NURS 5220 EXAM 2: ADVANCED
HEALTH ASSESSMENT QUESTIONS &
VERIFIED ANSWERS (A+ GUARANTEE)
1. During the examination of the thorax, a nurse practitioner notes increased tactile fremitus
over the right lower lobe. Which condition is most likely associated with this finding?
A. Lobar pneumonia
B. Pleural effusion
C. Pneumothorax
D. Chronic obstructive pulmonary disease
Answer: A
Conceptual Explanation: Increased tactile fremitus occurs when there is consolidation in
the lung tissue, such as in lobar pneumonia, which provides a solid medium for sound
vibrations. Pneumothorax, pleural effusion, and COPD typically decrease or absent
fremitus.
2. When auscultating the heart, the provider identifies a mid-systolic click followed by a late
systolic murmur at the apex. This is most characteristic of:
A. Aortic stenosis
B. Mitral valve prolapse
,C. Mitral regurgitation
D. Pulmonic stenosis
Answer: B
Conceptual Explanation: Mitral valve prolapse is the most common cause of a mid-
systolic click, often followed by a murmur of mitral regurgitation late in systole.
3. A 55-year-old patient presents with abdominal pain. Upon palpation, the provider
experiences referred pain in the right lower quadrant when pressing on the left lower
quadrant. This is known as:
A. Murphy’s sign
B. Psoas sign
C. Rovsing’s sign
D. Obturator sign
Answer: C
Conceptual Explanation: Rovsing’s sign is a clinical sign of appendicitis where pressure
applied to the LLQ causes pain in the RLQ.
4. Which of the following maneuvers is most sensitive for detecting a small amount of ascites
in the abdomen?
A. Fluid wave test
B. Shifting dullness
, C. Rebound tenderness
D. CVA tenderness
Answer: B
Conceptual Explanation: Shifting dullness is generally more sensitive than the fluid wave
test for detecting smaller amounts of peritoneal fluid (ascites).
5. A patient exhibits a positive Romberg test. This indicates a primary dysfunction in which
system?
A. Cerebellar system
B. Extrapyramidal system
C. Proprioception or vestibular system
D. Oculomotor nerve
Answer: C
Conceptual Explanation: A positive Romberg sign (loss of balance with eyes closed)
indicates a loss of position sense (proprioception) or vestibular dysfunction rather than
cerebellar ataxia, where balance is lost regardless of vision.
6. During a musculoskeletal exam, the NP performs the Lachman test. A positive result is
indicative of an injury to the:
A. Medial collateral ligament (MCL)
B. Posterior cruciate ligament (PCL)
HEALTH ASSESSMENT QUESTIONS &
VERIFIED ANSWERS (A+ GUARANTEE)
1. During the examination of the thorax, a nurse practitioner notes increased tactile fremitus
over the right lower lobe. Which condition is most likely associated with this finding?
A. Lobar pneumonia
B. Pleural effusion
C. Pneumothorax
D. Chronic obstructive pulmonary disease
Answer: A
Conceptual Explanation: Increased tactile fremitus occurs when there is consolidation in
the lung tissue, such as in lobar pneumonia, which provides a solid medium for sound
vibrations. Pneumothorax, pleural effusion, and COPD typically decrease or absent
fremitus.
2. When auscultating the heart, the provider identifies a mid-systolic click followed by a late
systolic murmur at the apex. This is most characteristic of:
A. Aortic stenosis
B. Mitral valve prolapse
,C. Mitral regurgitation
D. Pulmonic stenosis
Answer: B
Conceptual Explanation: Mitral valve prolapse is the most common cause of a mid-
systolic click, often followed by a murmur of mitral regurgitation late in systole.
3. A 55-year-old patient presents with abdominal pain. Upon palpation, the provider
experiences referred pain in the right lower quadrant when pressing on the left lower
quadrant. This is known as:
A. Murphy’s sign
B. Psoas sign
C. Rovsing’s sign
D. Obturator sign
Answer: C
Conceptual Explanation: Rovsing’s sign is a clinical sign of appendicitis where pressure
applied to the LLQ causes pain in the RLQ.
4. Which of the following maneuvers is most sensitive for detecting a small amount of ascites
in the abdomen?
A. Fluid wave test
B. Shifting dullness
, C. Rebound tenderness
D. CVA tenderness
Answer: B
Conceptual Explanation: Shifting dullness is generally more sensitive than the fluid wave
test for detecting smaller amounts of peritoneal fluid (ascites).
5. A patient exhibits a positive Romberg test. This indicates a primary dysfunction in which
system?
A. Cerebellar system
B. Extrapyramidal system
C. Proprioception or vestibular system
D. Oculomotor nerve
Answer: C
Conceptual Explanation: A positive Romberg sign (loss of balance with eyes closed)
indicates a loss of position sense (proprioception) or vestibular dysfunction rather than
cerebellar ataxia, where balance is lost regardless of vision.
6. During a musculoskeletal exam, the NP performs the Lachman test. A positive result is
indicative of an injury to the:
A. Medial collateral ligament (MCL)
B. Posterior cruciate ligament (PCL)
