NSG 500 ADVANCED HEALTH
ASSESSMENT - COMPREHENSIVE
EXAM QUESTIONS AND ANSWERS
1. A patient reports a sharp, localized pain in the chest that worsens with deep inspiration.
This is most likely categorized as which type of data?
A. Objective data
B. Subjective data
C. Physical finding
D. Diagnostic data
Answer: B
Conceptual Explanation: Subjective data consists of what the patient says about himself
or herself during history taking, including symptoms like pain.
2. During a skin assessment, you note a lesion that is flat, non-palpable, and less than 1 cm in
diameter. This is documented as a:
A. Macule
B. Plaque
C. Papule
,D. Vesicle
Answer: A
Conceptual Explanation: A macule is a flat, circumscribed area that is a change in the
color of the skin; less than 1 cm in diameter.
3. Which cranial nerve is primarily responsible for the gag reflex and swallowing?
A. CN V (Trigeminal)
B. CN VII (Facial)
C. CN IX (Glossopharyngeal)
D. CN XII (Hypoglossal)
Answer: C
Conceptual Explanation: CN IX (Glossopharyngeal) and CN X (Vagus) are responsible for
the gag reflex and the motor components of swallowing.
4. When assessing the thyroid gland, which of the following is considered a normal finding?
A. Non-palpable gland in a healthy adult
B. Presence of multiple small nodules
C. Bruit heard upon auscultation
D. Tender and enlarged lobes
Answer: A
, Conceptual Explanation: In many healthy adults, the thyroid gland is not palpable. If
palpable, it should be smooth, firm, and non-tender.
5. The ‘ABCDE’ rule for evaluating skin lesions for potential melanoma stands for:
A. Asymmetry, Border, Color, Diameter, Evolving
B. Area, Boundary, Color, Density, Erosion
C. Asymmetry, Bleeding, Color, Depth, Edema
D. Abrasion, Blister, Crust, Drainage, Erythema
Answer: A
Conceptual Explanation: The ABCDE acronym helps clinicians remember the warning
signs of melanoma: Asymmetry, Border irregularity, Color variation, Diameter >6mm, and
Evolving/Elevation.
6. A positive Hirschberg test (Corneal Light Reflex) indicates which of the following?
A. Asymmetry in eye alignment (strabismus)
B. Presence of nystagmus
C. Normal extraocular muscle function
D. Accommodation reflex failure
Answer: A
Conceptual Explanation: The Hirschberg test checks for ocular alignment; if the light
reflection is not in the same spot on both corneas, it suggests malalignment.
ASSESSMENT - COMPREHENSIVE
EXAM QUESTIONS AND ANSWERS
1. A patient reports a sharp, localized pain in the chest that worsens with deep inspiration.
This is most likely categorized as which type of data?
A. Objective data
B. Subjective data
C. Physical finding
D. Diagnostic data
Answer: B
Conceptual Explanation: Subjective data consists of what the patient says about himself
or herself during history taking, including symptoms like pain.
2. During a skin assessment, you note a lesion that is flat, non-palpable, and less than 1 cm in
diameter. This is documented as a:
A. Macule
B. Plaque
C. Papule
,D. Vesicle
Answer: A
Conceptual Explanation: A macule is a flat, circumscribed area that is a change in the
color of the skin; less than 1 cm in diameter.
3. Which cranial nerve is primarily responsible for the gag reflex and swallowing?
A. CN V (Trigeminal)
B. CN VII (Facial)
C. CN IX (Glossopharyngeal)
D. CN XII (Hypoglossal)
Answer: C
Conceptual Explanation: CN IX (Glossopharyngeal) and CN X (Vagus) are responsible for
the gag reflex and the motor components of swallowing.
4. When assessing the thyroid gland, which of the following is considered a normal finding?
A. Non-palpable gland in a healthy adult
B. Presence of multiple small nodules
C. Bruit heard upon auscultation
D. Tender and enlarged lobes
Answer: A
, Conceptual Explanation: In many healthy adults, the thyroid gland is not palpable. If
palpable, it should be smooth, firm, and non-tender.
5. The ‘ABCDE’ rule for evaluating skin lesions for potential melanoma stands for:
A. Asymmetry, Border, Color, Diameter, Evolving
B. Area, Boundary, Color, Density, Erosion
C. Asymmetry, Bleeding, Color, Depth, Edema
D. Abrasion, Blister, Crust, Drainage, Erythema
Answer: A
Conceptual Explanation: The ABCDE acronym helps clinicians remember the warning
signs of melanoma: Asymmetry, Border irregularity, Color variation, Diameter >6mm, and
Evolving/Elevation.
6. A positive Hirschberg test (Corneal Light Reflex) indicates which of the following?
A. Asymmetry in eye alignment (strabismus)
B. Presence of nystagmus
C. Normal extraocular muscle function
D. Accommodation reflex failure
Answer: A
Conceptual Explanation: The Hirschberg test checks for ocular alignment; if the light
reflection is not in the same spot on both corneas, it suggests malalignment.
