NURS 5220 EXAM 3 (2026/2027) (PDF) |
ADVANCED HEALTH ASSESSMENT | UTA
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A | INSTANT DOWNLOAD PDF.
CORE DOMAINS
• Abdominal and Gastrointestinal Assessment
• Breast and Axillae Assessment
• Male Genitourinary and Rectal Assessment
• Female Genitourinary and Reproductive Assessment
• Cultural Competence and Health Disparities
• Diagnostic Reasoning and Clinical Decision-Making
• Ethics, Legal, and Professional Standards in Advanced Practice
• Special Populations and Lifespan Considerations
• Nutrition and Metabolic Assessment
• Integumentary and Lymphatic Assessment
INTRODUCTION
The NURS 5220 Exam 3 for Advanced Health Assessment at the University of
Texas at Arlington is designed to evaluate the graduate nursing student's
competency in comprehensive assessment of the abdominal, genitourinary,
and reproductive systems, with a focus on cultural competence and diagnostic
reasoning. This examination assesses knowledge of anatomy, physiology, and
evidence-based assessment techniques across the lifespan. The test employs
multiple-choice and scenario-based questions that emphasize real-world
,clinical application, critical thinking, and ethical decision-making. It rigorously
evaluates the ability to differentiate normal from abnormal findings, prioritize
clinical data, and formulate appropriate diagnostic conclusions, ensuring
readiness for advanced practice nursing roles.
SECTION ONE: QUESTIONS 1–100
1. A nurse practitioner is performing an abdominal assessment. In what
order should the techniques be performed?
A. Inspection, Palpation, Percussion, Auscultation
B. Inspection, Auscultation, Percussion, Palpation
C. Auscultation, Inspection, Percussion, Palpation
D. Palpation, Percussion, Auscultation, Inspection
B. Inspection, Auscultation, Percussion, Palpation
RATIONALE: The correct order for abdominal assessment is inspection,
auscultation, percussion, and palpation. Auscultation is performed before
percussion and palpation because these maneuvers can alter bowel sounds.
This order is unique to the abdomen.
2. A nurse practitioner is assessing a patient with right upper quadrant
pain. Which of the following signs is most specific for cholecystitis?
A. Murphy's sign
B. McBurney's point tenderness
C. Rovsing's sign
D. Psoas sign
A. Murphy's sign
RATIONALE: Murphy's sign is a classic finding in cholecystitis. It is
elicited by placing a hand under the right costal margin and asking the
patient to take a deep breath. If the patient stops breathing due to pain, the
,sign is positive. McBurney's point tenderness (B) and Rovsing's sign (C) are
associated with appendicitis.
3. A nurse practitioner is assessing a patient with ascites. Which of the
following percussion findings is expected?
A. Tympanic sounds throughout the abdomen
B. Shifting dullness
C. Hyperresonance in the flanks
D. Normal resonance
B. Shifting dullness
RATIONALE: Shifting dullness is a classic percussion finding in ascites.
When the patient is supine, fluid accumulates in the dependent flanks,
producing dullness. When the patient turns to the side, the dullness shifts to
the dependent side. This helps differentiate ascites from other causes of
abdominal distention.
4. A nurse practitioner is assessing a 72-year-old male with frequent
urination, nocturia, and a sensation of incomplete bladder emptying.
Which of the following conditions should be suspected?
A. Urinary tract infection
B. Bladder cancer
C. Benign prostatic hyperplasia
D. Nephrolithiasis
C. Benign prostatic hyperplasia
RATIONALE: Benign prostatic hyperplasia (BPH) is a common condition
in older men characterized by urinary frequency, nocturia, urgency, and a
sensation of incomplete bladder emptying. It results from enlargement of the
prostate gland, which compresses the urethra.
, 5. A nurse practitioner is interviewing a patient from a different
cultural background. Which of the following actions demonstrates
cultural competence?
A. Avoiding discussion of the patient's cultural beliefs
B. Using a standardized approach for all patients
C. Asking the patient about their health beliefs and practices
D. Assuming the patient's beliefs based on their ethnicity
C. Asking the patient about their health beliefs and practices
RATIONALE: Cultural competence involves recognizing and respecting
the patient's cultural beliefs, values, and practices. Asking the patient about
their health beliefs and practices demonstrates respect and helps the nurse
practitioner provide culturally sensitive care. Assuming beliefs based on
ethnicity (D) is stereotyping.
6. A nurse practitioner is using the CAGE questionnaire to screen for
alcohol use disorder. Which of the following questions is part of this
tool?
A. "Do you ever drink alcohol?"
B. "Have you ever felt you should cut down on your drinking?"
C. "How many drinks do you have per week?"
D. "Do you drink alone?"
B. "Have you ever felt you should cut down on your drinking?"
RATIONALE: The CAGE questionnaire is a screening tool for alcohol use
disorder. The acronym stands for Cut down, Annoyed, Guilty, and Eye-opener.
The question "Have you ever felt you should cut down on your drinking?" is
the "C" in CAGE.
