NSG 530 MIDTERM EXAM: ADVANCED
HEALTH ASSESSMENT QUESTIONS
AND VERIFIED ANSWERS | 100%
CORRECT | GRADE A+ - WILKES
1. When performing a physical assessment, which technique should the nurse practitioner
use first for every system except the abdomen?
A. Palpation
B. Inspection
C. Auscultation
D. Percussion
Answer: B
Conceptual Explanation: Inspection is always the first step in physical assessment (except
the abdomen where auscultation follows inspection to avoid altering bowel sounds).
2. A patient presents with a ‘stabbing’ chest pain that worsens with deep inspiration. This is
most characteristic of which condition?
A. Myocardial Infarction
B. Angina Pectoris
C. Gastroesophageal Reflux
,D. Pleuritic Pain
Answer: D
Conceptual Explanation: Pleuritic pain is often described as sharp or stabbing and is
aggravated by breathing or coughing.
3. The CAGE questionnaire is a screening tool used to assess for which of the following?
A. Clinical Anxiety and General Exhaustion
B. Alcohol Use Disorder
C. Cognitive Abilities and General Education
D. Cardiac Abnormalities
Answer: B
Conceptual Explanation: CAGE stands for Cut down, Annoyed, Guilty, and Eye-opener,
specifically screening for alcohol abuse.
4. A positive Murphy sign is indicative of which clinical condition?
A. Acute Appendicitis
B. Splenomegaly
C. Renal Calculi
D. Acute Cholecystitis
Answer: D
, Conceptual Explanation: Murphy sign is a test for gallbladder inflammation
(cholecystitis) where pain occurs during inspiration while palpating the gallbladder.
5. When assessing the cranial nerves, the clinician asks the patient to puff out their cheeks
and smile. Which nerve is being tested?
A. CN V (Trigeminal)
B. CN VII (Facial)
C. CN IX (Glossopharyngeal)
D. CN XII (Hypoglossal)
E. N/A
Answer: B
Conceptual Explanation: Cranial Nerve VII (Facial) controls facial expressions and
movements like smiling and puffing cheeks.
6. A 65-year-old patient reports a sudden loss of peripheral vision. This symptom is most
closely associated with:
A. Cataracts
B. Macular Degeneration
C. Presbyopia
D. Glaucoma
Answer: D
HEALTH ASSESSMENT QUESTIONS
AND VERIFIED ANSWERS | 100%
CORRECT | GRADE A+ - WILKES
1. When performing a physical assessment, which technique should the nurse practitioner
use first for every system except the abdomen?
A. Palpation
B. Inspection
C. Auscultation
D. Percussion
Answer: B
Conceptual Explanation: Inspection is always the first step in physical assessment (except
the abdomen where auscultation follows inspection to avoid altering bowel sounds).
2. A patient presents with a ‘stabbing’ chest pain that worsens with deep inspiration. This is
most characteristic of which condition?
A. Myocardial Infarction
B. Angina Pectoris
C. Gastroesophageal Reflux
,D. Pleuritic Pain
Answer: D
Conceptual Explanation: Pleuritic pain is often described as sharp or stabbing and is
aggravated by breathing or coughing.
3. The CAGE questionnaire is a screening tool used to assess for which of the following?
A. Clinical Anxiety and General Exhaustion
B. Alcohol Use Disorder
C. Cognitive Abilities and General Education
D. Cardiac Abnormalities
Answer: B
Conceptual Explanation: CAGE stands for Cut down, Annoyed, Guilty, and Eye-opener,
specifically screening for alcohol abuse.
4. A positive Murphy sign is indicative of which clinical condition?
A. Acute Appendicitis
B. Splenomegaly
C. Renal Calculi
D. Acute Cholecystitis
Answer: D
, Conceptual Explanation: Murphy sign is a test for gallbladder inflammation
(cholecystitis) where pain occurs during inspiration while palpating the gallbladder.
5. When assessing the cranial nerves, the clinician asks the patient to puff out their cheeks
and smile. Which nerve is being tested?
A. CN V (Trigeminal)
B. CN VII (Facial)
C. CN IX (Glossopharyngeal)
D. CN XII (Hypoglossal)
E. N/A
Answer: B
Conceptual Explanation: Cranial Nerve VII (Facial) controls facial expressions and
movements like smiling and puffing cheeks.
6. A 65-year-old patient reports a sudden loss of peripheral vision. This symptom is most
closely associated with:
A. Cataracts
B. Macular Degeneration
C. Presbyopia
D. Glaucoma
Answer: D
