• NURS 5220 Exam 09/16/2026
NURS 5220 Exam 3 : NURS 5220 Exam Practice
Exam: 150 Questions & Answers:Latest Updated
A+ Guide Solution | Verified Q&A with Detailed
Rationales | Pass Guaranteed - A+ Graded
All of the following are a common or concerning symptom in a health history for a respiratory assessment
EXCEPT?
A) palpitations
B) blood-streaked sputum
C) chest pain
D) snoring –
P 1
, • NURS 5220 Exam 09/16/2026
Correct Answer :A) palpitations
Chest pain, blood-streaked sputum, and snoring are all common or concerning symptoms in a health history for
respiratory assessment.
A 29-year-old physical therapist presents for evaluation of an eyelid problem. On observation, the right eyeball
appears to be protruding forward. Based on this description, what is the most likely diagnosis?
A) Epicanthus
B) Ptosis
C) Exophthalmos
D) Ectropion –
Correct Answer :C) Exophthalmos
Eye protrusion (proptosis or exophthalmos)
The nurse practitioner is performing an eye examination using the ophthalmoscope. Which component is NOT
part of the ophthalmoscope?
A) lens disc
B) aperature
C) indicator of diopters
D) speculum –
Correct Answer :D) speculum
See picture of ophthalmoscope (Bates p 238)
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,
P 2
, • NURS 5220 Exam 09/16/2026
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
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)
Anita is a 2-week-old female who was a term C-section delivery because of failure to progress and was large for
gestational age (LGA). You are doing your physical exam and during Ortolani's maneuver a "clunk" is noted and
reproduced on the left side. The right side is normal. Her gluteal folds are also asymmetric. All of the following
are true except:
a) Anita needs to have an xray done to confirm the diagnosis.
P 3
, • NURS 5220 Exam 09/16/2026
b) Most commonly in breech babies.
c) This finding may be concerning for developmental dysplasia of the hip and if persists will require a referral to
an orthopedic surgeon.
d) Females are more at risk then males for this condition. –
Correct Answer :answer: Anita needs to have an xray done to confirm the diagnosis.
Ultrasounds are indicated not x-rays-- in newborn most of the hip joint is cartilaginous not bone. see Burns
textbook.
A 72 yom (year old male) presents to your clinic with a CC of low back pain. Which of the following is considered
a "red flag" for an underlying serious health concern?
a) pain worsens with bending over
b) pain is described as dull aching on right side of low back
c) worsening numbness and tingling down the left lower extremity
d) pain is not relieved with Tylenol or ibuprofen –
Correct Answer :answer: worsening numbness and tingling down the left lower extremity
see: Red flags of back pain in the Bickley textbook. Dains also provides details of "red flags"
Which of the following patients is MOST at risk for osteoporosis?
P 4
NURS 5220 Exam 3 : NURS 5220 Exam Practice
Exam: 150 Questions & Answers:Latest Updated
A+ Guide Solution | Verified Q&A with Detailed
Rationales | Pass Guaranteed - A+ Graded
All of the following are a common or concerning symptom in a health history for a respiratory assessment
EXCEPT?
A) palpitations
B) blood-streaked sputum
C) chest pain
D) snoring –
P 1
, • NURS 5220 Exam 09/16/2026
Correct Answer :A) palpitations
Chest pain, blood-streaked sputum, and snoring are all common or concerning symptoms in a health history for
respiratory assessment.
A 29-year-old physical therapist presents for evaluation of an eyelid problem. On observation, the right eyeball
appears to be protruding forward. Based on this description, what is the most likely diagnosis?
A) Epicanthus
B) Ptosis
C) Exophthalmos
D) Ectropion –
Correct Answer :C) Exophthalmos
Eye protrusion (proptosis or exophthalmos)
The nurse practitioner is performing an eye examination using the ophthalmoscope. Which component is NOT
part of the ophthalmoscope?
A) lens disc
B) aperature
C) indicator of diopters
D) speculum –
Correct Answer :D) speculum
See picture of ophthalmoscope (Bates p 238)
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,
P 2
, • NURS 5220 Exam 09/16/2026
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
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)
Anita is a 2-week-old female who was a term C-section delivery because of failure to progress and was large for
gestational age (LGA). You are doing your physical exam and during Ortolani's maneuver a "clunk" is noted and
reproduced on the left side. The right side is normal. Her gluteal folds are also asymmetric. All of the following
are true except:
a) Anita needs to have an xray done to confirm the diagnosis.
P 3
, • NURS 5220 Exam 09/16/2026
b) Most commonly in breech babies.
c) This finding may be concerning for developmental dysplasia of the hip and if persists will require a referral to
an orthopedic surgeon.
d) Females are more at risk then males for this condition. –
Correct Answer :answer: Anita needs to have an xray done to confirm the diagnosis.
Ultrasounds are indicated not x-rays-- in newborn most of the hip joint is cartilaginous not bone. see Burns
textbook.
A 72 yom (year old male) presents to your clinic with a CC of low back pain. Which of the following is considered
a "red flag" for an underlying serious health concern?
a) pain worsens with bending over
b) pain is described as dull aching on right side of low back
c) worsening numbness and tingling down the left lower extremity
d) pain is not relieved with Tylenol or ibuprofen –
Correct Answer :answer: worsening numbness and tingling down the left lower extremity
see: Red flags of back pain in the Bickley textbook. Dains also provides details of "red flags"
Which of the following patients is MOST at risk for osteoporosis?
P 4
