NURS 6512 ADVANCED PHYSICAL
ASSESSMENT EXAM 3 QUESTIONS AND
VERIFIED ANSWERS | 100% CORRECT |
GRADE A+
1. When assessing for increased tactile fremitus, which condition is most likely associated
with this finding?
A. Lobar pneumonia
B. Pleural effusion
C. Pneumothorax
D. Emphysema
Answer: A
Conceptual Explanation: Tactile fremitus increases with lung consolidation, such as in
lobar pneumonia, because sound travels better through solid or fluid-filled tissue than
through air.
2. During a cardiac assessment, a clinician hears a high-pitched, scratchy sound at the left
lower sternal border that is louder when the patient leans forward. This is indicative of:
A. Mitral stenosis
B. Aortic stenosis
,C. Aortic regurgitation
D. Pericardial friction rub
Answer: D
Conceptual Explanation: A pericardial friction rub is a high-pitched, scratchy sound best
heard at the left lower sternal border with the patient leaning forward, indicating
inflammation of the pericardium.
3. Which physical examination maneuver is specifically designed to assess for a torn anterior
cruciate ligament (ACL)?
A. McMurray test
B. Thomas test
C. Phalen test
D. Lachman test
Answer: D
Conceptual Explanation: The Lachman test is considered the most sensitive physical
exam test for detecting an ACL injury.
4. When assessing the abdomen, the clinician performs the Murphy sign. A positive result
most likely indicates:
A. Acute appendicitis
B. Peritonitis
, C. Acute cholecystitis
D. Splenomegaly
Answer: C
Conceptual Explanation: Murphy sign is positive when a patient experiences sharp pain
and abruptly halts inspiration during deep palpation of the right upper quadrant,
suggesting gallbladder inflammation.
5. An adult patient presents with a Babinski reflex. This finding is indicative of:
A. Upper motor neuron lesion
B. Lower motor neuron lesion
C. Normal aging process
D. Peripheral neuropathy
Answer: A
Conceptual Explanation: In adults, a positive Babinski sign (dorsiflexion of the big toe) is
abnormal and suggests an upper motor neuron lesion or corticospinal tract disease.
6. During an eye examination, the clinician notes ‘cotton wool spots’ on the retina. These are
typically associated with:
A. Diabetic or hypertensive retinopathy
B. Macular degeneration
C. Glaucoma
ASSESSMENT EXAM 3 QUESTIONS AND
VERIFIED ANSWERS | 100% CORRECT |
GRADE A+
1. When assessing for increased tactile fremitus, which condition is most likely associated
with this finding?
A. Lobar pneumonia
B. Pleural effusion
C. Pneumothorax
D. Emphysema
Answer: A
Conceptual Explanation: Tactile fremitus increases with lung consolidation, such as in
lobar pneumonia, because sound travels better through solid or fluid-filled tissue than
through air.
2. During a cardiac assessment, a clinician hears a high-pitched, scratchy sound at the left
lower sternal border that is louder when the patient leans forward. This is indicative of:
A. Mitral stenosis
B. Aortic stenosis
,C. Aortic regurgitation
D. Pericardial friction rub
Answer: D
Conceptual Explanation: A pericardial friction rub is a high-pitched, scratchy sound best
heard at the left lower sternal border with the patient leaning forward, indicating
inflammation of the pericardium.
3. Which physical examination maneuver is specifically designed to assess for a torn anterior
cruciate ligament (ACL)?
A. McMurray test
B. Thomas test
C. Phalen test
D. Lachman test
Answer: D
Conceptual Explanation: The Lachman test is considered the most sensitive physical
exam test for detecting an ACL injury.
4. When assessing the abdomen, the clinician performs the Murphy sign. A positive result
most likely indicates:
A. Acute appendicitis
B. Peritonitis
, C. Acute cholecystitis
D. Splenomegaly
Answer: C
Conceptual Explanation: Murphy sign is positive when a patient experiences sharp pain
and abruptly halts inspiration during deep palpation of the right upper quadrant,
suggesting gallbladder inflammation.
5. An adult patient presents with a Babinski reflex. This finding is indicative of:
A. Upper motor neuron lesion
B. Lower motor neuron lesion
C. Normal aging process
D. Peripheral neuropathy
Answer: A
Conceptual Explanation: In adults, a positive Babinski sign (dorsiflexion of the big toe) is
abnormal and suggests an upper motor neuron lesion or corticospinal tract disease.
6. During an eye examination, the clinician notes ‘cotton wool spots’ on the retina. These are
typically associated with:
A. Diabetic or hypertensive retinopathy
B. Macular degeneration
C. Glaucoma
