NR 605 EXAM 1: ADVANCED HEALTH
ASSESSMENT AND DIAGNOSTIC
REASONING QUESTIONS & ANSWERS
(CHAMBERLAIN) 100% GUARANTEE
PASS
1. During a physical examination, the practitioner notes a ‘shifting dullness’ during abdominal
percussion. This finding is most indicative of which condition?
A. Intestinal obstruction
B. Ascites
C. Splenomegaly
D. Fecal impaction
Answer: B
Conceptual Explanation: Shifting dullness is a classic sign of ascites, where fluid in the
peritoneal cavity moves depending on the patient’s position, altering the percussion notes.
2. Which cranial nerve is primarily responsible for the gag reflex and the movement of the
soft palate?
A. CN VII (Facial)
B. CN XII (Hypoglossal)
,C. CN IX (Glossopharyngeal)
D. CN V (Trigeminal)
Answer: C
Conceptual Explanation: CN IX (Glossopharyngeal) along with CN X (Vagus) mediates the
sensory and motor components of the gag reflex and palate elevation.
3. A 55-year-old patient presents with a ‘curtain dropping’ over their vision in one eye. This
symptom is most characteristic of:
A. Glaucoma
B. Retinal detachment
C. Macular degeneration
D. Cataracts
Answer: B
Conceptual Explanation: A ‘curtain’ or ‘shade’ coming down over the visual field is a
hallmark symptom of retinal detachment and requires immediate referral.
4. When assessing a patient’s deep tendon reflexes, the clinician notes a brisk response with
transient clonus. How should this be graded?
A. 4+
B. 2+
C. 3+
, D. 1+
Answer: A
Conceptual Explanation: A grade of 4+ indicates a very brisk reflex with clonus, which is
often associated with upper motor neuron disease.
5. The ‘ABCDE’ mnemonic for skin cancer assessment includes ‘E’ which stands for:
A. Elevation
B. Erythema
C. Exudate
D. Evolution
Answer: D
Conceptual Explanation: Evolution refers to any change in the size, shape, symptoms, or
color of a mole over time.
6. A high-pitched, musical sound heard primarily during expiration in a patient with asthma is
called:
A. Stridor
B. Crackles
C. Wheezing
D. Rhonchi
ASSESSMENT AND DIAGNOSTIC
REASONING QUESTIONS & ANSWERS
(CHAMBERLAIN) 100% GUARANTEE
PASS
1. During a physical examination, the practitioner notes a ‘shifting dullness’ during abdominal
percussion. This finding is most indicative of which condition?
A. Intestinal obstruction
B. Ascites
C. Splenomegaly
D. Fecal impaction
Answer: B
Conceptual Explanation: Shifting dullness is a classic sign of ascites, where fluid in the
peritoneal cavity moves depending on the patient’s position, altering the percussion notes.
2. Which cranial nerve is primarily responsible for the gag reflex and the movement of the
soft palate?
A. CN VII (Facial)
B. CN XII (Hypoglossal)
,C. CN IX (Glossopharyngeal)
D. CN V (Trigeminal)
Answer: C
Conceptual Explanation: CN IX (Glossopharyngeal) along with CN X (Vagus) mediates the
sensory and motor components of the gag reflex and palate elevation.
3. A 55-year-old patient presents with a ‘curtain dropping’ over their vision in one eye. This
symptom is most characteristic of:
A. Glaucoma
B. Retinal detachment
C. Macular degeneration
D. Cataracts
Answer: B
Conceptual Explanation: A ‘curtain’ or ‘shade’ coming down over the visual field is a
hallmark symptom of retinal detachment and requires immediate referral.
4. When assessing a patient’s deep tendon reflexes, the clinician notes a brisk response with
transient clonus. How should this be graded?
A. 4+
B. 2+
C. 3+
, D. 1+
Answer: A
Conceptual Explanation: A grade of 4+ indicates a very brisk reflex with clonus, which is
often associated with upper motor neuron disease.
5. The ‘ABCDE’ mnemonic for skin cancer assessment includes ‘E’ which stands for:
A. Elevation
B. Erythema
C. Exudate
D. Evolution
Answer: D
Conceptual Explanation: Evolution refers to any change in the size, shape, symptoms, or
color of a mole over time.
6. A high-pitched, musical sound heard primarily during expiration in a patient with asthma is
called:
A. Stridor
B. Crackles
C. Wheezing
D. Rhonchi
