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NURS 3632 Exam 2 University of Texas Arlington
Actual Exam 2026/2027 – Complete Exam-Style
Questions with Detailed Rationales | 100%
Verified – Pass Guaranteed – A+ Graded
Section 1: Advanced Health Assessment & Differential Diagnosis (Questions 1-20)
Q1: A 65-year-old male presents for an annual physical. He denies any complaints. According to
the USPSTF 2026/2027 guidelines, which screening recommendation is Grade A for this patient?
A. Abdominal aortic aneurysm (AAA) screening.
B. Prostate-specific antigen (PSA) screening.
C. Lung cancer screening with low-dose CT.
D. Colorectal cancer screening. [CORRECT]
Correct Answer: D
Rationale: The USPSTF recommends colorectal cancer screening for adults aged 45 to 75 (Grade
A). AAA screening is recommended for men aged 65-75 who have ever smoked (Grade B). PSA
screening is Grade C (individual decision). Lung cancer screening is for adults aged 50-80 with a
smoking history.
Q2: A patient presents with a complaint of "chest pain." The clinician uses the OLDCARTS
mnemonic to characterize the symptom. What does the "O" stand for?
A. Onset. [CORRECT]
B. Other symptoms.
C. On examination.
D. Occipital region.
Correct Answer: A
Rationale: OLDCARTS stands for Onset, Location, Duration, Characteristics,
Aggravating/Alleviating factors, Radiation, Timing, and Severity.
,2
Q3: When performing a physical examination, a clinician notes a non-blanching, purple-colored
spot on the skin that is less than 1 cm in diameter. This is best described as a:
A. Petechiae. [CORRECT]
B. Purpura.
C. Ecchymosis.
D. Telangiectasia.
Correct Answer: A
Rationale: Petechiae are small (<3mm or 0.5cm depending on definition, generally pinhead size),
non-blanching purple spots. Purpura is larger (3mm-1cm), and Ecchymosis (>1cm) is a bruise.
Q4: A diagnostic test for a disease has a sensitivity of 99% and a specificity of 50%. A negative
result on this test would effectively:
A. Rule in the disease.
B. Rule out the disease. [CORRECT]
C. Confirm the diagnosis.
D. Have no clinical value.
Correct Answer: B
Rationale: A test with high sensitivity (SnOUT - Sensitive rules OUT) means there are very few
false negatives. Therefore, a negative result is reliable for ruling out the disease. The low
specificity means there are many false positives.
Q5: A 45-year-old female presents with a breast lump. The clinician palpates a firm, non-mobile,
irregular mass. Which assessment finding is most concerning for malignancy?
A. Tenderness.
B. Fixed to the chest wall. [CORRECT]
C. Bilateral findings.
D. Fluctuance.
Correct Answer: B
, 3
Rationale: A mass fixed to the chest wall or skin is highly suggestive of malignancy (invasion).
Malignant lumps are often firm, irregular, and non-mobile. Tenderness is more associated with
benign conditions like fibrocystic changes, though not exclusive.
Q6: According to the 2026 guidelines, at what age should average-risk adults begin screening for
colorectal cancer?
A. 40.
B. 45. [CORRECT]
C. 50.
D. 55.
Correct Answer: B
Rationale: The USPSTF and ACS updated the recommendation to begin screening at age 45 for
average-risk adults due to increasing incidence in younger populations.
Q7: A patient presents with acute abdominal pain. The clinician performs percussion and notes a
dull sound over the right lower quadrant. This suggests:
A. Gas-filled bowel.
B. Solid organ or fluid. [CORRECT]
C. Hollow viscus.
D. Normal tympany.
Correct Answer: B
Rationale: Dullness on percussion suggests the presence of a solid organ (like the liver) or fluid
(ascites). Tympany (hyperresonance) is normally heard over gas-filled intestines.
Q8: A 30-year-old female presents with a "butterfly rash" across the nose and cheeks and
complaints of joint pain. Which diagnostic test is most specific for confirming the suspected
autoimmune condition?
