NURS 612 Exam 2 (Maryville) Newest 2026 Actual
Exam| Advanced Health Assessment Exam 2 Review
With Complete Real Exam Questions and Correct
Verified Answers/ Already Graded A+ (Brand New!!)
1. A 45-year-old male presents with sudden, painless vision
loss in his right eye. Fundoscopic exam shows a pale,
swollen optic disc with blurred margins and splinter
hemorrhages. What is the most likely diagnosis?
A) Papilledema
B) Optic neuritis
C) Central retinal artery occlusion (CRAO)
D) Diabetic retinopathy
Answer: C (CRAO)
Rationale: CRAO causes acute, painless monocular vision loss
1
,with a pale retina and cherry-red spot. Papilledema is bilateral
and from increased ICP. Optic neuritis is painful with vision loss.
2. Which of the following is a characteristic finding in acute
bacterial conjunctivitis?
A) Serous discharge
B) Preauricular lymphadenopathy
C) Purulent discharge with matting of eyelids
D) Unilateral photophobia without discharge
Answer: C
Rationale: Bacterial conjunctivitis presents with purulent
discharge, crusting, and sticky eyelids. Viral conjunctivitis often
has serous discharge and preauricular nodes.
3. A patient reports double vision that is worse when looking
to the left. Examination reveals failure of adduction of the left
2
,eye with nystagmus of the right eye on left gaze. This is
consistent with:
A) Trochlear nerve palsy
B) Internuclear ophthalmoplegia (INO)
C) Abducens nerve palsy
D) Myasthenia gravis
Answer: B (INO)
Rationale: INO (often from MS or stroke) affects the medial
longitudinal fasciculus, causing impaired adduction with
contralateral nystagmus on abduction.
4. During otoscopic exam, you note a cone of light in the right
ear at the 5 o'clock position. This indicates:
A) Acute otitis media
B) Normal middle ear
C) Cholesteatoma
3
, D) Serous effusion
Answer: B
Rationale: The cone of light is a normal finding—right ear at 5
o’clock, left ear at 7 o’clock. Displacement suggests pathology.
5. Weber test lateralizes to the left ear. Rinne test shows air
conduction > bone conduction bilaterally. This indicates:
A) Left sensorineural hearing loss
B) Left conductive hearing loss
C) Right conductive hearing loss
D) Normal hearing
Answer: A
Rationale: Weber lateralizes to the better-hearing ear in
sensorineural loss. Rinne is normal (AC > BC) in sensorineural loss.
Conductive loss shows BC > AC.
4
Exam| Advanced Health Assessment Exam 2 Review
With Complete Real Exam Questions and Correct
Verified Answers/ Already Graded A+ (Brand New!!)
1. A 45-year-old male presents with sudden, painless vision
loss in his right eye. Fundoscopic exam shows a pale,
swollen optic disc with blurred margins and splinter
hemorrhages. What is the most likely diagnosis?
A) Papilledema
B) Optic neuritis
C) Central retinal artery occlusion (CRAO)
D) Diabetic retinopathy
Answer: C (CRAO)
Rationale: CRAO causes acute, painless monocular vision loss
1
,with a pale retina and cherry-red spot. Papilledema is bilateral
and from increased ICP. Optic neuritis is painful with vision loss.
2. Which of the following is a characteristic finding in acute
bacterial conjunctivitis?
A) Serous discharge
B) Preauricular lymphadenopathy
C) Purulent discharge with matting of eyelids
D) Unilateral photophobia without discharge
Answer: C
Rationale: Bacterial conjunctivitis presents with purulent
discharge, crusting, and sticky eyelids. Viral conjunctivitis often
has serous discharge and preauricular nodes.
3. A patient reports double vision that is worse when looking
to the left. Examination reveals failure of adduction of the left
2
,eye with nystagmus of the right eye on left gaze. This is
consistent with:
A) Trochlear nerve palsy
B) Internuclear ophthalmoplegia (INO)
C) Abducens nerve palsy
D) Myasthenia gravis
Answer: B (INO)
Rationale: INO (often from MS or stroke) affects the medial
longitudinal fasciculus, causing impaired adduction with
contralateral nystagmus on abduction.
4. During otoscopic exam, you note a cone of light in the right
ear at the 5 o'clock position. This indicates:
A) Acute otitis media
B) Normal middle ear
C) Cholesteatoma
3
, D) Serous effusion
Answer: B
Rationale: The cone of light is a normal finding—right ear at 5
o’clock, left ear at 7 o’clock. Displacement suggests pathology.
5. Weber test lateralizes to the left ear. Rinne test shows air
conduction > bone conduction bilaterally. This indicates:
A) Left sensorineural hearing loss
B) Left conductive hearing loss
C) Right conductive hearing loss
D) Normal hearing
Answer: A
Rationale: Weber lateralizes to the better-hearing ear in
sensorineural loss. Rinne is normal (AC > BC) in sensorineural loss.
Conductive loss shows BC > AC.
4
