NU 518 EXAM 2 – STUDY 420 QUESTIONS WITH CORRECT ANSWERS
| ADVANCED NURSING PRACTICE REVIEW 2025-2026 RECENT TESTED QUESTIONS INCLUDED
GRADED A+
NU 518 EXAM 2 COVERS TOPICS INCLUDING PHYSIOLOGICAL MECHANISMS OF DISEASE, SAFE
MEDICATION MANAGEMENT, AND CLINICAL REASONING. THESE STUDY QUESTIONS HELP
STUDENTS CONSOLIDATE CORE CONTENT AND APPLY KNOWLEDGE IN PREPARATION FOR EXAMS
AND FUTURE ADVANCED CLINICAL ROLES.
A 29-year-old physical therapist presents for evaluation of an eyelid problem. On observation, the
right eyeball appears to be protruding forward. Based on this description, what is the most likely
diagnosis?
Ptosis
Exophthalmos
Ectropion
Epicanthus - CORRECT ANSWER-B
A 49-year-old administrative assistant comes to your office for evaluation of dizziness. You elicit the
information that the dizziness is a spinning sensation of sudden onset, worse with head position
changes. The episodes last a few seconds and then go away, and they are accompanied by intense
nausea. She has vomited one time. She denies tinnitus. You perform a physical examination of the
head and neck and note that the patient's hearing is intact to Weber and Rinne and that there is
nystagmus. Her gait is normal. Based on this description, what is the most likely diagnosis?
Benign positional vertigo
Vestibular neuronitis
Ménière's disease
Acoustic neuroma - CORRECT ANSWER-A
A 55-year-old bank teller comes to your office for persistent episodes of dizziness. The first episode
started suddenly and lasted 3 to 4 hours. He experienced a lot of nausea with vomiting; the episode
resolved spontaneously. He has had five episodes in the past 1½ weeks. He does note
some tinnitus that comes and goes. Upon physical examination, you note that he has a normal gait.
The Weber localizes to the right side and the air conduction is equal to the bone conduction in the
right ear. Nystagmus is present. Based on this description, what is the most likely diagnosis?
Benign positional vertigo
Vestibular neuronitis
Ménière's disease
Acoustic neuroma - CORRECT ANSWER-C
,A 73-year-old nurse comes to your office for evaluation of new onset of tremors. She is not on any
medications and does not take herbs or supplements. She has no chronic medical conditions. She
does not smoke or drink alcohol. She walks into the examination room with slow movements and
shuffling steps. She has decreased facial mobility and a blunt expression,
without any changes in hair distribution on her face. Based on this description, what is the most likely
reason for the patient's symptoms?
Cushing's syndrome
Nephrotic syndrome
Myxedema
Parkinson's disease - CORRECT ANSWER-D
A 12-year-old presents to the clinic with his father for evaluation of a painful lump in the left eye. It
started this morning. He denies any trauma or injury. There is no visual disturbance. Upon physical
examination, there is a red raised area at the margin of the eyelid that is tender to palpation; no
tearing occurs with palpation of the lesion. Based on this description, what is the
most likely diagnosis?
Dacryocystitis
Chalazion
Hordeolum
Xanthelasma - CORRECT ANSWER-C
A 15-year-old high school sophomore presents to the emergency room with his mother for
evaluation of an area of blood in the left eye. He denies trauma or injury but has been coughing
forcefully with a recent cold. He denies visual disturbances, eye pain, or discharge from the eye. On
physical examination, the pupils are equal, round, and reactive to light, with a visual acuity of
,20/20 in each eye and 20/20 bilaterally. There is a homogeneous, sharply demarcated area at the
lateral aspect of the base of the left eye. The cornea is clear. Based on this description, what is the
most likely diagnosis?
Conjunctivitis
Acute iritis
Corneal abrasion
Subconjunctival hemorrhage - CORRECT ANSWER-D
A 67-year-old lawyer comes to your clinic for an annual examination. He denies any history of eye
trauma. He denies any visual changes. You inspect his eyes and find a triangular thickening of the
bulbar conjunctiva across the outer surface of the cornea. He has a normal pupillary reaction to light
and accommodation. Based on this description, what is the most likely diagnosis?
Corneal arcus
Cataracts
Corneal scar
Pterygium - CORRECT ANSWER-D
Which of the following is a "red flag" regarding patients presenting with headache?
Unilateral headache
Pain over the sinuses
Age over 50
Phonophobia and photophobia - CORRECT ANSWER-C
A sudden, painless unilateral vision loss may be caused by which of the following?
Retinal detachment
Corneal ulcer
Acute glaucoma
Uveitis - CORRECT ANSWER-A
Sudden, painful unilateral loss of vision may be caused by which of the following conditions?
Vitreous hemorrhage
Central retinal artery occlusion
, Macular degeneration
Optic neuritis - CORRECT ANSWER-D
Diplopia, which is present with one eye covered, can be caused by which of the following problems?
Weakness of CN III
Weakness of CN IV
A lesion of the brainstem
An irregularity in the cornea or lens - CORRECT ANSWER-D
A patient complains of epistaxis. Which other cause should be considered?
Intracranial hemorrhage
Hematemesis
Intestinal hemorrhage
Hematoma of the nasal septum - CORRECT ANSWER-B
Glaucoma is the leading cause of blindness in African Americans and the second leading cause of
blindness overall. What features would be noted on funduscopic examination?
Increased cup-to-disc ratio
AV nicking
Cotton wool spots
Microaneurysms - CORRECT ANSWER-A
Very sensitive methods for detecting hearing loss include which of the following?
The whisper test
The finger rub test
The tuning fork test
Audiometric testing - CORRECT ANSWER-D
Which area of the fundus is the central focal point for incoming images?
