NUR 6001 Exam 4 Actual Exam V3 | NUR 6001 Advanced Health
Assessment (NUR6001 Exam 4) | William Paterson University
1. A 55-year-old male presents with a chief complaint of a ‘heavy feeling’ in his scrotum.
Upon palpation, the nurse practitioner notes a soft, ‘bag of worms’ sensation superior to the
left testicle that collapses when the patient lies down. What is the most likely diagnosis?
A. Hydrocele
B. Testicular Torsion
C. Spermatocele
D. Varicocele
Answer: D
Rationale: A varicocele is a dilation of the pampiniform plexus of veins, typically described
as a ‘bag of worms.’ It usually occurs on the left side and decreases in size when the patient
is recumbent.
2. During a neurological examination, the nurse practitioner asks the patient to stand with
feet together and eyes closed. The patient begins to sway significantly and loses balance. This
finding is documented as a positive:
A. Babinski sign
B. Romberg test
C. Kernig’s sign
D. Phalen’s maneuver
Answer: B
Rationale: The Romberg test assesses cerebellar function and proprioception; a loss of
balance with eyes closed suggests sensory ataxia or vestibular dysfunction.
3. A 68-year-old female reports a sudden onset of severe right eye pain, blurred vision, and
seeing ‘halos’ around lights. Physical exam reveals a hazy cornea and a mid-dilated pupil.
What is the immediate priority?
A. Prescribe antibiotic eye drops for conjunctivitis
B. Emergency referral for acute angle-closure glaucoma
C. Perform a funduscopic exam to check for macular degeneration
D. Recommend over-the-counter artificial tears
Answer: B
, Rationale: Acute angle-closure glaucoma is an ocular emergency characterized by sudden
pain, halos, and a fixed, mid-dilated pupil; failure to treat can lead to permanent vision loss.
4. When assessing the musculoskeletal system of a 45-year-old patient, the NP performs the
McMurray test. A palpable click and pain are elicited. This suggests an injury to which
structure?
A. Anterior cruciate ligament (ACL)
B. Posterior cruciate ligament (PCL)
C. Patellar tendon
D. Medial or lateral meniscus
Answer: D
Rationale: The McMurray test is a specific maneuver used to detect tears in the meniscus
of the knee joint by rotating the tibia while extending the knee.
5. In evaluating a 72-year-old patient for cognitive changes, the NP notes the patient has
difficulty with ‘executive function.’ Which of the following tasks best assesses this domain?
A. Drawing a clock face set to a specific time
B. Repeating three words immediately
C. Identifying a pen and a watch
D. Naming the current President of the United States
Answer: A
Rationale: The Clock Drawing Test is a reliable tool for assessing executive function,
visuospatial skills, and abstract thinking, which are often impaired in dementia.
6. Which cranial nerve is being assessed when the NP asks the patient to shrug their
shoulders against resistance?
A. Cranial Nerve X (Vagus)
B. Cranial Nerve IX (Glossopharyngeal)
C. Cranial Nerve XII (Hypoglossal)
D. Cranial Nerve XI (Spinal Accessory)
Answer: D
Rationale: Cranial Nerve XI (Spinal Accessory) innervates the trapezius and
sternocleidomastoid muscles; shoulder shrugging tests its motor function.
Assessment (NUR6001 Exam 4) | William Paterson University
1. A 55-year-old male presents with a chief complaint of a ‘heavy feeling’ in his scrotum.
Upon palpation, the nurse practitioner notes a soft, ‘bag of worms’ sensation superior to the
left testicle that collapses when the patient lies down. What is the most likely diagnosis?
A. Hydrocele
B. Testicular Torsion
C. Spermatocele
D. Varicocele
Answer: D
Rationale: A varicocele is a dilation of the pampiniform plexus of veins, typically described
as a ‘bag of worms.’ It usually occurs on the left side and decreases in size when the patient
is recumbent.
2. During a neurological examination, the nurse practitioner asks the patient to stand with
feet together and eyes closed. The patient begins to sway significantly and loses balance. This
finding is documented as a positive:
A. Babinski sign
B. Romberg test
C. Kernig’s sign
D. Phalen’s maneuver
Answer: B
Rationale: The Romberg test assesses cerebellar function and proprioception; a loss of
balance with eyes closed suggests sensory ataxia or vestibular dysfunction.
3. A 68-year-old female reports a sudden onset of severe right eye pain, blurred vision, and
seeing ‘halos’ around lights. Physical exam reveals a hazy cornea and a mid-dilated pupil.
What is the immediate priority?
A. Prescribe antibiotic eye drops for conjunctivitis
B. Emergency referral for acute angle-closure glaucoma
C. Perform a funduscopic exam to check for macular degeneration
D. Recommend over-the-counter artificial tears
Answer: B
, Rationale: Acute angle-closure glaucoma is an ocular emergency characterized by sudden
pain, halos, and a fixed, mid-dilated pupil; failure to treat can lead to permanent vision loss.
4. When assessing the musculoskeletal system of a 45-year-old patient, the NP performs the
McMurray test. A palpable click and pain are elicited. This suggests an injury to which
structure?
A. Anterior cruciate ligament (ACL)
B. Posterior cruciate ligament (PCL)
C. Patellar tendon
D. Medial or lateral meniscus
Answer: D
Rationale: The McMurray test is a specific maneuver used to detect tears in the meniscus
of the knee joint by rotating the tibia while extending the knee.
5. In evaluating a 72-year-old patient for cognitive changes, the NP notes the patient has
difficulty with ‘executive function.’ Which of the following tasks best assesses this domain?
A. Drawing a clock face set to a specific time
B. Repeating three words immediately
C. Identifying a pen and a watch
D. Naming the current President of the United States
Answer: A
Rationale: The Clock Drawing Test is a reliable tool for assessing executive function,
visuospatial skills, and abstract thinking, which are often impaired in dementia.
6. Which cranial nerve is being assessed when the NP asks the patient to shrug their
shoulders against resistance?
A. Cranial Nerve X (Vagus)
B. Cranial Nerve IX (Glossopharyngeal)
C. Cranial Nerve XII (Hypoglossal)
D. Cranial Nerve XI (Spinal Accessory)
Answer: D
Rationale: Cranial Nerve XI (Spinal Accessory) innervates the trapezius and
sternocleidomastoid muscles; shoulder shrugging tests its motor function.
