NUR 6001 Exam 1
Advanced Health Assessment
William Paterson University (WPU)
2026/2027 | Newly Released
Verified Q & A with Rationales |100% Guaranteed Pass | Graded A+
Q1: A 68-year-old patient presents with sudden onset of severe dizziness described as "the room
is spinning." The nurse practitioner notes that the nystagmus is horizontal, torsional, and
unidirectional, and the symptom is suppressed by visual fixation. The patient has no hearing
loss or neurologic deficits. Which type of vertigo is most likely indicated by these findings?
A. Central vertigo
B. Peripheral vertigo
C. Transient ischemic attack (TIA)
D. Meniere’s disease with cochlear involvement
Correct Answer: B
Rationale: Correct because peripheral vertigo is typically characterized by sudden, severe onset
and nystagmus that is horizontal or torsional, unidirectional, and suppressed by visual fixation.
The absence of neurologic deficits (ataxia, dysarthria) and hearing loss further localizes the
pathology to the inner ear (labyrinth or vestibular nerve) rather than the central nervous system.
Q2: While performing a fundoscopic examination, the nurse practitioner observes the optic disc.
Which anatomical feature is the primary area where the retinal vessels enter and exit the eye,
and what is the normal color of a healthy disc?
A: Macula; yellow
B. Optic disc; creamy yellow to pink
C. Retina; red
D. Sclera; white
Correct Answer: B
,Rationale: Correct because the optic disc is the anatomical entry and exit point for the retinal
vessels and optic nerve fibers. A healthy optic disc appears creamy yellow to pink with sharp
margins, whereas pallor may indicate optic atrophy and swelling may indicate papilledema.
Q3: During a health history interview, a patient states, "I feel like my heart is racing, but I don't
have any chest pain." Which therapeutic communication technique is the nurse practitioner
using when responding, "You are concerned about your heart racing even though you don't have
pain?"
A. Clarification
B. Reflection
C. Confrontation
D. Interpretation
Correct Answer: B
Rationale: Correct because reflection involves restating or paraphrasing the patient's message
to validate their feelings and encourage further elaboration. This technique demonstrates active
listening and ensures the provider correctly understood the patient's subjective experience
without adding new information or judgment.
Q4: The nurse practitioner is assessing a patient who reports right-sided hearing loss. During
the Weber test, the sound lateralizes to the right ear. During the Rinne test, air conduction (AC)
is heard longer than bone conduction (BC) in both ears. What type of hearing loss is present?
A. Sensorineural loss in the right ear
B. Conductive loss in the right ear
C. Sensorineural loss in the left ear
D. Normal hearing
Correct Answer: A
Rationale: Correct because in sensorineural hearing loss, the Weber test lateralizes to the
"better" or unaffected ear (wait—correction: In sensorineural loss, sound is heard better in the
unaffected ear? Actually, sound lateralizes to the good ear in SNHL? No. Let's re-verify Weber
logic. Conductive: Sound lateralizes to the bad ear (bone conduction is better than air
conduction). Sensorineural: Sound lateralizes to the good ear because the bad ear cannot
perceive the sound as well).
Correction: If Weber lateralizes to the right (symptomatic ear), it suggests Conductive Loss (BC
> AC). If Weber lateralizes to the Left (asymptomatic), it suggests Sensorineural loss in the
Right.
, Let's re-read the question: "Weber test... lateralizes to the right ear." If the patient says they hear
it in the right ear (the bad ear), that is conductive. If the patient hears it in the left ear (the good
ear), that is sensorineural.
Wait, let's re-evaluate the Rinne: AC > BC in both ears. This means no conductive loss.
Let's re-evaluate Weber: If AC > BC (normal Rinne) but the patient hears the Weber in the right
ear... this is a tricky scenario.
Actually, usually:
Conductive: Weber to bad ear; Rinne BC > AC.
Sensorineural: Weber to good ear; Rinne AC > BC.
Let's adjust the question to be clear:
"The patient reports right-sided hearing loss. Weber test lateralizes to the left ear. Rinne test
shows AC > BC on the right." -> Sensorineural right.
Let's adjust the question text for the final output:
Q4: The nurse practitioner is assessing a patient who reports right-sided hearing loss. During
the Weber test, the sound lateralizes to the left (unaffected) ear. During the Rinne test, air
conduction (AC) is heard longer than bone conduction (BC) in the right ear. What type of
hearing loss is present?
A. Sensorineural loss in the right ear
B. Conductive loss in the right ear
C. Bilateral conductive loss
D. Normal hearing
Correct Answer: A
Rationale: Correct because in sensorineural hearing loss, the sound lateralizes to the
unaffected ear (left) in the Weber test due to the masking effect of environmental noise on the
damaged ear, while the Rinne test remains normal (AC > BC). Conductive loss would show
lateralization to the affected ear and BC > AC on the Rinne test.
