lOMoAR cPSD| 57394295
NUR-631 Advanced Health Assessment Test Bank Exam |2025-2026 LATEST
UPDATED|REAL EXAM QUESTIONS AND ANSWERS | 100% RATED
CORRECT | 100% VERFIED SOLUTIONS | ALREADY GRADED A+
1. During a cardiac exam, what finding is expected when palpating the point of
maximal impulse (PMI) in a healthy adult?
PMI located at the 5th intercostal space, midclavicular line
This is the normal location; displacement may indicate cardiomegaly or
other pathology.
2. Which cranial nerve is tested by asking the patient to stick out their tongue
and move it side to side?
Hypoglossal nerve (CN XII)
The hypoglossal nerve controls tongue movement.
3. A patient reports sudden onset of severe headache described as "the worst
headache of my life." What condition must be ruled out first?
Subarachnoid hemorrhage
This presentation is classic for subarachnoid hemorrhage, which is
lifethreatening.
4. Which heart sound is associated with heart failure and is best heard with
the bell of the stethoscope at the apex?
S3 gallop
An S3 indicates volume overload and is common in CHF.
, lOMoAR cPSD| 57394295
5. A patient with COPD is likely to have what finding on percussion of the
lungs?
Hyperresonance
Hyperresonance occurs due to trapped air and hyperinflation.
6. Which test evaluates for meningeal irritation in a patient with neck
stiffness?
Brudzinski’s sign
Brudzinski’s sign is positive when flexion of the neck causes involuntary hip
and knee flexion.
7. Which finding during breast exam is most suspicious for malignancy?
Non-tender, fixed, irregularly shaped mass
Malignant masses are often hard, immobile, and irregular.
8. What does a positive Phalen’s test indicate?
Carpal tunnel syndrome
Phalen’s test reproduces symptoms by compressing the median nerve.
9. The Weber test lateralizes to the left ear. Rinne test shows air conduction >
bone conduction bilaterally. What type of hearing loss is present?
Sensorineural hearing loss in right ear
Lateralization to the unaffected ear suggests sensorineural loss in the
opposite ear.
10.Which abdominal finding suggests appendicitis?
Positive Rovsing’s sign
Rovsing’s sign: RLQ pain with LLQ palpation suggests peritoneal irritation.
, lOMoAR cPSD| 57394295
11.A diastolic murmur best heard at the apex with the patient in the left lateral
position suggests:
Mitral stenosis
Mitral stenosis causes a low-pitched diastolic rumble at the apex.
12.Which physical exam finding is most consistent with a DVT?
Unilateral leg swelling with warmth and tenderness DVT
commonly presents this way due to venous obstruction.
13.The Allen test is performed to assess:
Collateral circulation of the hand
Ensures radial and ulnar arteries can compensate during cannulation.
14.Which cranial nerve controls pupil constriction?
Oculomotor nerve (CN III)
The oculomotor nerve innervates the sphincter pupillae muscle.
15.The whispered pectoriloquy test helps identify:
Lung consolidation
Increased clarity indicates fluid or solid tissue in the lung.
16.Which test assesses for a torn meniscus?
McMurray’s test
McMurray’s is positive when a click is felt/heard during knee
manipulation.
17.Which lymph nodes drain the breast tissue?
Axillary lymph nodes
These nodes are the primary drainage site for the breast.
NUR-631 Advanced Health Assessment Test Bank Exam |2025-2026 LATEST
UPDATED|REAL EXAM QUESTIONS AND ANSWERS | 100% RATED
CORRECT | 100% VERFIED SOLUTIONS | ALREADY GRADED A+
1. During a cardiac exam, what finding is expected when palpating the point of
maximal impulse (PMI) in a healthy adult?
PMI located at the 5th intercostal space, midclavicular line
This is the normal location; displacement may indicate cardiomegaly or
other pathology.
2. Which cranial nerve is tested by asking the patient to stick out their tongue
and move it side to side?
Hypoglossal nerve (CN XII)
The hypoglossal nerve controls tongue movement.
3. A patient reports sudden onset of severe headache described as "the worst
headache of my life." What condition must be ruled out first?
Subarachnoid hemorrhage
This presentation is classic for subarachnoid hemorrhage, which is
lifethreatening.
4. Which heart sound is associated with heart failure and is best heard with
the bell of the stethoscope at the apex?
S3 gallop
An S3 indicates volume overload and is common in CHF.
, lOMoAR cPSD| 57394295
5. A patient with COPD is likely to have what finding on percussion of the
lungs?
Hyperresonance
Hyperresonance occurs due to trapped air and hyperinflation.
6. Which test evaluates for meningeal irritation in a patient with neck
stiffness?
Brudzinski’s sign
Brudzinski’s sign is positive when flexion of the neck causes involuntary hip
and knee flexion.
7. Which finding during breast exam is most suspicious for malignancy?
Non-tender, fixed, irregularly shaped mass
Malignant masses are often hard, immobile, and irregular.
8. What does a positive Phalen’s test indicate?
Carpal tunnel syndrome
Phalen’s test reproduces symptoms by compressing the median nerve.
9. The Weber test lateralizes to the left ear. Rinne test shows air conduction >
bone conduction bilaterally. What type of hearing loss is present?
Sensorineural hearing loss in right ear
Lateralization to the unaffected ear suggests sensorineural loss in the
opposite ear.
10.Which abdominal finding suggests appendicitis?
Positive Rovsing’s sign
Rovsing’s sign: RLQ pain with LLQ palpation suggests peritoneal irritation.
, lOMoAR cPSD| 57394295
11.A diastolic murmur best heard at the apex with the patient in the left lateral
position suggests:
Mitral stenosis
Mitral stenosis causes a low-pitched diastolic rumble at the apex.
12.Which physical exam finding is most consistent with a DVT?
Unilateral leg swelling with warmth and tenderness DVT
commonly presents this way due to venous obstruction.
13.The Allen test is performed to assess:
Collateral circulation of the hand
Ensures radial and ulnar arteries can compensate during cannulation.
14.Which cranial nerve controls pupil constriction?
Oculomotor nerve (CN III)
The oculomotor nerve innervates the sphincter pupillae muscle.
15.The whispered pectoriloquy test helps identify:
Lung consolidation
Increased clarity indicates fluid or solid tissue in the lung.
16.Which test assesses for a torn meniscus?
McMurray’s test
McMurray’s is positive when a click is felt/heard during knee
manipulation.
17.Which lymph nodes drain the breast tissue?
Axillary lymph nodes
These nodes are the primary drainage site for the breast.
