NSG 500: ADVANCED HEALTH
ASSESSMENT EXAM 2 QUESTIONS AND
VERIFIED ANSWERS |GRADE A+| JUST
RELEASED
1. When assessing for increased tactile fremitus, the clinician understands this finding is most
characteristic of which condition?
A. Lobar pneumonia
B. Pneumothorax
C. Pleural effusion
D. Chronic obstructive pulmonary disease
Answer: A
Conceptual Explanation: Tactile fremitus increases with the consolidation of lung tissue,
such as in pneumonia. In pneumothorax, effusion, or COPD, there is increased air or fluid
that dampens the transmission of sound, leading to decreased fremitus.
2. During a cardiovascular assessment, the clinician hears a mid-systolic click at the apex. This
is most likely associated with:
A. Aortic stenosis
,B. Mitral valve prolapse
C. Atrial septal defect
D. Mitral regurgitation
Answer: B
Conceptual Explanation: A mid-systolic click is the hallmark finding for mitral valve
prolapse, often followed by a late systolic murmur.
3. When performing the Weber test, a patient with conductive hearing loss in the right ear
will experience:
A. Lateralization of sound to the left ear
B. No lateralization of sound
C. Lateralization of sound to the right ear
D. Sound being heard longer via air conduction
E. N/A
Answer: C
Conceptual Explanation: In conductive hearing loss, the sound lateralizes to the impaired
ear because the impaired ear is not distracted by ambient room noise.
, 4. A 65-year-old male presents with sudden, severe chest pain radiating to the back. On
examination, there is a difference of 20 mmHg in systolic blood pressure between the arms.
The most likely diagnosis is:
A. Aortic dissection
B. Pulmonary embolism
C. Myocardial infarction
D. Pericarditis
Answer: A
Conceptual Explanation: Aortic dissection often presents with tearing chest pain
radiating to the back and a significant blood pressure differential between the upper
extremities.
5. Which physical exam maneuver is specifically used to assess for a torn anterior cruciate
ligament (ACL)?
A. Lachman test
B. McMurray test
C. Phalen’s maneuver
D. Bulge sign
Answer: A
ASSESSMENT EXAM 2 QUESTIONS AND
VERIFIED ANSWERS |GRADE A+| JUST
RELEASED
1. When assessing for increased tactile fremitus, the clinician understands this finding is most
characteristic of which condition?
A. Lobar pneumonia
B. Pneumothorax
C. Pleural effusion
D. Chronic obstructive pulmonary disease
Answer: A
Conceptual Explanation: Tactile fremitus increases with the consolidation of lung tissue,
such as in pneumonia. In pneumothorax, effusion, or COPD, there is increased air or fluid
that dampens the transmission of sound, leading to decreased fremitus.
2. During a cardiovascular assessment, the clinician hears a mid-systolic click at the apex. This
is most likely associated with:
A. Aortic stenosis
,B. Mitral valve prolapse
C. Atrial septal defect
D. Mitral regurgitation
Answer: B
Conceptual Explanation: A mid-systolic click is the hallmark finding for mitral valve
prolapse, often followed by a late systolic murmur.
3. When performing the Weber test, a patient with conductive hearing loss in the right ear
will experience:
A. Lateralization of sound to the left ear
B. No lateralization of sound
C. Lateralization of sound to the right ear
D. Sound being heard longer via air conduction
E. N/A
Answer: C
Conceptual Explanation: In conductive hearing loss, the sound lateralizes to the impaired
ear because the impaired ear is not distracted by ambient room noise.
, 4. A 65-year-old male presents with sudden, severe chest pain radiating to the back. On
examination, there is a difference of 20 mmHg in systolic blood pressure between the arms.
The most likely diagnosis is:
A. Aortic dissection
B. Pulmonary embolism
C. Myocardial infarction
D. Pericarditis
Answer: A
Conceptual Explanation: Aortic dissection often presents with tearing chest pain
radiating to the back and a significant blood pressure differential between the upper
extremities.
5. Which physical exam maneuver is specifically used to assess for a torn anterior cruciate
ligament (ACL)?
A. Lachman test
B. McMurray test
C. Phalen’s maneuver
D. Bulge sign
Answer: A
