• NUR 6001 EXAMS 09/15/2026
NUR 6001 EXAMS 1–3–ADVANCEDHEALTH ASSESSMENT
WilliamPaterson University | Complete 200-Question Test
Bank | NGN-Style Questions & Case Scenarios | 2026/2027
Edition | 100% Pass Guarantee
In using the ophthalmoscope to assess a patient's eyes, the nurse notices a red glow in the patient's pupils. On
the basis of this finding, the nurse would:
A) check the light source of the ophthalmoscope to verify that it is functioning.
B) consider this a normal reflection of the ophthalmoscope light off the inner retina.
C) continue with the ophthalmoscopic examination and refer the patient for further evaluation.
D) suspect that there is an opacity in the lens or cornea. - Correct Answer :B) consider this a normal reflection of
the ophthalmoscope light off the inner retina.
Shine the light beam on the pupil and look for the orange glow in the pupil - the red reflex. (Bates, p239). The
other responses are not correct.
P 1
, • NUR 6001 EXAMS 09/15/2026
A 15 month old is brought to you for a fever of 101 F and fussiness. The ear examination is as follows: external ear
- normal appearance and no tenderness with manipulation; canal - normal diameter without evidence of
inflammation; tympanic membrane - bulging, erythematous, and the light reflex is dull. Insufflation is deferred
due to pain. What is your diagnosis?
A) ruptured tympanic membrane
B) cholesteatoma
C) otitis media
D) otitis externa - Correct Answer :C) otitis media
Acute otitis media in a symptomatic child typically has a red, bulging tympanic membrane, with a dull or absent
light reflex.
The nurse practitioner is assessing a patient who may have hearing loss. Which of these statements is true
concerning air conduction?
A) Air conduction is the normal pathway for hearing.
B) Vibrations of the bones in the skull cause air conduction.
C) Amplitude of sound determines the pitch that is heard.
D) Loss of air conduction is called a conductive hearing loss. - Correct Answer :A) Air conduction is the normal
pathway for hearing.
The normal pathway of hearing is air conduction, which starts when sound waves produce vibrations on the
tympanic membrane. Conductive hearing loss results from a mechanical dysfunction of the external or middle
ear. The other statements are not true concerning air conduction.
When examining the ear of a young child, which of the following is the proper technique to use?
A) Examine the ear canal and tympanic membrane as the last steps in the exam if the child is sensitive or fearful.
B) Pull the auricle downward, outward, and backward for the best view.
C) Use the largest speculum possible on the otoscope.
D) All of the above. - Correct Answer :D) All of the above.
If a child is fearful or sensitive because she can't see the ear exam, you might need to restrain her so wait until
the end of the exam. Use the largest speculum for the best view. For best visualization, pull the auricle
downward, outward, and backward (Bates 867-869).
P 2
, • NUR 6001 EXAMS 09/15/2026
The nurse practitioner might see which of the following physical findings in a patient with otitis externa?
A) a bulging, red tympanic membrane
B) an unusually prominent short process and prominent handle.
C) a chalky, white patch with irregular margins on the inferior part of the tympanic membrane.
D) Pain with the movement of the auricle and tragus (tug test): a swollen, narrowed, moist, pale and tender ear
canal. - Correct Answer :D) Pain with the movement of the auricle and tragus (tug test): a swollen, narrowed,
moist, pale and tender ear canal.
Frank blood or clear watery drainage (cerebrospinal leak) after trauma suggest a basal skull fracture and
warrants immediate referral. Purulent drainage indicates otitis externa or otitis media. (Bates, 245-246)
An Annual Low Dose Computed Tomography (LDCT) screening would be recommended for which patient?
A) Tammy, age 57, who smokes a half pack of cigarettes a day for the last 20 years.
B) Bob, age 72, who quit smoking 10 years ago after a 30-pack year history.
C) Angela, age 43, and started smoking when she was 15 years old.
D) George, age 80, who lives with his wife and is a smoker. - Correct Answer :B) Bob, age 72, who quit smoking
10 years ago after a 30-pack year history.
LDCT screenings are recommended to patients 55-74 years, a 30-pack year smoking history or current smoking
or have quit in the last 15 years (Bates, p315-316).
NP is preparing to perform an otoscopic examination of a newborn infant. Which statement is true regarding this
examination?
A) Immobility of the drum is a normal finding.
B) The light reflex is cone shaped in the first few days of life.
C) The appearance of the membrane is identical to that of an adult.
