• NUR 6001 09/15/2026
NUR 6001 Exam 1–3 Advanced Health Assessment
EXAM– QUESTIONS AND ANSWERS | VERIFIED AND WELL
DETAILED ANSWERS | PLUS RATIONALES | DOWNLOAD
AND PASS | LATEST EXAM UPDATE 2026/2027
.
A 15-year-old high school sophomore presents to the emergency room with his mother for evaluation of an area
of blood in the left eye. He denies trauma or injury but has been coughing forcefully with a recent cold. He denies
visual disturbances, eye pain, or discharge from the eye. On physical examination, the pupils are equal, round,
and reactive to light, with a visual acuity of 20/20 in each eye and 20/20 bilaterally. There is a homogeneous,
sharply demarcated area at the lateral aspect of the base of the left eye. The cornea is clear. Based on this
description, what is the most likely diagnosis?
A) Conjunctivitis
B) Acute iritis
C) Corneal abrasion
D) Subconjunctival hemorrhage - Correct Answer :D) Subconjunctival hemorrhage
P 1
, • NUR 6001 09/15/2026
Leakage of blood outside of the vessels, producing a homogenous, sharply demarcated, red area. The pupil is
not affected, vision is not affected and the cornea is clear. May result from trauma, bleeding disorders, or
sudden increase in venous pressure, as from a cough.
The nurse practitioner is reviewing for a class in age-related changes in the eye. Which of these physiological
changes is responsible for presbyopia?
A) degeneration of the cornea
B) decreased adaptation to darkness
C) decreased distance vision abilities
D) loss of lens elasticity - Correct Answer :D) loss of lens elasticity
The lens gradually loses its elasticity, and the eye grows progressively less able to accommodate and focus on
nearby objects. Ensuing presbyopia usually becomes noticeable during the fifth decade. (Bates, p 959, 991)
Mr. Q. is a 45-year-old salesman who comes to your office for evaluation of fatigue. He has come to the office
many times in the past with a variety of injuries, and you suspect that he has a problem with alcohol. Which one
of the following questions will be most helpful in diagnosing this problem?
A) You are an alcoholic, aren't you?
B) When was your last drink?
C) Do you drink 2 to 3 beers every weekend?
D) Do you drink alcohol when you are supposed to be working? - Correct Answer :B) When was your last drink?
Positive answers to two additional questions are highly suspicious for problem drinking: "Have you every had a
drinking problem?" and "When was your last drink?" especially if the night before (Bates, p 96-97)
A patient's vision is recorded as 20/30 when the Snellen eye chart is used. The nurse interprets these results to
indicate that:
A) the patient can read at 20 feet what a person with normal vision can read at 30 feet.
B) at 30 feet the patient can read the entire chart.
C) the patient can read the chart from 20 feet in the left eye and 30 feet in the right eye,
D) the patient can read from 30 feet what a person with normal vision can read from 20 feet. - Correct Answer
:A) the patient can read at 20 feet what a person with normal vision can read at 30 feet.
P 2
, • NUR 6001 09/15/2026
Visual acuity is expressed as 2 numbers (e.g. 20/30): the first indicates the distance of the patient from the chart,
and the second the distance at which a normal eye can read the line of letters (Bates, p 231).
Which of the following enables optimal examination of the adult's tympanic membrane?
A) Grasp the auricle firmly and pull it downward, backward, and pressed close to the head.
B) Grasp the auricle firmly but gently and pull it upward, backward, and slightly away from the head.
C) Pull the ear lobe toward the chin and keep the auricle pulled away from the head.
D) Grasp the auricle keeping it in normal position and pressed close to the head. - Correct Answer :B) Grasp the
auricle firmly but gently and pull it upward, backward, and slightly away from the head.
To straighten the ear canal, grasp the auricle firmly but gently and pull it upward, backward, and slightly away
from the head (Bates, p 245).
In using the ophthalmoscope to assess a patient's eyes, the nurse notices a red glow in the patient's pupils. On
the basis of this finding, the nurse would:
A) check the light source of the ophthalmoscope to verify that it is functioning.
B) consider this a normal reflection of the ophthalmoscope light off the inner retina.
C) continue with the ophthalmoscopic examination and refer the patient for further evaluation.
D) suspect that there is an opacity in the lens or cornea. - Correct Answer :B) consider this a normal reflection of
the ophthalmoscope light off the inner retina.
