NURS 6512 ADVANCED HEALTH
ASSESSMENT COMPREHENSIVE
REVIEW (WEEK 11) QUESTIONS AND
VERIFIED ANSWERS | 100% CORRECT |
GRADE A+
1. When performing the Ortolani maneuver on a newborn, the clinician is screening for which
of the following conditions?
A. Developmental dysplasia of the hip
B. Congenital clubfoot
C. Slipped capital femoral epiphysis
D. Tibial torsion
Answer: A
Conceptual Explanation: The Ortolani maneuver is used to reduce a dislocated hip by
abducting the thighs and applying upward pressure; a positive sign is a ‘clunk’ as the
femoral head enters the acetabulum.
2. A 75-year-old patient presents with a history of progressive hearing loss. Rinne testing
shows that bone conduction is greater than air conduction (BC > AC) in the left ear, and the
Weber test lateralizes to the left. What is the most likely diagnosis?
A. Sensorineural hearing loss in the left ear
,B. Conductive hearing loss in the left ear
C. Normal age-related presbycusis
D. Acoustic neuroma on the right side
Answer: B
Conceptual Explanation: In conductive hearing loss, the Weber test lateralizes to the
affected ear and the Rinne test shows BC > AC in the affected ear.
3. During a respiratory assessment, the clinician notes increased tactile fremitus over the
right lower lobe. This finding is most consistent with:
A. Lobar pneumonia
B. Pleural effusion
C. Pneumothorax
D. Chronic obstructive pulmonary disease
Answer: A
Conceptual Explanation: Tactile fremitus is increased in conditions where the lung tissue
is consolidated, such as pneumonia, because sound travels better through solid/liquid
media than air.
4. Which of the following is considered a normal finding when assessing the eyes of an 80-
year-old patient?
A. Papilledema
, B. Exophthalmos
C. Hyphema
D. Arcus senilis
Answer: D
Conceptual Explanation: Arcus senilis is a white or gray ring around the margin of the
cornea caused by lipid deposits, common in the elderly and usually benign.
5. A patient presents with sudden, sharp, unilateral chest pain that increases with inspiration.
Physical exam reveals a pleural friction rub. This most likely indicates:
A. Pleurisy
B. Myocardial infarction
C. Congestive heart failure
D. Aortic dissection
Answer: A
Conceptual Explanation: Pleurisy involves inflammation of the pleura, characterized by
pleuritic chest pain and a leathery friction rub sound on auscultation.
6. Which cranial nerve is being tested when a clinician asks a patient to shrug their shoulders
against resistance?
A. CN X (Vagus)
B. CN IX (Glossopharyngeal)
ASSESSMENT COMPREHENSIVE
REVIEW (WEEK 11) QUESTIONS AND
VERIFIED ANSWERS | 100% CORRECT |
GRADE A+
1. When performing the Ortolani maneuver on a newborn, the clinician is screening for which
of the following conditions?
A. Developmental dysplasia of the hip
B. Congenital clubfoot
C. Slipped capital femoral epiphysis
D. Tibial torsion
Answer: A
Conceptual Explanation: The Ortolani maneuver is used to reduce a dislocated hip by
abducting the thighs and applying upward pressure; a positive sign is a ‘clunk’ as the
femoral head enters the acetabulum.
2. A 75-year-old patient presents with a history of progressive hearing loss. Rinne testing
shows that bone conduction is greater than air conduction (BC > AC) in the left ear, and the
Weber test lateralizes to the left. What is the most likely diagnosis?
A. Sensorineural hearing loss in the left ear
,B. Conductive hearing loss in the left ear
C. Normal age-related presbycusis
D. Acoustic neuroma on the right side
Answer: B
Conceptual Explanation: In conductive hearing loss, the Weber test lateralizes to the
affected ear and the Rinne test shows BC > AC in the affected ear.
3. During a respiratory assessment, the clinician notes increased tactile fremitus over the
right lower lobe. This finding is most consistent with:
A. Lobar pneumonia
B. Pleural effusion
C. Pneumothorax
D. Chronic obstructive pulmonary disease
Answer: A
Conceptual Explanation: Tactile fremitus is increased in conditions where the lung tissue
is consolidated, such as pneumonia, because sound travels better through solid/liquid
media than air.
4. Which of the following is considered a normal finding when assessing the eyes of an 80-
year-old patient?
A. Papilledema
, B. Exophthalmos
C. Hyphema
D. Arcus senilis
Answer: D
Conceptual Explanation: Arcus senilis is a white or gray ring around the margin of the
cornea caused by lipid deposits, common in the elderly and usually benign.
5. A patient presents with sudden, sharp, unilateral chest pain that increases with inspiration.
Physical exam reveals a pleural friction rub. This most likely indicates:
A. Pleurisy
B. Myocardial infarction
C. Congestive heart failure
D. Aortic dissection
Answer: A
Conceptual Explanation: Pleurisy involves inflammation of the pleura, characterized by
pleuritic chest pain and a leathery friction rub sound on auscultation.
6. Which cranial nerve is being tested when a clinician asks a patient to shrug their shoulders
against resistance?
A. CN X (Vagus)
B. CN IX (Glossopharyngeal)
