NSG 500 ADVANCED HEALTH
ASSESSMENT (EXAMS 1-3)
COMPREHENSIVE QUESTIONS AND
ANSWERS
1. When performing an abdominal assessment, which sequence should the advanced practice
nurse follow?
A. Inspection, Palpation, Percussion, Auscultation
B. Auscultation, Inspection, Palpation, Percussion
C. Inspection, Auscultation, Percussion, Palpation
D. Palpation, Percussion, Auscultation, Inspection
Answer: C
Conceptual Explanation: Auscultation is performed before percussion and palpation to
avoid altering bowel sounds through physical manipulation.
2. Which heart sound is produced by the closure of the atrioventricular (mitral and tricuspid)
valves?
A. S2
B. S1
,C. S3
D. S4
Answer: B
Conceptual Explanation: S1, the first heart sound, marks the beginning of systole and is
caused by the closure of the AV valves.
3. A patient presents with a ‘strawberry tongue.’ This clinical finding is most characteristic of
which condition?
A. Oral Candidiasis
B. Vitamin B12 deficiency
C. Scarlet Fever
D. Leukoplakia
Answer: C
Conceptual Explanation: A strawberry tongue, characterized by a bright red, bumpy
appearance, is a classic sign of Scarlet Fever or Kawasaki disease.
4. The nurse practitioner uses the Snellen chart to assess which cranial nerve?
A. CN II
B. CN I
C. CN III
, D. CN IV
Answer: A
Conceptual Explanation: Cranial Nerve II is the Optic nerve, responsible for visual acuity,
which is measured by the Snellen chart.
5. During a musculoskeletal exam, the patient is asked to move their arm away from the
midline of the body. This movement is called:
A. Adduction
B. Abduction
C. Flexion
D. Extension
Answer: B
Conceptual Explanation: Abduction is the movement of a limb away from the midline of
the body.
6. Which of the following findings is considered abnormal when assessing the tactile fremitus
of a patient with pneumonia?
A. Decreased fremitus
B. Normal resonance
C. Absent fremitus
D. Increased fremitus
ASSESSMENT (EXAMS 1-3)
COMPREHENSIVE QUESTIONS AND
ANSWERS
1. When performing an abdominal assessment, which sequence should the advanced practice
nurse follow?
A. Inspection, Palpation, Percussion, Auscultation
B. Auscultation, Inspection, Palpation, Percussion
C. Inspection, Auscultation, Percussion, Palpation
D. Palpation, Percussion, Auscultation, Inspection
Answer: C
Conceptual Explanation: Auscultation is performed before percussion and palpation to
avoid altering bowel sounds through physical manipulation.
2. Which heart sound is produced by the closure of the atrioventricular (mitral and tricuspid)
valves?
A. S2
B. S1
,C. S3
D. S4
Answer: B
Conceptual Explanation: S1, the first heart sound, marks the beginning of systole and is
caused by the closure of the AV valves.
3. A patient presents with a ‘strawberry tongue.’ This clinical finding is most characteristic of
which condition?
A. Oral Candidiasis
B. Vitamin B12 deficiency
C. Scarlet Fever
D. Leukoplakia
Answer: C
Conceptual Explanation: A strawberry tongue, characterized by a bright red, bumpy
appearance, is a classic sign of Scarlet Fever or Kawasaki disease.
4. The nurse practitioner uses the Snellen chart to assess which cranial nerve?
A. CN II
B. CN I
C. CN III
, D. CN IV
Answer: A
Conceptual Explanation: Cranial Nerve II is the Optic nerve, responsible for visual acuity,
which is measured by the Snellen chart.
5. During a musculoskeletal exam, the patient is asked to move their arm away from the
midline of the body. This movement is called:
A. Adduction
B. Abduction
C. Flexion
D. Extension
Answer: B
Conceptual Explanation: Abduction is the movement of a limb away from the midline of
the body.
6. Which of the following findings is considered abnormal when assessing the tactile fremitus
of a patient with pneumonia?
A. Decreased fremitus
B. Normal resonance
C. Absent fremitus
D. Increased fremitus
