NURS 6512 ADVANCED HEALTH
ASSESSMENT PRACTICE EXAM
QUESTIONS AND VERIFIED ANSWERS |
100% CORRECT | GRADE A+
1. When performing a funduscopic examination, you observe silver wiring and arteriovenous
(AV) nicking. These findings are most characteristic of which condition?
A. Diabetic retinopathy
B. Macular degeneration
C. Increased intracranial pressure
D. Hypertensive retinopathy
Answer: D
Conceptual Explanation: Silver wiring and AV nicking are classic vascular changes
associated with chronic hypertension. Diabetic retinopathy typically shows
microaneurysms and cotton-wool spots.
2. A 65-year-old patient presents with a mid-diastolic murmur heard best at the apex with the
patient in the left lateral decubitus position. Which condition is most likely?
A. Aortic stenosis
B. Aortic regurgitation
,C. Mitral regurgitation
D. Mitral stenosis
Answer: D
Conceptual Explanation: Mitral stenosis is characterized by a low-pitched diastolic
rumble heard best at the apex in the left lateral decubitus position using the bell of the
stethoscope.
3. During a neurological exam, you ask the patient to shrug their shoulders against resistance
and turn their head side to side. Which cranial nerve are you testing?
A. CN XI (Spinal Accessory)
B. CN X (Vagus)
C. CN IX (Glossopharyngeal)
D. CN XII (Hypoglossal)
Answer: A
Conceptual Explanation: Cranial Nerve XI innervates the sternocleidomastoid and
trapezius muscles, responsible for head turning and shoulder shrugging.
4. When percussing the chest of a patient with a large pleural effusion, what percussion note
do you expect to hear over the affected area?
A. Resonance
B. Dullness
, C. Hyperresonance
D. Tympany
Answer: B
Conceptual Explanation: Dullness replaces resonance when fluid or solid tissue replaces
air-containing lung or occupies the pleural space, such as in pleural effusion or pneumonia.
5. A positive Rovsing sign is indicative of which clinical condition?
A. Acute appendicitis
B. Acute cholecystitis
C. Nephrolithiasis
D. Splenic rupture
Answer: A
Conceptual Explanation: Rovsing sign is referred pain in the right lower quadrant when
palpating the left lower quadrant, suggesting peritoneal irritation associated with
appendicitis.
6. Which heart sound is considered a normal finding in children and young adults but often
indicates heart failure in older adults?
A. S1
B. S2
C. S3
ASSESSMENT PRACTICE EXAM
QUESTIONS AND VERIFIED ANSWERS |
100% CORRECT | GRADE A+
1. When performing a funduscopic examination, you observe silver wiring and arteriovenous
(AV) nicking. These findings are most characteristic of which condition?
A. Diabetic retinopathy
B. Macular degeneration
C. Increased intracranial pressure
D. Hypertensive retinopathy
Answer: D
Conceptual Explanation: Silver wiring and AV nicking are classic vascular changes
associated with chronic hypertension. Diabetic retinopathy typically shows
microaneurysms and cotton-wool spots.
2. A 65-year-old patient presents with a mid-diastolic murmur heard best at the apex with the
patient in the left lateral decubitus position. Which condition is most likely?
A. Aortic stenosis
B. Aortic regurgitation
,C. Mitral regurgitation
D. Mitral stenosis
Answer: D
Conceptual Explanation: Mitral stenosis is characterized by a low-pitched diastolic
rumble heard best at the apex in the left lateral decubitus position using the bell of the
stethoscope.
3. During a neurological exam, you ask the patient to shrug their shoulders against resistance
and turn their head side to side. Which cranial nerve are you testing?
A. CN XI (Spinal Accessory)
B. CN X (Vagus)
C. CN IX (Glossopharyngeal)
D. CN XII (Hypoglossal)
Answer: A
Conceptual Explanation: Cranial Nerve XI innervates the sternocleidomastoid and
trapezius muscles, responsible for head turning and shoulder shrugging.
4. When percussing the chest of a patient with a large pleural effusion, what percussion note
do you expect to hear over the affected area?
A. Resonance
B. Dullness
, C. Hyperresonance
D. Tympany
Answer: B
Conceptual Explanation: Dullness replaces resonance when fluid or solid tissue replaces
air-containing lung or occupies the pleural space, such as in pleural effusion or pneumonia.
5. A positive Rovsing sign is indicative of which clinical condition?
A. Acute appendicitis
B. Acute cholecystitis
C. Nephrolithiasis
D. Splenic rupture
Answer: A
Conceptual Explanation: Rovsing sign is referred pain in the right lower quadrant when
palpating the left lower quadrant, suggesting peritoneal irritation associated with
appendicitis.
6. Which heart sound is considered a normal finding in children and young adults but often
indicates heart failure in older adults?
A. S1
B. S2
C. S3