Shine the light beam on the pupil and look for the orange glow in the pupil - the red reflex. (Bates, p239). The
other responses are not correct.
A 15 month old is brought to you for a fever of 101 F and fussiness. The ear examination is as follows: external ear
- normal appearance and no tenderness with manipulation; canal - normal diameter without evidence of
inflammation; tympanic membrane - bulging, erythematous, and the light reflex is dull. Insufflation is deferred
due to pain. What is your diagnosis?
A) ruptured tympanic membrane
B) cholesteatoma
C) otitis media
P 3
, • NUR 6001 09/15/2026
D) otitis externa - Correct Answer :C) otitis media
Acute otitis media in a symptomatic child typically has a red, bulging tympanic membrane, with a dull or absent
light reflex.
The nurse practitioner is assessing a patient who may have hearing loss. Which of these statements is true
concerning air conduction?
A) Air conduction is the normal pathway for hearing.
B) Vibrations of the bones in the skull cause air conduction.
C) Amplitude of sound determines the pitch that is heard.
D) Loss of air conduction is called a conductive hearing loss. - Correct Answer :A) Air conduction is the normal
pathway for hearing.
The normal pathway of hearing is air conduction, which starts when sound waves produce vibrations on the
tympanic membrane. Conductive hearing loss results from a mechanical dysfunction of the external or middle
ear. The other statements are not true concerning air conduction.
When examining the ear of a young child, which of the following is the proper technique to use?
A) Examine the ear canal and tympanic membrane as the last steps in the exam if the child is sensitive or fearful.
B) Pull the auricle downward, outward, and backward for the best view.
C) Use the largest speculum possible on the otoscope.
D) All of the above. - Correct Answer :D) All of the above.
If a child is fearful or sensitive because she can't see the ear exam, you might need to restrain her so wait until
the end of the exam. Use the largest speculum for the best view. For best visualization, pull the auricle
downward, outward, and backward (Bates 867-869).
The nurse practitioner might see which of the following physical findings in a patient with otitis externa?
A) a bulging, red tympanic membrane
B) an unusually prominent short process and prominent handle.
C) a chalky, white patch with irregular margins on the inferior part of the tympanic membrane.
P 4
NUR 6001 Exam 1–3 Advanced Health Assessment
EXAM– QUESTIONS AND ANSWERS | VERIFIED AND WELL
DETAILED ANSWERS | PLUS RATIONALES | DOWNLOAD
AND PASS | LATEST EXAM UPDATE 2026/2027
.
A 15-year-old high school sophomore presents to the emergency room with his mother for evaluation of an area
of blood in the left eye. He denies trauma or injury but has been coughing forcefully with a recent cold. He denies
visual disturbances, eye pain, or discharge from the eye. On physical examination, the pupils are equal, round,
and reactive to light, with a visual acuity of 20/20 in each eye and 20/20 bilaterally. There is a homogeneous,
sharply demarcated area at the lateral aspect of the base of the left eye. The cornea is clear. Based on this
description, what is the most likely diagnosis?
A) Conjunctivitis
B) Acute iritis
C) Corneal abrasion
D) Subconjunctival hemorrhage - Correct Answer :D) Subconjunctival hemorrhage
P 1
, • NUR 6001 09/15/2026
Leakage of blood outside of the vessels, producing a homogenous, sharply demarcated, red area. The pupil is
not affected, vision is not affected and the cornea is clear. May result from trauma, bleeding disorders, or
sudden increase in venous pressure, as from a cough.
The nurse practitioner is reviewing for a class in age-related changes in the eye. Which of these physiological
changes is responsible for presbyopia?
A) degeneration of the cornea
B) decreased adaptation to darkness
C) decreased distance vision abilities
D) loss of lens elasticity - Correct Answer :D) loss of lens elasticity
The lens gradually loses its elasticity, and the eye grows progressively less able to accommodate and focus on
nearby objects. Ensuing presbyopia usually becomes noticeable during the fifth decade. (Bates, p 959, 991)
Mr. Q. is a 45-year-old salesman who comes to your office for evaluation of fatigue. He has come to the office
many times in the past with a variety of injuries, and you suspect that he has a problem with alcohol. Which one
of the following questions will be most helpful in diagnosing this problem?
A) You are an alcoholic, aren't you?
B) When was your last drink?
C) Do you drink 2 to 3 beers every weekend?
