Advanced health assessment:
NUR 504 Quiz 4 with Correct
Answers
Question 1
During a respiratory assessment, the examiner percusses the chest and notes a hyperresonant
sound. What condition is most likely associated with this finding?
Answer:
Hyperresonance is often associated with conditions like pneumothorax or emphysema, where
there is increased air in the thoracic cavity.
Question 2
When assessing a patient’s heart sounds, the nurse practitioner hears a high-pitched, blowing,
diastolic murmur at the left sternal border. What is the likely diagnosis?
Answer:
This finding is consistent with aortic regurgitation.
Question 3
A 50-year-old patient presents with fatigue and weight gain. During the physical exam, the nurse
practitioner notes coarse hair, dry skin, and bradycardia. What is the most likely diagnosis?
Answer:
The findings suggest hypothyroidism.
Question 4
,What is the purpose of the Romberg test in a neurological examination?
Answer:
The Romberg test evaluates proprioception and balance. A positive Romberg test suggests
an issue with the dorsal columns of the spinal cord or cerebellar function.
Question 5
During an abdominal assessment, rebound tenderness in the right lower quadrant is elicited.
What does this suggest?
Answer:
Rebound tenderness in the right lower quadrant is a classic sign of appendicitis.
Question 6
A patient reports a sudden, severe headache described as "the worst headache of their life."
What is the most urgent condition to rule out?
Answer:
This description raises concern for a subarachnoid hemorrhage.
Question 7
When performing an eye exam, the patient’s left pupil does not constrict to light directly, but it
constricts when light is shone in the right eye. What is this phenomenon?
Answer:
This is called a Marcus Gunn pupil, often indicative of an afferent pupillary defect.
Question 8
What technique is most appropriate for auscultating the carotid arteries?
Answer:
Use the bell of the stethoscope to listen for bruits, which indicate turbulent blood flow.
Question 9
, A 30-year-old presents with fever, malaise, and a maculopapular rash that began on the wrists
and ankles and spread centrally. What is the most likely diagnosis?
Answer:
This presentation is concerning for Rocky Mountain spotted fever, caused by Rickettsia
rickettsii.
Question 10
What is the most appropriate next step for a patient presenting with unexplained jaundice and a
palpable, non-tender gallbladder?
Answer:
The finding (Courvoisier's sign) is concerning for pancreatic cancer. Further imaging, such as a
CT scan or ultrasound, is warranted.
Question 11
A patient has dullness to percussion and decreased breath sounds at the base of the right lung.
What is the likely cause?
Answer:
Pleural effusion.
Question 12
What is the expected location to hear bronchial breath sounds?
Answer:
Over the trachea.
Question 13
A 45-year-old presents with a blood pressure of 160/100 mmHg, a moon face, and purple
abdominal striae. What condition is most likely?
Answer:
Cushing’s syndrome.
NUR 504 Quiz 4 with Correct
Answers
Question 1
During a respiratory assessment, the examiner percusses the chest and notes a hyperresonant
sound. What condition is most likely associated with this finding?
Answer:
Hyperresonance is often associated with conditions like pneumothorax or emphysema, where
there is increased air in the thoracic cavity.
Question 2
When assessing a patient’s heart sounds, the nurse practitioner hears a high-pitched, blowing,
diastolic murmur at the left sternal border. What is the likely diagnosis?
Answer:
This finding is consistent with aortic regurgitation.
Question 3
A 50-year-old patient presents with fatigue and weight gain. During the physical exam, the nurse
practitioner notes coarse hair, dry skin, and bradycardia. What is the most likely diagnosis?
Answer:
The findings suggest hypothyroidism.
Question 4
,What is the purpose of the Romberg test in a neurological examination?
Answer:
The Romberg test evaluates proprioception and balance. A positive Romberg test suggests
an issue with the dorsal columns of the spinal cord or cerebellar function.
Question 5
During an abdominal assessment, rebound tenderness in the right lower quadrant is elicited.
What does this suggest?
Answer:
Rebound tenderness in the right lower quadrant is a classic sign of appendicitis.
Question 6
A patient reports a sudden, severe headache described as "the worst headache of their life."
What is the most urgent condition to rule out?
Answer:
This description raises concern for a subarachnoid hemorrhage.
Question 7
When performing an eye exam, the patient’s left pupil does not constrict to light directly, but it
constricts when light is shone in the right eye. What is this phenomenon?
Answer:
This is called a Marcus Gunn pupil, often indicative of an afferent pupillary defect.
Question 8
What technique is most appropriate for auscultating the carotid arteries?
Answer:
Use the bell of the stethoscope to listen for bruits, which indicate turbulent blood flow.
Question 9
, A 30-year-old presents with fever, malaise, and a maculopapular rash that began on the wrists
and ankles and spread centrally. What is the most likely diagnosis?
Answer:
This presentation is concerning for Rocky Mountain spotted fever, caused by Rickettsia
rickettsii.
Question 10
What is the most appropriate next step for a patient presenting with unexplained jaundice and a
palpable, non-tender gallbladder?
Answer:
The finding (Courvoisier's sign) is concerning for pancreatic cancer. Further imaging, such as a
CT scan or ultrasound, is warranted.
Question 11
A patient has dullness to percussion and decreased breath sounds at the base of the right lung.
What is the likely cause?
Answer:
Pleural effusion.
Question 12
What is the expected location to hear bronchial breath sounds?
Answer:
Over the trachea.
Question 13
A 45-year-old presents with a blood pressure of 160/100 mmHg, a moon face, and purple
abdominal striae. What condition is most likely?
Answer:
Cushing’s syndrome.
