NURS 6512 EXAM 4 - ADVANCED
HEALTH ASSESSMENT QUESTIONS
AND VERIFIED ANSWERS | 100%
CORRECT | GRADE A+
1. When assessing for increased intracranial pressure, which cranial nerve is most commonly
evaluated for the presence of papilledema?
A. Cranial Nerve I
B. Cranial Nerve III
C. Cranial Nerve II
D. Cranial Nerve IV
Answer: C
Conceptual Explanation: Cranial Nerve II (Optic) is examined via fundoscopy to check for
papilledema, which is swelling of the optic disc due to increased intracranial pressure.
2. A patient exhibits a positive Romberg sign. This indicates a dysfunction in which of the
following areas?
A. Basal ganglia
B. Cerebral cortex
C. Occipital lobe
,D. Cerebellar ataxia or sensory loss
Answer: D
Conceptual Explanation: A positive Romberg sign (loss of balance when eyes are closed)
suggests sensory ataxia or vestibular issues rather than purely motor cerebellar
dysfunction.
3. Which specialized maneuver is used to assess for a torn meniscus in the knee?
A. Lachman test
B. McMurray test
C. Bulge sign
D. Phalen test
Answer: B
Conceptual Explanation: The McMurray test is used to evaluate for meniscal tears by
rotating the knee with internal and external stress.
4. When assessing a patient for meningeal irritation, the nurse practitioner flexes the
patient’s neck and observes for involuntary flexion of the hips and knees. This is known as:
A. Kernig sign
B. Babinski sign
C. Brudzinski sign
D. Hoffman sign
, Answer: C
Conceptual Explanation: Brudzinski sign is positive when neck flexion causes involuntary
hip and knee flexion, indicating meningeal irritation.
5. During an abdominal assessment, deep palpation at the left lower quadrant causes pain in
the right lower quadrant. This finding is documented as:
A. Psoas sign
B. Obturator sign
C. Murphy sign
D. Rovsing sign
Answer: D
Conceptual Explanation: Rovsing sign is referred pain to the right lower quadrant when
the left lower quadrant is palpated, suggestive of appendicitis.
6. A 65-year-old patient reports sudden, painless loss of vision in one eye described as a
‘curtain being drawn.’ This most likely indicates:
A. Retinal detachment
B. Glaucoma
C. Cataracts
D. Macular degeneration
Answer: A
HEALTH ASSESSMENT QUESTIONS
AND VERIFIED ANSWERS | 100%
CORRECT | GRADE A+
1. When assessing for increased intracranial pressure, which cranial nerve is most commonly
evaluated for the presence of papilledema?
A. Cranial Nerve I
B. Cranial Nerve III
C. Cranial Nerve II
D. Cranial Nerve IV
Answer: C
Conceptual Explanation: Cranial Nerve II (Optic) is examined via fundoscopy to check for
papilledema, which is swelling of the optic disc due to increased intracranial pressure.
2. A patient exhibits a positive Romberg sign. This indicates a dysfunction in which of the
following areas?
A. Basal ganglia
B. Cerebral cortex
C. Occipital lobe
,D. Cerebellar ataxia or sensory loss
Answer: D
Conceptual Explanation: A positive Romberg sign (loss of balance when eyes are closed)
suggests sensory ataxia or vestibular issues rather than purely motor cerebellar
dysfunction.
3. Which specialized maneuver is used to assess for a torn meniscus in the knee?
A. Lachman test
B. McMurray test
C. Bulge sign
D. Phalen test
Answer: B
Conceptual Explanation: The McMurray test is used to evaluate for meniscal tears by
rotating the knee with internal and external stress.
4. When assessing a patient for meningeal irritation, the nurse practitioner flexes the
patient’s neck and observes for involuntary flexion of the hips and knees. This is known as:
A. Kernig sign
B. Babinski sign
C. Brudzinski sign
D. Hoffman sign
, Answer: C
Conceptual Explanation: Brudzinski sign is positive when neck flexion causes involuntary
hip and knee flexion, indicating meningeal irritation.
5. During an abdominal assessment, deep palpation at the left lower quadrant causes pain in
the right lower quadrant. This finding is documented as:
A. Psoas sign
B. Obturator sign
C. Murphy sign
D. Rovsing sign
Answer: D
Conceptual Explanation: Rovsing sign is referred pain to the right lower quadrant when
the left lower quadrant is palpated, suggestive of appendicitis.
6. A 65-year-old patient reports sudden, painless loss of vision in one eye described as a
‘curtain being drawn.’ This most likely indicates:
A. Retinal detachment
B. Glaucoma
C. Cataracts
D. Macular degeneration
Answer: A
