NURS 6512 ADVANCED HEALTH
ASSESSMENT FINAL EXAM QUESTIONS
AND VERIFIED ANSWERS | 100%
CORRECT | GRADE A+
1. During a physical examination, the clinician palpates the right subcostal area while the
patient takes a deep breath. A sudden halt in inspiration due to pain is observed. Which sign
is this?
A. Psoas sign
B. Murphy’s sign
C. Rovsing’s sign
D. McBurney’s sign
Answer: B
Conceptual Explanation: Murphy’s sign is a clinical test for cholecystitis; a positive result
is the cessation of inspiration during deep palpation of the gallbladder area.
2. When auscultating the heart of an older adult with heart failure, a low-pitched sound is
heard early in diastole, immediately following S2. What is the most likely interpretation?
A. S3 ventricular gallop
B. S4 atrial gallop
,C. Systolic click
D. Pericardial friction rub
Answer: A
Conceptual Explanation: An S3 heart sound occurs early in diastole during rapid
ventricular filling and is often associated with heart failure and volume overload.
3. A patient presents with suspected lobar pneumonia. Upon palpation, the clinician expects
to find which change in tactile fremitus over the affected area?
A. Decreased fremitus
B. Increased fremitus
C. Absent fremitus
D. Shifting fremitus
Answer: B
Conceptual Explanation: Tactile fremitus is increased in conditions where the lung tissue
is consolidated, such as pneumonia, because solid tissue conducts sound better than air.
4. Which cranial nerve is primarily responsible for the motor function of the muscles of
mastication?
A. Cranial Nerve VII
B. Cranial Nerve IX
C. Cranial Nerve V
, D. Cranial Nerve XII
Answer: C
Conceptual Explanation: The Trigeminal nerve (CN V) provides motor innervation to the
muscles used for chewing (mastication) and sensory innervation to the face.
5. The presence of a Babinski sign in a 35-year-old male is indicative of which of the
following?
A. A normal finding
B. Upper motor neuron lesion
C. Peripheral neuropathy
D. Lower motor neuron lesion
Answer: B
Conceptual Explanation: A positive Babinski sign (dorsiflexion of the big toe) is abnormal
in adults and indicates an upper motor neuron lesion, such as stroke or spinal cord injury.
6. During a Weber test, the patient reports that the sound is heard more loudly in the right
ear. This finding is consistent with which condition?
A. Normal hearing in both ears
B. Sensorineural hearing loss in the right ear
C. Conductive hearing loss in the left ear
D. Conductive hearing loss in the right ear
ASSESSMENT FINAL EXAM QUESTIONS
AND VERIFIED ANSWERS | 100%
CORRECT | GRADE A+
1. During a physical examination, the clinician palpates the right subcostal area while the
patient takes a deep breath. A sudden halt in inspiration due to pain is observed. Which sign
is this?
A. Psoas sign
B. Murphy’s sign
C. Rovsing’s sign
D. McBurney’s sign
Answer: B
Conceptual Explanation: Murphy’s sign is a clinical test for cholecystitis; a positive result
is the cessation of inspiration during deep palpation of the gallbladder area.
2. When auscultating the heart of an older adult with heart failure, a low-pitched sound is
heard early in diastole, immediately following S2. What is the most likely interpretation?
A. S3 ventricular gallop
B. S4 atrial gallop
,C. Systolic click
D. Pericardial friction rub
Answer: A
Conceptual Explanation: An S3 heart sound occurs early in diastole during rapid
ventricular filling and is often associated with heart failure and volume overload.
3. A patient presents with suspected lobar pneumonia. Upon palpation, the clinician expects
to find which change in tactile fremitus over the affected area?
A. Decreased fremitus
B. Increased fremitus
C. Absent fremitus
D. Shifting fremitus
Answer: B
Conceptual Explanation: Tactile fremitus is increased in conditions where the lung tissue
is consolidated, such as pneumonia, because solid tissue conducts sound better than air.
4. Which cranial nerve is primarily responsible for the motor function of the muscles of
mastication?
A. Cranial Nerve VII
B. Cranial Nerve IX
C. Cranial Nerve V
, D. Cranial Nerve XII
Answer: C
Conceptual Explanation: The Trigeminal nerve (CN V) provides motor innervation to the
muscles used for chewing (mastication) and sensory innervation to the face.
5. The presence of a Babinski sign in a 35-year-old male is indicative of which of the
following?
A. A normal finding
B. Upper motor neuron lesion
C. Peripheral neuropathy
D. Lower motor neuron lesion
Answer: B
Conceptual Explanation: A positive Babinski sign (dorsiflexion of the big toe) is abnormal
in adults and indicates an upper motor neuron lesion, such as stroke or spinal cord injury.
6. During a Weber test, the patient reports that the sound is heard more loudly in the right
ear. This finding is consistent with which condition?
A. Normal hearing in both ears
B. Sensorineural hearing loss in the right ear
C. Conductive hearing loss in the left ear
D. Conductive hearing loss in the right ear
