NURS 5334 ADVANCED HEALTH
ASSESSMENT TEST 2 QUESTIONS AND
ANSWERS
1. When assessing for egophony, the clinician asks the patient to say ‘ee’. If the clinician hears
‘ay’, this is indicative of which condition?
A. Normal lung tissue
B. Pneumothorax
C. Lobar consolidation
D. Pleural effusion
Answer: C
Conceptual Explanation: Egophony occurs when the spoken ‘ee’ sound is heard as ‘ay’
through the stethoscope, indicating lung consolidation as seen in pneumonia.
2. A 72-year-old patient presents with a new-onset S3 heart sound. In this population, what
does an S3 most likely indicate?
A. Normal physiological finding
B. Stiffening of the left ventricle
,C. Ventricular volume overload or heart failure
D. Closure of the aortic valve
Answer: C
Conceptual Explanation: In older adults, an S3 (ventricular gallop) is usually pathological
and indicates decreased ventricular compliance or volume overload, often seen in heart
failure.
3. During a musculoskeletal exam, a positive Lachman’s test is highly suggestive of an injury
to which structure?
A. Medial collateral ligament
B. Anterior cruciate ligament
C. Posterior cruciate ligament
D. Meniscus
Answer: B
Conceptual Explanation: The Lachman’s test is the most sensitive clinical test for
detecting an anterior cruciate ligament (ACL) tear.
4. Which cranial nerve is being assessed when the clinician asks the patient to stick out their
tongue and move it from side to side?
A. CN XII (Hypoglossal)
B. CN X (Vagus)
, C. CN IX (Glossopharyngeal)
D. CN XI (Spinal Accessory)
Answer: A
Conceptual Explanation: The hypoglossal nerve (CN XII) controls the motor functions of
the tongue.
5. A patient exhibits a positive Rovsing’s sign. This is performed by palpating which area, and
what does it suggest?
A. Right lower quadrant; suggests appendicitis
B. Left lower quadrant; suggests appendicitis
C. Right upper quadrant; suggests cholecystitis
D. Left upper quadrant; suggests splenomegaly
Answer: B
Conceptual Explanation: Rovsing’s sign is positive when pressure applied to the left
lower quadrant causes pain in the right lower quadrant, suggesting peritoneal irritation or
appendicitis.
6. When grading a heart murmur, a Grade IV murmur is best characterized by which of the
following?
A. Loud with a palpable thrill
B. Moderately loud, no palpable thrill
ASSESSMENT TEST 2 QUESTIONS AND
ANSWERS
1. When assessing for egophony, the clinician asks the patient to say ‘ee’. If the clinician hears
‘ay’, this is indicative of which condition?
A. Normal lung tissue
B. Pneumothorax
C. Lobar consolidation
D. Pleural effusion
Answer: C
Conceptual Explanation: Egophony occurs when the spoken ‘ee’ sound is heard as ‘ay’
through the stethoscope, indicating lung consolidation as seen in pneumonia.
2. A 72-year-old patient presents with a new-onset S3 heart sound. In this population, what
does an S3 most likely indicate?
A. Normal physiological finding
B. Stiffening of the left ventricle
,C. Ventricular volume overload or heart failure
D. Closure of the aortic valve
Answer: C
Conceptual Explanation: In older adults, an S3 (ventricular gallop) is usually pathological
and indicates decreased ventricular compliance or volume overload, often seen in heart
failure.
3. During a musculoskeletal exam, a positive Lachman’s test is highly suggestive of an injury
to which structure?
A. Medial collateral ligament
B. Anterior cruciate ligament
C. Posterior cruciate ligament
D. Meniscus
Answer: B
Conceptual Explanation: The Lachman’s test is the most sensitive clinical test for
detecting an anterior cruciate ligament (ACL) tear.
4. Which cranial nerve is being assessed when the clinician asks the patient to stick out their
tongue and move it from side to side?
A. CN XII (Hypoglossal)
B. CN X (Vagus)
, C. CN IX (Glossopharyngeal)
D. CN XI (Spinal Accessory)
Answer: A
Conceptual Explanation: The hypoglossal nerve (CN XII) controls the motor functions of
the tongue.
5. A patient exhibits a positive Rovsing’s sign. This is performed by palpating which area, and
what does it suggest?
A. Right lower quadrant; suggests appendicitis
B. Left lower quadrant; suggests appendicitis
C. Right upper quadrant; suggests cholecystitis
D. Left upper quadrant; suggests splenomegaly
Answer: B
Conceptual Explanation: Rovsing’s sign is positive when pressure applied to the left
lower quadrant causes pain in the right lower quadrant, suggesting peritoneal irritation or
appendicitis.
6. When grading a heart murmur, a Grade IV murmur is best characterized by which of the
following?
A. Loud with a palpable thrill
B. Moderately loud, no palpable thrill
