NR509 Week 3 Exam UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
During a thoracic exam, the NP places both thumbs at the costal margins and hands along the
lateral rib cage, instructing the patient to inhale deeply. This maneuver is performed to assess
which of the following? - CORRECT ANSWER Chest expansion
During an oral and throat examination, the NP asks the patient to say "ahh" and observes that
the uvula deviates to the left. Which of the following cranial nerves is most likely affected? -
CORRECT ANSWER Vagus (X)
Which of the following best reflects appropriate clinical practice when conducting a
comprehensive HEENT assessment and associated health history? - CORRECT
ANSWER Perform the examination in a top-to-bottom sequence, using inspection,
palpation, and auscultation as appropriate.
During palpation of the thyroid gland, which of the following physical exam findings is most
concerning and should prompt further evaluation? - CORRECT ANSWER A firm, 2.5
cm nodule that is fixed to surrounding tissues.
During a routine health history, a patient reports frequent daytime fatigue, loud snoring, and
recent mood changes. Which of the following actions by the NP best reflects appropriate
clinical assessment of possible obstructive sleep apnea? - CORRECT ANSWER Ask
directed questions about sleep quality, snoring, and fatigue, and refer to a sleep specialist if
indicated.
The NP is performing a comprehensive eye exam on a new patient with a new-onset
headache and reports blurred vision. Which of the following actions is most critical for
evaluating potential neurological involvement? - CORRECT ANSWER Using the
opthalmascope to visualize the optic disc and retinal vessels.
During a nasal examination, a patient reports nasal congestion and facial pressure. Which of
the following findings would most strongly suggest sinus involvement requiring further
evaluation? - CORRECT ANSWER Tenderness upon palpation over the frontal and
maxillary sinuses.
QUESTIONS AND CORRECT ANSWERS
During a thoracic exam, the NP places both thumbs at the costal margins and hands along the
lateral rib cage, instructing the patient to inhale deeply. This maneuver is performed to assess
which of the following? - CORRECT ANSWER Chest expansion
During an oral and throat examination, the NP asks the patient to say "ahh" and observes that
the uvula deviates to the left. Which of the following cranial nerves is most likely affected? -
CORRECT ANSWER Vagus (X)
Which of the following best reflects appropriate clinical practice when conducting a
comprehensive HEENT assessment and associated health history? - CORRECT
ANSWER Perform the examination in a top-to-bottom sequence, using inspection,
palpation, and auscultation as appropriate.
During palpation of the thyroid gland, which of the following physical exam findings is most
concerning and should prompt further evaluation? - CORRECT ANSWER A firm, 2.5
cm nodule that is fixed to surrounding tissues.
During a routine health history, a patient reports frequent daytime fatigue, loud snoring, and
recent mood changes. Which of the following actions by the NP best reflects appropriate
clinical assessment of possible obstructive sleep apnea? - CORRECT ANSWER Ask
directed questions about sleep quality, snoring, and fatigue, and refer to a sleep specialist if
indicated.
The NP is performing a comprehensive eye exam on a new patient with a new-onset
headache and reports blurred vision. Which of the following actions is most critical for
evaluating potential neurological involvement? - CORRECT ANSWER Using the
opthalmascope to visualize the optic disc and retinal vessels.
During a nasal examination, a patient reports nasal congestion and facial pressure. Which of
the following findings would most strongly suggest sinus involvement requiring further
evaluation? - CORRECT ANSWER Tenderness upon palpation over the frontal and
maxillary sinuses.
