APEA APEA Clinical Assessment Skills Questions and Answers 3

Question 1

The NP notes dullness to percussion in the right lower lung field with decreased breath sounds and tactile fremitus. Which diagnosis is most likely?

Accepted Answer

Pleural effusion

Answer

Pneumothorax

Answer

Consolidation pneumonia

Answer

Emphysema

Question 2

A patient presents with facial drooping, arm weakness, and slurred speech for the past 45 minutes. The NP's priority assessment is to determine onset time because the thrombolytic window is:

Accepted Answer

4.5 hours from symptom onset

Answer

6 hours from symptom onset

Answer

12 hours from symptom onset

Answer

24 hours from symptom onset

Question 3

During an abdominal exam, the NP notices the umbilicus deviated to the right. Which condition could cause this finding?

Accepted Answer

Large right-sided abdominal mass

Answer

Left lower quadrant pain

Answer

Diastasis recti

Answer

Normal umbilical variant

Question 4

Which assessment technique is most reliable for detecting an abdominal aortic aneurysm during physical exam?

Accepted Answer

Palpation of a pulsatile abdominal mass

Answer

Auscultation for bruit only

Answer

Percussion of abdominal dullness

Answer

Inspection for visible pulsation only

Question 5

A 70-year-old patient demonstrates a positive Romberg test. Which area of the nervous system is implicated?

Accepted Answer

Proprioception/posterior columns

Answer

Cerebellum

Answer

Motor cortex

Answer

Basal ganglia

Question 6

When performing a rectal exam, the NP palpates the prostate and notes a hard, irregular nodule. The most appropriate next step is:

Accepted Answer

Refer for PSA and urology evaluation

Answer

Repeat rectal exam in 6 months

Answer

Order pelvic ultrasound only

Answer

Reassure the patient this is a normal variant