. Increased tactile fremitus
C. Decreased tactile fremitus
D. Vesicular breath sounds throughout
