NSG 5544 Week 7 Quiz Actual Exam 2026/2027:
Complete Exam-Style Questions with Detailed
Rationales | 100% Verified | Pass Guaranteed – A+
Graded
TABLE OF CONTENTS
Section 1 | Advanced Health Assessment | Q1 – Q10
Section 2 | Differential Diagnosis | Q11 – Q20
Section 3 | Pharmacology for Advanced Practice | Q21 – Q30
Section 4 | Evidence-Based Clinical Guidelines | Q31 – Q40
Section 5 | Patient Management and Follow-Up | Q41 – Q50
Instructions: Choose the single best answer. Pass: 80% in 90 minutes.
══════════════════════════════════════
SECTION 1: ADVANCED HEALTH ASSESSMENT Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A 62-year-old male reports progressive dyspnea on exertion. During cardiac
auscultation, you hear a harsh crescendo-decrescendo systolic murmur at the right
upper sternal border that radiates to the carotid arteries and diminishes with handgrip.
A. Aortic stenosis from calcified valve leaflets ✓ CORRECT
B. Mitral regurgitation from papillary muscle dysfunction
C. Hypertrophic cardiomyopathy with dynamic outflow obstruction
D. Tricuspid regurgitation from right ventricular dilation
Correct Answer: A
Rationale: A harsh systolic murmur radiating to the carotids with a
crescendo-decrescendo pattern is classic for aortic stenosis, and the diminished
intensity with handgrip distinguishes it from hypertrophic cardiomyopathy where
,handgrip would increase the murmur. Mitral regurgitation radiates to the axilla rather
than the neck, and tricuspid regurgitation is best heard at the lower left sternal border.
Elderly patients with degenerative calcific aortic stenosis often present with syncope,
angina, or heart failure symptoms.
Question 2 of 50
A 58-year-old female with a history of smoking presents with a productive cough and
fever. On auscultation, you note coarse crackles in the right lower lung field that do not
clear with coughing and are accompanied by increased tactile fremitus.
A. Chronic bronchitis with airway hyperresponsiveness
B. Lobar pneumonia with alveolar consolidation ✓ CORRECT
C. Asthma exacerbation with bronchospasm
D. Pneumothorax with absent breath sounds
Correct Answer: B
Rationale: Coarse crackles that do not clear with coughing, combined with increased
tactile fremitus, indicate alveolar consolidation consistent with lobar pneumonia.
Asthma typically presents with wheezing and prolonged expiration, while pneumothorax
produces absent breath sounds and hyperresonance. Consolidation on physical exam
should prompt a chest X-ray to confirm the lobe involved and guide antibiotic selection.
Question 3 of 50
A 45-year-old male presents with diplopia and a severe headache. On cranial nerve
examination, you observe that his right eye deviates downward and laterally when he
attempts to look straight ahead, and he has a dilated pupil.
A. Abducens nerve palsy from increased intracranial pressure
B. Oculomotor nerve palsy from aneurysm compression ✓ CORRECT
C. Trochlear nerve palsy from superior oblique dysfunction
D. Horner syndrome from sympathetic chain disruption
, Correct Answer: B
Rationale: A down-and-out eye with a dilated pupil indicates a complete oculomotor
nerve (CN III) palsy, often from compression by a posterior communicating artery
aneurysm. Abducens palsy causes medial deviation only, trochlear palsy causes vertical
diplopia with head tilt, and Horner syndrome produces miosis rather than mydriasis.
This presentation requires emergent neuroimaging to rule out aneurysm rupture.
Question 4 of 50
A 52-year-old female with chronic hepatitis C is evaluated for abdominal distension.
During percussion, you measure the liver span at 10 cm in the midclavicular line and
note a tympanitic percussion note in the right lower quadrant.
A. Hepatomegaly from acute fatty liver infiltration
B. Splenomegaly from portal hypertension
C. Normal liver span with excessive bowel gas
D. Normal liver span with possible ascites requiring further evaluation ✓ CORRECT
Correct Answer: D
Rationale: A liver span of 10 cm in the midclavicular line is within normal limits for an
adult female, and abdominal distension in a patient with hepatitis C should prompt
evaluation for ascites rather than assuming organomegaly. Tympany in the lower
quadrant is normal bowel gas, but shifting dullness or a fluid wave would suggest
ascites. Patients with chronic liver disease require periodic ultrasound and paracentesis
when ascites is suspected.
Question 5 of 50
A 67-year-old male reports knee pain and stiffness after walking. On examination, you
observe bony enlargement at the distal interphalangeal joints, crepitus with passive
range of motion, and no warmth or effusion.