Advanced Health Assessment
William Paterson University (WPU)
2026/2027 | Newly Released
Verified Q & A with Rationales |100% Guaranteed Pass | Graded A+
Q1: A 68-year-old patient presents with sudden onset of severe dizziness described as "the room
is spinning." The nurse practitioner notes that the nystagmus is horizontal, torsional, and
unidirectional, and the symptom is suppressed by visual fixation. The patient has no hearing
loss or neurologic deficits. Which type of vertigo is most likely indicated by these findings?
A. Central vertigo
B. Peripheral vertigo
C. Transient ischemic attack (TIA)
D. Meniere’s disease with cochlear involvement
Correct Answer: B
Rationale: Correct because peripheral vertigo is typically characterized by sudden, severe onset
and nystagmus that is horizontal or torsional, unidirectional, and suppressed by visual fixation.
The absence of neurologic deficits (ataxia, dysarthria) and hearing loss further localizes the
pathology to the inner ear (labyrinth or vestibular nerve) rather than the central nervous system.
Q2: While performing a fundoscopic examination, the nurse practitioner observes the optic disc.
Which anatomical feature is the primary area where the retinal vessels enter and exit the eye,
and what is the normal color of a healthy disc?
A: Macula; yellow
B. Optic disc; creamy yellow to pink
C. Retina; red
D. Sclera; white
Correct Answer: B
,Rationale: Correct because the optic disc is the anatomical entry and exit point for the retinal
vessels and optic nerve fibers. A healthy optic disc appears creamy yellow to pink with sharp
margins, whereas pallor may indicate optic atrophy and swelling may indicate papilledema.
Q3: During a health history interview, a patient states, "I feel like my heart is racing, but I don't
have any chest pain." Which therapeutic communication technique is the nurse practitioner
using when responding, "You are concerned about your heart racing even though you don't have
pain?"
A. Clarification
B. Reflection
C. Confrontation
D. Interpretation
Correct Answer: B
Rationale: Correct because reflection involves restating or paraphrasing the patient's message
to validate their feelings and encourage further elaboration. This technique demonstrates active
listening and ensures the provider correctly understood the patient's subjective experience
without adding new information or judgment.
Q4: The nurse practitioner is assessing a patient who reports right-sided hearing loss. During
the Weber test, the sound lateralizes to the right ear. During the Rinne test, air conduction (AC)
is heard longer than bone conduction (BC) in both ears. What type of hearing loss is present?
A. Sensorineural loss in the right ear
B. Conductive loss in the right ear
C. Sensorineural loss in the left ear
D. Normal hearing
Correct Answer: A
Rationale: Correct because in sensorineural hearing loss, the Weber test lateralizes to the
"better" or unaffected ear (wait—correction: In sensorineural loss, sound is heard better in the
unaffected ear? Actually, sound lateralizes to the good ear in SNHL? No. Let's re-verify Weber
logic. Conductive: Sound lateralizes to the bad ear (bone conduction is better than air
conduction). Sensorineural: Sound lateralizes to the good ear because the bad ear cannot
perceive the sound as well).
Correction: If Weber lateralizes to the right (symptomatic ear), it suggests Conductive Loss (BC
> AC). If Weber lateralizes to the Left (asymptomatic), it suggests Sensorineural loss in the
Right.
, Let's re-read the question: "Weber test... lateralizes to the right ear." If the patient says they hear
it in the right ear (the bad ear), that is conductive. If the patient hears it in the left ear (the good
ear), that is sensorineural.
Wait, let's re-evaluate the Rinne: AC > BC in both ears. This means no conductive loss.
Let's re-evaluate Weber: If AC > BC (normal Rinne) but the patient hears the Weber in the right
ear... this is a tricky scenario.
Actually, usually:
Conductive: Weber to bad ear; Rinne BC > AC.
Sensorineural: Weber to good ear; Rinne AC > BC.
Let's adjust the question to be clear:
"The patient reports right-sided hearing loss. Weber test lateralizes to the left ear. Rinne test
shows AC > BC on the right." -> Sensorineural right.
Let's adjust the question text for the final output:
Q4: The nurse practitioner is assessing a patient who reports right-sided hearing loss. During
the Weber test, the sound lateralizes to the left (unaffected) ear. During the Rinne test, air
conduction (AC) is heard longer than bone conduction (BC) in the right ear. What type of
hearing loss is present?
A. Sensorineural loss in the right ear
B. Conductive loss in the right ear
C. Bilateral conductive loss
D. Normal hearing
Correct Answer: A
Rationale: Correct because in sensorineural hearing loss, the sound lateralizes to the
unaffected ear (left) in the Weber test due to the masking effect of environmental noise on the
damaged ear, while the Rinne test remains normal (AC > BC). Conductive loss would show
lateralization to the affected ear and BC > AC on the Rinne test.
