NURS 5220 EXAM 4 (2026/2027) (PDF) |
ADVANCED HEALTH ASSESSMENT | UTA
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
Core Domains
• Abdominal Assessment and Gastrointestinal Disorders
• Breast and Axillary Assessment
• Female Genitourinary Assessment
• Male Genitourinary Assessment
• Cultural Competence and Health Beliefs
• Diagnostic Reasoning and Clinical Decision-Making
• Special Populations (Pediatric and Geriatric Assessment)
Introduction
The NURS 5220 Exam 4 evaluates graduate nursing students' competency in
advanced health assessment and diagnostic reasoning for specialized body
systems. This assessment focuses on abdominal, breast, and genitourinary
examinations, along with cultural considerations in healthcare delivery. The
exam employs multiple-choice and scenario-based questions to test clinical
judgment and application of evidence-based assessment techniques. Emphasis
,is placed on recognizing normal versus abnormal findings, identifying risk
factors for disease processes, and integrating cultural awareness into patient-
centered care.
SECTION ONE: QUESTIONS 1–100
Question 1
Which factor is most closely associated with a decrease in liver size and
hepatic blood flow?
A. Slowed metabolic rate
B. Decline in cardiac output
C. Decreased glomerular filtration rate
D. Impaired nutrient absorption
Correct answer: B. Decline in cardiac output
RATIONALE: A decline in cardiac output is the primary factor leading to
decreased liver size and hepatic blood flow in older adults. The liver receives a
significant portion of cardiac output, so reduced cardiac function directly
impacts hepatic perfusion.
Question 2
Which technique is used to confirm the presence of abdominal ascites?
A. Auscultation of fluid movement within the abdominal cavity
B. Palpation of rebound tenderness
C. Palpation of pitting edema on the abdomen
D. Percussion of dullness over dependent areas of the abdomen
Correct answer: D. Percussion of dullness over dependent areas of the
abdomen
, RATIONALE: Percussion of dullness over dependent areas of the
abdomen is the standard technique for confirming ascites. Fluid accumulates
in dependent areas due to gravity, producing dullness on percussion.
Question 3
A 5-week-old male infant is brought to the clinic with a 2-day history of
projectile vomiting. For which finding should the examiner be particularly
alert?
A. Abdominal pain with palpation
B. Palpation of a small, round mass
C. Auscultation of tinkering bowel sounds
D. Auscultation of a bruit over the renal artery
Correct answer: B. Palpation of a small, round mass
RATIONALE: Projectile vomiting in a 5-week-old infant is a classic
presentation of pyloric stenosis. A small, round, olive-shaped mass may be
palpable in the right upper quadrant, representing the hypertrophied pylorus.
Question 4
Mr. Goldberg is a 45-year-old patient who presents to your office. Which
finding is indicative of peritoneal irritation or appendicitis?
A. Palpation of rebound tenderness
B. Percussion of shifting dullness over the abdomen
C. Auscultation of a bruit over the abdominal aorta
D. Percussion of dullness over the suprapubic area
Correct answer: A. Palpation of rebound tenderness
, RATIONALE: Rebound tenderness is a classic sign of peritoneal irritation,
commonly seen in appendicitis. It occurs when the peritoneum is inflamed
and the release of palpation pressure causes pain.
Question 5
A 32-year-old woman tells the examiner that when she goes running, she
dribbles urine. Which problem should the examiner consider?
A. Hydronephrosis
B. Renal abscess
C. Stress incontinence
D. Overflow incontinence
Correct answer: C. Stress incontinence
RATIONALE: Stress incontinence is characterized by small-volume urine
loss with activities that increase intra-abdominal pressure, such as coughing,
sneezing, laughing, or running. It is commonly associated with a history of
prior pelvic surgery or childbirth.
Question 6
A 61-year-old man has a presenting complaint of frequent constipation. He
tells the examiner that there has been a change in his bowel movement
habits—he gets constipated easily, the stool is very "skinny-looking," and it is
a different color than usual. He denies pain. Which disorder do these
symptoms suggest?
