ADVANCED HEALTH ASSESSMENT
(NURS 5220) COMPREHENSIVE EXAM
BANK QUESTIONS WITH CORRECT
VERIFIED ANSWERS | GURANTEED A+
1. When assessing a patient for suspected bacterial meningitis, which physical examination
maneuver involves flexing the patient’s neck and observing for involuntary flexion of the hips
and knees?
A. Brudzinski’s sign
B. Kernig’s sign
C. Lhermitte’s sign
D. Hoffmann’s sign
Answer: A
Conceptual Explanation: Brudzinski’s sign is positive when neck flexion causes
spontaneous hip and knee flexion, indicating meningeal irritation. Kernig’s is resistance to
leg extension when the hip is flexed.
2. A 65-year-old male presents with a heart murmur heard best at the 2nd intercostal space,
right sternal border, radiating to the carotid arteries. Which condition is most likely?
A. Aortic Stenosis
,B. Mitral Regurgitation
C. Mitral Stenosis
D. Aortic Regurgitation
Answer: A
Conceptual Explanation: Aortic stenosis typically presents as a crescendo-decrescendo
systolic murmur at the right upper sternal border with radiation to the carotids.
3. During a funduscopic examination, the presence of ‘copper wiring’ and arteriovenous (AV)
nicking is most suggestive of which chronic condition?
A. Diabetes Mellitus
B. Hypertensive Retinopathy
C. Glaucoma
D. Macular Degeneration
Answer: B
Conceptual Explanation: AV nicking and copper/silver wiring are classic vascular changes
associated with chronic hypertension.
4. A patient presents with sudden onset of ‘the worst headache of my life.’ What is the
priority differential diagnosis that must be ruled out?
A. Cluster headache
B. Migraine with aura
, C. Subarachnoid hemorrhage
D. Temporal arteritis
Answer: C
Conceptual Explanation: A ‘thunderclap’ headache is the hallmark presentation of a
subarachnoid hemorrhage, a medical emergency.
5. In the assessment of tactile fremitus, an increase in vibration is typically noted in which of
the following clinical scenarios?
A. Pneumothorax
B. Pleural Effusion
C. Lobar Pneumonia
D. COPD/Emphysema
Answer: C
Conceptual Explanation: Tactile fremitus increases with lung consolidation (like
pneumonia) because sound travels better through solid/liquid media than air.
6. Which cranial nerve is primarily responsible for the motor function of the tongue?
A. CN IX (Glossopharyngeal)
B. CN X (Vagus)
C. CN XI (Spinal Accessory)
(NURS 5220) COMPREHENSIVE EXAM
BANK QUESTIONS WITH CORRECT
VERIFIED ANSWERS | GURANTEED A+
1. When assessing a patient for suspected bacterial meningitis, which physical examination
maneuver involves flexing the patient’s neck and observing for involuntary flexion of the hips
and knees?
A. Brudzinski’s sign
B. Kernig’s sign
C. Lhermitte’s sign
D. Hoffmann’s sign
Answer: A
Conceptual Explanation: Brudzinski’s sign is positive when neck flexion causes
spontaneous hip and knee flexion, indicating meningeal irritation. Kernig’s is resistance to
leg extension when the hip is flexed.
2. A 65-year-old male presents with a heart murmur heard best at the 2nd intercostal space,
right sternal border, radiating to the carotid arteries. Which condition is most likely?
A. Aortic Stenosis
,B. Mitral Regurgitation
C. Mitral Stenosis
D. Aortic Regurgitation
Answer: A
Conceptual Explanation: Aortic stenosis typically presents as a crescendo-decrescendo
systolic murmur at the right upper sternal border with radiation to the carotids.
3. During a funduscopic examination, the presence of ‘copper wiring’ and arteriovenous (AV)
nicking is most suggestive of which chronic condition?
A. Diabetes Mellitus
B. Hypertensive Retinopathy
C. Glaucoma
D. Macular Degeneration
Answer: B
Conceptual Explanation: AV nicking and copper/silver wiring are classic vascular changes
associated with chronic hypertension.
4. A patient presents with sudden onset of ‘the worst headache of my life.’ What is the
priority differential diagnosis that must be ruled out?
A. Cluster headache
B. Migraine with aura
, C. Subarachnoid hemorrhage
D. Temporal arteritis
Answer: C
Conceptual Explanation: A ‘thunderclap’ headache is the hallmark presentation of a
subarachnoid hemorrhage, a medical emergency.
5. In the assessment of tactile fremitus, an increase in vibration is typically noted in which of
the following clinical scenarios?
A. Pneumothorax
B. Pleural Effusion
C. Lobar Pneumonia
D. COPD/Emphysema
Answer: C
Conceptual Explanation: Tactile fremitus increases with lung consolidation (like
pneumonia) because sound travels better through solid/liquid media than air.
6. Which cranial nerve is primarily responsible for the motor function of the tongue?
A. CN IX (Glossopharyngeal)
B. CN X (Vagus)
C. CN XI (Spinal Accessory)
