NUR 5461 ADVANCED HEALTH
ASSESSMENT EXAM 2 REVIEW
QUESTIONS AND CORRECT ANSWERS
2026/2027
1. During a thoracic assessment, the nurse practitioner notes increased tactile fremitus over
the right lower lobe. Which condition is most consistent with this finding?
A. Pneumothorax
B. Pleural effusion
C. Asthma
D. Lobar pneumonia
Answer: D
Conceptual Explanation: Tactile fremitus is increased in conditions where lung tissue is
consolidated, such as lobar pneumonia, because sound travels better through solid/fluid-
filled media than air.
2. When auscultating the heart, the clinician identifies a soft, low-pitched sound occurring in
early diastole immediately after S2. What is this sound most likely to be?
A. S3 (Ventricular gallop)
B. S4 (Atrial gallop)
,C. Ejection click
D. Opening snap
Answer: A
Conceptual Explanation: The S3 heart sound occurs during the rapid ventricular filling
phase of early diastole and is often associated with fluid overload or heart failure in adults.
3. A 65-year-old patient presents with a mid-systolic, crescendo-decrescendo murmur heard
best at the second right intercostal space that radiates to the carotid arteries. This indicates:
A. Mitral regurgitation
B. Aortic stenosis
C. Mitral stenosis
D. Aortic regurgitation
Answer: B
Conceptual Explanation: Aortic stenosis typically presents as a mid-systolic crescendo-
decrescendo murmur at the right second intercostal space with radiation to the neck.
4. Which physical exam maneuver is performed to assess for a possible meniscus tear in the
knee?
A. Lachman test
B. McMurray test
C. Bulge sign
, D. Anterior drawer test
Answer: B
Conceptual Explanation: The McMurray test involves rotating the lower leg and
extending the knee to check for clicks or pain indicating a meniscal tear.
5. While assessing the abdomen, the clinician performs deep palpation in the left lower
quadrant and the patient feels pain in the right lower quadrant. This is known as:
A. Obturator sign
B. Murphy sign
C. Psoas sign
D. Rovsing sign
Answer: D
Conceptual Explanation: Rovsing sign is referred pain in the right lower quadrant during
palpation of the left lower quadrant, suggesting peritoneal irritation or appendicitis.
6. What is the significance of the ‘fluid wave’ test during an abdominal examination?
A. It detects a distended bladder
B. It screens for bowel obstruction
C. It identifies an enlarged spleen
D. It assesses for ascites
ASSESSMENT EXAM 2 REVIEW
QUESTIONS AND CORRECT ANSWERS
2026/2027
1. During a thoracic assessment, the nurse practitioner notes increased tactile fremitus over
the right lower lobe. Which condition is most consistent with this finding?
A. Pneumothorax
B. Pleural effusion
C. Asthma
D. Lobar pneumonia
Answer: D
Conceptual Explanation: Tactile fremitus is increased in conditions where lung tissue is
consolidated, such as lobar pneumonia, because sound travels better through solid/fluid-
filled media than air.
2. When auscultating the heart, the clinician identifies a soft, low-pitched sound occurring in
early diastole immediately after S2. What is this sound most likely to be?
A. S3 (Ventricular gallop)
B. S4 (Atrial gallop)
,C. Ejection click
D. Opening snap
Answer: A
Conceptual Explanation: The S3 heart sound occurs during the rapid ventricular filling
phase of early diastole and is often associated with fluid overload or heart failure in adults.
3. A 65-year-old patient presents with a mid-systolic, crescendo-decrescendo murmur heard
best at the second right intercostal space that radiates to the carotid arteries. This indicates:
A. Mitral regurgitation
B. Aortic stenosis
C. Mitral stenosis
D. Aortic regurgitation
Answer: B
Conceptual Explanation: Aortic stenosis typically presents as a mid-systolic crescendo-
decrescendo murmur at the right second intercostal space with radiation to the neck.
4. Which physical exam maneuver is performed to assess for a possible meniscus tear in the
knee?
A. Lachman test
B. McMurray test
C. Bulge sign
, D. Anterior drawer test
Answer: B
Conceptual Explanation: The McMurray test involves rotating the lower leg and
extending the knee to check for clicks or pain indicating a meniscal tear.
5. While assessing the abdomen, the clinician performs deep palpation in the left lower
quadrant and the patient feels pain in the right lower quadrant. This is known as:
A. Obturator sign
B. Murphy sign
C. Psoas sign
D. Rovsing sign
Answer: D
Conceptual Explanation: Rovsing sign is referred pain in the right lower quadrant during
palpation of the left lower quadrant, suggesting peritoneal irritation or appendicitis.
6. What is the significance of the ‘fluid wave’ test during an abdominal examination?
A. It detects a distended bladder
B. It screens for bowel obstruction
C. It identifies an enlarged spleen
D. It assesses for ascites