A. Diverticulitis
B. Hepatitis B
C. Colon or rectal cancer
D. Pancreatitis
Correct answer: C. Colon or rectal cancer
ADVANCED HEALTH ASSESSMENT | UTA
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
Core Domains
• Abdominal Assessment and Gastrointestinal Disorders
• Breast and Axillary Assessment
• Female Genitourinary Assessment
• Male Genitourinary Assessment
• Cultural Competence and Health Beliefs
• Diagnostic Reasoning and Clinical Decision-Making
• Special Populations (Pediatric and Geriatric Assessment)
Introduction
The NURS 5220 Exam 4 evaluates graduate nursing students' competency in
advanced health assessment and diagnostic reasoning for specialized body
systems. This assessment focuses on abdominal, breast, and genitourinary
examinations, along with cultural considerations in healthcare delivery. The
exam employs multiple-choice and scenario-based questions to test clinical
judgment and application of evidence-based assessment techniques. Emphasis
,is placed on recognizing normal versus abnormal findings, identifying risk
factors for disease processes, and integrating cultural awareness into patient-
centered care.
SECTION ONE: QUESTIONS 1–100
Question 1
Which factor is most closely associated with a decrease in liver size and
hepatic blood flow?
A. Slowed metabolic rate
B. Decline in cardiac output
C. Decreased glomerular filtration rate
D. Impaired nutrient absorption
Correct answer: B. Decline in cardiac output
RATIONALE: A decline in cardiac output is the primary factor leading to
decreased liver size and hepatic blood flow in older adults. The liver receives a
significant portion of cardiac output, so reduced cardiac function directly
impacts hepatic perfusion.
Question 2
Which technique is used to confirm the presence of abdominal ascites?
A. Auscultation of fluid movement within the abdominal cavity
B. Palpation of rebound tenderness
C. Palpation of pitting edema on the abdomen
D. Percussion of dullness over dependent areas of the abdomen
Correct answer: D. Percussion of dullness over dependent areas of the
abdomen
, RATIONALE: Percussion of dullness over dependent areas of the
abdomen is the standard technique for confirming ascites. Fluid accumulates
in dependent areas due to gravity, producing dullness on percussion.
Question 3
A 5-week-old male infant is brought to the clinic with a 2-day history of
projectile vomiting. For which finding should the examiner be particularly
alert?
A. Abdominal pain with palpation
B. Palpation of a small, round mass
C. Auscultation of tinkering bowel sounds
D. Auscultation of a bruit over the renal artery
Correct answer: B. Palpation of a small, round mass
RATIONALE: Projectile vomiting in a 5-week-old infant is a classic
presentation of pyloric stenosis. A small, round, olive-shaped mass may be
palpable in the right upper quadrant, representing the hypertrophied pylorus.
Question 4
Mr. Goldberg is a 45-year-old patient who presents to your office. Which
finding is indicative of peritoneal irritation or appendicitis?
A. Palpation of rebound tenderness
B. Percussion of shifting dullness over the abdomen
C. Auscultation of a bruit over the abdominal aorta
D. Percussion of dullness over the suprapubic area
Correct answer: A. Palpation of rebound tenderness
, RATIONALE: Rebound tenderness is a classic sign of peritoneal irritation,
commonly seen in appendicitis. It occurs when the peritoneum is inflamed
and the release of palpation pressure causes pain.
Question 5
A 32-year-old woman tells the examiner that when she goes running, she
dribbles urine. Which problem should the examiner consider?
A. Hydronephrosis
B. Renal abscess
C. Stress incontinence
D. Overflow incontinence
Correct answer: C. Stress incontinence
RATIONALE: Stress incontinence is characterized by small-volume urine
loss with activities that increase intra-abdominal pressure, such as coughing,
sneezing, laughing, or running. It is commonly associated with a history of
prior pelvic surgery or childbirth.
Question 6
A 61-year-old man has a presenting complaint of frequent constipation. He
tells the examiner that there has been a change in his bowel movement
habits—he gets constipated easily, the stool is very "skinny-looking," and it is
a different color than usual. He denies pain. Which disorder do these
symptoms suggest?
A. Diverticulitis
B. Hepatitis B
C. Colon or rectal cancer
D. Pancreatitis
Correct answer: C. Colon or rectal cancer
