NUR612/NUR 612 Exam 1 V2 | Advanced
Nursing II Q&A with Rationale | William
Paterson University
1. Which heart sound is typically associated with fluid overload or heart failure in an adult
patient?
A. S3
B. S2
C. S1
D. S4
Answer: A
Rationale: The S3 heart sound is also known as a ventricular gallop. It occurs in early
diastole during the rapid ventricular filling phase. In older adults, this sound is a classic
sign of congestive heart failure or volume overload.
2. A positive Murphy’s sign is highly suggestive of which condition?
A. Acute cholecystitis
B. Appendicitis
C. Pancreatitis
D. Nephrolithiasis
,Answer: A
Rationale: Murphy’s sign is elicited by palpating the right upper quadrant while the
patient takes a deep breath. An abrupt cessation of inspiration due to pain is considered a
positive result. This finding is highly specific for inflammatory gallbladder disease.
3. When assessing for a meniscus tear in the knee, which maneuver is most appropriate?
A. Lachman test
B. McMurray test
C. Phalen’s test
D. Anterior drawer test
Answer: B
Rationale: The McMurray test involves rotating the knee while extending it to detect a
click or pain. It specifically evaluates the integrity of the medial and lateral menisci. Other
tests like the Lachman or drawer tests are primarily used for ligamentous stability.
4. Which laboratory finding is characteristic of primary hyperthyroidism?
A. High TSH and Low T4
B. Low TSH and High T4
C. High TSH and High T4
D. Low TSH and Low T4
Answer: B
, Rationale: In primary hyperthyroidism, the thyroid gland overproduces thyroid
hormones. This excess of T4 and T3 creates negative feedback on the anterior pituitary
gland. Consequently, the TSH levels will be suppressed and fall below the normal range.
5. During a Weber test, if sound lateralizes to the patient’s right ear, what does this indicate?
A. Conductive loss in the left ear or sensorineural loss in the right
B. Conductive loss in the right ear or sensorineural loss in the left
C. Normal hearing in both ears
D. Bilateral sensorineural loss
Answer: B
Rationale: The Weber test involves placing a vibrating tuning fork on the midline of the
skull. Sound lateralizes to the ear with conductive hearing loss or away from the ear with
sensorineural loss. If it lateralizes to the right, either the right ear has a blockage or the left
ear has nerve damage.
6. Where is the best location to auscultate an aortic stenosis murmur?
A. Fifth left intercostal space at the midclavicular line
B. Second left intercostal space
C. Fourth left intercostal space
D. Second right intercostal space
Answer: D
Nursing II Q&A with Rationale | William
Paterson University
1. Which heart sound is typically associated with fluid overload or heart failure in an adult
patient?
A. S3
B. S2
C. S1
D. S4
Answer: A
Rationale: The S3 heart sound is also known as a ventricular gallop. It occurs in early
diastole during the rapid ventricular filling phase. In older adults, this sound is a classic
sign of congestive heart failure or volume overload.
2. A positive Murphy’s sign is highly suggestive of which condition?
A. Acute cholecystitis
B. Appendicitis
C. Pancreatitis
D. Nephrolithiasis
,Answer: A
Rationale: Murphy’s sign is elicited by palpating the right upper quadrant while the
patient takes a deep breath. An abrupt cessation of inspiration due to pain is considered a
positive result. This finding is highly specific for inflammatory gallbladder disease.
3. When assessing for a meniscus tear in the knee, which maneuver is most appropriate?
A. Lachman test
B. McMurray test
C. Phalen’s test
D. Anterior drawer test
Answer: B
Rationale: The McMurray test involves rotating the knee while extending it to detect a
click or pain. It specifically evaluates the integrity of the medial and lateral menisci. Other
tests like the Lachman or drawer tests are primarily used for ligamentous stability.
4. Which laboratory finding is characteristic of primary hyperthyroidism?
A. High TSH and Low T4
B. Low TSH and High T4
C. High TSH and High T4
D. Low TSH and Low T4
Answer: B
, Rationale: In primary hyperthyroidism, the thyroid gland overproduces thyroid
hormones. This excess of T4 and T3 creates negative feedback on the anterior pituitary
gland. Consequently, the TSH levels will be suppressed and fall below the normal range.
5. During a Weber test, if sound lateralizes to the patient’s right ear, what does this indicate?
A. Conductive loss in the left ear or sensorineural loss in the right
B. Conductive loss in the right ear or sensorineural loss in the left
C. Normal hearing in both ears
D. Bilateral sensorineural loss
Answer: B
Rationale: The Weber test involves placing a vibrating tuning fork on the midline of the
skull. Sound lateralizes to the ear with conductive hearing loss or away from the ear with
sensorineural loss. If it lateralizes to the right, either the right ear has a blockage or the left
ear has nerve damage.
6. Where is the best location to auscultate an aortic stenosis murmur?
A. Fifth left intercostal space at the midclavicular line
B. Second left intercostal space
C. Fourth left intercostal space
D. Second right intercostal space
Answer: D
