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NSG 6020 ADVANCED HEALTH ASSESSMENT HEENT Additional
Practice Questions | Answers & Rationales
1. A 62-year-old client reports seeing floaters and flashes of
light in the right eye. The advanced practice nurse should
suspect:
A. Cataract
B. Retinal detachment
C. Macular degeneration only
D. Conjunctivitis only
Answer: B
Rationale: Sudden floaters and flashes may indicate retinal
detachment, an ocular emergency.
2. Which finding on otoscopic exam suggests acute otitis
media?
A. Pearly gray tympanic membrane with light reflex
B. Red, bulging tympanic membrane with decreased mobility
C. Retracted, dull tympanic membrane
D. Blue-black tympanic membrane
Answer: B
Rationale: AOM presents with red, bulging TM and decreased
mobility.
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3. A client with chronic allergic rhinitis may have which nasal
finding?
A. Pale, boggy, swollen turbinates
B. Bright red, dry mucosa
C. Purulent discharge
D. Unilateral foul discharge
Answer: A
Rationale: Allergic rhinitis typically causes pale, edematous
turbinates.
4. A positive Brudzinski sign is indicated by:
A. Hip/knee flexion when the neck is flexed
B. Inability to extend the knee with hip flexed
C. Involuntary facial twitch when cheek is tapped
D. Calf pain with dorsiflexion
Answer: A
Rationale: Brudzinski sign: neck flexion causes involuntary
hip/knee flexion.
5. The examiner notes yellow sclera. This finding is called:
NSG 6020 ADVANCED HEALTH ASSESSMENT HEENT Additional
Practice Questions | Answers & Rationales
1. A 62-year-old client reports seeing floaters and flashes of
light in the right eye. The advanced practice nurse should
suspect:
A. Cataract
B. Retinal detachment
C. Macular degeneration only
D. Conjunctivitis only
Answer: B
Rationale: Sudden floaters and flashes may indicate retinal
detachment, an ocular emergency.
2. Which finding on otoscopic exam suggests acute otitis
media?
A. Pearly gray tympanic membrane with light reflex
B. Red, bulging tympanic membrane with decreased mobility
C. Retracted, dull tympanic membrane
D. Blue-black tympanic membrane
Answer: B
Rationale: AOM presents with red, bulging TM and decreased
mobility.
, Page |2
3. A client with chronic allergic rhinitis may have which nasal
finding?
A. Pale, boggy, swollen turbinates
B. Bright red, dry mucosa
C. Purulent discharge
D. Unilateral foul discharge
Answer: A
Rationale: Allergic rhinitis typically causes pale, edematous
turbinates.
4. A positive Brudzinski sign is indicated by:
A. Hip/knee flexion when the neck is flexed
B. Inability to extend the knee with hip flexed
C. Involuntary facial twitch when cheek is tapped
D. Calf pain with dorsiflexion
Answer: A
Rationale: Brudzinski sign: neck flexion causes involuntary
hip/knee flexion.
5. The examiner notes yellow sclera. This finding is called:
