NURS 6512 Exam 4 V2 | NURS 6512
Advanced Health Assessment | Actual
Q&A with Rationale (NURS6512 Exam 4) |
Walden University
1. When assessing a patient for a suspected meniscus tear, the clinician performs a maneuver
involving internal and external rotation of the lower leg while the knee is flexed and then
extended. What is the name of this test?
A. Lachman test
B. Drawer test
C. McMurray test
D. Bulge sign
Answer: C
Rationale: The McMurray test is specifically used to evaluate for tears in the meniscus of
the knee joint. It involves rotating the tibia while extending the knee from a flexed position
to elicit a palpable or audible click. This maneuver is a hallmark of orthopedic assessment
in the NURS 6512 curriculum.
2. A clinician is evaluating a patient’s cranial nerves and asks the patient to shrug their
shoulders against resistance. This maneuver primarily assesses which cranial nerve?
A. Cranial Nerve XI (Spinal Accessory)
,B. Cranial Nerve XII (Hypoglossal)
C. Cranial Nerve X (Vagus)
D. Cranial Nerve IX (Glossopharyngeal)
Answer: A
Rationale: Cranial nerve XI, the spinal accessory nerve, innervates the trapezius and
sternocleidomastoid muscles. Testing shoulder shrugging and head turning against
resistance are standard methods to assess its motor function. Weakness or asymmetry in
these movements may indicate nerve damage or muscle pathology.
3. During a musculoskeletal assessment, a patient is asked to stand with their feet together
and eyes closed. The patient begins to sway significantly and loses their balance. This result is
documented as:
A. Negative Babinski sign
B. Positive Gower sign
C. Negative Homan sign
D. Positive Romberg sign
Answer: D
Rationale: The Romberg test is used to assess cerebellar function and proprioception by
observing a patient’s ability to maintain balance without visual cues. A positive sign occurs
when the patient sways or falls, indicating an abnormality in the sensory pathways or
, vestibular system. This assessment is vital for identifying neurological deficits during a
comprehensive physical exam.
4. Which physical exam finding is most characteristic of Osteoarthritis (OA) in the distal
interphalangeal (DIP) joints?
A. Bouchard nodes
B. Heberden nodes
C. Swan-neck deformity
D. Boutonniere deformity
Answer: B
Rationale: Heberden nodes are bony enlargements located at the distal interphalangeal
joints, commonly associated with the degenerative changes of osteoarthritis. Bouchard
nodes occur at the proximal interphalangeal (PIP) joints. Differentiating these nodes is
essential for diagnosing chronic joint conditions in the primary care setting.
5. A patient presents with numbness and tingling in the thumb and first two fingers. The
clinician performs the Phalen test. Which of the following describes a positive Phalen test?
A. Pain elicited by tapping over the median nerve at the wrist
B. Weakness when the patient tries to pinch a piece of paper
C. Numbness or tingling produced by holding the backs of the hands together with wrists
flexed for 60 seconds
Advanced Health Assessment | Actual
Q&A with Rationale (NURS6512 Exam 4) |
Walden University
1. When assessing a patient for a suspected meniscus tear, the clinician performs a maneuver
involving internal and external rotation of the lower leg while the knee is flexed and then
extended. What is the name of this test?
A. Lachman test
B. Drawer test
C. McMurray test
D. Bulge sign
Answer: C
Rationale: The McMurray test is specifically used to evaluate for tears in the meniscus of
the knee joint. It involves rotating the tibia while extending the knee from a flexed position
to elicit a palpable or audible click. This maneuver is a hallmark of orthopedic assessment
in the NURS 6512 curriculum.
2. A clinician is evaluating a patient’s cranial nerves and asks the patient to shrug their
shoulders against resistance. This maneuver primarily assesses which cranial nerve?
A. Cranial Nerve XI (Spinal Accessory)
,B. Cranial Nerve XII (Hypoglossal)
C. Cranial Nerve X (Vagus)
D. Cranial Nerve IX (Glossopharyngeal)
Answer: A
Rationale: Cranial nerve XI, the spinal accessory nerve, innervates the trapezius and
sternocleidomastoid muscles. Testing shoulder shrugging and head turning against
resistance are standard methods to assess its motor function. Weakness or asymmetry in
these movements may indicate nerve damage or muscle pathology.
3. During a musculoskeletal assessment, a patient is asked to stand with their feet together
and eyes closed. The patient begins to sway significantly and loses their balance. This result is
documented as:
A. Negative Babinski sign
B. Positive Gower sign
C. Negative Homan sign
D. Positive Romberg sign
Answer: D
Rationale: The Romberg test is used to assess cerebellar function and proprioception by
observing a patient’s ability to maintain balance without visual cues. A positive sign occurs
when the patient sways or falls, indicating an abnormality in the sensory pathways or
, vestibular system. This assessment is vital for identifying neurological deficits during a
comprehensive physical exam.
4. Which physical exam finding is most characteristic of Osteoarthritis (OA) in the distal
interphalangeal (DIP) joints?
A. Bouchard nodes
B. Heberden nodes
C. Swan-neck deformity
D. Boutonniere deformity
Answer: B
Rationale: Heberden nodes are bony enlargements located at the distal interphalangeal
joints, commonly associated with the degenerative changes of osteoarthritis. Bouchard
nodes occur at the proximal interphalangeal (PIP) joints. Differentiating these nodes is
essential for diagnosing chronic joint conditions in the primary care setting.
5. A patient presents with numbness and tingling in the thumb and first two fingers. The
clinician performs the Phalen test. Which of the following describes a positive Phalen test?
A. Pain elicited by tapping over the median nerve at the wrist
B. Weakness when the patient tries to pinch a piece of paper
C. Numbness or tingling produced by holding the backs of the hands together with wrists
flexed for 60 seconds
