NUR 504
EXAM 2
Advanced Health Assessment
Questions And Answers Plus Rationales
Instant Pdf Download | 2026
THIS DOCUMENT CONTAINS :
➢ Printable + Tablet-friendly Pdf
➢ Latest Qs & Ans 2026/27 Update
➢ Qs & Answers Plus Rationales
,1. A 6-year-old child presents with a fever of 102°F, cervical
lymphadenopathy, conjunctival injection, oral mucosal changes
(strawberry tongue), and a polymorphous truncal rash. What is the
most likely diagnosis?
a) Measles
b) Kawasaki disease
c) Scarlet fever
d) Epstein-Barr virus
Answer: b (Kawasaki disease requires fever ≥5 days plus 4 of 5 criteria:
conjunctival injection, oral changes, rash, extremity changes, cervical
lymphadenopathy.)
2. Which of the following is a normal physical finding in a newborn
that would be concerning if present in a 6-month-old infant?
a) Mongolian spots
b) Epstein’s pearls
c) Landau reflex (when suspended prone, infant extends head and legs)
d) Palmar grasp reflex
Answer: d (Palmar grasp reflex disappears by 4-6 months; persistence
beyond 6 months suggests neurological impairment.)
3. A 72-year-old patient reports feeling "unsteady" when walking,
especially when turning. On exam, you note a wide-based, irregular
gait with variable step length. The patient cannot tandem walk. This
is most consistent with:
,a) Parkinsonian gait
b) Cerebellar ataxia
c) Hemiparetic gait
d) Antalgic gait
Answer: b (Cerebellar ataxia: wide-based, unsteady, irregular, worse with
tandem gait and turns.)
4. When performing the "Get Up and Go" test on an older adult, the
patient takes 25 seconds to rise from a chair, walk 10 feet, turn,
return, and sit down. This indicates:
a) Normal function for age
b) High risk for falls
c) Mild cognitive impairment
d) Need for assistive device only
Answer: b (Timed Up and Go (TUG) >12-14 seconds indicates increased
fall risk; >20 seconds is high risk.)
5. A 15-year-old female athlete reports amenorrhea for 6 months,
stress fracture of the tibia, and restrictive eating. The most likely
diagnosis is:
a) Polycystic ovary syndrome
b) Hypothalamic amenorrhea
c) Female athlete triad (disordered eating, amenorrhea, osteoporosis)
d) Pregnancy
, Answer: c (Female athlete triad: low energy availability (with or without
eating disorder), menstrual dysfunction, low bone density.)
6. During a mental status exam, a patient describes seeing "spiders
crawling on the wall" that no one else sees. This is a:
a) Delusion
b) Illusion
c) Hallucination (visual)
d) Obsession
Answer: c (Hallucination is a sensory perception without external
stimulus; visual hallucinations are classic in delirium or psychotic
disorders.)
7. A 4-year-old child has a cough that is described as "barking" or
"seal-like," worse at night, with inspiratory stridor. No drooling or
toxic appearance. The most likely diagnosis is:
a) Epiglottitis
b) Bacterial tracheitis
c) Croup (laryngotracheobronchitis)
d) Foreign body aspiration
Answer: c (Croup presents with barky cough, stridor, worse at night;
child appears nontoxic. Epiglottitis causes drooling, tripod position, toxic
appearance.)
8. On ophthalmoscopic exam of a 70-year-old patient, you see a
well-demarcated, circular, yellowish spot with pigment mottling at
EXAM 2
Advanced Health Assessment
Questions And Answers Plus Rationales
Instant Pdf Download | 2026
THIS DOCUMENT CONTAINS :
➢ Printable + Tablet-friendly Pdf
➢ Latest Qs & Ans 2026/27 Update
➢ Qs & Answers Plus Rationales
,1. A 6-year-old child presents with a fever of 102°F, cervical
lymphadenopathy, conjunctival injection, oral mucosal changes
(strawberry tongue), and a polymorphous truncal rash. What is the
most likely diagnosis?
a) Measles
b) Kawasaki disease
c) Scarlet fever
d) Epstein-Barr virus
Answer: b (Kawasaki disease requires fever ≥5 days plus 4 of 5 criteria:
conjunctival injection, oral changes, rash, extremity changes, cervical
lymphadenopathy.)
2. Which of the following is a normal physical finding in a newborn
that would be concerning if present in a 6-month-old infant?
a) Mongolian spots
b) Epstein’s pearls
c) Landau reflex (when suspended prone, infant extends head and legs)
d) Palmar grasp reflex
Answer: d (Palmar grasp reflex disappears by 4-6 months; persistence
beyond 6 months suggests neurological impairment.)
3. A 72-year-old patient reports feeling "unsteady" when walking,
especially when turning. On exam, you note a wide-based, irregular
gait with variable step length. The patient cannot tandem walk. This
is most consistent with:
,a) Parkinsonian gait
b) Cerebellar ataxia
c) Hemiparetic gait
d) Antalgic gait
Answer: b (Cerebellar ataxia: wide-based, unsteady, irregular, worse with
tandem gait and turns.)
4. When performing the "Get Up and Go" test on an older adult, the
patient takes 25 seconds to rise from a chair, walk 10 feet, turn,
return, and sit down. This indicates:
a) Normal function for age
b) High risk for falls
c) Mild cognitive impairment
d) Need for assistive device only
Answer: b (Timed Up and Go (TUG) >12-14 seconds indicates increased
fall risk; >20 seconds is high risk.)
5. A 15-year-old female athlete reports amenorrhea for 6 months,
stress fracture of the tibia, and restrictive eating. The most likely
diagnosis is:
a) Polycystic ovary syndrome
b) Hypothalamic amenorrhea
c) Female athlete triad (disordered eating, amenorrhea, osteoporosis)
d) Pregnancy
, Answer: c (Female athlete triad: low energy availability (with or without
eating disorder), menstrual dysfunction, low bone density.)
6. During a mental status exam, a patient describes seeing "spiders
crawling on the wall" that no one else sees. This is a:
a) Delusion
b) Illusion
c) Hallucination (visual)
d) Obsession
Answer: c (Hallucination is a sensory perception without external
stimulus; visual hallucinations are classic in delirium or psychotic
disorders.)
7. A 4-year-old child has a cough that is described as "barking" or
"seal-like," worse at night, with inspiratory stridor. No drooling or
toxic appearance. The most likely diagnosis is:
a) Epiglottitis
b) Bacterial tracheitis
c) Croup (laryngotracheobronchitis)
d) Foreign body aspiration
Answer: c (Croup presents with barky cough, stridor, worse at night;
child appears nontoxic. Epiglottitis causes drooling, tripod position, toxic
appearance.)
8. On ophthalmoscopic exam of a 70-year-old patient, you see a
well-demarcated, circular, yellowish spot with pigment mottling at
