NUR 612
EXAM 5
Health Assessment & Diagnostic
Reasoning
Questions And Answers Plus Rationales 2026
Instant Pdf Download
CHAMBERLAIN
This exam consists of 100 NCLEX-style multiple-
choice questions, each with one correct Answer
and a detailed rationale.
,
,1. The nurse is assessing a patient with suspected hyperthyroidism.
Which finding is most specific for Graves’ disease?
A. Lid lag and exophthalmos
B. Tachycardia and palpitations
C. Weight loss despite increased appetite
D. Heat intolerance and sweating
Answer: A. Lid lag and exophthalmos
Rationale: Lid lag (upper eyelid lag on downward gaze) and
exophthalmos (proptosis) are specific to Graves’ disease (autoimmune
hyperthyroidism). The other findings occur in any cause of
hyperthyroidism.
2. A patient presents with acute onset of severe, tearing chest pain
radiating to the back. The blood pressure is 160/90 in the right arm
and 110/70 in the left arm. The nurse should suspect:
A. Aortic dissection
B. Acute myocardial infarction
C. Pulmonary embolism
D. Pericarditis
Answer: A. Aortic dissection
Rationale: Aortic dissection often presents with tearing chest pain, pulse
, or blood pressure differential between arms, and can radiate to the back.
Immediate CT angiography is required.
3. The nurse is assessing a patient’s abdomen and notes a positive
Rovsing sign. This is performed by:
A. Palpating the left lower quadrant and eliciting pain in the right lower
quadrant.
B. Palpating the right lower quadrant and eliciting pain in the left lower
quadrant.
C. Extending the right hip while the patient lies on the left side.
D. Internally rotating the flexed right hip.
Answer: A. Palpating the left lower quadrant and eliciting pain in the
right lower quadrant.
Rationale: Rovsing’s sign (referred rebound tenderness) suggests
appendicitis. Pressing on the LLQ increases pressure in the RLQ, causing
pain if the appendix is inflamed.
4. A patient with a history of chronic alcohol use presents with
jaundice, spider angiomas, and palmar erythema. These findings are
due to:
A. Hyperestrogenism from impaired liver metabolism
EXAM 5
Health Assessment & Diagnostic
Reasoning
Questions And Answers Plus Rationales 2026
Instant Pdf Download
CHAMBERLAIN
This exam consists of 100 NCLEX-style multiple-
choice questions, each with one correct Answer
and a detailed rationale.
,
,1. The nurse is assessing a patient with suspected hyperthyroidism.
Which finding is most specific for Graves’ disease?
A. Lid lag and exophthalmos
B. Tachycardia and palpitations
C. Weight loss despite increased appetite
D. Heat intolerance and sweating
Answer: A. Lid lag and exophthalmos
Rationale: Lid lag (upper eyelid lag on downward gaze) and
exophthalmos (proptosis) are specific to Graves’ disease (autoimmune
hyperthyroidism). The other findings occur in any cause of
hyperthyroidism.
2. A patient presents with acute onset of severe, tearing chest pain
radiating to the back. The blood pressure is 160/90 in the right arm
and 110/70 in the left arm. The nurse should suspect:
A. Aortic dissection
B. Acute myocardial infarction
C. Pulmonary embolism
D. Pericarditis
Answer: A. Aortic dissection
Rationale: Aortic dissection often presents with tearing chest pain, pulse
, or blood pressure differential between arms, and can radiate to the back.
Immediate CT angiography is required.
3. The nurse is assessing a patient’s abdomen and notes a positive
Rovsing sign. This is performed by:
A. Palpating the left lower quadrant and eliciting pain in the right lower
quadrant.
B. Palpating the right lower quadrant and eliciting pain in the left lower
quadrant.
C. Extending the right hip while the patient lies on the left side.
D. Internally rotating the flexed right hip.
Answer: A. Palpating the left lower quadrant and eliciting pain in the
right lower quadrant.
Rationale: Rovsing’s sign (referred rebound tenderness) suggests
appendicitis. Pressing on the LLQ increases pressure in the RLQ, causing
pain if the appendix is inflamed.
4. A patient with a history of chronic alcohol use presents with
jaundice, spider angiomas, and palmar erythema. These findings are
due to:
A. Hyperestrogenism from impaired liver metabolism