D) The normal membrane may appear thick and opaque because of the vernix caseosa obscuring the tympanic
membrane for the first few days of life. - Correct Answer :D) The normal membrane may appear thick and
opaque because of the vernix caseosa obscuring the tympanic membrane for the first few days of life.
P 3
, • NUR 6001 EXAMS 09/15/2026
During the first few days, the tympanic membrane often looks thickened and opaque because there is vernix
caseosa obscuring the tympanic membrane (Bates, p825).
The projections in the nasal cavity that increase the surface area are called the:
A) Kiesselbach plexus
B) turbinates
C) meatus
D) septum - Correct Answer :B) turbinates
The lateral walls of each nasal cavity contain 3 parallel bony projections: the superior, middle, and inferior
turbinates. They increase the surface area so that more blood vessels and mucous membrane are available to
warm, humidify, and filter the inhaled air (Bates, p250).
All of the following are true of the nasal inspection EXCEPT:
A) Tilt the patient's head back a bit and insert the speculum gently into the vestibule of each nostril. Avoid
contact with the nasal septum. You should inspect the inferior and middle turbinates, the nasal septum, and the
narrow passage between them.
B) In viral rhinitis, the mucosa is usually reddened and swollen, and in allergic rhinitis the mucosa is often pale,
bluish, or red.
C) Examine the inside of the nose without a speculum on the otoscope keeping the otoscope 6-10 inches away
from the tip of the patient's nose are you look at each nostril.
D) Use the largest available ear speculum on the otoscope during inspection. - Correct Answer :C) Examine the
inside of the nose without a speculum on the otoscope keeping the otoscope 6-10 inches away from the tip of
the patient's nose are you look at each nostril.
Tilt the patient's head back a bit and insert the speculum gently into the vestibule of each nostril. Avoid contact
with the nasal septum. Use the largest available speculum. In viral rhinitis, the mucosa is usually reddened and
swollen, and in allergic rhinitis the mucosa is often pale, bluish, or red.
A 46 year old female patient is in the clinic with a chief complaint of chest pain. You are wanting to best
understand the patient's perception of the chest pain. Which fo the following questions would you ask first?
A) How do you rate your pain on a scale of 0-10?
B) Is the pain related to exertion?
P 4
NUR 6001 EXAMS 1–3–ADVANCEDHEALTH ASSESSMENT
WilliamPaterson University | Complete 200-Question Test
Bank | NGN-Style Questions & Case Scenarios | 2026/2027
Edition | 100% Pass Guarantee
In using the ophthalmoscope to assess a patient's eyes, the nurse notices a red glow in the patient's pupils. On
the basis of this finding, the nurse would:
A) check the light source of the ophthalmoscope to verify that it is functioning.
B) consider this a normal reflection of the ophthalmoscope light off the inner retina.
C) continue with the ophthalmoscopic examination and refer the patient for further evaluation.
D) suspect that there is an opacity in the lens or cornea. - Correct Answer :B) consider this a normal reflection of
the ophthalmoscope light off the inner retina.
Shine the light beam on the pupil and look for the orange glow in the pupil - the red reflex. (Bates, p239). The
other responses are not correct.
P 1
, • NUR 6001 EXAMS 09/15/2026
A 15 month old is brought to you for a fever of 101 F and fussiness. The ear examination is as follows: external ear
- normal appearance and no tenderness with manipulation; canal - normal diameter without evidence of
inflammation; tympanic membrane - bulging, erythematous, and the light reflex is dull. Insufflation is deferred
due to pain. What is your diagnosis?
A) ruptured tympanic membrane
B) cholesteatoma
C) otitis media
D) otitis externa - Correct Answer :C) otitis media
Acute otitis media in a symptomatic child typically has a red, bulging tympanic membrane, with a dull or absent
light reflex.
The nurse practitioner is assessing a patient who may have hearing loss. Which of these statements is true
concerning air conduction?
A) Air conduction is the normal pathway for hearing.
B) Vibrations of the bones in the skull cause air conduction.
C) Amplitude of sound determines the pitch that is heard.
D) Loss of air conduction is called a conductive hearing loss. - Correct Answer :A) Air conduction is the normal
pathway for hearing.
The normal pathway of hearing is air conduction, which starts when sound waves produce vibrations on the
tympanic membrane. Conductive hearing loss results from a mechanical dysfunction of the external or middle
ear. The other statements are not true concerning air conduction.
