NURS 5334 ADVANCED HEALTH
ASSESSMENT TEST 3 –
COMPREHENSIVE QUESTION REVIEW
1. A 67-year-old patient presents with a harsh, midsystolic crescendo-decrescendo murmur
heard best at the second right intercostal space, radiating to the carotids. Which condition is
most likely?
A. Mitral Regurgitation
B. Mitral Stenosis
C. Aortic Regurgitation
D. Aortic Stenosis
Answer: D
Conceptual Explanation: Aortic stenosis is characterized by a systolic crescendo-
decrescendo murmur at the right upper sternal border that often radiates to the carotid
arteries.
,2. During a respiratory assessment, the clinician notes increased tactile fremitus over the
right lower lobe. This finding is most consistent with which of the following?
A. Pneumothorax
B. Lobar Pneumonia
C. Pleural Effusion
D. Asthma
Answer: B
Conceptual Explanation: Tactile fremitus increases with lung consolidation, such as in
pneumonia, because sound travels better through solid/liquid media than air.
3. To assess for a possible meniscus tear in the knee, the clinician performs which of the
following maneuvers?
A. McMurray Test
B. Lachman Test
C. Bulge Sign
D. Anterior Drawer Test
Answer: A
Conceptual Explanation: The McMurray test is specifically used to evaluate for meniscus
tears by rotating the lower leg while extending the knee.
, 4. A patient exhibits a positive Brudzinski sign. This indicates potential irritation of which
structure?
A. Sciatic Nerve
B. Gallbladder
C. Peritoneal Cavity
D. Meninges
Answer: D
Conceptual Explanation: A positive Brudzinski sign (involuntary flexion of hips/knees
when the neck is flexed) is a classic sign of meningeal irritation or meningitis.
5. Which cranial nerve is being tested when the clinician asks the patient to shrug their
shoulders against resistance?
A. CN X (Vagus)
B. CN XI (Spinal Accessory)
C. CN IX (Glossopharyngeal)
D. CN XII (Hypoglossal)
Answer: B
Conceptual Explanation: Cranial Nerve XI innervates the trapezius and
sternocleidomastoid muscles; shrugging tests the trapezius strength.
ASSESSMENT TEST 3 –
COMPREHENSIVE QUESTION REVIEW
1. A 67-year-old patient presents with a harsh, midsystolic crescendo-decrescendo murmur
heard best at the second right intercostal space, radiating to the carotids. Which condition is
most likely?
A. Mitral Regurgitation
B. Mitral Stenosis
C. Aortic Regurgitation
D. Aortic Stenosis
Answer: D
Conceptual Explanation: Aortic stenosis is characterized by a systolic crescendo-
decrescendo murmur at the right upper sternal border that often radiates to the carotid
arteries.
,2. During a respiratory assessment, the clinician notes increased tactile fremitus over the
right lower lobe. This finding is most consistent with which of the following?
A. Pneumothorax
B. Lobar Pneumonia
C. Pleural Effusion
D. Asthma
Answer: B
Conceptual Explanation: Tactile fremitus increases with lung consolidation, such as in
pneumonia, because sound travels better through solid/liquid media than air.
3. To assess for a possible meniscus tear in the knee, the clinician performs which of the
following maneuvers?
A. McMurray Test
B. Lachman Test
C. Bulge Sign
D. Anterior Drawer Test
Answer: A
Conceptual Explanation: The McMurray test is specifically used to evaluate for meniscus
tears by rotating the lower leg while extending the knee.
, 4. A patient exhibits a positive Brudzinski sign. This indicates potential irritation of which
structure?
A. Sciatic Nerve
B. Gallbladder
C. Peritoneal Cavity
D. Meninges
Answer: D
Conceptual Explanation: A positive Brudzinski sign (involuntary flexion of hips/knees
when the neck is flexed) is a classic sign of meningeal irritation or meningitis.
5. Which cranial nerve is being tested when the clinician asks the patient to shrug their
shoulders against resistance?
A. CN X (Vagus)
B. CN XI (Spinal Accessory)
C. CN IX (Glossopharyngeal)
D. CN XII (Hypoglossal)
Answer: B
Conceptual Explanation: Cranial Nerve XI innervates the trapezius and
sternocleidomastoid muscles; shrugging tests the trapezius strength.
