NUR2065C Physical Assessment in Healthcare
3.0 Credits
Complete Final Exam (Qns & Ans)
2025
Question 1:
A 68‑year‑old male presents with chest pain and dyspnea. During
the cardiovascular exam, the nurse notes a decrescendo diastolic
murmur best heard along the left sternal border. This finding is
most consistent with which diagnosis?
A. Aortic stenosis
B. Aortic regurgitation
C. Mitral stenosis
D. Mitral regurgitation
©2025
, Correct ANS: B
Rationale: A decrescendo diastolic murmur along the left
sternal border is typically indicative of aortic regurgitation.
Recognizing specific murmur characteristics is a critical
component of advanced physical assessment.
---
Question 2:
During an advanced respiratory exam, a nurse finds that a patient
exhibits hyperresonance on percussion, decreased breath sounds,
and prolonged expiration. These findings most likely suggest:
A. Pneumonia
B. Chronic obstructive pulmonary disease (COPD) – emphysema
type
C. Pulmonary edema
D. Pleural effusion
Correct ANS: B
Rationale: The combination of hyperresonance, diminished
breath sounds, and prolonged expiration is most consistent with
emphysema, a form of COPD. Recognizing these physical signs
helps guide appropriate interventions.
©2025
,---
Question 3:
A nurse performing a neurological exam on a patient with
suspected stroke notes facial droop and right-sided weakness.
Based on the principles of neurological lateralization, which side
of the brain is most likely affected?
A. Right hemisphere
B. Left hemisphere
C. Brainstem
D. Cerebellum
Correct ANS: B
Rationale: Neurological deficits typically occur contralateral to
the site of cerebral injury. Right-sided weakness and facial droop
suggest a lesion in the left cerebral hemisphere, a vital concept in
neurological assessment.
---
Question 4:
©2025
, When assessing an adult patient with suspected abdominal
pathology, which maneuver is most useful for evaluating
peritoneal irritation?
A. Auscultation of bowel sounds
B. Light palpation
C. Deep palpation with rebound tenderness
D. Inspection for surgical scars
Correct ANS: C
Rationale: Deep palpation followed by a rebound test is used to
elicit peritoneal irritation, which can indicate conditions such as
appendicitis or peritonitis. This technique forms a critical part of
the abdominal assessment.
---
Question 5:
In evaluating a patient with potential deep vein thrombosis
(DVT), which physical finding should the nurse focus on despite
its limited sensitivity?
A. Positive Homan’s sign
B. Bilateral edema
C. Warmth and erythema in the affected limb
©2025
3.0 Credits
Complete Final Exam (Qns & Ans)
2025
Question 1:
A 68‑year‑old male presents with chest pain and dyspnea. During
the cardiovascular exam, the nurse notes a decrescendo diastolic
murmur best heard along the left sternal border. This finding is
most consistent with which diagnosis?
A. Aortic stenosis
B. Aortic regurgitation
C. Mitral stenosis
D. Mitral regurgitation
©2025
, Correct ANS: B
Rationale: A decrescendo diastolic murmur along the left
sternal border is typically indicative of aortic regurgitation.
Recognizing specific murmur characteristics is a critical
component of advanced physical assessment.
---
Question 2:
During an advanced respiratory exam, a nurse finds that a patient
exhibits hyperresonance on percussion, decreased breath sounds,
and prolonged expiration. These findings most likely suggest:
A. Pneumonia
B. Chronic obstructive pulmonary disease (COPD) – emphysema
type
C. Pulmonary edema
D. Pleural effusion
Correct ANS: B
Rationale: The combination of hyperresonance, diminished
breath sounds, and prolonged expiration is most consistent with
emphysema, a form of COPD. Recognizing these physical signs
helps guide appropriate interventions.
©2025
,---
Question 3:
A nurse performing a neurological exam on a patient with
suspected stroke notes facial droop and right-sided weakness.
Based on the principles of neurological lateralization, which side
of the brain is most likely affected?
A. Right hemisphere
B. Left hemisphere
C. Brainstem
D. Cerebellum
Correct ANS: B
Rationale: Neurological deficits typically occur contralateral to
the site of cerebral injury. Right-sided weakness and facial droop
suggest a lesion in the left cerebral hemisphere, a vital concept in
neurological assessment.
---
Question 4:
©2025
, When assessing an adult patient with suspected abdominal
pathology, which maneuver is most useful for evaluating
peritoneal irritation?
A. Auscultation of bowel sounds
B. Light palpation
C. Deep palpation with rebound tenderness
D. Inspection for surgical scars
Correct ANS: C
Rationale: Deep palpation followed by a rebound test is used to
elicit peritoneal irritation, which can indicate conditions such as
appendicitis or peritonitis. This technique forms a critical part of
the abdominal assessment.
---
Question 5:
In evaluating a patient with potential deep vein thrombosis
(DVT), which physical finding should the nurse focus on despite
its limited sensitivity?
A. Positive Homan’s sign
B. Bilateral edema
C. Warmth and erythema in the affected limb
©2025
