TXST NURS 5210 Advanced Health Assessment Practicum:
Final Exam (Comprehensive) - Questions with Correct Answers
100 questions
1. Nystagmus is:
A. Drooping eyelid
B. Pupil constriction
C. Involuntary rhythmic eye movements
D. Lens clouding
Correct Answer: C. Involuntary rhythmic eye movements
Rationale: Neuro or vestibular.
2. Neovascularization of the retina indicates:
A. Proliferative diabetic retinopathy
B. Normal aging
C. Glaucoma
D. Cataract
Correct Answer: A. Proliferative diabetic retinopathy
Rationale: Advanced disease.
3. Nasal polyps are associated with:
A. Acute otitis media
B. Strep throat
C. Mononucleosis
D. Chronic rhinosinusitis, asthma and aspirin sensitivity
Correct Answer: D. Chronic rhinosinusitis, asthma and aspirin sensitivity
Rationale: Samter's triad.
4. Transillumination of the sinuses may show:
A. Increased light
B. Decreased light transmission when sinuses are filled with fluid
C. Color change
D. Nothing ever
Correct Answer: B. Decreased light transmission when sinuses are filled with fluid
Rationale: Limited test.
5. Interferon-gamma release assays (IGRAs) are useful in people who:
A. Have asthma
B. Have COPD
C. Received BCG vaccine
D. Have pneumonia
Correct Answer: C. Received BCG vaccine
Rationale: Not affected by BCG.
6. The Wells score is used to estimate the probability of:
A. Pneumonia
B. Pulmonary embolism or DVT
C. Asthma
D. COPD
Correct Answer: B. Pulmonary embolism or DVT
Rationale: Clinical decision rule.
,7. A ventricular septal defect produces:
A. A harsh holosystolic murmur at the left lower sternal border
B. A diastolic rumble
C. A continuous machinery murmur
D. No murmur
Correct Answer: A. A harsh holosystolic murmur at the left lower sternal border
Rationale: VSD.
8. Mitral regurgitation produces:
A. A crescendo-decrescendo at the base
B. A diastolic rumble
C. A continuous murmur
D. A holosystolic blowing murmur at the apex radiating to the axilla
Correct Answer: D. A holosystolic blowing murmur at the apex radiating to the axilla
Rationale: MR.
9. Pitting edema graded 3+ means:
A. A deep pit (about 6 mm) that rebounds slowly
B. Barely detectable
C. No pitting
D. Very deep pit lasting over 2 minutes always
Correct Answer: A. A deep pit (about 6 mm) that rebounds slowly
Rationale: Grading.
10. A carotid bruit suggests:
A. Normal finding
B. Turbulent flow from possible carotid stenosis
C. Thyroid nodule always
D. Jugular distention
Correct Answer: B. Turbulent flow from possible carotid stenosis
Rationale: Atherosclerosis.
11. A positive heel-drop (Markle) test suggests:
A. Hernia
B. Kidney stone
C. Normal
D. Peritoneal irritation
Correct Answer: D. Peritoneal irritation
Rationale: Jarring pain.
12. Splenomegaly can be assessed by percussion of:
A. McBurney's point
B. The CVA
C. The epigastrium only
D. Traube's space and Castell's sign
Correct Answer: D. Traube's space and Castell's sign
Rationale: Spleen.
, 13. Kehr's sign (left shoulder pain) may indicate:
A. Splenic rupture or diaphragmatic irritation
B. Appendicitis
C. Gallstones
D. GERD
Correct Answer: A. Splenic rupture or diaphragmatic irritation
Rationale: Referred pain.
14. Diarrhea after antibiotics should prompt consideration of:
A. IBS
B. Clostridioides difficile infection
C. Celiac disease
D. Lactose intolerance only
Correct Answer: B. Clostridioides difficile infection
Rationale: C. diff.
15. Hematochezia most often indicates:
A. Upper GI bleeding always
B. Iron supplements
C. Lower GI bleeding
D. Liver disease
Correct Answer: C. Lower GI bleeding
Rationale: Bright red blood.
16. Celiac disease screening is performed with:
A. Stool culture
B. Abdominal x-ray
C. Lipase
D. Tissue transglutaminase IgA antibody (with total IgA)
Correct Answer: D. Tissue transglutaminase IgA antibody (with total IgA)
Rationale: Serology.
17. Women of childbearing age with abdominal pain should have:
A. No testing
B. A pregnancy test to evaluate for ectopic pregnancy
C. Only a urinalysis
D. Imaging without test
Correct Answer: B. A pregnancy test to evaluate for ectopic pregnancy
Rationale: Can't-miss.
18. The psoas sign is positive when:
A. RLQ pain occurs with hip extension or flexion against resistance
B. Pain with rotation of the shoulder
C. Pain with breathing
D. Pain on urination
Correct Answer: A. RLQ pain occurs with hip extension or flexion against resistance
Rationale: Retrocecal appendix.
