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,NURS 5220 Exam 2 Latest 2026: Comprehensive 150-Question Practice Test with Detailed Answers and Rationales for
Advanced Health Assessment
Questions 1–20
1. A 68-year-old male with a 40-pack-year smoking history presents with a new left-sided carotid bruit. He is
asymptomatic. What is the most appropriate next step?
A) Carotid duplex ultrasound
B) CT angiography of the neck
C) Aspirin 325 mg daily
D) Referral for carotid endarterectomy
Correct Answer: A
Explanation: Asymptomatic carotid bruit warrants carotid duplex ultrasound to quantify stenosis. CT angio is second-line.
2. A 35-year-old female reports joint pain, fatigue, and a facial rash that worsens with sun exposure. On exam, you note a
malar rash and oral ulcers. Most likely diagnosis?
A) Systemic lupus erythematosus
B) Rosacea
C) Dermatomyositis
D) Psoriatic arthritis
Correct Answer: A
Explanation: Malar rash, photosensitivity, oral ulcers, and arthritis are ACR criteria for SLE. Rosacea lacks systemic
symptoms.
3. A 4-day-old newborn has a palpable liver edge 3.5 cm below the right costal margin. What is the most appropriate next
step?
A) Reassurance that this is normal
B) Abdominal ultrasound
C) Liver function tests
D) Referral to pediatric gastroenterology
Correct Answer: B
Explanation: Liver edge >3 cm below costal margin in a newborn is abnormal and suggests hepatomegaly (infection,
metabolic disease, heart failure).
4. On cardiac auscultation, you hear a harsh, late-peaking systolic murmur at the right second intercostal space. The
murmur decreases in intensity with Valsalva. This is most consistent with:
A) Hypertrophic cardiomyopathy
B) Aortic stenosis
C) Mitral regurgitation
D) Ventricular septal defect
Correct Answer: B
Explanation: Valsalva decreases preload, reducing aortic stenosis murmur but increasing hypertrophic cardiomyopathy
murmur.
,
,NURS 5220 Exam 2 Latest 2026: Comprehensive 150-Question Practice Test with Detailed Answers and Rationales for
Advanced Health Assessment
Questions 1–20
1. A 68-year-old male with a 40-pack-year smoking history presents with a new left-sided carotid bruit. He is
asymptomatic. What is the most appropriate next step?
A) Carotid duplex ultrasound
B) CT angiography of the neck
C) Aspirin 325 mg daily
D) Referral for carotid endarterectomy
Correct Answer: A
Explanation: Asymptomatic carotid bruit warrants carotid duplex ultrasound to quantify stenosis. CT angio is second-line.
2. A 35-year-old female reports joint pain, fatigue, and a facial rash that worsens with sun exposure. On exam, you note a
malar rash and oral ulcers. Most likely diagnosis?
A) Systemic lupus erythematosus
B) Rosacea
C) Dermatomyositis
D) Psoriatic arthritis
Correct Answer: A
Explanation: Malar rash, photosensitivity, oral ulcers, and arthritis are ACR criteria for SLE. Rosacea lacks systemic
symptoms.
3. A 4-day-old newborn has a palpable liver edge 3.5 cm below the right costal margin. What is the most appropriate next
step?
A) Reassurance that this is normal
B) Abdominal ultrasound
C) Liver function tests
D) Referral to pediatric gastroenterology
Correct Answer: B
Explanation: Liver edge >3 cm below costal margin in a newborn is abnormal and suggests hepatomegaly (infection,
metabolic disease, heart failure).
4. On cardiac auscultation, you hear a harsh, late-peaking systolic murmur at the right second intercostal space. The
murmur decreases in intensity with Valsalva. This is most consistent with:
A) Hypertrophic cardiomyopathy
B) Aortic stenosis
C) Mitral regurgitation
D) Ventricular septal defect
Correct Answer: B
Explanation: Valsalva decreases preload, reducing aortic stenosis murmur but increasing hypertrophic cardiomyopathy
murmur.
