NURS 5461
NURS 5461 Final Exam Foundations Of
Advanced
Assessment 100 Questions & Answers
2025/2026
Updated Questions And Answers | 100%
Valid | A+ Results Guaranteed
1. The primary purpose of the "Review of Systems"
(ROS) in a comprehensive health history is to:
A.Confirm the physician's diagnosis.
B.Provide a detailed history of the present illness.
C.Identify health problems that may have been
overlooked in the HPI.
D. Replace the need for a physical examination.
Answer: C
2. When percussing a patient's abdomen, you note
a loud, lowpitched, hollow sound. You would
document this as:
A.Resonance
B.Tympany
C.Dullness
D. Flatness Answer: B
3. A 75-year-old patient presents for a routine
physical. Which assessment technique is most
NURS 5461 Final Exam Foundations Of Advanced Assessment 100 Questions & Answers
,NURS 5461
critical to modify due to normal aging changes?
A. Inspection
B.Palpation
C.Auscultation
D.Percussion
Answer: C (Due to potential hearing loss of the clinician
and increased prevalence of subtle cardiopulmonary
sounds in the elderly)
4. The concept of "clinical judgment" in advanced
practice nursing best refers to:
A.Strictly following clinical practice guidelines.
B.The outcome of critical thinking and diagnostic
reasoning.
C.Delegating tasks to other nursing staff.
D. Relying solely on diagnostic test results. Answer: B
5. When assessing a patient's pain, the mnemonic
"OLDCARTS" stands for:
A.Onset, Location, Duration, Character,
Aggravating/Alleviating,
Radiation, Timing, Severity
B.Origin, Level, Depth, Cause, Association, Region, Type,
Scale
C.Objective, Local, Deep, Constant, Acute, Referred,
Temporal,
Subjective
D. None of the above Answer: A
Neurological System
6. The Glasgow Coma Scale (GCS) assesses which
three functions?
A. Pupillary response, motor strength, and sensation
NURS 5461 Final Exam Foundations Of Advanced Assessment 100 Questions & Answers
, NURS 5461
B.Eye opening, verbal response, and motor response
C.Cranial nerves, deep tendon reflexes, and coordination
D.Memory, cognition, and speech
Answer: B
7. A patient is unable to identify a familiar object
placed in their hand with their eyes closed. This
deficit is known as:
A.Agraphia
B.Astereognosis
C.Ataxia
D. Aphasia Answer: B
8. When testing the cranial nerves, the gag reflex
assesses which two nerves?
A.Trigeminal (V) and Facial (VII)
B.Facial (VII) and Acoustic (VIII)
C.Glossopharyngeal (IX) and Vagus (X)
D. Hypoglossal (XII) and Spinal Accessory (XI) Answer:
C
9. A positive Babinski sign in an adult is
characterized by: A. Flexion of the toes.
B.Dorsiflexion of the great toe with fanning of the other
toes.
C.Inversion of the foot.
D.No response to plantar stimulation.
Answer: B (This indicates upper motor neuron
dysfunction)
10. The Romberg test is used to assess:
A.Cerebellar function and coordination.
B.Proprioception and vestibular function.
C.Muscle strength and tone.
NURS 5461 Final Exam Foundations Of Advanced Assessment 100 Questions & Answers
NURS 5461 Final Exam Foundations Of
Advanced
Assessment 100 Questions & Answers
2025/2026
Updated Questions And Answers | 100%
Valid | A+ Results Guaranteed
1. The primary purpose of the "Review of Systems"
(ROS) in a comprehensive health history is to:
A.Confirm the physician's diagnosis.
B.Provide a detailed history of the present illness.
C.Identify health problems that may have been
overlooked in the HPI.
D. Replace the need for a physical examination.
Answer: C
2. When percussing a patient's abdomen, you note
a loud, lowpitched, hollow sound. You would
document this as:
A.Resonance
B.Tympany
C.Dullness
D. Flatness Answer: B
3. A 75-year-old patient presents for a routine
physical. Which assessment technique is most
NURS 5461 Final Exam Foundations Of Advanced Assessment 100 Questions & Answers
,NURS 5461
critical to modify due to normal aging changes?
A. Inspection
B.Palpation
C.Auscultation
D.Percussion
Answer: C (Due to potential hearing loss of the clinician
and increased prevalence of subtle cardiopulmonary
sounds in the elderly)
4. The concept of "clinical judgment" in advanced
practice nursing best refers to:
A.Strictly following clinical practice guidelines.
B.The outcome of critical thinking and diagnostic
reasoning.
C.Delegating tasks to other nursing staff.
D. Relying solely on diagnostic test results. Answer: B
5. When assessing a patient's pain, the mnemonic
"OLDCARTS" stands for:
A.Onset, Location, Duration, Character,
Aggravating/Alleviating,
Radiation, Timing, Severity
B.Origin, Level, Depth, Cause, Association, Region, Type,
Scale
C.Objective, Local, Deep, Constant, Acute, Referred,
Temporal,
Subjective
D. None of the above Answer: A
Neurological System
6. The Glasgow Coma Scale (GCS) assesses which
three functions?
A. Pupillary response, motor strength, and sensation
NURS 5461 Final Exam Foundations Of Advanced Assessment 100 Questions & Answers
, NURS 5461
B.Eye opening, verbal response, and motor response
C.Cranial nerves, deep tendon reflexes, and coordination
D.Memory, cognition, and speech
Answer: B
7. A patient is unable to identify a familiar object
placed in their hand with their eyes closed. This
deficit is known as:
A.Agraphia
B.Astereognosis
C.Ataxia
D. Aphasia Answer: B
8. When testing the cranial nerves, the gag reflex
assesses which two nerves?
A.Trigeminal (V) and Facial (VII)
B.Facial (VII) and Acoustic (VIII)
C.Glossopharyngeal (IX) and Vagus (X)
D. Hypoglossal (XII) and Spinal Accessory (XI) Answer:
C
9. A positive Babinski sign in an adult is
characterized by: A. Flexion of the toes.
B.Dorsiflexion of the great toe with fanning of the other
toes.
C.Inversion of the foot.
D.No response to plantar stimulation.
Answer: B (This indicates upper motor neuron
dysfunction)
10. The Romberg test is used to assess:
A.Cerebellar function and coordination.
B.Proprioception and vestibular function.
C.Muscle strength and tone.
NURS 5461 Final Exam Foundations Of Advanced Assessment 100 Questions & Answers