A. Erythrocyte Sedimentation Rate (ESR).
B. Anti-Nuclear Antibody (ANA).
C. Anti-dsDNA. [CORRECT]
NURS 3632 Exam 2 University of Texas Arlington
Actual Exam 2026/2027 – Complete Exam-Style
Questions with Detailed Rationales | 100%
Verified – Pass Guaranteed – A+ Graded
Section 1: Advanced Health Assessment & Differential Diagnosis (Questions 1-20)
Q1: A 65-year-old male presents for an annual physical. He denies any complaints. According to
the USPSTF 2026/2027 guidelines, which screening recommendation is Grade A for this patient?
A. Abdominal aortic aneurysm (AAA) screening.
B. Prostate-specific antigen (PSA) screening.
C. Lung cancer screening with low-dose CT.
D. Colorectal cancer screening. [CORRECT]
Correct Answer: D
Rationale: The USPSTF recommends colorectal cancer screening for adults aged 45 to 75 (Grade
A). AAA screening is recommended for men aged 65-75 who have ever smoked (Grade B). PSA
screening is Grade C (individual decision). Lung cancer screening is for adults aged 50-80 with a
smoking history.
Q2: A patient presents with a complaint of "chest pain." The clinician uses the OLDCARTS
mnemonic to characterize the symptom. What does the "O" stand for?
A. Onset. [CORRECT]
B. Other symptoms.
C. On examination.
D. Occipital region.
Correct Answer: A
Rationale: OLDCARTS stands for Onset, Location, Duration, Characteristics,
Aggravating/Alleviating factors, Radiation, Timing, and Severity.
,2
Q3: When performing a physical examination, a clinician notes a non-blanching, purple-colored
spot on the skin that is less than 1 cm in diameter. This is best described as a:
A. Petechiae. [CORRECT]
B. Purpura.
C. Ecchymosis.
D. Telangiectasia.
Correct Answer: A
Rationale: Petechiae are small (<3mm or 0.5cm depending on definition, generally pinhead size),
non-blanching purple spots. Purpura is larger (3mm-1cm), and Ecchymosis (>1cm) is a bruise.
Q4: A diagnostic test for a disease has a sensitivity of 99% and a specificity of 50%. A negative
result on this test would effectively:
A. Rule in the disease.
B. Rule out the disease. [CORRECT]
C. Confirm the diagnosis.
D. Have no clinical value.
Correct Answer: B
Rationale: A test with high sensitivity (SnOUT - Sensitive rules OUT) means there are very few
false negatives. Therefore, a negative result is reliable for ruling out the disease. The low
specificity means there are many false positives.
Q5: A 45-year-old female presents with a breast lump. The clinician palpates a firm, non-mobile,
irregular mass. Which assessment finding is most concerning for malignancy?
A. Tenderness.
B. Fixed to the chest wall. [CORRECT]
C. Bilateral findings.
D. Fluctuance.
Correct Answer: B
, 3
Rationale: A mass fixed to the chest wall or skin is highly suggestive of malignancy (invasion).
Malignant lumps are often firm, irregular, and non-mobile. Tenderness is more associated with
benign conditions like fibrocystic changes, though not exclusive.
Q6: According to the 2026 guidelines, at what age should average-risk adults begin screening for
colorectal cancer?
A. 40.
B. 45. [CORRECT]
C. 50.
D. 55.
Correct Answer: B
Rationale: The USPSTF and ACS updated the recommendation to begin screening at age 45 for
average-risk adults due to increasing incidence in younger populations.
Q7: A patient presents with acute abdominal pain. The clinician performs percussion and notes a
dull sound over the right lower quadrant. This suggests:
A. Gas-filled bowel.
B. Solid organ or fluid. [CORRECT]
C. Hollow viscus.
D. Normal tympany.
Correct Answer: B
Rationale: Dullness on percussion suggests the presence of a solid organ (like the liver) or fluid
(ascites). Tympany (hyperresonance) is normally heard over gas-filled intestines.
Q8: A 30-year-old female presents with a "butterfly rash" across the nose and cheeks and
complaints of joint pain. Which diagnostic test is most specific for confirming the suspected
autoimmune condition?
A. Erythrocyte Sedimentation Rate (ESR).
B. Anti-Nuclear Antibody (ANA).
C. Anti-dsDNA. [CORRECT]