D) Do you drink alcohol when you are supposed to be working? - Correct Answer :B) When was your last drink?
Positive answers to two additional questions are highly suspicious for problem drinking: "Have you every had a
drinking problem?" and "When was your last drink?" especially if the night before (Bates, p 96-97)
A patient's vision is recorded as 20/30 when the Snellen eye chart is used. The nurse interprets these results to
indicate that:
A) the patient can read at 20 feet what a person with normal vision can read at 30 feet.
B) at 30 feet the patient can read the entire chart.
C) the patient can read the chart from 20 feet in the left eye and 30 feet in the right eye,
D) the patient can read from 30 feet what a person with normal vision can read from 20 feet. - Correct Answer
:A) the patient can read at 20 feet what a person with normal vision can read at 30 feet.
P 2
, • NUR 6001 09/15/2026
Visual acuity is expressed as 2 numbers (e.g. 20/30): the first indicates the distance of the patient from the chart,
and the second the distance at which a normal eye can read the line of letters (Bates, p 231).
Which of the following enables optimal examination of the adult's tympanic membrane?
A) Grasp the auricle firmly and pull it downward, backward, and pressed close to the head.
B) Grasp the auricle firmly but gently and pull it upward, backward, and slightly away from the head.
C) Pull the ear lobe toward the chin and keep the auricle pulled away from the head.
D) Grasp the auricle keeping it in normal position and pressed close to the head. - Correct Answer :B) Grasp the
auricle firmly but gently and pull it upward, backward, and slightly away from the head.
To straighten the ear canal, grasp the auricle firmly but gently and pull it upward, backward, and slightly away
from the head (Bates, p 245).
In using the ophthalmoscope to assess a patient's eyes, the nurse notices a red glow in the patient's pupils. On
the basis of this finding, the nurse would:
A) check the light source of the ophthalmoscope to verify that it is functioning.
B) consider this a normal reflection of the ophthalmoscope light off the inner retina.
C) continue with the ophthalmoscopic examination and refer the patient for further evaluation.
D) suspect that there is an opacity in the lens or cornea. - Correct Answer :B) consider this a normal reflection of
the ophthalmoscope light off the inner retina.
Shine the light beam on the pupil and look for the orange glow in the pupil - the red reflex. (Bates, p239). The
other responses are not correct.
A 15 month old is brought to you for a fever of 101 F and fussiness. The ear examination is as follows: external ear
- normal appearance and no tenderness with manipulation; canal - normal diameter without evidence of
inflammation; tympanic membrane - bulging, erythematous, and the light reflex is dull. Insufflation is deferred
due to pain. What is your diagnosis?
A) ruptured tympanic membrane
B) cholesteatoma
C) otitis media
P 3
, • NUR 6001 09/15/2026
D) otitis externa - Correct Answer :C) otitis media
Acute otitis media in a symptomatic child typically has a red, bulging tympanic membrane, with a dull or absent
light reflex.
The nurse practitioner is assessing a patient who may have hearing loss. Which of these statements is true
concerning air conduction?
A) Air conduction is the normal pathway for hearing.
B) Vibrations of the bones in the skull cause air conduction.
C) Amplitude of sound determines the pitch that is heard.
D) Loss of air conduction is called a conductive hearing loss. - Correct Answer :A) Air conduction is the normal
pathway for hearing.
The normal pathway of hearing is air conduction, which starts when sound waves produce vibrations on the
tympanic membrane. Conductive hearing loss results from a mechanical dysfunction of the external or middle
ear. The other statements are not true concerning air conduction.
When examining the ear of a young child, which of the following is the proper technique to use?
A) Examine the ear canal and tympanic membrane as the last steps in the exam if the child is sensitive or fearful.
B) Pull the auricle downward, outward, and backward for the best view.
C) Use the largest speculum possible on the otoscope.
D) All of the above. - Correct Answer :D) All of the above.
If a child is fearful or sensitive because she can't see the ear exam, you might need to restrain her so wait until
the end of the exam. Use the largest speculum for the best view. For best visualization, pull the auricle
downward, outward, and backward (Bates 867-869).
The nurse practitioner might see which of the following physical findings in a patient with otitis externa?
A) a bulging, red tympanic membrane
B) an unusually prominent short process and prominent handle.
C) a chalky, white patch with irregular margins on the inferior part of the tympanic membrane.
P 4
