NURS 5220: ADVANCED HEALTH
ASSESSMENT AND DIFFERENTIAL
DIAGNOSIS TEST BANK QUESTIONS
WITH CORRECT VERIFIED ANSWERS |
GURANTEED A+
1. During a cardiac examination, a practitioner hears a holosystolic, high-pitched blowing
murmur at the apex that radiates to the left axilla. Which condition is most likely?
A. Aortic Stenosis
B. Mitral Stenosis
C. Mitral Regurgitation
D. Pulmonic Stenosis
Answer: C
Conceptual Explanation: Mitral regurgitation is characterized by a holosystolic murmur
heard best at the apex, often radiating to the axilla, and is typically high-pitched and
blowing.
2. A 65-year-old patient presents with sudden, painless loss of vision in one eye described as
a ‘curtain coming down.’ This is a clinical hallmark of:
A. Retinal Detachment
,B. Macular Degeneration
C. Acute Angle-Closure Glaucoma
D. Cataracts
Answer: A
Conceptual Explanation: Retinal detachment often presents as a painless, sudden vision
loss frequently described as a shadow or curtain moving across the field of vision.
3. When performing a respiratory assessment, the nurse practitioner notes increased tactile
fremitus over the right lower lobe. This finding is consistent with:
A. Pneumothorax
B. Pleural Effusion
C. Lobar Pneumonia
D. Asthma Exacerbation
Answer: C
Conceptual Explanation: Tactile fremitus is increased in conditions where lung tissue is
consolidated, such as pneumonia, because sound travels better through solid/liquid media
than air.
4. A patient exhibits a positive Murphy’s sign during an abdominal exam. This finding is highly
suggestive of:
A. Acute Appendicitis
, B. Acute Cholecystitis
C. Acute Pancreatitis
D. Diverticulitis
Answer: B
Conceptual Explanation: Murphy’s sign is a maneuver during abdominal exam where the
patient stops inhaling (inspiratory arrest) when the gallbladder is palpated, indicating
cholecystitis.
5. Which cranial nerve is being tested when a clinician asks a patient to shrug their shoulders
against resistance?
A. Cranial Nerve X (Vagus)
B. Cranial Nerve XII (Hypoglossal)
C. Cranial Nerve XI (Spinal Accessory)
D. Cranial Nerve IX (Glossopharyngeal)
Answer: C
Conceptual Explanation: Cranial Nerve XI (Spinal Accessory) innervates the trapezius and
sternocleidomastoid muscles; shoulder shrugging tests its motor function.
ASSESSMENT AND DIFFERENTIAL
DIAGNOSIS TEST BANK QUESTIONS
WITH CORRECT VERIFIED ANSWERS |
GURANTEED A+
1. During a cardiac examination, a practitioner hears a holosystolic, high-pitched blowing
murmur at the apex that radiates to the left axilla. Which condition is most likely?
A. Aortic Stenosis
B. Mitral Stenosis
C. Mitral Regurgitation
D. Pulmonic Stenosis
Answer: C
Conceptual Explanation: Mitral regurgitation is characterized by a holosystolic murmur
heard best at the apex, often radiating to the axilla, and is typically high-pitched and
blowing.
2. A 65-year-old patient presents with sudden, painless loss of vision in one eye described as
a ‘curtain coming down.’ This is a clinical hallmark of:
A. Retinal Detachment
,B. Macular Degeneration
C. Acute Angle-Closure Glaucoma
D. Cataracts
Answer: A
Conceptual Explanation: Retinal detachment often presents as a painless, sudden vision
loss frequently described as a shadow or curtain moving across the field of vision.
3. When performing a respiratory assessment, the nurse practitioner notes increased tactile
fremitus over the right lower lobe. This finding is consistent with:
A. Pneumothorax
B. Pleural Effusion
C. Lobar Pneumonia
D. Asthma Exacerbation
Answer: C
Conceptual Explanation: Tactile fremitus is increased in conditions where lung tissue is
consolidated, such as pneumonia, because sound travels better through solid/liquid media
than air.
4. A patient exhibits a positive Murphy’s sign during an abdominal exam. This finding is highly
suggestive of:
A. Acute Appendicitis
, B. Acute Cholecystitis
C. Acute Pancreatitis
D. Diverticulitis
Answer: B
Conceptual Explanation: Murphy’s sign is a maneuver during abdominal exam where the
patient stops inhaling (inspiratory arrest) when the gallbladder is palpated, indicating
cholecystitis.
5. Which cranial nerve is being tested when a clinician asks a patient to shrug their shoulders
against resistance?
A. Cranial Nerve X (Vagus)
B. Cranial Nerve XII (Hypoglossal)
C. Cranial Nerve XI (Spinal Accessory)
D. Cranial Nerve IX (Glossopharyngeal)
Answer: C
Conceptual Explanation: Cranial Nerve XI (Spinal Accessory) innervates the trapezius and
sternocleidomastoid muscles; shoulder shrugging tests its motor function.
