Nur 643E Grand Canyon University -Nur 643E
Advanced Health Assessment Final Exam |
Newest Actual Exam With Complete Questions
And Correct Answers With Detailed Rationales |
Already Graded A+| |Brand New Version!!
Question 1
During the history of present illness, which of the following is most important to ask a patient
presenting with chest pain?
A) "Have you ever had an ECG?"
B) "Does the pain radiate to your arm, jaw, or back?"
C) "What medications do you take?"
D) "Do you have a family history of heart disease?"
Answer
Answer: B
Rationale
Radiation pattern helps differentiate cardiac from musculoskeletal or GI causes.
Question 2
Which technique is used to assess for tactile fremitus?
A) Auscultation with the diaphragm
B) Palpation while the patient says "ninety-nine"
C) Percussion over the chest wall
D) Inspection of chest movement
Answer
,Answer: B
Rationale
Vocal vibrations transmitted through the chest wall are felt as fremitus; increased with consolidation,
decreased with effusion.
Question 3
A patient presents with a "silver-fork" retinal hemorrhage. This finding is most consistent with:
A) Diabetic retinopathy
B) Hypertensive retinopathy
C) Macular degeneration
D) Retinal detachment
Answer
Answer: B
Rationale
Silver-fork hemorrhages are classic for severe hypertensive retinopathy.
Question 4
Which of the following is a normal finding on otoscopic examination of an adult?
A) Cone of light at the 5 o'clock position
B) Bulging, red tympanic membrane
C) Air-fluid level behind the eardrum
D) Perforation of the pars tensa
Answer
Answer: A
2
,Rationale
In adults, the cone of light reflects off the malleus handle at about 5 o'clock (7 o'clock in infants).
Question 5
A patient has a positive Murphy's sign. This finding is most suggestive of:
A) Appendicitis
B) Cholecystitis
C) Pancreatitis
D) Peptic ulcer disease
Answer
Answer: B
Rationale
Murphy's sign (inspiratory arrest on RUQ palpation) is a classic sign of acute cholecystitis.
Question 6
When assessing the cranial nerves, which nerve is responsible for the gag reflex?
A) CN VII (facial)
B) CN IX (glossopharyngeal) and CN X (vagus)
C) CN IX and CN X
D) CN XII (hypoglossal)
Answer
Answer: C
Rationale
The gag reflex involves sensory CN IX and motor CN X.
3
, Question 7
A patient presents with a "honey-colored crust" on the face. This is most consistent with:
A) Herpes simplex
B) Impetigo
C) Tinea faciei
D) Seborrheic dermatitis
Answer
Answer: B
Rationale
Honey-colored crusts are classic for non-bullous impetigo, often caused by Staph aureus.
Question 8
Which of the following is an abnormal finding on palpation of the thyroid gland?
A) Smooth, soft, non-tender gland
B) Hard, fixed nodule
C) Slight enlargement during pregnancy
D) Symmetrical, rubbery consistency
Answer
Answer: B
Rationale
A hard, fixed nodule raises concern for malignancy; smooth, soft goiter is often benign.
Question 9
During auscultation of the heart, S1 is best heard at the:
4
Advanced Health Assessment Final Exam |
Newest Actual Exam With Complete Questions
And Correct Answers With Detailed Rationales |
Already Graded A+| |Brand New Version!!
Question 1
During the history of present illness, which of the following is most important to ask a patient
presenting with chest pain?
A) "Have you ever had an ECG?"
B) "Does the pain radiate to your arm, jaw, or back?"
C) "What medications do you take?"
D) "Do you have a family history of heart disease?"
Answer
Answer: B
Rationale
Radiation pattern helps differentiate cardiac from musculoskeletal or GI causes.
Question 2
Which technique is used to assess for tactile fremitus?
A) Auscultation with the diaphragm
B) Palpation while the patient says "ninety-nine"
C) Percussion over the chest wall
D) Inspection of chest movement
Answer
,Answer: B
Rationale
Vocal vibrations transmitted through the chest wall are felt as fremitus; increased with consolidation,
decreased with effusion.
Question 3
A patient presents with a "silver-fork" retinal hemorrhage. This finding is most consistent with:
A) Diabetic retinopathy
B) Hypertensive retinopathy
C) Macular degeneration
D) Retinal detachment
Answer
Answer: B
Rationale
Silver-fork hemorrhages are classic for severe hypertensive retinopathy.
Question 4
Which of the following is a normal finding on otoscopic examination of an adult?
A) Cone of light at the 5 o'clock position
B) Bulging, red tympanic membrane
C) Air-fluid level behind the eardrum
D) Perforation of the pars tensa
Answer
Answer: A
2
,Rationale
In adults, the cone of light reflects off the malleus handle at about 5 o'clock (7 o'clock in infants).
Question 5
A patient has a positive Murphy's sign. This finding is most suggestive of:
A) Appendicitis
B) Cholecystitis
C) Pancreatitis
D) Peptic ulcer disease
Answer
Answer: B
Rationale
Murphy's sign (inspiratory arrest on RUQ palpation) is a classic sign of acute cholecystitis.
Question 6
When assessing the cranial nerves, which nerve is responsible for the gag reflex?
A) CN VII (facial)
B) CN IX (glossopharyngeal) and CN X (vagus)
C) CN IX and CN X
D) CN XII (hypoglossal)
Answer
Answer: C
Rationale
The gag reflex involves sensory CN IX and motor CN X.
3
, Question 7
A patient presents with a "honey-colored crust" on the face. This is most consistent with:
A) Herpes simplex
B) Impetigo
C) Tinea faciei
D) Seborrheic dermatitis
Answer
Answer: B
Rationale
Honey-colored crusts are classic for non-bullous impetigo, often caused by Staph aureus.
Question 8
Which of the following is an abnormal finding on palpation of the thyroid gland?
A) Smooth, soft, non-tender gland
B) Hard, fixed nodule
C) Slight enlargement during pregnancy
D) Symmetrical, rubbery consistency
Answer
Answer: B
Rationale
A hard, fixed nodule raises concern for malignancy; smooth, soft goiter is often benign.
Question 9
During auscultation of the heart, S1 is best heard at the:
4
