NUR560
Advanced Health Assessment
Midterms Exam Review (Qns & Ans)
2025
1. A 45-year-old male presents with chest pain radiating to his
left arm. Which of the following is the most likely diagnosis?
- a) Gastroesophageal reflux disease (GERD)
- b) Myocardial infarction
- c) Costochondritis
- d) Panic attack
- Correct ANS: b) Myocardial infarction
- Rationale: Radiating chest pain to the left arm is a classic
presentation of myocardial infarction.
©2025
,2. During a health assessment, which cranial nerve is evaluated
by asking the patient to raise their eyebrows, close their eyes
tightly, smile, and puff out their cheeks?
- a) Cranial Nerve V (Trigeminal)
- b) Cranial Nerve VII (Facial)
- c) Cranial Nerve IX (Glossopharyngeal)
- d) Cranial Nerve X (Vagus)
- Correct ANS: b) Cranial Nerve VII (Facial)
- Rationale: These actions test the motor function of the facial
nerve (Cranial Nerve VII).
3. A 60-year-old female presents with unexplained weight loss,
night sweats, and painless lymphadenopathy. Which diagnosis is
most consistent with these symptoms?
- a) Chronic Fatigue Syndrome
- b) Hodgkin Lymphoma
- c) Tuberculosis
- d) Hyperthyroidism
- Correct ANS: b) Hodgkin Lymphoma
- Rationale: The combination of symptoms is highly
suggestive of Hodgkin Lymphoma.
©2025
, Fill-in-the-Blank Questions
4. A sudden, severe headache described as "the worst headache
of my life" could be indicative of a ___________.
- Correct ANS: subarachnoid hemorrhage
- Rationale: This description is a classic presentation of
subarachnoid hemorrhage.
5. The normal range for fasting blood glucose levels is
__________ mg/dL.
- Correct ANS: 70-99 mg/dL
- Rationale: This is the standard range for normal fasting blood
glucose levels.
True/False Questions
6. True or False: The presence of a third heart sound (S3) is
always pathological in adults over 35.
- Correct ANS: True
- Rationale: An S3 heart sound in adults over 35 is usually
indicative of heart failure or volume overload.
7. True or False: A positive Babinski sign is normal in adults.
©2025
, - Correct ANS: False
- Rationale: A positive Babinski sign is indicative of upper
motor neuron lesions in adults.
Multiple Response Questions
8. Which of the following are symptoms of hyperthyroidism?
(Select all that apply)
- a) Tachycardia
- b) Weight gain
- c) Heat intolerance
- d) Depression
- Correct ANSs: a) Tachycardia, c) Heat intolerance
- Rationale: Hyperthyroidism commonly presents with
symptoms such as tachycardia and heat intolerance. Weight gain
and depression are more commonly associated with
hypothyroidism.
9. Which clinical signs are associated with Cushing's syndrome?
(Select all that apply)
- a) Moon face
- b) Buffalo hump
- c) Hyperpigmentation
©2025
Advanced Health Assessment
Midterms Exam Review (Qns & Ans)
2025
1. A 45-year-old male presents with chest pain radiating to his
left arm. Which of the following is the most likely diagnosis?
- a) Gastroesophageal reflux disease (GERD)
- b) Myocardial infarction
- c) Costochondritis
- d) Panic attack
- Correct ANS: b) Myocardial infarction
- Rationale: Radiating chest pain to the left arm is a classic
presentation of myocardial infarction.
©2025
,2. During a health assessment, which cranial nerve is evaluated
by asking the patient to raise their eyebrows, close their eyes
tightly, smile, and puff out their cheeks?
- a) Cranial Nerve V (Trigeminal)
- b) Cranial Nerve VII (Facial)
- c) Cranial Nerve IX (Glossopharyngeal)
- d) Cranial Nerve X (Vagus)
- Correct ANS: b) Cranial Nerve VII (Facial)
- Rationale: These actions test the motor function of the facial
nerve (Cranial Nerve VII).
3. A 60-year-old female presents with unexplained weight loss,
night sweats, and painless lymphadenopathy. Which diagnosis is
most consistent with these symptoms?
- a) Chronic Fatigue Syndrome
- b) Hodgkin Lymphoma
- c) Tuberculosis
- d) Hyperthyroidism
- Correct ANS: b) Hodgkin Lymphoma
- Rationale: The combination of symptoms is highly
suggestive of Hodgkin Lymphoma.
©2025
, Fill-in-the-Blank Questions
4. A sudden, severe headache described as "the worst headache
of my life" could be indicative of a ___________.
- Correct ANS: subarachnoid hemorrhage
- Rationale: This description is a classic presentation of
subarachnoid hemorrhage.
5. The normal range for fasting blood glucose levels is
__________ mg/dL.
- Correct ANS: 70-99 mg/dL
- Rationale: This is the standard range for normal fasting blood
glucose levels.
True/False Questions
6. True or False: The presence of a third heart sound (S3) is
always pathological in adults over 35.
- Correct ANS: True
- Rationale: An S3 heart sound in adults over 35 is usually
indicative of heart failure or volume overload.
7. True or False: A positive Babinski sign is normal in adults.
©2025
, - Correct ANS: False
- Rationale: A positive Babinski sign is indicative of upper
motor neuron lesions in adults.
Multiple Response Questions
8. Which of the following are symptoms of hyperthyroidism?
(Select all that apply)
- a) Tachycardia
- b) Weight gain
- c) Heat intolerance
- d) Depression
- Correct ANSs: a) Tachycardia, c) Heat intolerance
- Rationale: Hyperthyroidism commonly presents with
symptoms such as tachycardia and heat intolerance. Weight gain
and depression are more commonly associated with
hypothyroidism.
9. Which clinical signs are associated with Cushing's syndrome?
(Select all that apply)
- a) Moon face
- b) Buffalo hump
- c) Hyperpigmentation
©2025
