MSN Advanced Health Assessment 2

Question 1

The apical pulse is most accurately auscultated at which anatomical landmark?

Accepted Answer

Fifth intercostal space, midclavicular line

Answer

Second intercostal space, right sternal border

Answer

Third intercostal space, left sternal border

Answer

Fourth intercostal space, right midaxillary line

Question 2

Bronchial breath sounds auscultated over peripheral lung fields are abnormal and most commonly indicate:

Accepted Answer

Pulmonary consolidation

Answer

Normal bronchovesicular sounds

Answer

Emphysema with air trapping

Answer

Pleural rub

Question 3

Which constellation of assessment findings is most consistent with right-sided heart failure?

Accepted Answer

Jugular venous distension, hepatomegaly, and dependent edema

Answer

Pulmonary edema, orthopnea, and paroxysmal nocturnal dyspnea

Answer

S3 gallop, pink frothy sputum, and bilateral crackles

Answer

Pulsus paradoxus, distant heart sounds, and hypotension

Question 4

The CAGE questionnaire is a validated brief screening tool used to identify:

Accepted Answer

Alcohol use disorder

Answer

Cognitive impairment in older adults

Answer

Depression and suicidal ideation

Answer

Anxiety and panic disorder

Question 5

A patient presents with neck stiffness, photophobia, and fever. Which assessment maneuvers should the advanced practice nurse perform to evaluate for meningeal irritation?

Accepted Answer

Kernig's sign and Brudzinski's sign

Answer

Romberg test and finger-to-nose test

Answer

Battle's sign and raccoon eyes assessment

Answer

Babinski reflex and Hoffman's sign

Question 6

The Ottawa Ankle Rules are a validated clinical decision tool used to determine:

Accepted Answer

Which patients require radiographic imaging after ankle trauma

Answer

Surgical intervention need for displaced ankle fractures

Answer

Severity grading of lateral ankle ligament sprains

Answer

Return-to-play criteria after ankle injury

Question 7

When assessing cranial nerve II (optic nerve), the most comprehensive evaluation includes:

Accepted Answer

Visual acuity, visual fields by confrontation, and fundoscopic examination

Answer

Corneal light reflex and extraocular movements

Answer

Pupillary light reflex and accommodation

Answer

Stereognosis and two-point discrimination