(AGPCNP) NU 610 Advanced Health Assessment Finals Exams Review 2025 (Qns & Ans

AGPCNP NU 610

Advanced Health Assessment

Final Exams Review (Qns & Ans)

2025



1. Which of the following heart murmurs is indicative of mitral
valve stenosis when best heard at the apex with the bell of the
stethoscope?
- A. Systolic ejection murmur
- B. Diastolic rumble
- C. Holosystolic murmur
- D. Continuous machinery murmur
ANS: B. Diastolic rumble



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, Rationale: A diastolic rumble heard best at the apex with the
bell is characteristic of mitral stenosis due to turbulent flow across
the narrowed valve during ventricular diastole.


2. Which advanced assessment technique can confirm
consolidation in a patient with suspected lobar pneumonia?
- A. Percussion
- B. Whispered pectoriloquy
- C. Egophony
- D. Fremitus
ANS: C. Egophony
Rationale: Egophony changes the sound of the patient's spoken
"ee" to a nasal "ay" sound over areas of consolidation, indicating
heightened transmission of vocal vibrations through
fluid/solidified tissue.


3. Which of the following is the most appropriate diagnostic test
when a thyroid nodule is detected on physical examination?
- A. CT scan of the neck
- B. Radioactive iodine uptake test
- C. Fine needle aspiration biopsy
- D. Serum TSH level
ANS: C. Fine needle aspiration biopsy
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