NURS 5220: ADVANCED HEALTH
ASSESSMENT FINAL COMPREHENSIVE
QUESTIONS AND ANSWERS
1. During a cardiac assessment, the practitioner hears a low-pitched, mid-diastolic rumbling
murmur at the apex, best heard with the patient in the left lateral decubitus position. This
most likely represents:
A. Mitral Stenosis
B. Aortic Regurgitation
C. Mitral Regurgitation
D. Aortic Stenosis
Answer: A
Conceptual Explanation: Mitral stenosis is characterized by a low-pitched rumbling
diastolic murmur heard best at the apex with the bell of the stethoscope in the left lateral
decubitus position.
,2. When assessing for tactile fremitus, which condition would lead to increased vibrations felt
on the chest wall?
A. Lobar pneumonia
B. Pneumothorax
C. Pleural effusion
D. Emphysema
Answer: A
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 than air.
3. A 45-year-old male presents with sharp, stabbing chest pain that worsens when he
breathes deeply or coughs. On auscultation, a high-pitched, scratchy sound is heard during
both systole and diastole. What is the suspected diagnosis?
A. Myocardial Infarction
B. Pericardial Friction Rub
C. Congestive Heart Failure
D. Pleural Effusion
Answer: B
, Conceptual Explanation: A pericardial friction rub is a scratchy, high-pitched sound
produced by the inflammation of the pericardial sac, typically heard during both systole
and diastole.
4. The practitioner is performing a peripheral vascular exam and notes a 1+ pulse in the
dorsalis pedis. This indicates:
A. Absent pulse
B. Weak, thready pulse
C. Normal pulse
D. Bounding pulse
Answer: B
Conceptual Explanation: Pulse amplitude is typically graded on a scale of 0 to 4+, where 0
is absent, 1+ is weak/thready, 2+ is normal, 3+ is full/increased, and 4+ is bounding.
5. Which specialized maneuver is used to assess for a torn meniscus in the knee?
A. McMurray test
B. Lachman test
C. Anterior Drawer test
D. Bulge sign
Answer: A
ASSESSMENT FINAL COMPREHENSIVE
QUESTIONS AND ANSWERS
1. During a cardiac assessment, the practitioner hears a low-pitched, mid-diastolic rumbling
murmur at the apex, best heard with the patient in the left lateral decubitus position. This
most likely represents:
A. Mitral Stenosis
B. Aortic Regurgitation
C. Mitral Regurgitation
D. Aortic Stenosis
Answer: A
Conceptual Explanation: Mitral stenosis is characterized by a low-pitched rumbling
diastolic murmur heard best at the apex with the bell of the stethoscope in the left lateral
decubitus position.
,2. When assessing for tactile fremitus, which condition would lead to increased vibrations felt
on the chest wall?
A. Lobar pneumonia
B. Pneumothorax
C. Pleural effusion
D. Emphysema
Answer: A
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 than air.
3. A 45-year-old male presents with sharp, stabbing chest pain that worsens when he
breathes deeply or coughs. On auscultation, a high-pitched, scratchy sound is heard during
both systole and diastole. What is the suspected diagnosis?
A. Myocardial Infarction
B. Pericardial Friction Rub
C. Congestive Heart Failure
D. Pleural Effusion
Answer: B
, Conceptual Explanation: A pericardial friction rub is a scratchy, high-pitched sound
produced by the inflammation of the pericardial sac, typically heard during both systole
and diastole.
4. The practitioner is performing a peripheral vascular exam and notes a 1+ pulse in the
dorsalis pedis. This indicates:
A. Absent pulse
B. Weak, thready pulse
C. Normal pulse
D. Bounding pulse
Answer: B
Conceptual Explanation: Pulse amplitude is typically graded on a scale of 0 to 4+, where 0
is absent, 1+ is weak/thready, 2+ is normal, 3+ is full/increased, and 4+ is bounding.
5. Which specialized maneuver is used to assess for a torn meniscus in the knee?
A. McMurray test
B. Lachman test
C. Anterior Drawer test
D. Bulge sign
Answer: A
