NURS 6512 ADVANCED HEALTH
ASSESSMENT - WEEK 8 EXAM
QUESTIONS AND VERIFIED ANSWERS |
100% CORRECT | GRADE A+
1. During a funduscopic examination, the practitioner notes an increased cup-to-disc ratio.
This finding is most characteristic of which condition?
A. Glaucoma
B. Macular Degeneration
C. Cataracts
D. Diabetic Retinopathy
Answer: A
Conceptual Explanation: An increased cup-to-disc ratio is a hallmark sign of glaucoma,
indicating loss of optic nerve fibers due to increased intraocular pressure.
2. When performing the Weber test on a patient with suspected conductive hearing loss in
the right ear, the sound should lateralize to which side?
A. The left ear
B. The right ear
C. Both ears equally
,D. Neither ear
Answer: B
Conceptual Explanation: In conductive hearing loss, the sound lateralizes to the ‘bad’ ear
(the one with the conduction problem) because the unaffected ear hears ambient noise
more clearly, masking the bone-conducted sound.
3. A patient presents with a ‘curtain falling over the eye’ sensation and new-onset floaters.
What is the most likely diagnosis?
A. Corneal Abrasion
B. Acute Angle-Closure Glaucoma
C. Retinal Detachment
D. Vitreous Hemorrhage
Answer: C
Conceptual Explanation: Retinal detachment is classically described as a shadow or
curtain being pulled across the field of vision, often accompanied by flashes and floaters.
4. Which cranial nerve is being tested when the practitioner asks the patient to shrug their
shoulders against resistance?
A. Cranial Nerve X (Vagus)
B. Cranial Nerve XI (Spinal Accessory)
C. Cranial Nerve IX (Glossopharyngeal)
, D. Cranial Nerve XII (Hypoglossal)
Answer: B
Conceptual Explanation: CN XI innervates the trapezius and sternocleidomastoid
muscles; shoulder shrugging tests the trapezius strength.
5. During a musculoskeletal exam, the McMurray test is used to evaluate for an injury to
which structure?
A. Anterior Cruciate Ligament (ACL)
B. Meniscus
C. Achilles Tendon
D. Rotator Cuff
Answer: B
Conceptual Explanation: The McMurray test involves rotating the knee with pain or a
‘click’ indicating a meniscal tear.
6. Which of the following findings on a Rinne test indicates sensorineural hearing loss?
A. Bone conduction is longer than air conduction (BC > AC)
B. Air conduction and bone conduction are equal
C. Air conduction is longer than bone conduction (AC > BC)
D. Neither conduction is heard
ASSESSMENT - WEEK 8 EXAM
QUESTIONS AND VERIFIED ANSWERS |
100% CORRECT | GRADE A+
1. During a funduscopic examination, the practitioner notes an increased cup-to-disc ratio.
This finding is most characteristic of which condition?
A. Glaucoma
B. Macular Degeneration
C. Cataracts
D. Diabetic Retinopathy
Answer: A
Conceptual Explanation: An increased cup-to-disc ratio is a hallmark sign of glaucoma,
indicating loss of optic nerve fibers due to increased intraocular pressure.
2. When performing the Weber test on a patient with suspected conductive hearing loss in
the right ear, the sound should lateralize to which side?
A. The left ear
B. The right ear
C. Both ears equally
,D. Neither ear
Answer: B
Conceptual Explanation: In conductive hearing loss, the sound lateralizes to the ‘bad’ ear
(the one with the conduction problem) because the unaffected ear hears ambient noise
more clearly, masking the bone-conducted sound.
3. A patient presents with a ‘curtain falling over the eye’ sensation and new-onset floaters.
What is the most likely diagnosis?
A. Corneal Abrasion
B. Acute Angle-Closure Glaucoma
C. Retinal Detachment
D. Vitreous Hemorrhage
Answer: C
Conceptual Explanation: Retinal detachment is classically described as a shadow or
curtain being pulled across the field of vision, often accompanied by flashes and floaters.
4. Which cranial nerve is being tested when the practitioner asks the patient to shrug their
shoulders against resistance?
A. Cranial Nerve X (Vagus)
B. Cranial Nerve XI (Spinal Accessory)
C. Cranial Nerve IX (Glossopharyngeal)
, D. Cranial Nerve XII (Hypoglossal)
Answer: B
Conceptual Explanation: CN XI innervates the trapezius and sternocleidomastoid
muscles; shoulder shrugging tests the trapezius strength.
5. During a musculoskeletal exam, the McMurray test is used to evaluate for an injury to
which structure?
A. Anterior Cruciate Ligament (ACL)
B. Meniscus
C. Achilles Tendon
D. Rotator Cuff
Answer: B
Conceptual Explanation: The McMurray test involves rotating the knee with pain or a
‘click’ indicating a meniscal tear.
6. Which of the following findings on a Rinne test indicates sensorineural hearing loss?
A. Bone conduction is longer than air conduction (BC > AC)
B. Air conduction and bone conduction are equal
C. Air conduction is longer than bone conduction (AC > BC)
D. Neither conduction is heard
