BANK EXAM LATEST 2025/2026 D'YOUVILLE
UNIVERSITY GRADED A + GUARANTEED PASS
(QUESTIONS AND ANSWERS WITH RATIONALES)
,NUR-631 ADVANCED HEALTH ASSESSMENT TEST
BANK EXAM LATEST 2025/2026 D'YOUVILLE
UNIVERSITY GRADED A + GUARANTEED PASS
(QUESTIONS AND ANSWERS WITH RATIONALES)
1. During a cardiac exam, what finding is expected when palpating the point
of maximal impulse (PMI) in a healthy adult?
PMI located at the 5th intercostal space, midclavicular line
This is the normal location; displacement may indicate cardiomegaly or
other pathology.
2. Which cranial nerve is tested by asking the patient to stick out their tongue
and move it side to side?
Hypoglossal nerve (CN XII)
The hypoglossal nerve controls tongue movement.
3. A patient reports sudden onset of severe headache described as "the worst
headache of my life." What condition must be ruled out first? Subarachnoid
hemorrhage
, This presentation is classic for subarachnoid hemorrhage, which is life-
threatening.
4. Which heart sound is associated with heart failure and is best heard with
the bell of the stethoscope at the apex?
S3 gallop
An S3 indicates volume overload and is common in CHF.
5. A patient with COPD is likely to have what finding on percussion of
the lungs?
Hyperresonance
Hyperresonance occurs due to trapped air and hyperinflation.
6. Which test evaluates for meningeal irritation in a patient with neck
stiffness?
Brudzinski’s sign
Brudzinski’s sign is positive when flexion of the neck causes involuntary
hip and knee flexion.
7. Which finding during breast exam is most suspicious for malignancy?
Non-tender, fixed, irregularly shaped mass
Malignant masses are often hard, immobile, and irregular.
8. What does a positive Phalen’s test indicate?
Carpal tunnel syndrome
Phalen’s test reproduces symptoms by compressing the median nerve.
9. The Weber test lateralizes to the left ear. Rinne test shows air conduction >
bone conduction bilaterally. What type of hearing loss is present?
Sensorineural hearing loss in right ear