NURS 6512 ADVANCED HEALTH
ASSESSMENT FINAL EXAM QUESTIONS
AND VERIFIED ANSWERS | 100%
CORRECT | GRADE A+
1. During a cardiac assessment of a 72-year-old patient, you note a harsh, medium-pitched
systolic crescendo-decrescendo murmur heard best at the right second intercostal space that
radiates to the carotid arteries. What is the most likely diagnosis?
A. Mitral Regurgitation
B. Pulmonic Regurgitation
C. Tricuspid Stenosis
D. Aortic Stenosis
Answer: D
Conceptual Explanation: Aortic stenosis typically presents as a midsystolic ejection
murmur at the right upper sternal border, often radiating to the carotids, common in older
adults due to calcification.
2. When performing a respiratory assessment, you note increased tactile fremitus over the
right lower lobe. This finding is most consistent with which condition?
A. Pleural Effusion
,B. Pneumothorax
C. Lobar Pneumonia
D. Chronic Obstructive Pulmonary Disease
Answer: C
Conceptual Explanation: Tactile fremitus increases with lung consolidation (e.g.,
pneumonia) because sound travels better through solid/liquid medium than air.
3. A 24-year-old female presents with acute abdominal pain in the right lower quadrant. You
perform a test where you apply pressure to the left lower quadrant and the patient feels pain
in the right lower quadrant. This is known as:
A. Psoas sign
B. Murphy’s sign
C. Rovsing’s sign
D. McBurney’s sign
Answer: C
Conceptual Explanation: Rovsing’s sign is referred pain to the RLQ when the LLQ is
palpated, indicating peritoneal irritation suggestive of appendicitis.
4. During a neurological examination, you ask the patient to follow your finger as you move it
in the six cardinal fields of gaze. This tests which cranial nerves?
A. CN II, III, and IV
, B. CN III, IV, and V
C. CN II, IV, and VI
D. CN III, IV, and VI
Answer: D
Conceptual Explanation: Cranial nerves III (Oculomotor), IV (Trochlear), and VI
(Abducens) control the extraocular muscles responsible for eye movement.
5. An elderly patient presents with a report of gradually losing central vision, while peripheral
vision remains intact. On fundoscopic exam, you see yellowish deposits (drusen) under the
retina. This describes:
A. Glaucoma
B. Cataracts
C. Retinal Detachment
D. Age-related Macular Degeneration
Answer: D
Conceptual Explanation: Macular degeneration affects the central part of the retina
(macula), causing loss of central vision, often characterized by drusen.
ASSESSMENT FINAL EXAM QUESTIONS
AND VERIFIED ANSWERS | 100%
CORRECT | GRADE A+
1. During a cardiac assessment of a 72-year-old patient, you note a harsh, medium-pitched
systolic crescendo-decrescendo murmur heard best at the right second intercostal space that
radiates to the carotid arteries. What is the most likely diagnosis?
A. Mitral Regurgitation
B. Pulmonic Regurgitation
C. Tricuspid Stenosis
D. Aortic Stenosis
Answer: D
Conceptual Explanation: Aortic stenosis typically presents as a midsystolic ejection
murmur at the right upper sternal border, often radiating to the carotids, common in older
adults due to calcification.
2. When performing a respiratory assessment, you note increased tactile fremitus over the
right lower lobe. This finding is most consistent with which condition?
A. Pleural Effusion
,B. Pneumothorax
C. Lobar Pneumonia
D. Chronic Obstructive Pulmonary Disease
Answer: C
Conceptual Explanation: Tactile fremitus increases with lung consolidation (e.g.,
pneumonia) because sound travels better through solid/liquid medium than air.
3. A 24-year-old female presents with acute abdominal pain in the right lower quadrant. You
perform a test where you apply pressure to the left lower quadrant and the patient feels pain
in the right lower quadrant. This is known as:
A. Psoas sign
B. Murphy’s sign
C. Rovsing’s sign
D. McBurney’s sign
Answer: C
Conceptual Explanation: Rovsing’s sign is referred pain to the RLQ when the LLQ is
palpated, indicating peritoneal irritation suggestive of appendicitis.
4. During a neurological examination, you ask the patient to follow your finger as you move it
in the six cardinal fields of gaze. This tests which cranial nerves?
A. CN II, III, and IV
, B. CN III, IV, and V
C. CN II, IV, and VI
D. CN III, IV, and VI
Answer: D
Conceptual Explanation: Cranial nerves III (Oculomotor), IV (Trochlear), and VI
(Abducens) control the extraocular muscles responsible for eye movement.
5. An elderly patient presents with a report of gradually losing central vision, while peripheral
vision remains intact. On fundoscopic exam, you see yellowish deposits (drusen) under the
retina. This describes:
A. Glaucoma
B. Cataracts
C. Retinal Detachment
D. Age-related Macular Degeneration
Answer: D
Conceptual Explanation: Macular degeneration affects the central part of the retina
(macula), causing loss of central vision, often characterized by drusen.