Complete Exam-Style Questions with Detailed
Rationales | 100% Verified | Pass Guaranteed – A+
Graded
TABLE OF CONTENTS
Section 1 | Advanced Health Assessment | Q1 – Q10
Section 2 | Differential Diagnosis | Q11 – Q20
Section 3 | Pharmacology for Advanced Practice | Q21 – Q30
Section 4 | Evidence-Based Clinical Guidelines | Q31 – Q40
Section 5 | Patient Management and Follow-Up | Q41 – Q50
Instructions: Choose the single best answer. Pass: 80% in 90 minutes.
══════════════════════════════════════
SECTION 1: ADVANCED HEALTH ASSESSMENT Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A 62-year-old male reports progressive dyspnea on exertion. During cardiac
auscultation, you hear a harsh crescendo-decrescendo systolic murmur at the right
upper sternal border that radiates to the carotid arteries and diminishes with handgrip.
A. Aortic stenosis from calcified valve leaflets ✓ CORRECT
B. Mitral regurgitation from papillary muscle dysfunction
C. Hypertrophic cardiomyopathy with dynamic outflow obstruction
D. Tricuspid regurgitation from right ventricular dilation
Correct Answer: A
Rationale: A harsh systolic murmur radiating to the carotids with a
crescendo-decrescendo pattern is classic for aortic stenosis, and the diminished
intensity with handgrip distinguishes it from hypertrophic cardiomyopathy where
,handgrip would increase the murmur. Mitral regurgitation radiates to the axilla rather
than the neck, and tricuspid regurgitation is best heard at the lower left sternal border.
Elderly patients with degenerative calcific aortic stenosis often present with syncope,
angina, or heart failure symptoms.
Question 2 of 50
A 58-year-old female with a history of smoking presents with a productive cough and
fever. On auscultation, you note coarse crackles in the right lower lung field that do not
clear with coughing and are accompanied by increased tactile fremitus.
A. Chronic bronchitis with airway hyperresponsiveness
B. Lobar pneumonia with alveolar consolidation ✓ CORRECT
C. Asthma exacerbation with bronchospasm
D. Pneumothorax with absent breath sounds
Correct Answer: B
Rationale: Coarse crackles that do not clear with coughing, combined with increased
tactile fremitus, indicate alveolar consolidation consistent with lobar pneumonia.
Asthma typically presents with wheezing and prolonged expiration, while pneumothorax
produces absent breath sounds and hyperresonance. Consolidation on physical exam
should prompt a chest X-ray to confirm the lobe involved and guide antibiotic selection.
Question 3 of 50
A 45-year-old male presents with diplopia and a severe headache. On cranial nerve
examination, you observe that his right eye deviates downward and laterally when he
attempts to look straight ahead, and he has a dilated pupil.
A. Abducens nerve palsy from increased intracranial pressure
B. Oculomotor nerve palsy from aneurysm compression ✓ CORRECT
C. Trochlear nerve palsy from superior oblique dysfunction
D. Horner syndrome from sympathetic chain disruption
, Correct Answer: B
Rationale: A down-and-out eye with a dilated pupil indicates a complete oculomotor
nerve (CN III) palsy, often from compression by a posterior communicating artery
aneurysm. Abducens palsy causes medial deviation only, trochlear palsy causes vertical
diplopia with head tilt, and Horner syndrome produces miosis rather than mydriasis.
This presentation requires emergent neuroimaging to rule out aneurysm rupture.
Question 4 of 50
A 52-year-old female with chronic hepatitis C is evaluated for abdominal distension.
During percussion, you measure the liver span at 10 cm in the midclavicular line and
note a tympanitic percussion note in the right lower quadrant.
A. Hepatomegaly from acute fatty liver infiltration
B. Splenomegaly from portal hypertension
C. Normal liver span with excessive bowel gas
D. Normal liver span with possible ascites requiring further evaluation ✓ CORRECT
Correct Answer: D
Rationale: A liver span of 10 cm in the midclavicular line is within normal limits for an
adult female, and abdominal distension in a patient with hepatitis C should prompt
evaluation for ascites rather than assuming organomegaly. Tympany in the lower
quadrant is normal bowel gas, but shifting dullness or a fluid wave would suggest
ascites. Patients with chronic liver disease require periodic ultrasound and paracentesis
when ascites is suspected.
Question 5 of 50
A 67-year-old male reports knee pain and stiffness after walking. On examination, you
observe bony enlargement at the distal interphalangeal joints, crepitus with passive
range of motion, and no warmth or effusion.
