NR605 ADVANCED HEALTH
ASSESSMENT COMPREHENSIVE EXAM
REVIEW QUESTIONS AND ANSWERS
2026/2027 UPDATE || 100% GUARANTEED
PASS
1. A 65-year-old patient presents with a sudden onset of ‘floaters’ and the sensation of a
curtain being pulled over their vision in the left eye. Which condition is the most likely
diagnosis?
A. Retinal Detachment
B. Acute Angle-Closure Glaucoma
C. Macular Degeneration
D. Cataracts
Answer: A
Conceptual Explanation: Retinal detachment is characterized by the sudden appearance
of floaters, flashes of light, and a shadow or curtain over the visual field. It is a medical
emergency.
2. During a neurological exam, the provider asks the patient to stick out their tongue. The
tongue deviates to the right side. Which cranial nerve is likely affected?
A. CN IX (Glossopharyngeal)
,B. CN X (Vagus)
C. CN XII (Hypoglossal)
D. CN VII (Facial)
Answer: C
Conceptual Explanation: Cranial Nerve XII (Hypoglossal) controls tongue movement.
Deviation to one side indicates a lesion on that side of the nerve.
3. A harsh, crescendo-decrescendo systolic murmur is heard best at the second right
intercostal space and radiates to the neck. This most likely indicates:
A. Mitral Regurgitation
B. Aortic Stenosis
C. Aortic Regurgitation
D. Mitral Stenosis
Answer: B
Conceptual Explanation: Aortic stenosis typically presents as a midsystolic ejection
murmur at the right second intercostal space, radiating to the carotids.
4. Which physical examination maneuver is specifically used to assess for a torn Anterior
Cruciate Ligament (ACL)?
A. Lachman Test
B. McMurray Test
, C. Phalen Test
D. Thompson Test
Answer: A
Conceptual Explanation: The Lachman test is considered the most sensitive clinical test
for detecting an ACL tear.
5. A patient presents with sharp RUQ pain that increases with inspiration during deep
palpation under the rib cage. This is a positive:
A. McBurney’s Sign
B. Rovsing’s Sign
C. Murphy’s Sign
D. Obturator Sign
Answer: C
Conceptual Explanation: Murphy’s sign is indicative of acute cholecystitis, where pain
causes the patient to catch their breath during inspiration while the gallbladder is palpated.
6. When conducting a Weber test, the patient reports that the sound lateralizes to the right
ear. In the Rinne test, AC > BC in both ears. What is the interpretation?
A. Left-sided sensorineural hearing loss
B. Right-sided conductive hearing loss
C. Right-sided sensorineural hearing loss
ASSESSMENT COMPREHENSIVE EXAM
REVIEW QUESTIONS AND ANSWERS
2026/2027 UPDATE || 100% GUARANTEED
PASS
1. A 65-year-old patient presents with a sudden onset of ‘floaters’ and the sensation of a
curtain being pulled over their vision in the left eye. Which condition is the most likely
diagnosis?
A. Retinal Detachment
B. Acute Angle-Closure Glaucoma
C. Macular Degeneration
D. Cataracts
Answer: A
Conceptual Explanation: Retinal detachment is characterized by the sudden appearance
of floaters, flashes of light, and a shadow or curtain over the visual field. It is a medical
emergency.
2. During a neurological exam, the provider asks the patient to stick out their tongue. The
tongue deviates to the right side. Which cranial nerve is likely affected?
A. CN IX (Glossopharyngeal)
,B. CN X (Vagus)
C. CN XII (Hypoglossal)
D. CN VII (Facial)
Answer: C
Conceptual Explanation: Cranial Nerve XII (Hypoglossal) controls tongue movement.
Deviation to one side indicates a lesion on that side of the nerve.
3. A harsh, crescendo-decrescendo systolic murmur is heard best at the second right
intercostal space and radiates to the neck. This most likely indicates:
A. Mitral Regurgitation
B. Aortic Stenosis
C. Aortic Regurgitation
D. Mitral Stenosis
Answer: B
Conceptual Explanation: Aortic stenosis typically presents as a midsystolic ejection
murmur at the right second intercostal space, radiating to the carotids.
4. Which physical examination maneuver is specifically used to assess for a torn Anterior
Cruciate Ligament (ACL)?
A. Lachman Test
B. McMurray Test
, C. Phalen Test
D. Thompson Test
Answer: A
Conceptual Explanation: The Lachman test is considered the most sensitive clinical test
for detecting an ACL tear.
5. A patient presents with sharp RUQ pain that increases with inspiration during deep
palpation under the rib cage. This is a positive:
A. McBurney’s Sign
B. Rovsing’s Sign
C. Murphy’s Sign
D. Obturator Sign
Answer: C
Conceptual Explanation: Murphy’s sign is indicative of acute cholecystitis, where pain
causes the patient to catch their breath during inspiration while the gallbladder is palpated.
6. When conducting a Weber test, the patient reports that the sound lateralizes to the right
ear. In the Rinne test, AC > BC in both ears. What is the interpretation?
A. Left-sided sensorineural hearing loss
B. Right-sided conductive hearing loss
C. Right-sided sensorineural hearing loss
