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

The cardiac apex is located at the fifth intercostal space at the midclavicular line, the point of maximal impulse (PMI).

Question 2

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

Accepted Answer

Pulmonary consolidation

Answer

Bronchial sounds in peripheral fields indicate consolidation, where solid tissue transmits tracheal sounds that are normally dampened by air-filled alveoli.

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

Right heart failure causes systemic venous congestion manifesting as JVD, hepatomegaly, and dependent (peripheral) edema.

Question 4

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

Accepted Answer

Alcohol use disorder

Answer

The CAGE questionnaire (Cut down, Annoyed, Guilty, Eye-opener) screens for problematic alcohol use with high sensitivity.

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

Kernig's sign (resistance to knee extension with hip flexed) and Brudzinski's sign (involuntary hip flexion with neck flexion) indicate meningeal irritation.

MSN - Master Of Science In Nursing Degree Practice Test

MSN - Master Of Science In Nursing Degree Practice Test

MSN Advanced Health Assessment 2