ADVANCED HEALTH ASSESSMENT | UTA
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A | INSTANT DOWNLOAD PDF.
CORE DOMAINS
• Abdominal and Gastrointestinal Assessment
• Breast and Axillae Assessment
• Male Genitourinary and Rectal Assessment
• Female Genitourinary and Reproductive Assessment
• Cultural Competence and Health Disparities
• Diagnostic Reasoning and Clinical Decision-Making
• Ethics, Legal, and Professional Standards in Advanced Practice
• Special Populations and Lifespan Considerations
• Nutrition and Metabolic Assessment
• Integumentary and Lymphatic Assessment
INTRODUCTION
The NURS 5220 Exam 3 for Advanced Health Assessment at the University of
Texas at Arlington is designed to evaluate the graduate nursing student's
competency in comprehensive assessment of the abdominal, genitourinary,
and reproductive systems, with a focus on cultural competence and diagnostic
reasoning. This examination assesses knowledge of anatomy, physiology, and
evidence-based assessment techniques across the lifespan. The test employs
multiple-choice and scenario-based questions that emphasize real-world
,clinical application, critical thinking, and ethical decision-making. It rigorously
evaluates the ability to differentiate normal from abnormal findings, prioritize
clinical data, and formulate appropriate diagnostic conclusions, ensuring
readiness for advanced practice nursing roles.
SECTION ONE: QUESTIONS 1–100
1. A nurse practitioner is performing an abdominal assessment. In what
order should the techniques be performed?
A. Inspection, Palpation, Percussion, Auscultation
B. Inspection, Auscultation, Percussion, Palpation
C. Auscultation, Inspection, Percussion, Palpation
D. Palpation, Percussion, Auscultation, Inspection
B. Inspection, Auscultation, Percussion, Palpation
RATIONALE: The correct order for abdominal assessment is inspection,
auscultation, percussion, and palpation. Auscultation is performed before
percussion and palpation because these maneuvers can alter bowel sounds.
This order is unique to the abdomen.
2. A nurse practitioner is assessing a patient with right upper quadrant
pain. Which of the following signs is most specific for cholecystitis?
A. Murphy's sign
B. McBurney's point tenderness
C. Rovsing's sign
D. Psoas sign
A. Murphy's sign
RATIONALE: Murphy's sign is a classic finding in cholecystitis. It is
elicited by placing a hand under the right costal margin and asking the
patient to take a deep breath. If the patient stops breathing due to pain, the
,sign is positive. McBurney's point tenderness (B) and Rovsing's sign (C) are
associated with appendicitis.
3. A nurse practitioner is assessing a patient with ascites. Which of the
following percussion findings is expected?
A. Tympanic sounds throughout the abdomen
B. Shifting dullness
C. Hyperresonance in the flanks
D. Normal resonance
B. Shifting dullness
RATIONALE: Shifting dullness is a classic percussion finding in ascites.
When the patient is supine, fluid accumulates in the dependent flanks,
producing dullness. When the patient turns to the side, the dullness shifts to
the dependent side. This helps differentiate ascites from other causes of
abdominal distention.
4. A nurse practitioner is assessing a 72-year-old male with frequent
urination, nocturia, and a sensation of incomplete bladder emptying.
Which of the following conditions should be suspected?
A. Urinary tract infection
B. Bladder cancer
C. Benign prostatic hyperplasia
D. Nephrolithiasis
C. Benign prostatic hyperplasia
RATIONALE: Benign prostatic hyperplasia (BPH) is a common condition
in older men characterized by urinary frequency, nocturia, urgency, and a
sensation of incomplete bladder emptying. It results from enlargement of the
prostate gland, which compresses the urethra.
, 5. A nurse practitioner is interviewing a patient from a different
cultural background. Which of the following actions demonstrates
cultural competence?
A. Avoiding discussion of the patient's cultural beliefs
B. Using a standardized approach for all patients
C. Asking the patient about their health beliefs and practices
D. Assuming the patient's beliefs based on their ethnicity
C. Asking the patient about their health beliefs and practices
RATIONALE: Cultural competence involves recognizing and respecting
the patient's cultural beliefs, values, and practices. Asking the patient about
their health beliefs and practices demonstrates respect and helps the nurse
practitioner provide culturally sensitive care. Assuming beliefs based on
ethnicity (D) is stereotyping.
6. A nurse practitioner is using the CAGE questionnaire to screen for
alcohol use disorder. Which of the following questions is part of this
tool?
A. "Do you ever drink alcohol?"
B. "Have you ever felt you should cut down on your drinking?"
C. "How many drinks do you have per week?"
D. "Do you drink alone?"
B. "Have you ever felt you should cut down on your drinking?"
RATIONALE: The CAGE questionnaire is a screening tool for alcohol use
disorder. The acronym stands for Cut down, Annoyed, Guilty, and Eye-opener.
The question "Have you ever felt you should cut down on your drinking?" is
the "C" in CAGE.