Final Exam (Comprehensive) - Questions with Correct Answers
100 questions
1. Nystagmus is:
A. Drooping eyelid
B. Pupil constriction
C. Involuntary rhythmic eye movements
D. Lens clouding
Correct Answer: C. Involuntary rhythmic eye movements
Rationale: Neuro or vestibular.
2. Neovascularization of the retina indicates:
A. Proliferative diabetic retinopathy
B. Normal aging
C. Glaucoma
D. Cataract
Correct Answer: A. Proliferative diabetic retinopathy
Rationale: Advanced disease.
3. Nasal polyps are associated with:
A. Acute otitis media
B. Strep throat
C. Mononucleosis
D. Chronic rhinosinusitis, asthma and aspirin sensitivity
Correct Answer: D. Chronic rhinosinusitis, asthma and aspirin sensitivity
Rationale: Samter's triad.
4. Transillumination of the sinuses may show:
A. Increased light
B. Decreased light transmission when sinuses are filled with fluid
C. Color change
D. Nothing ever
Correct Answer: B. Decreased light transmission when sinuses are filled with fluid
Rationale: Limited test.
5. Interferon-gamma release assays (IGRAs) are useful in people who:
A. Have asthma
B. Have COPD
C. Received BCG vaccine
D. Have pneumonia
Correct Answer: C. Received BCG vaccine
Rationale: Not affected by BCG.
6. The Wells score is used to estimate the probability of:
A. Pneumonia
B. Pulmonary embolism or DVT
C. Asthma
D. COPD
Correct Answer: B. Pulmonary embolism or DVT
Rationale: Clinical decision rule.
,7. A ventricular septal defect produces:
A. A harsh holosystolic murmur at the left lower sternal border
B. A diastolic rumble
C. A continuous machinery murmur
D. No murmur
Correct Answer: A. A harsh holosystolic murmur at the left lower sternal border
Rationale: VSD.
8. Mitral regurgitation produces:
A. A crescendo-decrescendo at the base
B. A diastolic rumble
C. A continuous murmur
D. A holosystolic blowing murmur at the apex radiating to the axilla
Correct Answer: D. A holosystolic blowing murmur at the apex radiating to the axilla
Rationale: MR.
9. Pitting edema graded 3+ means:
A. A deep pit (about 6 mm) that rebounds slowly
B. Barely detectable
C. No pitting
D. Very deep pit lasting over 2 minutes always
Correct Answer: A. A deep pit (about 6 mm) that rebounds slowly
Rationale: Grading.
10. A carotid bruit suggests:
A. Normal finding
B. Turbulent flow from possible carotid stenosis
C. Thyroid nodule always
D. Jugular distention
Correct Answer: B. Turbulent flow from possible carotid stenosis
Rationale: Atherosclerosis.
11. A positive heel-drop (Markle) test suggests:
A. Hernia
B. Kidney stone
C. Normal
D. Peritoneal irritation
Correct Answer: D. Peritoneal irritation
Rationale: Jarring pain.
12. Splenomegaly can be assessed by percussion of:
A. McBurney's point
B. The CVA
C. The epigastrium only
D. Traube's space and Castell's sign
Correct Answer: D. Traube's space and Castell's sign
Rationale: Spleen.
, 13. Kehr's sign (left shoulder pain) may indicate:
A. Splenic rupture or diaphragmatic irritation
B. Appendicitis
C. Gallstones
D. GERD
Correct Answer: A. Splenic rupture or diaphragmatic irritation
Rationale: Referred pain.
14. Diarrhea after antibiotics should prompt consideration of:
A. IBS
B. Clostridioides difficile infection
C. Celiac disease
D. Lactose intolerance only
Correct Answer: B. Clostridioides difficile infection
Rationale: C. diff.
15. Hematochezia most often indicates:
A. Upper GI bleeding always
B. Iron supplements
C. Lower GI bleeding
D. Liver disease
Correct Answer: C. Lower GI bleeding
Rationale: Bright red blood.
16. Celiac disease screening is performed with:
A. Stool culture
B. Abdominal x-ray
C. Lipase
D. Tissue transglutaminase IgA antibody (with total IgA)
Correct Answer: D. Tissue transglutaminase IgA antibody (with total IgA)
Rationale: Serology.
17. Women of childbearing age with abdominal pain should have:
A. No testing
B. A pregnancy test to evaluate for ectopic pregnancy
C. Only a urinalysis
D. Imaging without test
Correct Answer: B. A pregnancy test to evaluate for ectopic pregnancy
Rationale: Can't-miss.
18. The psoas sign is positive when:
A. RLQ pain occurs with hip extension or flexion against resistance
B. Pain with rotation of the shoulder
C. Pain with breathing
D. Pain on urination
Correct Answer: A. RLQ pain occurs with hip extension or flexion against resistance
Rationale: Retrocecal appendix.
