NURS 6512 ADVANCED HEALTH
ASSESSMENT COMPREHENSIVE EXAM
QUESTIONS AND VERIFIED ANSWERS |
100% CORRECT | GRADE A+
1. When performing a physical examination of the skin, you notice a flat, non-palpable lesion
that is less than 1 cm in diameter and differs in color from the surrounding skin. This is best
described as a:
A. Papule
B. Plaque
C. Macule
D. Wheal
Answer: C
Conceptual Explanation: A macule is a flat, circumscribed area that is a change in the
color of the skin; it is less than 1 cm in diameter. A papule is elevated and palpable.
,2. During a Weber test, a patient with conductive hearing loss in the right ear will experience
sound lateralization to which side?
A. The left ear
B. Both ears equally
C. The right ear
D. The sound is not heard at all
Answer: C
Conceptual Explanation: In conductive hearing loss, the sound lateralizes to the affected
(impaired) ear because the ear with the conductive loss is not distracted by ambient noise.
3. To assess for cholecystitis, the advanced practice nurse should perform which maneuver?
A. Murphy’s sign
B. Psoas sign
C. Rovsing’s sign
D. Obturator sign
Answer: A
Conceptual Explanation: Murphy’s sign is specific for gallbladder inflammation
(cholecystitis). The others are typically used for appendicitis.
, 4. A 65-year-old patient presents with a ‘stabbing’ chest pain that worsens with deep
inspiration and is relieved by sitting forward. These findings are most suggestive of:
A. Myocardial infarction
B. Pericarditis
C. Stable angina
D. Pulmonary embolism
Answer: B
Conceptual Explanation: Pleuritic chest pain that is positional (relieved by leaning
forward) is a classic presentation of pericarditis.
5. Which cranial nerve is responsible for the motor function of the muscles of mastication?
A. CN V (Trigeminal)
B. CN VII (Facial)
C. CN IX (Glossopharyngeal)
D. CN XII (Hypoglossal)
E. CN XI (Accessory)
Answer: A
Conceptual Explanation: The trigeminal nerve (CN V) provides motor innervation to the
muscles of mastication (chewing) and sensory innervation to the face.
ASSESSMENT COMPREHENSIVE EXAM
QUESTIONS AND VERIFIED ANSWERS |
100% CORRECT | GRADE A+
1. When performing a physical examination of the skin, you notice a flat, non-palpable lesion
that is less than 1 cm in diameter and differs in color from the surrounding skin. This is best
described as a:
A. Papule
B. Plaque
C. Macule
D. Wheal
Answer: C
Conceptual Explanation: A macule is a flat, circumscribed area that is a change in the
color of the skin; it is less than 1 cm in diameter. A papule is elevated and palpable.
,2. During a Weber test, a patient with conductive hearing loss in the right ear will experience
sound lateralization to which side?
A. The left ear
B. Both ears equally
C. The right ear
D. The sound is not heard at all
Answer: C
Conceptual Explanation: In conductive hearing loss, the sound lateralizes to the affected
(impaired) ear because the ear with the conductive loss is not distracted by ambient noise.
3. To assess for cholecystitis, the advanced practice nurse should perform which maneuver?
A. Murphy’s sign
B. Psoas sign
C. Rovsing’s sign
D. Obturator sign
Answer: A
Conceptual Explanation: Murphy’s sign is specific for gallbladder inflammation
(cholecystitis). The others are typically used for appendicitis.
, 4. A 65-year-old patient presents with a ‘stabbing’ chest pain that worsens with deep
inspiration and is relieved by sitting forward. These findings are most suggestive of:
A. Myocardial infarction
B. Pericarditis
C. Stable angina
D. Pulmonary embolism
Answer: B
Conceptual Explanation: Pleuritic chest pain that is positional (relieved by leaning
forward) is a classic presentation of pericarditis.
5. Which cranial nerve is responsible for the motor function of the muscles of mastication?
A. CN V (Trigeminal)
B. CN VII (Facial)
C. CN IX (Glossopharyngeal)
D. CN XII (Hypoglossal)
E. CN XI (Accessory)
Answer: A
Conceptual Explanation: The trigeminal nerve (CN V) provides motor innervation to the
muscles of mastication (chewing) and sensory innervation to the face.
