NURS 6512 Final Exam V2 | NURS 6512
Advanced Health Assessment | Actual
Q&A with Rationale (NURS6512 Final
Exam) | Walden University
1. When assessing for a positive Murphy sign, the examiner is testing for which of the
following conditions?
A. Acute appendicitis
B. Ascites
C. Acute cholecystitis
D. Splenic enlargement
Answer: C
Rationale: The Murphy sign is a clinical test used during an abdominal exam to detect
inflammation of the gallbladder. The examiner palpates the right upper quadrant and asks
the patient to take a deep breath; a sharp halt in inspiration indicates a positive result. This
finding is highly suggestive of acute cholecystitis rather than other abdominal conditions
like appendicitis.
2. To evaluate the function of Cranial Nerves III, IV, and VI, the nurse practitioner should
perform which assessment?
A. Evaluating pupillary response to light
,B. Assessing the corneal reflex with a cotton wisp
C. Testing the six cardinal fields of gaze
D. Checking the patient’s visual acuity using a Snellen chart
Answer: C
Rationale: The Oculomotor (III), Trochlear (IV), and Abducens (VI) nerves are responsible
for the movement of the extraocular muscles. Testing the six cardinal fields of gaze allows
the clinician to observe the coordinated movement of both eyes in all directions.
Limitations in these movements can indicate cranial nerve palsy or muscle entrapment.
3. A patient presents with a blowing, holosystolic murmur heard best at the apex and
radiating to the left axilla. Which condition does this describe?
A. Aortic stenosis
B. Mitral stenosis
C. Mitral regurgitation
D. Tricuspid regurgitation
Answer: C
Rationale: Mitral regurgitation is characterized by a high-pitched, holosystolic murmur
that occurs when blood flows backward from the left ventricle into the left atrium. The
murmur is typically heard loudest at the apex and often radiates toward the axilla. This
, finding contrasts with aortic stenosis, which is usually a midsystolic ejection murmur heard
at the base.
4. What is the expected finding when assessing tactile fremitus in a patient with lobar
pneumonia?
A. Decreased fremitus
B. Absent fremitus
C. Increased fremitus
D. Normal fremitus
Answer: C
Rationale: Tactile fremitus refers to the vibrations felt on the chest wall when a patient
speaks. In lobar pneumonia, the presence of consolidation or fluid-filled lung tissue
enhances the transmission of these vibrations. Conversely, conditions like pneumothorax
or pleural effusion would result in decreased or absent fremitus.
5. A clinician asks a patient to identify a number written on the palm of their hand with a
blunt object. This test is known as:
A. Stereognosis
B. Graphesthesia
C. Two-point discrimination
D. Extinction
Advanced Health Assessment | Actual
Q&A with Rationale (NURS6512 Final
Exam) | Walden University
1. When assessing for a positive Murphy sign, the examiner is testing for which of the
following conditions?
A. Acute appendicitis
B. Ascites
C. Acute cholecystitis
D. Splenic enlargement
Answer: C
Rationale: The Murphy sign is a clinical test used during an abdominal exam to detect
inflammation of the gallbladder. The examiner palpates the right upper quadrant and asks
the patient to take a deep breath; a sharp halt in inspiration indicates a positive result. This
finding is highly suggestive of acute cholecystitis rather than other abdominal conditions
like appendicitis.
2. To evaluate the function of Cranial Nerves III, IV, and VI, the nurse practitioner should
perform which assessment?
A. Evaluating pupillary response to light
,B. Assessing the corneal reflex with a cotton wisp
C. Testing the six cardinal fields of gaze
D. Checking the patient’s visual acuity using a Snellen chart
Answer: C
Rationale: The Oculomotor (III), Trochlear (IV), and Abducens (VI) nerves are responsible
for the movement of the extraocular muscles. Testing the six cardinal fields of gaze allows
the clinician to observe the coordinated movement of both eyes in all directions.
Limitations in these movements can indicate cranial nerve palsy or muscle entrapment.
3. A patient presents with a blowing, holosystolic murmur heard best at the apex and
radiating to the left axilla. Which condition does this describe?
A. Aortic stenosis
B. Mitral stenosis
C. Mitral regurgitation
D. Tricuspid regurgitation
Answer: C
Rationale: Mitral regurgitation is characterized by a high-pitched, holosystolic murmur
that occurs when blood flows backward from the left ventricle into the left atrium. The
murmur is typically heard loudest at the apex and often radiates toward the axilla. This
, finding contrasts with aortic stenosis, which is usually a midsystolic ejection murmur heard
at the base.
4. What is the expected finding when assessing tactile fremitus in a patient with lobar
pneumonia?
A. Decreased fremitus
B. Absent fremitus
C. Increased fremitus
D. Normal fremitus
Answer: C
Rationale: Tactile fremitus refers to the vibrations felt on the chest wall when a patient
speaks. In lobar pneumonia, the presence of consolidation or fluid-filled lung tissue
enhances the transmission of these vibrations. Conversely, conditions like pneumothorax
or pleural effusion would result in decreased or absent fremitus.
5. A clinician asks a patient to identify a number written on the palm of their hand with a
blunt object. This test is known as:
A. Stereognosis
B. Graphesthesia
C. Two-point discrimination
D. Extinction
