NURS 5334 ADVANCED HEALTH
ASSESSMENT TEST 1 COMPREHENSIVE
REVIEW
1. When assessing the abdomen, which of the following is the correct order of examination
techniques to prevent false findings?
A. Inspection, Palpation, Percussion, Auscultation
B. Inspection, Percussion, Palpation, Auscultation
C. Palpation, Inspection, Auscultation, Percussion
D. Inspection, Auscultation, Percussion, Palpation
Answer: D
Conceptual Explanation: Auscultation is performed immediately after inspection because
percussion and palpation can increase bowel motility, leading to false interpretations of
bowel sounds.
2. A patient presents with suspected lobar pneumonia. Which finding during the physical
exam would most likely support this diagnosis?
A. Hyperresonance upon percussion
,B. Decreased tactile fremitus over the affected area
C. Increased tactile fremitus over the affected area
D. Presence of vesicular breath sounds in the periphery
Answer: C
Conceptual Explanation: Increased tactile fremitus occurs with lung consolidation (e.g.,
pneumonia) because sound travels better through solid or fluid-filled tissue than through
air.
3. Testing the Extraocular Movements (EOMs) primarily assesses the integrity of which cranial
nerves?
A. CN I, II, and III
B. CN II, III, and IV
C. CN III, IV, and VI
D. CN V, VII, and VIII
Answer: C
Conceptual Explanation: Cranial nerves III (Oculomotor), IV (Trochlear), and VI
(Abducens) control the extraocular muscles responsible for eye movement.
4. A 65-year-old patient reports calf pain that occurs when walking two blocks and is relieved
by rest. This symptom is most characteristic of:
A. Venous insufficiency
, B. Intermittent claudication
C. Deep vein thrombosis
D. Raynaud’s phenomenon
Answer: B
Conceptual Explanation: Intermittent claudication is a hallmark sign of peripheral arterial
disease (PAD), resulting from muscle ischemia during exercise that subsides with rest.
5. The Braden Scale is a clinical tool used to assess a patient’s risk for:
A. Fall risk
B. Cognitive decline
C. Deep vein thrombosis
D. Pressure ulcers
Answer: D
Conceptual Explanation: The Braden Scale evaluates factors such as sensory perception,
moisture, activity, mobility, nutrition, and friction/shear to determine pressure ulcer risk.
6. A patient exhibits pain when pressure is applied to the right upper quadrant during
inspiration, causing them to catch their breath. This is known as a positive:
A. Murphy’s sign
B. McBurney’s sign
ASSESSMENT TEST 1 COMPREHENSIVE
REVIEW
1. When assessing the abdomen, which of the following is the correct order of examination
techniques to prevent false findings?
A. Inspection, Palpation, Percussion, Auscultation
B. Inspection, Percussion, Palpation, Auscultation
C. Palpation, Inspection, Auscultation, Percussion
D. Inspection, Auscultation, Percussion, Palpation
Answer: D
Conceptual Explanation: Auscultation is performed immediately after inspection because
percussion and palpation can increase bowel motility, leading to false interpretations of
bowel sounds.
2. A patient presents with suspected lobar pneumonia. Which finding during the physical
exam would most likely support this diagnosis?
A. Hyperresonance upon percussion
,B. Decreased tactile fremitus over the affected area
C. Increased tactile fremitus over the affected area
D. Presence of vesicular breath sounds in the periphery
Answer: C
Conceptual Explanation: Increased tactile fremitus occurs with lung consolidation (e.g.,
pneumonia) because sound travels better through solid or fluid-filled tissue than through
air.
3. Testing the Extraocular Movements (EOMs) primarily assesses the integrity of which cranial
nerves?
A. CN I, II, and III
B. CN II, III, and IV
C. CN III, IV, and VI
D. CN V, VII, and VIII
Answer: C
Conceptual Explanation: Cranial nerves III (Oculomotor), IV (Trochlear), and VI
(Abducens) control the extraocular muscles responsible for eye movement.
4. A 65-year-old patient reports calf pain that occurs when walking two blocks and is relieved
by rest. This symptom is most characteristic of:
A. Venous insufficiency
, B. Intermittent claudication
C. Deep vein thrombosis
D. Raynaud’s phenomenon
Answer: B
Conceptual Explanation: Intermittent claudication is a hallmark sign of peripheral arterial
disease (PAD), resulting from muscle ischemia during exercise that subsides with rest.
5. The Braden Scale is a clinical tool used to assess a patient’s risk for:
A. Fall risk
B. Cognitive decline
C. Deep vein thrombosis
D. Pressure ulcers
Answer: D
Conceptual Explanation: The Braden Scale evaluates factors such as sensory perception,
moisture, activity, mobility, nutrition, and friction/shear to determine pressure ulcer risk.
6. A patient exhibits pain when pressure is applied to the right upper quadrant during
inspiration, causing them to catch their breath. This is known as a positive:
A. Murphy’s sign
B. McBurney’s sign
