NR509 Final Exam 2026 | Advanced Health
Assessment Practice Questions & Verified
Answers
1. Interpret the significance of a patient's head being laterally deviated and
rotated during a physical assessment in nursing practice.
It is a common finding in patients with respiratory distress.
It suggests normal muscle development in children.
It indicates a need for immediate cardiac evaluation.
It may indicate a neurological condition such as torticollis or a
cervical spine issue.
2. A patient presents with right-upper quadrant pain and a positive
Murphy's sign. After performing an ultrasound, the NP finds gallstones
and thickening of the gallbladder wall. What would be the most
appropriate next step in management?
Advise the patient to increase fluid intake and monitor symptoms
Order a CT scan for further evaluation
Prescribe antibiotics and schedule a follow-up in one week
Refer for surgical evaluation
3. Diagnosis of lumbar spinal stenosis is based on
Characteristics of symptoms
Radiographic evidence
Subjective findings
A and B
,4. A college student comes to the urgent care center, having been hit in
the right eye with a plastic baseball during a family reunion. She
complains of a painful, watery, red right eye and sensitivity to light. She
, has normal visual acuity in both eyes, no diplopia, and can open and
close her eyes normally. The pupils are unequal in size - 3mm on left
and 5mm on right. Which CN would be implicated as the cause of
photosensitivity and pupil asymmetry?
CN II
CN III
CN V
CN IV
5. If a 30-year-old female patient is scheduled for a speculum exam but
reports heavy menstrual bleeding, what should the nurse advise?
Proceed with the exam as scheduled.
Conduct the exam and document the heavy bleeding.
Postpone the exam until after her menstrual period.
Perform the exam but use a smaller speculum.
6. What is the primary purpose of the Weber test in clinical assessments?
To assess hearing loss and determine if it is conductive or
sensorineural.
To test for neurological reflexes.
To measure the range of motion in joints.
To evaluate balance and coordination.
7. What is the recommended age for prostate cancer screening in men
with a family history of the disease?
50 years old
45 years old
, 55 years old
60 years old
8. What type of lesions are typically associated with condyloma acuminata
during a physical examination?
Ulcerated lesions
Crusty lesions
Raised friable or lobed lesions
Flat, smooth lesions
9. A 65-year-old patient presents with joint pain, crepitus in the knees, and
hallux valgus. Based on these findings, what would be the most
appropriate management strategy?
Start a regimen of corticosteroids for rheumatoid arthritis.
Prescribe allopurinol for gout management.
Implement a treatment plan for osteoarthritis, including pain
management and physical therapy.
Recommend complete rest and immobilization for tendinitis.
10. If a patient presents with lower back pain and tenderness over the
sacroiliac joint, what initial management strategy should a nurse
consider?
Start physical therapy without further assessment.
Assess for inflammation and recommend rest and anti-
inflammatory medications.
Prescribe opioids for pain management.
Immediately refer for surgical evaluation.
Assessment Practice Questions & Verified
Answers
1. Interpret the significance of a patient's head being laterally deviated and
rotated during a physical assessment in nursing practice.
It is a common finding in patients with respiratory distress.
It suggests normal muscle development in children.
It indicates a need for immediate cardiac evaluation.
It may indicate a neurological condition such as torticollis or a
cervical spine issue.
2. A patient presents with right-upper quadrant pain and a positive
Murphy's sign. After performing an ultrasound, the NP finds gallstones
and thickening of the gallbladder wall. What would be the most
appropriate next step in management?
Advise the patient to increase fluid intake and monitor symptoms
Order a CT scan for further evaluation
Prescribe antibiotics and schedule a follow-up in one week
Refer for surgical evaluation
3. Diagnosis of lumbar spinal stenosis is based on
Characteristics of symptoms
Radiographic evidence
Subjective findings
A and B
,4. A college student comes to the urgent care center, having been hit in
the right eye with a plastic baseball during a family reunion. She
complains of a painful, watery, red right eye and sensitivity to light. She
, has normal visual acuity in both eyes, no diplopia, and can open and
close her eyes normally. The pupils are unequal in size - 3mm on left
and 5mm on right. Which CN would be implicated as the cause of
photosensitivity and pupil asymmetry?
CN II
CN III
CN V
CN IV
5. If a 30-year-old female patient is scheduled for a speculum exam but
reports heavy menstrual bleeding, what should the nurse advise?
Proceed with the exam as scheduled.
Conduct the exam and document the heavy bleeding.
Postpone the exam until after her menstrual period.
Perform the exam but use a smaller speculum.
6. What is the primary purpose of the Weber test in clinical assessments?
To assess hearing loss and determine if it is conductive or
sensorineural.
To test for neurological reflexes.
To measure the range of motion in joints.
To evaluate balance and coordination.
7. What is the recommended age for prostate cancer screening in men
with a family history of the disease?
50 years old
45 years old
, 55 years old
60 years old
8. What type of lesions are typically associated with condyloma acuminata
during a physical examination?
Ulcerated lesions
Crusty lesions
Raised friable or lobed lesions
Flat, smooth lesions
9. A 65-year-old patient presents with joint pain, crepitus in the knees, and
hallux valgus. Based on these findings, what would be the most
appropriate management strategy?
Start a regimen of corticosteroids for rheumatoid arthritis.
Prescribe allopurinol for gout management.
Implement a treatment plan for osteoarthritis, including pain
management and physical therapy.
Recommend complete rest and immobilization for tendinitis.
10. If a patient presents with lower back pain and tenderness over the
sacroiliac joint, what initial management strategy should a nurse
consider?
Start physical therapy without further assessment.
Assess for inflammation and recommend rest and anti-
inflammatory medications.
Prescribe opioids for pain management.
Immediately refer for surgical evaluation.
