NURS 6512 ADVANCED HEALTH
ASSESSMENT FINAL EXAM PREP
QUESTIONS AND VERIFIED ANSWERS |
100% CORRECT | GRADE A+
1. When assessing the cranial nerves, a patient is unable to differentiate between sweet and
salty tastes on the anterior two-thirds of the tongue. Which cranial nerve is most likely
affected?
A. Cranial Nerve V (Trigeminal)
B. Cranial Nerve VII (Facial)
C. Cranial Nerve IX (Glossopharyngeal)
D. Cranial Nerve XII (Hypoglossal)
Answer: B
Conceptual Explanation: Cranial Nerve VII, the facial nerve, is responsible for taste
sensation on the anterior two-thirds of the tongue, while CN IX handles the posterior third.
2. A 65-year-old male presents with a complaint of sudden, painless loss of vision in one eye
described as a ‘curtain being pulled down’. This is most indicative of:
A. Acute angle-closure glaucoma
B. Macular degeneration
,C. Retinal detachment
D. Cataracts
Answer: C
Conceptual Explanation: A ‘curtain’ or ‘shadow’ in the visual field is a classic symptom of
retinal detachment, which is a medical emergency.
3. During a cardiac examination, the nurse practitioner notes a mid-systolic click followed by
a late systolic murmur at the apex. This finding is characteristic of:
A. Aortic stenosis
B. Mitral valve prolapse
C. Mitral regurgitation
D. Ventricular septal defect
Answer: B
Conceptual Explanation: Mitral valve prolapse (MVP) typically presents with a mid-
systolic click and a late systolic murmur as the valve leaflets bulge into the left atrium.
4. A patient presents with sharp, stabbing chest pain that worsens with inspiration and is
relieved by leaning forward. Physical exam reveals a scratchy, high-pitched sound heard best
at the left lower sternal border. This is most likely:
A. Myocardial infarction
B. Acute pericarditis
, C. Pleural effusion
D. Pulmonary embolism
Answer: B
Conceptual Explanation: The description of chest pain relieved by leaning forward and
the presence of a pericardial friction rub (scratchy sound) are hallmark signs of acute
pericarditis.
5. When assessing for a possible appendicitis, the examiner deeply palpates the left lower
quadrant and the patient feels pain in the right lower quadrant. This is known as:
A. McBurney’s sign
B. Psoas sign
C. Rovsing’s sign
D. Murphy’s sign
Answer: C
Conceptual Explanation: Rovsing’s sign is positive when pressure on the left side of the
abdomen causes pain on the right side, suggesting peritoneal irritation associated with
appendicitis.
6. Which of the following physical exam findings is most consistent with a diagnosis of
Chronic Obstructive Pulmonary Disease (COPD)?
A. Increased tactile fremitus
ASSESSMENT FINAL EXAM PREP
QUESTIONS AND VERIFIED ANSWERS |
100% CORRECT | GRADE A+
1. When assessing the cranial nerves, a patient is unable to differentiate between sweet and
salty tastes on the anterior two-thirds of the tongue. Which cranial nerve is most likely
affected?
A. Cranial Nerve V (Trigeminal)
B. Cranial Nerve VII (Facial)
C. Cranial Nerve IX (Glossopharyngeal)
D. Cranial Nerve XII (Hypoglossal)
Answer: B
Conceptual Explanation: Cranial Nerve VII, the facial nerve, is responsible for taste
sensation on the anterior two-thirds of the tongue, while CN IX handles the posterior third.
2. A 65-year-old male presents with a complaint of sudden, painless loss of vision in one eye
described as a ‘curtain being pulled down’. This is most indicative of:
A. Acute angle-closure glaucoma
B. Macular degeneration
,C. Retinal detachment
D. Cataracts
Answer: C
Conceptual Explanation: A ‘curtain’ or ‘shadow’ in the visual field is a classic symptom of
retinal detachment, which is a medical emergency.
3. During a cardiac examination, the nurse practitioner notes a mid-systolic click followed by
a late systolic murmur at the apex. This finding is characteristic of:
A. Aortic stenosis
B. Mitral valve prolapse
C. Mitral regurgitation
D. Ventricular septal defect
Answer: B
Conceptual Explanation: Mitral valve prolapse (MVP) typically presents with a mid-
systolic click and a late systolic murmur as the valve leaflets bulge into the left atrium.
4. A patient presents with sharp, stabbing chest pain that worsens with inspiration and is
relieved by leaning forward. Physical exam reveals a scratchy, high-pitched sound heard best
at the left lower sternal border. This is most likely:
A. Myocardial infarction
B. Acute pericarditis
, C. Pleural effusion
D. Pulmonary embolism
Answer: B
Conceptual Explanation: The description of chest pain relieved by leaning forward and
the presence of a pericardial friction rub (scratchy sound) are hallmark signs of acute
pericarditis.
5. When assessing for a possible appendicitis, the examiner deeply palpates the left lower
quadrant and the patient feels pain in the right lower quadrant. This is known as:
A. McBurney’s sign
B. Psoas sign
C. Rovsing’s sign
D. Murphy’s sign
Answer: C
Conceptual Explanation: Rovsing’s sign is positive when pressure on the left side of the
abdomen causes pain on the right side, suggesting peritoneal irritation associated with
appendicitis.
6. Which of the following physical exam findings is most consistent with a diagnosis of
Chronic Obstructive Pulmonary Disease (COPD)?
A. Increased tactile fremitus
