NSG 500 ADVANCED HEALTH
ASSESSMENT COMPREHENSIVE EXAM
QUESTIONS AND ANSWERS
1. During a health history, a patient describes their pain as ‘sharp and stabbing’ and mentions
it ‘radiates down the left arm.’ Which component of the symptom analysis is being
described?
A. Severity and Timing
B. Location and Quality
C. Aggravating factors
D. Associated manifestations
Answer: B
Conceptual Explanation: The description ‘sharp and stabbing’ refers to the Quality of the
pain, while ‘radiates down the left arm’ refers to the Location/Radiation.
2. When assessing the skin, you notice a lesion that is flat, non-palpable, and less than 1 cm in
diameter. This is best described as a:
A. Papule
,B. Macule
C. Plague
D. Patch
Answer: B
Conceptual Explanation: A macule is a flat, circumscribed area of color change less than 1
cm. A patch is a macule larger than 1 cm.
3. Which cranial nerve is responsible for the motor function of the muscles of mastication and
sensory function to the face?
A. CN V (Trigeminal)
B. CN VII (Facial)
C. CN IX (Glossopharyngeal)
D. CN XII (Hypoglossal)
E. N/A
Answer: A
Conceptual Explanation: The Trigeminal nerve (CN V) handles facial sensation and the
motor act of chewing (mastication).
4. During a Rinne test, the patient reports that bone conduction is longer than air conduction
(BC > AC) in the right ear. This finding is suggestive of:
A. Conductive hearing loss in the right ear
, B. Sensorineural hearing loss in the right ear
C. Normal hearing in the right ear
D. Presbycusis in the left ear
Answer: A
Conceptual Explanation: In conductive hearing loss, bone conduction is heard longer than
or equal to air conduction. In normal hearing and sensorineural loss, AC > BC.
5. When percussing the lungs of a patient with a large pneumothorax, the nurse practitioner
expects to hear:
A. Resonance
B. Dullness
C. Hyperresonance
D. Flatness
Answer: C
Conceptual Explanation: Hyperresonance is a lower-pitched, booming sound found when
too much air is present, such as in emphysema or pneumothorax.
6. The S2 heart sound represents the closure of which heart valves?
A. Mitral and Tricuspid
B. Aortic and Pulmonic
ASSESSMENT COMPREHENSIVE EXAM
QUESTIONS AND ANSWERS
1. During a health history, a patient describes their pain as ‘sharp and stabbing’ and mentions
it ‘radiates down the left arm.’ Which component of the symptom analysis is being
described?
A. Severity and Timing
B. Location and Quality
C. Aggravating factors
D. Associated manifestations
Answer: B
Conceptual Explanation: The description ‘sharp and stabbing’ refers to the Quality of the
pain, while ‘radiates down the left arm’ refers to the Location/Radiation.
2. When assessing the skin, you notice a lesion that is flat, non-palpable, and less than 1 cm in
diameter. This is best described as a:
A. Papule
,B. Macule
C. Plague
D. Patch
Answer: B
Conceptual Explanation: A macule is a flat, circumscribed area of color change less than 1
cm. A patch is a macule larger than 1 cm.
3. Which cranial nerve is responsible for the motor function of the muscles of mastication and
sensory function to the face?
A. CN V (Trigeminal)
B. CN VII (Facial)
C. CN IX (Glossopharyngeal)
D. CN XII (Hypoglossal)
E. N/A
Answer: A
Conceptual Explanation: The Trigeminal nerve (CN V) handles facial sensation and the
motor act of chewing (mastication).
4. During a Rinne test, the patient reports that bone conduction is longer than air conduction
(BC > AC) in the right ear. This finding is suggestive of:
A. Conductive hearing loss in the right ear
, B. Sensorineural hearing loss in the right ear
C. Normal hearing in the right ear
D. Presbycusis in the left ear
Answer: A
Conceptual Explanation: In conductive hearing loss, bone conduction is heard longer than
or equal to air conduction. In normal hearing and sensorineural loss, AC > BC.
5. When percussing the lungs of a patient with a large pneumothorax, the nurse practitioner
expects to hear:
A. Resonance
B. Dullness
C. Hyperresonance
D. Flatness
Answer: C
Conceptual Explanation: Hyperresonance is a lower-pitched, booming sound found when
too much air is present, such as in emphysema or pneumothorax.
6. The S2 heart sound represents the closure of which heart valves?
A. Mitral and Tricuspid
B. Aortic and Pulmonic
