ADVANCED HEALTH ASSESSMENT
(NUR 2092) COMPREHENSIVE EXAM
QUESTIONS AND ANSWERS
1. A patient presents with a ‘blowing’ holosystolic murmur heard best at the apex that
radiates to the left axilla. Which valvular abnormality is most likely?
A. Mitral Regurgitation
B. Aortic Stenosis
C. Mitral Stenosis
D. Tricuspid Regurgitation
Answer: A
Conceptual Explanation: Mitral regurgitation is characterized by a holosystolic murmur
heard best at the apex, often radiating to the axilla.
2. When performing a neurological exam, the nurse notes the patient has difficulty
identifying a familiar object placed in their hand with eyes closed. This finding is documented
as:
A. Graphesthesia
,B. Astereognosis
C. Ataxia
D. Anosognosia
Answer: B
Conceptual Explanation: Astereognosis is the inability to identify objects by touch,
suggesting a lesion in the sensory cortex or posterior columns.
3. During a respiratory assessment, the nurse detects increased tactile fremitus over the right
lower lobe. This finding is most consistent with:
A. Pneumothorax
B. Pleural Effusion
C. Chronic Obstructive Pulmonary Disease
D. Lobar Pneumonia
Answer: D
Conceptual Explanation: Tactile fremitus increases with lung consolidation (e.g.,
pneumonia) because sound travels better through solid/fluid-filled tissue than air.
4. While assessing the abdomen, the nurse elicites pain when pressure is applied to the left
lower quadrant and then quickly released, causing pain in the right lower quadrant. What is
this sign called?
A. Murphy sign
, B. McBurney sign
C. Rovsing sign
D. Psoas sign
Answer: C
Conceptual Explanation: Rovsing sign is referred rebound tenderness indicative of
peritoneal irritation, often seen in appendicitis.
5. A 65-year-old patient reports sudden, painless loss of vision in one eye, described as a
‘curtain’ being pulled down. The nurse suspects:
A. Acute Angle-Closure Glaucoma
B. Cataract formation
C. Retinal Detachment
D. Macular Degeneration
Answer: C
Conceptual Explanation: Retinal detachment often presents as a painless loss of vision or
‘curtain’ effect, requiring emergency intervention.
6. The nurse is assessing Cranial Nerve VIII. Which test is most appropriate for evaluating
lateralization of sound?
A. Weber Test
B. Rinne Test
(NUR 2092) COMPREHENSIVE EXAM
QUESTIONS AND ANSWERS
1. A patient presents with a ‘blowing’ holosystolic murmur heard best at the apex that
radiates to the left axilla. Which valvular abnormality is most likely?
A. Mitral Regurgitation
B. Aortic Stenosis
C. Mitral Stenosis
D. Tricuspid Regurgitation
Answer: A
Conceptual Explanation: Mitral regurgitation is characterized by a holosystolic murmur
heard best at the apex, often radiating to the axilla.
2. When performing a neurological exam, the nurse notes the patient has difficulty
identifying a familiar object placed in their hand with eyes closed. This finding is documented
as:
A. Graphesthesia
,B. Astereognosis
C. Ataxia
D. Anosognosia
Answer: B
Conceptual Explanation: Astereognosis is the inability to identify objects by touch,
suggesting a lesion in the sensory cortex or posterior columns.
3. During a respiratory assessment, the nurse detects increased tactile fremitus over the right
lower lobe. This finding is most consistent with:
A. Pneumothorax
B. Pleural Effusion
C. Chronic Obstructive Pulmonary Disease
D. Lobar Pneumonia
Answer: D
Conceptual Explanation: Tactile fremitus increases with lung consolidation (e.g.,
pneumonia) because sound travels better through solid/fluid-filled tissue than air.
4. While assessing the abdomen, the nurse elicites pain when pressure is applied to the left
lower quadrant and then quickly released, causing pain in the right lower quadrant. What is
this sign called?
A. Murphy sign
, B. McBurney sign
C. Rovsing sign
D. Psoas sign
Answer: C
Conceptual Explanation: Rovsing sign is referred rebound tenderness indicative of
peritoneal irritation, often seen in appendicitis.
5. A 65-year-old patient reports sudden, painless loss of vision in one eye, described as a
‘curtain’ being pulled down. The nurse suspects:
A. Acute Angle-Closure Glaucoma
B. Cataract formation
C. Retinal Detachment
D. Macular Degeneration
Answer: C
Conceptual Explanation: Retinal detachment often presents as a painless loss of vision or
‘curtain’ effect, requiring emergency intervention.
6. The nurse is assessing Cranial Nerve VIII. Which test is most appropriate for evaluating
lateralization of sound?
A. Weber Test
B. Rinne Test
