NSG 500 ADVANCED HEALTH
ASSESSMENT FINAL EXAM PREP
QUESTIONS AND ANSWERS
1. A 68-year-old patient presents with dyspnea and syncope. Auscultation reveals a harsh,
crescendo-decrescendo systolic murmur at the second right intercostal space radiating to the
carotid arteries. Which condition is most likely?
A. Aortic Stenosis
B. Mitral Regurgitation
C. Aortic Regurgitation
D. Mitral Stenosis
Answer: A
Conceptual Explanation: Aortic stenosis is characterized by a mid-systolic ejection
murmur heard best at the right second intercostal space, often radiating to the neck,
associated with symptoms like syncope and dyspnea.
,2. During a cranial nerve assessment, the patient is unable to close their left eye tightly and
shows drooping of the left corner of the mouth. Which cranial nerve is likely affected?
A. CN V (Trigeminal)
B. CN III (Oculomotor)
C. CN VII (Facial)
D. CN XII (Hypoglossal)
Answer: C
Conceptual Explanation: The facial nerve (CN VII) controls the muscles of facial
expression; impairment leads to symptoms such as inability to close the eye and drooping
of the mouth, as seen in Bell’s Palsy.
3. When performing the Rinne test, a patient reports that sound is heard longer via bone
conduction than via air conduction in the right ear (BC > AC). This finding indicates:
A. Normal hearing in the right ear
B. Conductive hearing loss in the right ear
C. Sensorineural hearing loss in the right ear
D. Sensorineural hearing loss in the left ear
Answer: B
, Conceptual Explanation: In conductive hearing loss, bone conduction is equal to or longer
than air conduction (BC >= AC). In a normal ear or sensorineural loss, air conduction is
longer than bone conduction (AC > BC).
4. A patient exhibits pain in the right lower quadrant when the left lower quadrant is deeply
palpated. What is this clinical sign called?
A. Murphy’s sign
B. Rovsing’s sign
C. McBurney’s sign
D. Psoas sign
Answer: B
Conceptual Explanation: Rovsing’s sign is referred pain in the right lower quadrant
during palpation of the left lower quadrant, suggesting peritoneal irritation or appendicitis.
5. On auscultation of a 75-year-old patient with heart failure, you hear a low-pitched sound
early in diastole just after S2. This sound is most likely:
A. Ejection click
B. S4 (Atrial gallop)
C. Opening snap
D. S3 (Ventricular gallop)
Answer: D
ASSESSMENT FINAL EXAM PREP
QUESTIONS AND ANSWERS
1. A 68-year-old patient presents with dyspnea and syncope. Auscultation reveals a harsh,
crescendo-decrescendo systolic murmur at the second right intercostal space radiating to the
carotid arteries. Which condition is most likely?
A. Aortic Stenosis
B. Mitral Regurgitation
C. Aortic Regurgitation
D. Mitral Stenosis
Answer: A
Conceptual Explanation: Aortic stenosis is characterized by a mid-systolic ejection
murmur heard best at the right second intercostal space, often radiating to the neck,
associated with symptoms like syncope and dyspnea.
,2. During a cranial nerve assessment, the patient is unable to close their left eye tightly and
shows drooping of the left corner of the mouth. Which cranial nerve is likely affected?
A. CN V (Trigeminal)
B. CN III (Oculomotor)
C. CN VII (Facial)
D. CN XII (Hypoglossal)
Answer: C
Conceptual Explanation: The facial nerve (CN VII) controls the muscles of facial
expression; impairment leads to symptoms such as inability to close the eye and drooping
of the mouth, as seen in Bell’s Palsy.
3. When performing the Rinne test, a patient reports that sound is heard longer via bone
conduction than via air conduction in the right ear (BC > AC). This finding indicates:
A. Normal hearing in the right ear
B. Conductive hearing loss in the right ear
C. Sensorineural hearing loss in the right ear
D. Sensorineural hearing loss in the left ear
Answer: B
, Conceptual Explanation: In conductive hearing loss, bone conduction is equal to or longer
than air conduction (BC >= AC). In a normal ear or sensorineural loss, air conduction is
longer than bone conduction (AC > BC).
4. A patient exhibits pain in the right lower quadrant when the left lower quadrant is deeply
palpated. What is this clinical sign called?
A. Murphy’s sign
B. Rovsing’s sign
C. McBurney’s sign
D. Psoas sign
Answer: B
Conceptual Explanation: Rovsing’s sign is referred pain in the right lower quadrant
during palpation of the left lower quadrant, suggesting peritoneal irritation or appendicitis.
5. On auscultation of a 75-year-old patient with heart failure, you hear a low-pitched sound
early in diastole just after S2. This sound is most likely:
A. Ejection click
B. S4 (Atrial gallop)
C. Opening snap
D. S3 (Ventricular gallop)
Answer: D
