NUR-NUR 660 FINAL EXAM
WITH QUESTIONS AND
CORRECT ANSWERS A+ (2024-
2025)
Advanced Health Assessment
1. Which technique is used to assess the texture of an organ during palpation?
A. Percussion
B. Light palpation
C. Deep palpation
D. Auscultation
Answer: C
Rationale: Deep palpation assesses organ size, shape, and texture. Light palpation
assesses surface characteristics and tenderness.
2. The bell of the stethoscope is best for hearing which sound?
A. High-pitched breath sounds
B. Low-pitched murmurs
C. Bowel sounds
D. Carotid bruits
Answer: B
Rationale: The bell detects low-pitched sounds such as murmurs; the diaphragm
detects high-pitched sounds.
3. A patient reports a "tearing" chest pain radiating to the back. This is most
concerning for:
A. Myocardial infarction
B. Aortic dissection
C. Pericarditis
D. Pulmonary embolism
Answer: B
Rationale: Sudden tearing pain radiating to the back is classic for aortic dissection,
a medical emergency.
,4. Which finding is expected in a patient with hypothyroidism?
A. Tachycardia
B. Weight loss
C. Cold intolerance
D. Diarrhea
Answer: C
Rationale: Hypothyroidism causes cold intolerance, weight gain, bradycardia, and
constipation.
5. The Snellen chart is used to assess:
A. Color vision
B. Peripheral vision
C. Central visual acuity
D. Intraocular pressure
Answer: C
Rationale: The Snellen chart measures central distance visual acuity.
6. A positive Babinski sign in an adult indicates:
A. Normal finding
B. Upper motor neuron lesion
C. Lower motor neuron lesion
D. Peripheral neuropathy
Answer: B
Rationale: Babinski is normal in infants; in adults it suggests corticospinal (upper
motor neuron) damage.
7. Which lung sound is discontinuous and described as "popping"?
A. Wheeze
B. Rhonchi
C. Crackles
D. Stridor
Answer: C
Rationale: Crackles are discontinuous popping sounds from fluid or collapsed
alveoli.
8. Egophony is assessed by asking the patient to say:
A. "Ninety-nine"
, B. "Eee"
C. "Ah"
D. "One, two, three"
Answer: B
Rationale: Egophony: "E" sounds like "A" over consolidated lung tissue.
9. Which is a normal finding on fundoscopic exam?
A. Papilledema
B. Cup-to-disc ratio 0.3
C. Silver wiring
D. Microaneurysms
Answer: B
Rationale: A cup-to-disc ratio under 0.5 is normal; others indicate pathology.
10. The Glasgow Coma Scale assesses:
A. Pain, pulse, pallor
B. Eye, verbal, motor
C. Pupils, reflexes, sensation
D. Airway, breathing, circulation
Answer: B
Rationale: GCS = Eye (1–4) + Verbal (1–5) + Motor (1–6).
11. A bruit heard over the carotid artery suggests:
A. Normal finding
B. Venous hum
C. Turbulent blood flow
D. Heart murmur
Answer: C
Rationale: Bruits indicate turbulent flow, often from stenosis.
12. Which finding is most consistent with appendicitis?
A. McBurney point tenderness
B. Murphy sign
C. Cullen sign
D. Psoas sign alone
Answer: A
Rationale: McBurney point tenderness is classic for appendicitis.
WITH QUESTIONS AND
CORRECT ANSWERS A+ (2024-
2025)
Advanced Health Assessment
1. Which technique is used to assess the texture of an organ during palpation?
A. Percussion
B. Light palpation
C. Deep palpation
D. Auscultation
Answer: C
Rationale: Deep palpation assesses organ size, shape, and texture. Light palpation
assesses surface characteristics and tenderness.
2. The bell of the stethoscope is best for hearing which sound?
A. High-pitched breath sounds
B. Low-pitched murmurs
C. Bowel sounds
D. Carotid bruits
Answer: B
Rationale: The bell detects low-pitched sounds such as murmurs; the diaphragm
detects high-pitched sounds.
3. A patient reports a "tearing" chest pain radiating to the back. This is most
concerning for:
A. Myocardial infarction
B. Aortic dissection
C. Pericarditis
D. Pulmonary embolism
Answer: B
Rationale: Sudden tearing pain radiating to the back is classic for aortic dissection,
a medical emergency.
,4. Which finding is expected in a patient with hypothyroidism?
A. Tachycardia
B. Weight loss
C. Cold intolerance
D. Diarrhea
Answer: C
Rationale: Hypothyroidism causes cold intolerance, weight gain, bradycardia, and
constipation.
5. The Snellen chart is used to assess:
A. Color vision
B. Peripheral vision
C. Central visual acuity
D. Intraocular pressure
Answer: C
Rationale: The Snellen chart measures central distance visual acuity.
6. A positive Babinski sign in an adult indicates:
A. Normal finding
B. Upper motor neuron lesion
C. Lower motor neuron lesion
D. Peripheral neuropathy
Answer: B
Rationale: Babinski is normal in infants; in adults it suggests corticospinal (upper
motor neuron) damage.
7. Which lung sound is discontinuous and described as "popping"?
A. Wheeze
B. Rhonchi
C. Crackles
D. Stridor
Answer: C
Rationale: Crackles are discontinuous popping sounds from fluid or collapsed
alveoli.
8. Egophony is assessed by asking the patient to say:
A. "Ninety-nine"
, B. "Eee"
C. "Ah"
D. "One, two, three"
Answer: B
Rationale: Egophony: "E" sounds like "A" over consolidated lung tissue.
9. Which is a normal finding on fundoscopic exam?
A. Papilledema
B. Cup-to-disc ratio 0.3
C. Silver wiring
D. Microaneurysms
Answer: B
Rationale: A cup-to-disc ratio under 0.5 is normal; others indicate pathology.
10. The Glasgow Coma Scale assesses:
A. Pain, pulse, pallor
B. Eye, verbal, motor
C. Pupils, reflexes, sensation
D. Airway, breathing, circulation
Answer: B
Rationale: GCS = Eye (1–4) + Verbal (1–5) + Motor (1–6).
11. A bruit heard over the carotid artery suggests:
A. Normal finding
B. Venous hum
C. Turbulent blood flow
D. Heart murmur
Answer: C
Rationale: Bruits indicate turbulent flow, often from stenosis.
12. Which finding is most consistent with appendicitis?
A. McBurney point tenderness
B. Murphy sign
C. Cullen sign
D. Psoas sign alone
Answer: A
Rationale: McBurney point tenderness is classic for appendicitis.
