NU 650 MIDTERM EXAM – ADVANCED
HEALTH ASSESSMENT (2027 UPDATE)
QUESTIONS AND ANSWERS
1. When assessing a patient’s risk for melanoma, the clinician identifies a lesion that is 7mm
in diameter. According to the ABCDE criteria, which characteristic does this represent?
A. Asymmetry
B. Border irregularity
C. Diameter
D. Evolution
Answer: C
Conceptual Explanation: In the ABCDE mnemonic for melanoma, ‘D’ stands for Diameter,
specifically lesions greater than 6mm.
2. A 45-year-old patient presents with sudden, severe eye pain, a cloudy cornea, and a fixed,
mid-dilated pupil. What is the most likely diagnosis?
A. Acute angle-closure glaucoma
B. Chronic open-angle glaucoma
C. Cataract formation
,D. Conjunctivitis
Answer: A
Conceptual Explanation: Acute angle-closure glaucoma is a medical emergency
characterized by sudden pain, blurred vision, and a fixed, mid-dilated pupil.
3. During a respiratory assessment, the clinician notes increased tactile fremitus over the
right lower lobe. This finding is most consistent with:
A. Pneumothorax
B. Pleural effusion
C. Chronic obstructive pulmonary disease
D. Lobar pneumonia
Answer: D
Conceptual Explanation: Tactile fremitus is increased in conditions where the lung tissue
is consolidated, such as lobar pneumonia, because sound travels better through
solid/liquid media.
4. When auscultating the heart, an S3 gallop is heard early in diastole. In a 70-year-old
patient, this most likely indicates:
A. Normal physiological finding
B. Ventricular volume overload or heart failure
C. Decreased ventricular compliance
, D. Aortic valve stenosis
Answer: B
Conceptual Explanation: In older adults, an S3 is almost always pathological and indicates
ventricular volume overload, often seen in congestive heart failure.
5. A clinician performs the Rinne test. The patient reports that bone conduction lasts longer
than air conduction (BC > AC). This is indicative of:
A. Conductive hearing loss
B. Normal hearing
C. Sensorineural hearing loss
D. Presbycusis
Answer: A
Conceptual Explanation: In conductive hearing loss, bone conduction is heard longer than
or equal to air conduction (negative Rinne test).
6. While assessing the abdomen, the clinician palpates the left lower quadrant and the
patient reports pain in the right lower quadrant. This is known as:
A. Murphy’s sign
B. Rovsing’s sign
C. Psoas sign
D. McBurney’s sign
HEALTH ASSESSMENT (2027 UPDATE)
QUESTIONS AND ANSWERS
1. When assessing a patient’s risk for melanoma, the clinician identifies a lesion that is 7mm
in diameter. According to the ABCDE criteria, which characteristic does this represent?
A. Asymmetry
B. Border irregularity
C. Diameter
D. Evolution
Answer: C
Conceptual Explanation: In the ABCDE mnemonic for melanoma, ‘D’ stands for Diameter,
specifically lesions greater than 6mm.
2. A 45-year-old patient presents with sudden, severe eye pain, a cloudy cornea, and a fixed,
mid-dilated pupil. What is the most likely diagnosis?
A. Acute angle-closure glaucoma
B. Chronic open-angle glaucoma
C. Cataract formation
,D. Conjunctivitis
Answer: A
Conceptual Explanation: Acute angle-closure glaucoma is a medical emergency
characterized by sudden pain, blurred vision, and a fixed, mid-dilated pupil.
3. During a respiratory assessment, the clinician notes increased tactile fremitus over the
right lower lobe. This finding is most consistent with:
A. Pneumothorax
B. Pleural effusion
C. Chronic obstructive pulmonary disease
D. Lobar pneumonia
Answer: D
Conceptual Explanation: Tactile fremitus is increased in conditions where the lung tissue
is consolidated, such as lobar pneumonia, because sound travels better through
solid/liquid media.
4. When auscultating the heart, an S3 gallop is heard early in diastole. In a 70-year-old
patient, this most likely indicates:
A. Normal physiological finding
B. Ventricular volume overload or heart failure
C. Decreased ventricular compliance
, D. Aortic valve stenosis
Answer: B
Conceptual Explanation: In older adults, an S3 is almost always pathological and indicates
ventricular volume overload, often seen in congestive heart failure.
5. A clinician performs the Rinne test. The patient reports that bone conduction lasts longer
than air conduction (BC > AC). This is indicative of:
A. Conductive hearing loss
B. Normal hearing
C. Sensorineural hearing loss
D. Presbycusis
Answer: A
Conceptual Explanation: In conductive hearing loss, bone conduction is heard longer than
or equal to air conduction (negative Rinne test).
6. While assessing the abdomen, the clinician palpates the left lower quadrant and the
patient reports pain in the right lower quadrant. This is known as:
A. Murphy’s sign
B. Rovsing’s sign
C. Psoas sign
D. McBurney’s sign