When examining the ear of a young child, which of the following is the proper technique to use?
A) Examine the ear canal and tympanic membrane as the last steps in the exam if the child is sensitive or fearful.
B) Pull the auricle downward, outward, and backward for the best view.
C) Use the largest speculum possible on the otoscope.
D) All of the above. - Correct Answer :D) All of the above.
If a child is fearful or sensitive because she can't see the ear exam, you might need to restrain her so wait until
the end of the exam. Use the largest speculum for the best view. For best visualization, pull the auricle
downward, outward, and backward (Bates 867-869).
P 2
, • NUR 6001 EXAMS 09/15/2026
The nurse practitioner might see which of the following physical findings in a patient with otitis externa?
A) a bulging, red tympanic membrane
B) an unusually prominent short process and prominent handle.
C) a chalky, white patch with irregular margins on the inferior part of the tympanic membrane.
D) Pain with the movement of the auricle and tragus (tug test): a swollen, narrowed, moist, pale and tender ear
canal. - Correct Answer :D) Pain with the movement of the auricle and tragus (tug test): a swollen, narrowed,
moist, pale and tender ear canal.
Frank blood or clear watery drainage (cerebrospinal leak) after trauma suggest a basal skull fracture and
warrants immediate referral. Purulent drainage indicates otitis externa or otitis media. (Bates, 245-246)
An Annual Low Dose Computed Tomography (LDCT) screening would be recommended for which patient?
A) Tammy, age 57, who smokes a half pack of cigarettes a day for the last 20 years.
B) Bob, age 72, who quit smoking 10 years ago after a 30-pack year history.
C) Angela, age 43, and started smoking when she was 15 years old.
D) George, age 80, who lives with his wife and is a smoker. - Correct Answer :B) Bob, age 72, who quit smoking
10 years ago after a 30-pack year history.
LDCT screenings are recommended to patients 55-74 years, a 30-pack year smoking history or current smoking
or have quit in the last 15 years (Bates, p315-316).
NP is preparing to perform an otoscopic examination of a newborn infant. Which statement is true regarding this
examination?
A) Immobility of the drum is a normal finding.
B) The light reflex is cone shaped in the first few days of life.
C) The appearance of the membrane is identical to that of an adult.
D) The normal membrane may appear thick and opaque because of the vernix caseosa obscuring the tympanic
membrane for the first few days of life. - Correct Answer :D) The normal membrane may appear thick and
opaque because of the vernix caseosa obscuring the tympanic membrane for the first few days of life.
P 3
, • NUR 6001 EXAMS 09/15/2026
During the first few days, the tympanic membrane often looks thickened and opaque because there is vernix
caseosa obscuring the tympanic membrane (Bates, p825).
The projections in the nasal cavity that increase the surface area are called the:
A) Kiesselbach plexus
B) turbinates
C) meatus
D) septum - Correct Answer :B) turbinates
The lateral walls of each nasal cavity contain 3 parallel bony projections: the superior, middle, and inferior
turbinates. They increase the surface area so that more blood vessels and mucous membrane are available to
warm, humidify, and filter the inhaled air (Bates, p250).
All of the following are true of the nasal inspection EXCEPT:
A) Tilt the patient's head back a bit and insert the speculum gently into the vestibule of each nostril. Avoid
contact with the nasal septum. You should inspect the inferior and middle turbinates, the nasal septum, and the
narrow passage between them.
B) In viral rhinitis, the mucosa is usually reddened and swollen, and in allergic rhinitis the mucosa is often pale,
bluish, or red.
C) Examine the inside of the nose without a speculum on the otoscope keeping the otoscope 6-10 inches away
from the tip of the patient's nose are you look at each nostril.
D) Use the largest available ear speculum on the otoscope during inspection. - Correct Answer :C) Examine the
inside of the nose without a speculum on the otoscope keeping the otoscope 6-10 inches away from the tip of
the patient's nose are you look at each nostril.
Tilt the patient's head back a bit and insert the speculum gently into the vestibule of each nostril. Avoid contact
with the nasal septum. Use the largest available speculum. In viral rhinitis, the mucosa is usually reddened and
swollen, and in allergic rhinitis the mucosa is often pale, bluish, or red.
A 46 year old female patient is in the clinic with a chief complaint of chest pain. You are wanting to best
understand the patient's perception of the chest pain. Which fo the following questions would you ask first?
A) How do you rate your pain on a scale of 0-10?
B) Is the pain related to exertion?
P 4