The fovea
| ADVANCED NURSING PRACTICE REVIEW 2025-2026 RECENT TESTED QUESTIONS INCLUDED
GRADED A+
NU 518 EXAM 2 COVERS TOPICS INCLUDING PHYSIOLOGICAL MECHANISMS OF DISEASE, SAFE
MEDICATION MANAGEMENT, AND CLINICAL REASONING. THESE STUDY QUESTIONS HELP
STUDENTS CONSOLIDATE CORE CONTENT AND APPLY KNOWLEDGE IN PREPARATION FOR EXAMS
AND FUTURE ADVANCED CLINICAL ROLES.
A 29-year-old physical therapist presents for evaluation of an eyelid problem. On observation, the
right eyeball appears to be protruding forward. Based on this description, what is the most likely
diagnosis?
Ptosis
Exophthalmos
Ectropion
Epicanthus - CORRECT ANSWER-B
A 49-year-old administrative assistant comes to your office for evaluation of dizziness. You elicit the
information that the dizziness is a spinning sensation of sudden onset, worse with head position
changes. The episodes last a few seconds and then go away, and they are accompanied by intense
nausea. She has vomited one time. She denies tinnitus. You perform a physical examination of the
head and neck and note that the patient's hearing is intact to Weber and Rinne and that there is
nystagmus. Her gait is normal. Based on this description, what is the most likely diagnosis?
Benign positional vertigo
Vestibular neuronitis
Ménière's disease
Acoustic neuroma - CORRECT ANSWER-A
A 55-year-old bank teller comes to your office for persistent episodes of dizziness. The first episode
started suddenly and lasted 3 to 4 hours. He experienced a lot of nausea with vomiting; the episode
resolved spontaneously. He has had five episodes in the past 1½ weeks. He does note
some tinnitus that comes and goes. Upon physical examination, you note that he has a normal gait.
The Weber localizes to the right side and the air conduction is equal to the bone conduction in the
right ear. Nystagmus is present. Based on this description, what is the most likely diagnosis?
Benign positional vertigo
Vestibular neuronitis
Ménière's disease
Acoustic neuroma - CORRECT ANSWER-C
,A 73-year-old nurse comes to your office for evaluation of new onset of tremors. She is not on any
medications and does not take herbs or supplements. She has no chronic medical conditions. She
does not smoke or drink alcohol. She walks into the examination room with slow movements and
shuffling steps. She has decreased facial mobility and a blunt expression,
without any changes in hair distribution on her face. Based on this description, what is the most likely
reason for the patient's symptoms?
Cushing's syndrome
Nephrotic syndrome
Myxedema
Parkinson's disease - CORRECT ANSWER-D
A 12-year-old presents to the clinic with his father for evaluation of a painful lump in the left eye. It
started this morning. He denies any trauma or injury. There is no visual disturbance. Upon physical
examination, there is a red raised area at the margin of the eyelid that is tender to palpation; no
tearing occurs with palpation of the lesion. Based on this description, what is the
most likely diagnosis?
Dacryocystitis
Chalazion
Hordeolum
Xanthelasma - CORRECT ANSWER-C
A 15-year-old high school sophomore presents to the emergency room with his mother for
evaluation of an area of blood in the left eye. He denies trauma or injury but has been coughing
forcefully with a recent cold. He denies visual disturbances, eye pain, or discharge from the eye. On
physical examination, the pupils are equal, round, and reactive to light, with a visual acuity of
,20/20 in each eye and 20/20 bilaterally. There is a homogeneous, sharply demarcated area at the
lateral aspect of the base of the left eye. The cornea is clear. Based on this description, what is the
most likely diagnosis?
Conjunctivitis
Acute iritis
Corneal abrasion
Subconjunctival hemorrhage - CORRECT ANSWER-D
A 67-year-old lawyer comes to your clinic for an annual examination. He denies any history of eye
trauma. He denies any visual changes. You inspect his eyes and find a triangular thickening of the
bulbar conjunctiva across the outer surface of the cornea. He has a normal pupillary reaction to light
and accommodation. Based on this description, what is the most likely diagnosis?
Corneal arcus
Cataracts
Corneal scar
Pterygium - CORRECT ANSWER-D
Which of the following is a "red flag" regarding patients presenting with headache?
Unilateral headache
Pain over the sinuses
Age over 50
Phonophobia and photophobia - CORRECT ANSWER-C
A sudden, painless unilateral vision loss may be caused by which of the following?
Retinal detachment
Corneal ulcer
Acute glaucoma
Uveitis - CORRECT ANSWER-A
Sudden, painful unilateral loss of vision may be caused by which of the following conditions?
Vitreous hemorrhage
Central retinal artery occlusion
, Macular degeneration
Optic neuritis - CORRECT ANSWER-D
Diplopia, which is present with one eye covered, can be caused by which of the following problems?
Weakness of CN III
Weakness of CN IV
A lesion of the brainstem
An irregularity in the cornea or lens - CORRECT ANSWER-D
A patient complains of epistaxis. Which other cause should be considered?
Intracranial hemorrhage
Hematemesis
Intestinal hemorrhage
Hematoma of the nasal septum - CORRECT ANSWER-B
Glaucoma is the leading cause of blindness in African Americans and the second leading cause of
blindness overall. What features would be noted on funduscopic examination?
Increased cup-to-disc ratio
AV nicking
Cotton wool spots
Microaneurysms - CORRECT ANSWER-A
Very sensitive methods for detecting hearing loss include which of the following?
The whisper test
The finger rub test
The tuning fork test
Audiometric testing - CORRECT ANSWER-D
Which area of the fundus is the central focal point for incoming images?
The fovea
