NUR 2092 HEALTH ASSESSMENT EXAM
2 ADVANCED PRACTICE QUESTIONS
AND ANSWERS
1. When assessing for tactile fremitus, the nurse should expect which of the following
findings in a patient with lobar pneumonia?
A. Decreased tactile fremitus
B. Absent tactile fremitus
C. Increased tactile fremitus
D. Normal tactile fremitus
Answer: C
Conceptual Explanation: Increased tactile fremitus occurs with compression or
consolidation of lung tissue, such as in lobar pneumonia, because sound travels better
through solid or fluid-filled tissue than through air.
2. Which heart sound is often referred to as a ventricular gallop and occurs early in diastole
during the rapid ventricular filling phase?
A. S1
,B. S2
C. S3
D. S4
Answer: C
Conceptual Explanation: S3 is a ventricular gallop that occurs early in diastole during the
rapid ventricular filling phase, often associated with heart failure or volume overload in
adults.
3. The nurse is assessing a patient for a suspected cholecystitis. Which special maneuver
should be performed?
A. McBurney’s point tenderness
B. Murphy’s sign
C. Psoas sign
D. Rovsing’s sign
Answer: B
Conceptual Explanation: Murphy’s sign is used to assess for inflammation of the
gallbladder (cholecystitis); a positive sign is pain and an abrupt halt in inspiration during
deep palpation of the right upper quadrant.
4. When performing an abdominal assessment, what is the correct sequence of techniques?
A. Inspection, Palpation, Percussion, Auscultation
, B. Auscultation, Inspection, Palpation, Percussion
C. Inspection, Percussion, Auscultation, Palpation
D. Inspection, Auscultation, Percussion, Palpation
Answer: D
Conceptual Explanation: In abdominal assessment, auscultation is performed second to
avoid altering bowel sounds through percussion or palpation.
5. During a neurological exam, the nurse asks the patient to puff out their cheeks and show
their teeth. Which cranial nerve is being tested?
A. CN V (Trigeminal)
B. CN VII (Facial)
C. CN IX (Glossopharyngeal)
D. CN XII (Hypoglossal)
E. CN X (Vagus)
Answer: B
Conceptual Explanation: Cranial Nerve VII (Facial) controls the muscles of facial
expression, including puffing the cheeks and smiling.
6. Which of the following lung sounds is characterized by high-pitched, musical sounds heard
primarily during expiration in a patient with asthma?
A. Coarse crackles
2 ADVANCED PRACTICE QUESTIONS
AND ANSWERS
1. When assessing for tactile fremitus, the nurse should expect which of the following
findings in a patient with lobar pneumonia?
A. Decreased tactile fremitus
B. Absent tactile fremitus
C. Increased tactile fremitus
D. Normal tactile fremitus
Answer: C
Conceptual Explanation: Increased tactile fremitus occurs with compression or
consolidation of lung tissue, such as in lobar pneumonia, because sound travels better
through solid or fluid-filled tissue than through air.
2. Which heart sound is often referred to as a ventricular gallop and occurs early in diastole
during the rapid ventricular filling phase?
A. S1
,B. S2
C. S3
D. S4
Answer: C
Conceptual Explanation: S3 is a ventricular gallop that occurs early in diastole during the
rapid ventricular filling phase, often associated with heart failure or volume overload in
adults.
3. The nurse is assessing a patient for a suspected cholecystitis. Which special maneuver
should be performed?
A. McBurney’s point tenderness
B. Murphy’s sign
C. Psoas sign
D. Rovsing’s sign
Answer: B
Conceptual Explanation: Murphy’s sign is used to assess for inflammation of the
gallbladder (cholecystitis); a positive sign is pain and an abrupt halt in inspiration during
deep palpation of the right upper quadrant.
4. When performing an abdominal assessment, what is the correct sequence of techniques?
A. Inspection, Palpation, Percussion, Auscultation
, B. Auscultation, Inspection, Palpation, Percussion
C. Inspection, Percussion, Auscultation, Palpation
D. Inspection, Auscultation, Percussion, Palpation
Answer: D
Conceptual Explanation: In abdominal assessment, auscultation is performed second to
avoid altering bowel sounds through percussion or palpation.
5. During a neurological exam, the nurse asks the patient to puff out their cheeks and show
their teeth. Which cranial nerve is being tested?
A. CN V (Trigeminal)
B. CN VII (Facial)
C. CN IX (Glossopharyngeal)
D. CN XII (Hypoglossal)
E. CN X (Vagus)
Answer: B
Conceptual Explanation: Cranial Nerve VII (Facial) controls the muscles of facial
expression, including puffing the cheeks and smiling.
6. Which of the following lung sounds is characterized by high-pitched, musical sounds heard
primarily during expiration in a patient with asthma?
A. Coarse crackles
