NURS 5220 ADVANCED HEALTH
ASSESSMENT FINAL EXAM PREP
QUESTIONS WITH CORRECT VERIFIED
ANSWERS | GURANTEED A+
1. When auscultating the heart of a 70-year-old patient, you detect a low-pitched ventricular
filling sound that occurs in early diastole. This finding is most consistent with:
A. A normal S3 in the elderly
B. Mitral valve prolapse click
C. A physiologic S4 due to decreased ventricular compliance
D. A pathologic S3 indicating heart failure
Answer: D
Conceptual Explanation: An S3 gallop in older adults is often a sign of ventricular
overfilling or heart failure. While it can be normal in children and athletes, it is considered
pathologic in the elderly.
2. A patient presents with a ‘blowing’ holosystolic murmur heard best at the apex that
radiates to the left axilla. What is the most likely diagnosis?
A. Aortic Stenosis
B. Mitral Stenosis
,C. Mitral Regurgitation
D. Tricuspid Regurgitation
Answer: C
Conceptual Explanation: Mitral regurgitation is characterized by a holosystolic murmur
heard at the apex with radiation to the axilla, caused by backflow from the left ventricle to
the left atrium.
3. During a physical exam, you perform the whispered pectoriloquy test. If the whispered
words are heard clearly through the stethoscope, this indicates:
A. Lung consolidation
B. Pneumothorax
C. Normal lung tissue
D. Emphysema
Answer: A
Conceptual Explanation: In lung consolidation (such as pneumonia), sound travels better
through solid/fluid-filled tissue than air, making whispered words sound clear and loud.
4. A 45-year-old patient presents with acute right upper quadrant pain. Upon deep palpation
under the right costal margin, the patient abruptly stops inhaling due to pain. This sign is
known as:
A. Murphy’s sign
, B. Rovsing’s sign
C. McBurney’s sign
D. Psoas sign
Answer: A
Conceptual Explanation: Murphy’s sign is specific for acute cholecystitis. It is positive
when the patient catches their breath during deep inspiration while the gallbladder is
being palpated.
5. Which physical exam maneuver is most sensitive for detecting an Anterior Cruciate
Ligament (ACL) tear?
A. McMurray test
B. Varus stress test
C. Valgus stress test
D. Lachman test
Answer: D
Conceptual Explanation: The Lachman test is widely considered more sensitive and
specific than the Anterior Drawer test for identifying ACL laxity or rupture.
6. A patient exhibits a positive Romberg sign. This indicates a primary problem with:
A. Cerebellar function
B. Motor strength
ASSESSMENT FINAL EXAM PREP
QUESTIONS WITH CORRECT VERIFIED
ANSWERS | GURANTEED A+
1. When auscultating the heart of a 70-year-old patient, you detect a low-pitched ventricular
filling sound that occurs in early diastole. This finding is most consistent with:
A. A normal S3 in the elderly
B. Mitral valve prolapse click
C. A physiologic S4 due to decreased ventricular compliance
D. A pathologic S3 indicating heart failure
Answer: D
Conceptual Explanation: An S3 gallop in older adults is often a sign of ventricular
overfilling or heart failure. While it can be normal in children and athletes, it is considered
pathologic in the elderly.
2. A patient presents with a ‘blowing’ holosystolic murmur heard best at the apex that
radiates to the left axilla. What is the most likely diagnosis?
A. Aortic Stenosis
B. Mitral Stenosis
,C. Mitral Regurgitation
D. Tricuspid Regurgitation
Answer: C
Conceptual Explanation: Mitral regurgitation is characterized by a holosystolic murmur
heard at the apex with radiation to the axilla, caused by backflow from the left ventricle to
the left atrium.
3. During a physical exam, you perform the whispered pectoriloquy test. If the whispered
words are heard clearly through the stethoscope, this indicates:
A. Lung consolidation
B. Pneumothorax
C. Normal lung tissue
D. Emphysema
Answer: A
Conceptual Explanation: In lung consolidation (such as pneumonia), sound travels better
through solid/fluid-filled tissue than air, making whispered words sound clear and loud.
4. A 45-year-old patient presents with acute right upper quadrant pain. Upon deep palpation
under the right costal margin, the patient abruptly stops inhaling due to pain. This sign is
known as:
A. Murphy’s sign
, B. Rovsing’s sign
C. McBurney’s sign
D. Psoas sign
Answer: A
Conceptual Explanation: Murphy’s sign is specific for acute cholecystitis. It is positive
when the patient catches their breath during deep inspiration while the gallbladder is
being palpated.
5. Which physical exam maneuver is most sensitive for detecting an Anterior Cruciate
Ligament (ACL) tear?
A. McMurray test
B. Varus stress test
C. Valgus stress test
D. Lachman test
Answer: D
Conceptual Explanation: The Lachman test is widely considered more sensitive and
specific than the Anterior Drawer test for identifying ACL laxity or rupture.
6. A patient exhibits a positive Romberg sign. This indicates a primary problem with:
A. Cerebellar function
B. Motor strength
