NURS 612 Exam 2 2026/2027 – 80+ Questions & Correct Answers | Chest Pain, Skin, Cardiac, Respiratory, Vascular & Lymphatic Assessment | Maryville University

This NURS 612 Exam 2 2026/2027 study guide is a focused 15-page exam-preparation resource containing 80+ questions with correct answers covering advanced health assessment and clinical reasoning. The material emphasizes history of present illness (HPI), physical examination techniques, recognition of abnormal findings, differential diagnosis, cardiovascular and peripheral vascular assessment, respiratory assessment, dermatologic examination, lymphatic assessment, headaches, thyroid-related symptoms and patient education. Questions combine direct clinical recall with patient scenarios, helping students connect assessment findings with likely conditions and appropriate follow-up considerations. The skin and dermatologic assessment section reviews patient education for sun exposure, the ABCDE approach to suspicious skin lesions, nodules, cysts, folliculitis, cellulitis, fungal nail infections, café-au-lait spots, cherry angiomas, hyperkeratosis and age-related changes in skin elasticity. Students also practice collecting a relevant HPI for rashes, including exposure to new soaps, detergents or lotions and contact with others experiencing similar symptoms. The document further reviews clinical findings associated with cellulitis and circumstances presented in the source as warranting escalation of care. Cardiovascular content provides extensive review of precordial palpation, apical impulse location, heart sounds, murmurs, S1, S2, S3 and S4, thrills, heaves, dextrocardia, pericardial fluid, cardiac tamponade and bacterial endocarditis. Students review murmur characteristics using timing, duration, intensity, pitch, quality, location, radiation and respiratory variation. The questions also address aortic stenosis, pulmonary hypertension, ventricular enlargement, compromised cardiac output and techniques for improving auscultation of low-pitched cardiac filling sounds. The peripheral vascular assessment material covers arterial pulses, Korotkoff sounds, hypertension assessment, postural hypotension, claudication, varicose veins, peripheral arterial disease, venous thrombosis and jugular venous findings. Clinical scenarios require students to distinguish vascular from musculoskeletal complaints and recognize findings presented in the document as associated with impaired arterial or venous circulation. Respiratory assessment is another major examination area, covering shortness of breath, asthma, pneumonia, COPD, pleural effusion, pneumothorax, atelectasis and emphysema. Students review accessory-muscle use, tripod positioning, chest percussion, diaphragmatic excursion, tactile fremitus, breath sounds, tracheal deviation, hyperresonance, costal angle and the respiratory-to-heart-rate relationship. The questions connect symptoms such as wheezing, productive cough and worsening exercise tolerance with relevant pulmonary assessment findings. The guide also provides targeted preparation for headache and neurological assessment. Topics include headache onset and location, sudden-onset headache differentials, intracranial or subarachnoid hemorrhage, CVA, meningitis and cranial nerve assessment. Thyroid-focused scenarios include fatigue, hair loss, sleep-pattern changes and irregular menstruation, with TSH testing identified in the document as an important laboratory consideration. The final section concentrates on the lymphatic system and lymph-node examination, including epitrochlear, supraclavicular, popliteal and cervical nodes. Students review appropriate palpation techniques, normal age-related findings, tender versus fixed nodes, inflammatory lymphadenitis, tuberculosis-associated findings and characteristics presented in the document as concerning for malignancy. It also covers differentiation of enlarged lymph nodes from cysts and assessment findings associated with infections affecting lymphatic drainage. Relevant Students: This resource is particularly relevant to Maryville University NURS 612 students, advanced nursing students, nurse practitioner students, MSN students, advanced health assessment students and graduate nursing learners preparing for Exam 2. It is especially useful for students who need concentrated review of cardiovascular, respiratory, peripheral vascular, skin and lymphatic examination techniques alongside HPI development and clinical differential diagnosis. 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