NUR600/NUR 600 Exam 4 V1 | Advanced
Health Assess Q&A with Rationale |
William Paterson University
1. When performing the McMurray test, the practitioner hears a click and the patient reports
pain. What does this suggest?
A. Anterior cruciate ligament tear
B. Patellar subluxation
C. Medial or lateral meniscus tear
D. Prepatellar bursitis
Correct Answer: C
Expert Explanation: The McMurray test is a specialized physical exam maneuver used to
detect injuries to the meniscus of the knee. A positive result is indicated by a palpable or
audible click accompanied by pain during rotation of the tibia. This clinical finding strongly
suggests a tear in either the medial or lateral meniscus cartilage.
2. Which cranial nerve is being assessed when a clinician asks the patient to puff out their
cheeks and smile?
A. Cranial Nerve VII (Facial)
B. Cranial Nerve VIII (Vestibulocochlear)
C. Cranial Nerve V (Trigeminal)
,D. Cranial Nerve XII (Hypoglossal)
Correct Answer: A
Expert Explanation: The facial nerve, or Cranial Nerve VII, is responsible for controlling
the muscles of facial expression. Asking a patient to smile, frown, or puff out their cheeks
allows the provider to assess for symmetry and motor strength. Weakness or asymmetry
during these movements may indicate a peripheral or central nerve lesion.
3. According to the Tanner stages of development, what characterizes Stage 3 in female
breast development?
A. Preadolescent with elevation of papilla only
B. Further enlargement of breast and areola with no separation of their contours
C. Secondary mound of the areola and papilla
D. Mature stage with projection of papilla only
Correct Answer: B
Expert Explanation: In Tanner Stage 3, the breast and areola both enlarge further without
a distinct separation in their contours. This stage follows the initial breast bud
development seen in Stage 2. It is an important milestone in assessing pubertal progression
and physical maturity in female patients.
4. Which physical finding is most characteristic of a patient with Rheumatoid Arthritis rather
than Osteoarthritis?
A. Heberden’s nodes on the distal interphalangeal joints
, B. Ulnar deviation and symmetrical joint swelling
C. Unilateral joint pain that worsens with activity
D. Bony protuberances on the proximal interphalangeal joints
Correct Answer: B
Expert Explanation: Rheumatoid arthritis is a systemic inflammatory disease that
typically presents with symmetrical joint involvement and specific deformities like ulnar
deviation. In contrast, Osteoarthritis is a degenerative condition often characterized by
Heberden’s nodes and asymmetric pain. Identifying these differences is crucial for
determining the correct diagnostic pathway and treatment plan.
5. What is the primary purpose of performing the Ortolani maneuver in an infant?
A. To check for neurological intactness of the lower extremities
B. To screen for clubfoot or talipes equinovarus
C. To assess for congenital hip dysplasia by reducing a dislocated hip
D. To evaluate the range of motion of the knee joint
Correct Answer: C
Expert Explanation: The Ortolani maneuver is a screening technique used in neonatal
examinations to identify developmental dysplasia of the hip. The clinician abducts the
infant’s hip while applying upward pressure to the greater trochanter. A positive result
occurs when a ‘clunk’ is felt as the femoral head relocates into the acetabulum.
Health Assess Q&A with Rationale |
William Paterson University
1. When performing the McMurray test, the practitioner hears a click and the patient reports
pain. What does this suggest?
A. Anterior cruciate ligament tear
B. Patellar subluxation
C. Medial or lateral meniscus tear
D. Prepatellar bursitis
Correct Answer: C
Expert Explanation: The McMurray test is a specialized physical exam maneuver used to
detect injuries to the meniscus of the knee. A positive result is indicated by a palpable or
audible click accompanied by pain during rotation of the tibia. This clinical finding strongly
suggests a tear in either the medial or lateral meniscus cartilage.
2. Which cranial nerve is being assessed when a clinician asks the patient to puff out their
cheeks and smile?
A. Cranial Nerve VII (Facial)
B. Cranial Nerve VIII (Vestibulocochlear)
C. Cranial Nerve V (Trigeminal)
,D. Cranial Nerve XII (Hypoglossal)
Correct Answer: A
Expert Explanation: The facial nerve, or Cranial Nerve VII, is responsible for controlling
the muscles of facial expression. Asking a patient to smile, frown, or puff out their cheeks
allows the provider to assess for symmetry and motor strength. Weakness or asymmetry
during these movements may indicate a peripheral or central nerve lesion.
3. According to the Tanner stages of development, what characterizes Stage 3 in female
breast development?
A. Preadolescent with elevation of papilla only
B. Further enlargement of breast and areola with no separation of their contours
C. Secondary mound of the areola and papilla
D. Mature stage with projection of papilla only
Correct Answer: B
Expert Explanation: In Tanner Stage 3, the breast and areola both enlarge further without
a distinct separation in their contours. This stage follows the initial breast bud
development seen in Stage 2. It is an important milestone in assessing pubertal progression
and physical maturity in female patients.
4. Which physical finding is most characteristic of a patient with Rheumatoid Arthritis rather
than Osteoarthritis?
A. Heberden’s nodes on the distal interphalangeal joints
, B. Ulnar deviation and symmetrical joint swelling
C. Unilateral joint pain that worsens with activity
D. Bony protuberances on the proximal interphalangeal joints
Correct Answer: B
Expert Explanation: Rheumatoid arthritis is a systemic inflammatory disease that
typically presents with symmetrical joint involvement and specific deformities like ulnar
deviation. In contrast, Osteoarthritis is a degenerative condition often characterized by
Heberden’s nodes and asymmetric pain. Identifying these differences is crucial for
determining the correct diagnostic pathway and treatment plan.
5. What is the primary purpose of performing the Ortolani maneuver in an infant?
A. To check for neurological intactness of the lower extremities
B. To screen for clubfoot or talipes equinovarus
C. To assess for congenital hip dysplasia by reducing a dislocated hip
D. To evaluate the range of motion of the knee joint
Correct Answer: C
Expert Explanation: The Ortolani maneuver is a screening technique used in neonatal
examinations to identify developmental dysplasia of the hip. The clinician abducts the
infant’s hip while applying upward pressure to the greater trochanter. A positive result
occurs when a ‘clunk’ is felt as the femoral head relocates into the acetabulum.
