NURS 612 FINAL EXAM ADVANCED
HEALTH ASSESSMENT QUESTIONS
AND CORRECT DETAILED ANSWERS
WITH RATIONALES
🩺 NURS 612 FINAL EXAM
Advanced Health Assessment (Questions)
1. A patient reports sudden unilateral weakness. What is the priority
action?
A. Assess pain
B. Perform neurological assessment
C. Provide food
D. Document
✅ Answer: B
Rationale: Sudden weakness may indicate stroke → requires immediate neuro evaluation.
2. Which finding is most concerning during a cardiovascular exam?
A. HR 72
B. BP 118/76
C. Irregular rhythm
D. Warm skin
✅ Answer: C
Rationale: Irregular rhythm may indicate arrhythmia → requires further evaluation.
,3. A patient has jugular vein distention. This suggests:
A. Dehydration
B. Heart failure
C. Infection
D. Normal finding
✅ Answer: B
Rationale: JVD reflects increased central venous pressure, common in HF.
4. Crackles in lungs indicate:
A. Normal
B. Fluid in alveoli
C. Air trapping
D. Infection only
✅ Answer: B
Rationale: Crackles suggest fluid (e.g., pulmonary edema, HF).
5. A patient reports chest pain radiating to the arm. Priority concern?
A. GERD
B. Anxiety
C. Myocardial infarction
D. Muscle strain
✅ Answer: C
Rationale: Classic MI presentation → emergency.
6. Which assessment indicates dehydration?
A. Moist mucosa
B. Tachycardia
C. Edema
D. Weight gain
✅ Answer: B
Rationale: Tachycardia compensates for fluid loss.
, 7. A patient has a fever and stiff neck. Concern for:
A. Migraine
B. Meningitis
C. Stroke
D. Anxiety
✅ Answer: B
Rationale: Classic meningitis signs.
8. Which is a red flag for abdominal pain?
A. Mild discomfort
B. Rebound tenderness
C. Hunger
D. Sleep
✅ Answer: B
Rationale: Indicates peritoneal irritation.
9. A pulsatile abdominal mass suggests:
A. Hernia
B. AAA
C. Constipation
D. Gas
✅ Answer: B
Rationale: Abdominal aortic aneurysm risk.
10. Which lung sound is high-pitched and musical?
A. Crackles
B. Wheezes
C. Rhonchi
D. Rub
HEALTH ASSESSMENT QUESTIONS
AND CORRECT DETAILED ANSWERS
WITH RATIONALES
🩺 NURS 612 FINAL EXAM
Advanced Health Assessment (Questions)
1. A patient reports sudden unilateral weakness. What is the priority
action?
A. Assess pain
B. Perform neurological assessment
C. Provide food
D. Document
✅ Answer: B
Rationale: Sudden weakness may indicate stroke → requires immediate neuro evaluation.
2. Which finding is most concerning during a cardiovascular exam?
A. HR 72
B. BP 118/76
C. Irregular rhythm
D. Warm skin
✅ Answer: C
Rationale: Irregular rhythm may indicate arrhythmia → requires further evaluation.
,3. A patient has jugular vein distention. This suggests:
A. Dehydration
B. Heart failure
C. Infection
D. Normal finding
✅ Answer: B
Rationale: JVD reflects increased central venous pressure, common in HF.
4. Crackles in lungs indicate:
A. Normal
B. Fluid in alveoli
C. Air trapping
D. Infection only
✅ Answer: B
Rationale: Crackles suggest fluid (e.g., pulmonary edema, HF).
5. A patient reports chest pain radiating to the arm. Priority concern?
A. GERD
B. Anxiety
C. Myocardial infarction
D. Muscle strain
✅ Answer: C
Rationale: Classic MI presentation → emergency.
6. Which assessment indicates dehydration?
A. Moist mucosa
B. Tachycardia
C. Edema
D. Weight gain
✅ Answer: B
Rationale: Tachycardia compensates for fluid loss.
, 7. A patient has a fever and stiff neck. Concern for:
A. Migraine
B. Meningitis
C. Stroke
D. Anxiety
✅ Answer: B
Rationale: Classic meningitis signs.
8. Which is a red flag for abdominal pain?
A. Mild discomfort
B. Rebound tenderness
C. Hunger
D. Sleep
✅ Answer: B
Rationale: Indicates peritoneal irritation.
9. A pulsatile abdominal mass suggests:
A. Hernia
B. AAA
C. Constipation
D. Gas
✅ Answer: B
Rationale: Abdominal aortic aneurysm risk.
10. Which lung sound is high-pitched and musical?
A. Crackles
B. Wheezes
C. Rhonchi
D. Rub
