MSN Advanced Health Assessment

Question 1

When performing an abdominal assessment, which sequence of examination techniques is most appropriate?

Accepted Answer

Inspection, auscultation, percussion, palpation

Answer

Inspection, palpation, percussion, auscultation

Answer

Palpation, inspection, auscultation, percussion

Answer

Auscultation, inspection, palpation, percussion

Question 2

Which cranial nerves are primarily assessed when testing the gag reflex?

Accepted Answer

CN IX (Glossopharyngeal) and CN X (Vagus)

Answer

CN VII (Facial) and CN XII (Hypoglossal)

Answer

CN V (Trigeminal) and CN VII (Facial)

Answer

CN X (Vagus) and CN XI (Accessory)

Question 3

Dullness on percussion over a lung field most commonly indicates which condition?

Accepted Answer

Consolidation or pleural effusion

Answer

Emphysema

Answer

Pneumothorax

Answer

Normal aeration

Question 4

The Allen test is performed prior to radial artery cannulation to assess:

Accepted Answer

Ulnar and radial artery collateral circulation patency

Answer

Brachial artery pulse pressure

Answer

Venous insufficiency in the forearm

Answer

Carpal tunnel syndrome severity

Question 5

A patient presents with a positive Phalen's test (wrist flexion for 60 seconds reproduces symptoms). This finding is most associated with:

Accepted Answer

Carpal tunnel syndrome

Answer

De Quervain's tenosynovitis

Answer

Ulnar nerve entrapment at the elbow

Answer

Lateral epicondylitis

Question 6

During a comprehensive health history, information about a patient's cultural beliefs, occupation, and living situation is captured in which component?

Accepted Answer

Social history

Answer

Past medical history

Answer

Review of systems

Answer

Family history

Question 7

The S4 heart sound (atrial gallop) occurs during which phase of the cardiac cycle and is most associated with which condition?

Accepted Answer

Late diastole (presystolic); decreased ventricular compliance

Answer

Early diastole; mitral stenosis

Answer

Early systole; aortic regurgitation

Answer

Mid-systole; mitral valve prolapse