NURS 6512 ADVANCED HEALTH
ASSESSMENT FINAL EXAM QUESTIONS
AND VERIFIED ANSWERS | 100%
CORRECT | GRADE A+
1. 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 most likely indicates:
A. Pericardial friction rub
B. Mitral valve prolapse
C. Aortic stenosis
D. Physiological S3
Answer: A
Conceptual Explanation: A pericardial friction rub is typically high-pitched and scratchy,
heard best at the left lower sternal border with the patient leaning forward in expiration.
2. When performing the Weber test, a patient with conductive hearing loss in the right ear
will experience sound lateralization to which side?
A. The right ear
B. Both ears equally
,C. The left ear
D. The sound will not be heard at all
Answer: A
Conceptual Explanation: In conductive hearing loss, the sound lateralizes to the impaired
ear because the ‘background noise’ of the room is not heard, making the vibration more
prominent.
3. A 45-year-old male presents with acute abdominal pain. Upon palpation of the left lower
quadrant, the patient feels pain in the right lower quadrant. This is known as:
A. Murphy’s sign
B. Psoas sign
C. Cullen’s sign
D. Rovsing’s sign
Answer: D
Conceptual Explanation: Rovsing’s sign is positive when pressure on the left lower
quadrant causes pain in the right lower quadrant, suggesting peritoneal irritation or
appendicitis.
4. Which cranial nerve is primarily responsible for the downward and inward movement of
the eye?
A. CN III (Oculomotor)
, B. CN IV (Trochlear)
C. CN VI (Abducens)
D. CN II (Optic)
Answer: B
Conceptual Explanation: The trochlear nerve (CN IV) innervates the superior oblique
muscle, which moves the eye downward and inward.
5. A ‘clunk’ felt during the Ortolani maneuver in a newborn assessment indicates which of the
following?
A. Normal hip development
B. Hip dislocation being reduced
C. Fractured femur
D. Tibial torsion
Answer: B
Conceptual Explanation: The Ortolani maneuver is used to confirm the reduction of a
dislocated hip; the ‘clunk’ is the sound of the femoral head sliding back into the acetabulum.
6. When assessing for tactile fremitus, the nurse practitioner would expect to find increased
vibrations over which condition?
A. Lobar pneumonia
B. Pleural effusion
ASSESSMENT FINAL EXAM QUESTIONS
AND VERIFIED ANSWERS | 100%
CORRECT | GRADE A+
1. 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 most likely indicates:
A. Pericardial friction rub
B. Mitral valve prolapse
C. Aortic stenosis
D. Physiological S3
Answer: A
Conceptual Explanation: A pericardial friction rub is typically high-pitched and scratchy,
heard best at the left lower sternal border with the patient leaning forward in expiration.
2. When performing the Weber test, a patient with conductive hearing loss in the right ear
will experience sound lateralization to which side?
A. The right ear
B. Both ears equally
,C. The left ear
D. The sound will not be heard at all
Answer: A
Conceptual Explanation: In conductive hearing loss, the sound lateralizes to the impaired
ear because the ‘background noise’ of the room is not heard, making the vibration more
prominent.
3. A 45-year-old male presents with acute abdominal pain. Upon palpation of the left lower
quadrant, the patient feels pain in the right lower quadrant. This is known as:
A. Murphy’s sign
B. Psoas sign
C. Cullen’s sign
D. Rovsing’s sign
Answer: D
Conceptual Explanation: Rovsing’s sign is positive when pressure on the left lower
quadrant causes pain in the right lower quadrant, suggesting peritoneal irritation or
appendicitis.
4. Which cranial nerve is primarily responsible for the downward and inward movement of
the eye?
A. CN III (Oculomotor)
, B. CN IV (Trochlear)
C. CN VI (Abducens)
D. CN II (Optic)
Answer: B
Conceptual Explanation: The trochlear nerve (CN IV) innervates the superior oblique
muscle, which moves the eye downward and inward.
5. A ‘clunk’ felt during the Ortolani maneuver in a newborn assessment indicates which of the
following?
A. Normal hip development
B. Hip dislocation being reduced
C. Fractured femur
D. Tibial torsion
Answer: B
Conceptual Explanation: The Ortolani maneuver is used to confirm the reduction of a
dislocated hip; the ‘clunk’ is the sound of the femoral head sliding back into the acetabulum.
6. When assessing for tactile fremitus, the nurse practitioner would expect to find increased
vibrations over which condition?
A. Lobar pneumonia
B. Pleural effusion
