NSG-500 Exam 2 (March 2026)



When assessing a patients voice quality while you are auscultating the lung field you note the voice sound is intensified, there is a nasal quality to the voice and e’s sound like a’s. This sound described is called:
- A) Sonorous
- B) Bronchophony
- C) Pectoriloquy
- D) Egophony ✅
You observe that a patient’s tonsils are enlarged and they nearly touch the uvula. You would document this as:
- A) 1+
- B) 2+
- C) 3+ ✅
- D) 4+
Which of the following is used to test near vision?
- A) Rosenbaum chart ✅
- B) Snellen E chart
- C) Confrontation test
- D) Cover-uncover test
Peritonitis often produces bowel sounds that are:
- A) Normal
- B) Hyperactive
- C) High pitched
- D) Absent ✅
Which of the following reflect current screening recommendations for breast cancer?
- A) All women should have an MRI of the breasts annually starting at age 40.
- B) The American Cancer Society recommends starting annual mammography screening by age 45. ✅
- C) The American Cancer Society recommends a clinical breast exam for all females starting at age 21.
- D) Once women reach the age of 65, screening is no longer recommended.
In the older adult, which finding can occur in the absence of disease as a result of age-related changes of the chest or lungs?
- A) Decreased diaphragmatic excursion ✅
- B) Productive cough
- C) Asymmetric expansion of the chest
- D) Pulmonary infiltrate
Which of the following is a risk factor for testicular cancer?
- A) Circumcision
- B) Condyloma acuminatum
- C) Cryptorchidism ✅
- D) Multiple sexual partners
To distinguish crackles from rhonchi, you should auscultate the lungs:
- A) Before and after the patient coughs ✅
- B) First at the lung base, then at the apex
- C) With the patient inhaling, then exhaling
- D) With the patient prone, then supine
To evaluate for the presence of ascites, the APRN should:
- A) Perform the Murphy test.
- B) Percuss for shifting dullness. ✅
- C) Perform the iliopsoas muscle test.
- D) Percuss for a change from resonance to dullness.
An early sign of pregnancy is:
- A) A positive Chadwick’s sign. ✅
- B) A non-palpable uterus.
- C) Inversion of the nipples bilaterally.
- D) Negative Goodell’s sign………………………………..purchase all 75 questions and answers at $40 only





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