NUR 504 EXAM 4 – ADVANCED HEALTH ASSESSMENT
– (LATEST ) ACTUAL QUESTIONS &
ANSWERS WITH RATIONALES | UNIVERSITY OF ST.
THOMAS
Advanced Health Assessment (NUR 504) – Practice Exam
Part 1: Questions 1–30
Original Practice Questions & Answers with Rationales University Exam
Questions)
Table of Contents
1. Instructions
2. Multiple-Choice Questions (1–25)
3. Short-Answer Questions (26–30)
4. Answer Key with Rationales
Instructions
• Select the single best answer for each multiple-choice question.
• Answer all short-answer questions concisely.
• Each question is followed by the correct answer and a detailed rationale for
study purposes.
Multiple-Choice Questions
Question 1
A 56-year-old man presents with crushing substernal chest pain radiating to his left arm. Which
assessment finding requires the most immediate intervention?
A. Blood pressure of 150/90 mmHg
,B. Diaphoresis with chest pain
C. Heart rate of 92 bpm
D. Mild anxiety
Correct Answer
B. Diaphoresis with chest pain
Rationale
Diaphoresis accompanying crushing chest pain is highly suggestive of acute myocardial
infarction. Immediate recognition and intervention are essential because myocardial ischemia
may rapidly progress to irreversible cardiac muscle damage.
Question 2
Which heart sound is produced by closure of the mitral and tricuspid valves?
A. S1
B. S2
C. S3
D. S4
Correct Answer
A. S1
Rationale
S1 occurs at the beginning of systole and results from closure of the mitral and tricuspid valves.
S2 marks closure of the aortic and pulmonic valves at the end of systole.
Question 3
The most appropriate location for auscultating the apical pulse is:
A. Second right intercostal space
B. Fourth left intercostal space
C. Fifth left intercostal space at the midclavicular line
D. Sixth right intercostal space
,Correct Answer
C. Fifth left intercostal space at the midclavicular line
Rationale
The point of maximal impulse (PMI), or apical impulse, is normally located at the fifth left
intercostal space at the midclavicular line in adults.
Question 4
Which pulse is commonly assessed during evaluation of lower-extremity arterial circulation?
A. Brachial
B. Femoral
C. Popliteal
D. Dorsalis pedis
Correct Answer
D. Dorsalis pedis
Rationale
The dorsalis pedis artery provides valuable information about distal lower-extremity perfusion.
Diminished or absent pulses may indicate peripheral arterial disease.
Question 5
A patient reports shortness of breath when lying flat. This symptom is known as:
A. Dyspnea
B. Orthopnea
C. Tachypnea
D. Hyperventilation
Correct Answer
B. Orthopnea
Rationale
, Orthopnea is dyspnea that occurs when lying flat and improves upon sitting or standing. It
commonly occurs in heart failure due to redistribution of fluid.
Question 6
Which cranial nerve is primarily responsible for visual acuity?
A. CN II
B. CN III
C. CN IV
D. CN VI
Correct Answer
A. CN II
Rationale
The optic nerve (CN II) transmits visual information from the retina to the brain and is
responsible for visual acuity and visual fields.
Question 7
The Glasgow Coma Scale assesses all of the following EXCEPT:
A. Eye opening
B. Motor response
C. Verbal response
D. Pupillary reflex
Correct Answer
D. Pupillary reflex
Rationale
The Glasgow Coma Scale consists of eye opening, verbal response, and motor response.
Pupillary examination is a separate neurologic assessment.
Question 8
– (LATEST ) ACTUAL QUESTIONS &
ANSWERS WITH RATIONALES | UNIVERSITY OF ST.
THOMAS
Advanced Health Assessment (NUR 504) – Practice Exam
Part 1: Questions 1–30
Original Practice Questions & Answers with Rationales University Exam
Questions)
Table of Contents
1. Instructions
2. Multiple-Choice Questions (1–25)
3. Short-Answer Questions (26–30)
4. Answer Key with Rationales
Instructions
• Select the single best answer for each multiple-choice question.
• Answer all short-answer questions concisely.
• Each question is followed by the correct answer and a detailed rationale for
study purposes.
Multiple-Choice Questions
Question 1
A 56-year-old man presents with crushing substernal chest pain radiating to his left arm. Which
assessment finding requires the most immediate intervention?
A. Blood pressure of 150/90 mmHg
,B. Diaphoresis with chest pain
C. Heart rate of 92 bpm
D. Mild anxiety
Correct Answer
B. Diaphoresis with chest pain
Rationale
Diaphoresis accompanying crushing chest pain is highly suggestive of acute myocardial
infarction. Immediate recognition and intervention are essential because myocardial ischemia
may rapidly progress to irreversible cardiac muscle damage.
Question 2
Which heart sound is produced by closure of the mitral and tricuspid valves?
A. S1
B. S2
C. S3
D. S4
Correct Answer
A. S1
Rationale
S1 occurs at the beginning of systole and results from closure of the mitral and tricuspid valves.
S2 marks closure of the aortic and pulmonic valves at the end of systole.
Question 3
The most appropriate location for auscultating the apical pulse is:
A. Second right intercostal space
B. Fourth left intercostal space
C. Fifth left intercostal space at the midclavicular line
D. Sixth right intercostal space
,Correct Answer
C. Fifth left intercostal space at the midclavicular line
Rationale
The point of maximal impulse (PMI), or apical impulse, is normally located at the fifth left
intercostal space at the midclavicular line in adults.
Question 4
Which pulse is commonly assessed during evaluation of lower-extremity arterial circulation?
A. Brachial
B. Femoral
C. Popliteal
D. Dorsalis pedis
Correct Answer
D. Dorsalis pedis
Rationale
The dorsalis pedis artery provides valuable information about distal lower-extremity perfusion.
Diminished or absent pulses may indicate peripheral arterial disease.
Question 5
A patient reports shortness of breath when lying flat. This symptom is known as:
A. Dyspnea
B. Orthopnea
C. Tachypnea
D. Hyperventilation
Correct Answer
B. Orthopnea
Rationale
, Orthopnea is dyspnea that occurs when lying flat and improves upon sitting or standing. It
commonly occurs in heart failure due to redistribution of fluid.
Question 6
Which cranial nerve is primarily responsible for visual acuity?
A. CN II
B. CN III
C. CN IV
D. CN VI
Correct Answer
A. CN II
Rationale
The optic nerve (CN II) transmits visual information from the retina to the brain and is
responsible for visual acuity and visual fields.
Question 7
The Glasgow Coma Scale assesses all of the following EXCEPT:
A. Eye opening
B. Motor response
C. Verbal response
D. Pupillary reflex
Correct Answer
D. Pupillary reflex
Rationale
The Glasgow Coma Scale consists of eye opening, verbal response, and motor response.
Pupillary examination is a separate neurologic assessment.
Question 8
