Page 1 of 124
CRUSH NUR 6001: 100+ ADVANCED HEALTH ASSESSMENT
PRACTICE QUESTIONS (150) FOR EXAMS 1–3 – CORRECT
ANSWERS WITH STEP-BY-STEP CLINICAL RATIONALES"
Nursing
Exam summary :
• Exam 1 (Q1-50): Foundations of Health Assessment – Health
history components (HPI, PMH, ROS), symptom analysis
(PQRSTU, OLD CARTS), therapeutic communication,
screening tools (CAGE, PHQ-2, IPV), pain assessment, skin
disorders (primary & secondary lesions), and health literacy .
• Exam 2 (Q51-100): Physical Examination Techniques –
Inspection, palpation, percussion, auscultation sequence,
vital signs (normal ranges, technique), cranial nerve
assessment, head-to-toe evaluation, eye and ear
examination, and documentation .
• Exam 3 (Q101-150): System-Specific Assessment –
Cardiovascular, respiratory, abdominal, neurological, and
genitourinary examinations, differential diagnosis, diagnostic
reasoning, and special populations across the lifespan .
EXAM 1: Foundations & Health Assessment (Questions 1-50)
Source: William Paterson University NUR 6001 Curriculum,
Bates' Guide to Physical Examination & History Taking.
, Page 2 of 124
1. During a comprehensive health assessment, which
component should the advanced practice nurse perform first?
A) Percussion
B) Palpation
C) Inspection
D) Auscultation
CORRECT: C
RATIONALE: Inspection is the foundational first step of the
physical examination, providing visual baseline data about the
patient's overall appearance, skin color, symmetry, and body
habitus before any hands-on techniques are performed .
2. Which layer of the epidermis is found exclusively in thick skin
areas such as palms and soles?
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A) Stratum corneum
B) Stratum granulosum
C) Stratum lucidum
D) Stratum germinativum
CORRECT: C
RATIONALE: The stratum lucidum is a translucent, clear layer of
the epidermis that is only present in thick skin, particularly on
the palms of the hands and soles of the feet, providing
additional protection in high-friction areas .
3. A 45-year-old male presents with chest pain that started 2
days ago and is located in the center of his chest. When the NP
asks about the location of the pain, which component of OLD
CARTS is being addressed?
A) Onset
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B) Location
C) Duration
D) Associated symptoms
CORRECT: B
RATIONALE: OLD CARTS stands for Onset, Location, Duration,
Characteristics, Aggravating factors, Relieving factors,
Timing/Treatment, and Severity. The "Location" component
identifies the anatomical source of the symptom .
4. Which component of a SOAP note includes the patient's chief
complaint and history of present illness (HPI)?
A) Subjective
B) Objective
CRUSH NUR 6001: 100+ ADVANCED HEALTH ASSESSMENT
PRACTICE QUESTIONS (150) FOR EXAMS 1–3 – CORRECT
ANSWERS WITH STEP-BY-STEP CLINICAL RATIONALES"
Nursing
Exam summary :
• Exam 1 (Q1-50): Foundations of Health Assessment – Health
history components (HPI, PMH, ROS), symptom analysis
(PQRSTU, OLD CARTS), therapeutic communication,
screening tools (CAGE, PHQ-2, IPV), pain assessment, skin
disorders (primary & secondary lesions), and health literacy .
• Exam 2 (Q51-100): Physical Examination Techniques –
Inspection, palpation, percussion, auscultation sequence,
vital signs (normal ranges, technique), cranial nerve
assessment, head-to-toe evaluation, eye and ear
examination, and documentation .
• Exam 3 (Q101-150): System-Specific Assessment –
Cardiovascular, respiratory, abdominal, neurological, and
genitourinary examinations, differential diagnosis, diagnostic
reasoning, and special populations across the lifespan .
EXAM 1: Foundations & Health Assessment (Questions 1-50)
Source: William Paterson University NUR 6001 Curriculum,
Bates' Guide to Physical Examination & History Taking.
, Page 2 of 124
1. During a comprehensive health assessment, which
component should the advanced practice nurse perform first?
A) Percussion
B) Palpation
C) Inspection
D) Auscultation
CORRECT: C
RATIONALE: Inspection is the foundational first step of the
physical examination, providing visual baseline data about the
patient's overall appearance, skin color, symmetry, and body
habitus before any hands-on techniques are performed .
2. Which layer of the epidermis is found exclusively in thick skin
areas such as palms and soles?
, Page 3 of 124
A) Stratum corneum
B) Stratum granulosum
C) Stratum lucidum
D) Stratum germinativum
CORRECT: C
RATIONALE: The stratum lucidum is a translucent, clear layer of
the epidermis that is only present in thick skin, particularly on
the palms of the hands and soles of the feet, providing
additional protection in high-friction areas .
3. A 45-year-old male presents with chest pain that started 2
days ago and is located in the center of his chest. When the NP
asks about the location of the pain, which component of OLD
CARTS is being addressed?
A) Onset
, Page 4 of 124
B) Location
C) Duration
D) Associated symptoms
CORRECT: B
RATIONALE: OLD CARTS stands for Onset, Location, Duration,
Characteristics, Aggravating factors, Relieving factors,
Timing/Treatment, and Severity. The "Location" component
identifies the anatomical source of the symptom .
4. Which component of a SOAP note includes the patient's chief
complaint and history of present illness (HPI)?
A) Subjective
B) Objective
