NURS 6531 ADVANCED PRACTICE
CARE OF ADULTS EXAM 2 PREP
(CORRECT Q & A) SATISFACTION
GUARANTEED
1. When assessing a patient for a suspected abdominal aortic aneurysm (AAA), which physical
examination finding is most specific for this condition?
A. A visible pulsation in the epigastric region
B. A periumbilical bruit heard on auscultation
C. A prominent lateral pulsation of the aorta on deep palpation
D. Positive Rovsing’s sign in the left lower quadrant
Answer: C
Conceptual Explanation: A prominent lateral (expansile) pulsation of the aorta is highly
suggestive of an AAA. Visible pulsations can be normal in thin individuals, and bruits are
non-specific.
2. During a cardiac assessment, the practitioner notes a mid-systolic click followed by a late
systolic murmur at the apex. This is most indicative of:
A. Aortic Stenosis
B. Mitral Valve Prolapse
,C. Tricuspid Regurgitation
D. Ventricular Septal Defect
Answer: B
Conceptual Explanation: A mid-systolic click is the hallmark finding of Mitral Valve
Prolapse (MVP), often followed by a late systolic murmur of mitral regurgitation.
3. A 55-year-old male presents with acute onset of crushing chest pain and diaphoresis. The
EKG shows ST-segment elevation in leads II, III, and aVF. Which coronary artery is most likely
occluded?
A. Right Coronary Artery (RCA)
B. Left Circumflex (LCx)
C. Left Anterior Descending (LAD)
D. Left Main Coronary Artery
Answer: A
Conceptual Explanation: ST elevation in leads II, III, and aVF indicates an inferior wall MI,
which is typically supplied by the Right Coronary Artery.
4. In a patient with chronic obstructive pulmonary disease (COPD), which finding is expected
during percussion of the chest?
A. Hyperresonance throughout
B. Resonance throughout
, C. Dullness over the lung bases
D. Flatness over the scapulae
Answer: A
Conceptual Explanation: Hyperresonance is a classic finding in COPD due to air trapping
and lung hyperinflation.
5. A patient presents with ‘the worst headache of my life.’ The nurse practitioner should
immediately suspect:
A. Cluster headache
B. Migraine with aura
C. Subarachnoid hemorrhage
D. Temporal arteritis
Answer: C
Conceptual Explanation: The ‘thunderclap’ headache or ‘worst headache of my life’ is the
classic presentation of a subarachnoid hemorrhage, often due to a ruptured aneurysm.
6. Which physical exam maneuver is used to assess for a torn anterior cruciate ligament
(ACL)?
A. Lachman’s test
B. McMurray’s test
C. Phalen’s test
CARE OF ADULTS EXAM 2 PREP
(CORRECT Q & A) SATISFACTION
GUARANTEED
1. When assessing a patient for a suspected abdominal aortic aneurysm (AAA), which physical
examination finding is most specific for this condition?
A. A visible pulsation in the epigastric region
B. A periumbilical bruit heard on auscultation
C. A prominent lateral pulsation of the aorta on deep palpation
D. Positive Rovsing’s sign in the left lower quadrant
Answer: C
Conceptual Explanation: A prominent lateral (expansile) pulsation of the aorta is highly
suggestive of an AAA. Visible pulsations can be normal in thin individuals, and bruits are
non-specific.
2. During a cardiac assessment, the practitioner notes a mid-systolic click followed by a late
systolic murmur at the apex. This is most indicative of:
A. Aortic Stenosis
B. Mitral Valve Prolapse
,C. Tricuspid Regurgitation
D. Ventricular Septal Defect
Answer: B
Conceptual Explanation: A mid-systolic click is the hallmark finding of Mitral Valve
Prolapse (MVP), often followed by a late systolic murmur of mitral regurgitation.
3. A 55-year-old male presents with acute onset of crushing chest pain and diaphoresis. The
EKG shows ST-segment elevation in leads II, III, and aVF. Which coronary artery is most likely
occluded?
A. Right Coronary Artery (RCA)
B. Left Circumflex (LCx)
C. Left Anterior Descending (LAD)
D. Left Main Coronary Artery
Answer: A
Conceptual Explanation: ST elevation in leads II, III, and aVF indicates an inferior wall MI,
which is typically supplied by the Right Coronary Artery.
4. In a patient with chronic obstructive pulmonary disease (COPD), which finding is expected
during percussion of the chest?
A. Hyperresonance throughout
B. Resonance throughout
, C. Dullness over the lung bases
D. Flatness over the scapulae
Answer: A
Conceptual Explanation: Hyperresonance is a classic finding in COPD due to air trapping
and lung hyperinflation.
5. A patient presents with ‘the worst headache of my life.’ The nurse practitioner should
immediately suspect:
A. Cluster headache
B. Migraine with aura
C. Subarachnoid hemorrhage
D. Temporal arteritis
Answer: C
Conceptual Explanation: The ‘thunderclap’ headache or ‘worst headache of my life’ is the
classic presentation of a subarachnoid hemorrhage, often due to a ruptured aneurysm.
6. Which physical exam maneuver is used to assess for a torn anterior cruciate ligament
(ACL)?
A. Lachman’s test
B. McMurray’s test
C. Phalen’s test
