NU 518 Exam 2 Advanced Health Assessment –
High-Yield Questions, Verified Answers &
Rationales | 2026/2027 | Pass Guaranteed
,Exam 2
1. A 45-year-old male presents with intermittent chest pain. Which open-ended question is
most appropriate for the advanced practice nurse to ask first?
A. "Is the pain sharp or dull?"
B. "What can you tell me about the chest pain you've been having?"
C. "Does the pain radiate to your arm?"
D. "Is the pain worse when you eat?"
B. "What can you tell me about the chest pain you've been having?"
Rationale: Open-ended questions allow the patient to describe symptoms in their own
words, preserve the flow of information, and prevent premature closure.
2. Which finding is most concerning for cardiac chest pain?
A. Sharp, positional pain
B. Pressure-like pain that radiates to the jaw
C. Burning pain after meals
D. Pain worse with deep inspiration
B. Pressure-like pain that radiates to the jaw
Rationale: Exertional pressure radiating to the jaw or arm suggests angina or myocardial
infarction.
3. A patient presents with a sudden, severe headache described as the "worst headache of
my life." The nurse should suspect:
A. Tension headache
, B. Migraine headache
C. Subarachnoid hemorrhage
D. Sinusitis
C. Subarachnoid hemorrhage
Rationale: A thunderclap headache is a classic presentation of subarachnoid
hemorrhage and requires urgent evaluation.
4. Which cranial nerve is responsible for facial expression?
A. CN V
B. CN VII
C. CN IX
D. CN XII
B. CN VII
Rationale: The facial nerve (CN VII) controls the muscles of facial expression.
5. Which cranial nerve is tested using a cotton wisp to the cornea?
A. CN I
B. CN II
C. CN V
D. CN VIII
C. CN V
Rationale: The corneal reflex tests the sensory component of CN V and the motor
component of CN VII.
, 6. Which cranial nerve is assessed using a Snellen chart?
A. CN II
B. CN III
C. CN IV
D. CN VI
A. CN II
Rationale: The optic nerve (CN II) mediates visual acuity.
7. A patient presents with a goiter. This finding suggests:
A. Thyroid enlargement
B. Tracheal deviation
C. Jugular venous distention
D. Carotid bruit
A. Thyroid enlargement
Rationale: A goiter is an enlarged thyroid gland.
8. Normal adult respiratory rate is:
A. 8-10 breaths per minute
B. 12-20 breaths per minute
C. 22-30 breaths per minute
D. 30-40 breaths per minute
B. 12-20 breaths per minute
Rationale: Normal adult respiratory rate is 12 to 20 breaths per minute.
High-Yield Questions, Verified Answers &
Rationales | 2026/2027 | Pass Guaranteed
,Exam 2
1. A 45-year-old male presents with intermittent chest pain. Which open-ended question is
most appropriate for the advanced practice nurse to ask first?
A. "Is the pain sharp or dull?"
B. "What can you tell me about the chest pain you've been having?"
C. "Does the pain radiate to your arm?"
D. "Is the pain worse when you eat?"
B. "What can you tell me about the chest pain you've been having?"
Rationale: Open-ended questions allow the patient to describe symptoms in their own
words, preserve the flow of information, and prevent premature closure.
2. Which finding is most concerning for cardiac chest pain?
A. Sharp, positional pain
B. Pressure-like pain that radiates to the jaw
C. Burning pain after meals
D. Pain worse with deep inspiration
B. Pressure-like pain that radiates to the jaw
Rationale: Exertional pressure radiating to the jaw or arm suggests angina or myocardial
infarction.
3. A patient presents with a sudden, severe headache described as the "worst headache of
my life." The nurse should suspect:
A. Tension headache
, B. Migraine headache
C. Subarachnoid hemorrhage
D. Sinusitis
C. Subarachnoid hemorrhage
Rationale: A thunderclap headache is a classic presentation of subarachnoid
hemorrhage and requires urgent evaluation.
4. Which cranial nerve is responsible for facial expression?
A. CN V
B. CN VII
C. CN IX
D. CN XII
B. CN VII
Rationale: The facial nerve (CN VII) controls the muscles of facial expression.
5. Which cranial nerve is tested using a cotton wisp to the cornea?
A. CN I
B. CN II
C. CN V
D. CN VIII
C. CN V
Rationale: The corneal reflex tests the sensory component of CN V and the motor
component of CN VII.
, 6. Which cranial nerve is assessed using a Snellen chart?
A. CN II
B. CN III
C. CN IV
D. CN VI
A. CN II
Rationale: The optic nerve (CN II) mediates visual acuity.
7. A patient presents with a goiter. This finding suggests:
A. Thyroid enlargement
B. Tracheal deviation
C. Jugular venous distention
D. Carotid bruit
A. Thyroid enlargement
Rationale: A goiter is an enlarged thyroid gland.
8. Normal adult respiratory rate is:
A. 8-10 breaths per minute
B. 12-20 breaths per minute
C. 22-30 breaths per minute
D. 30-40 breaths per minute
B. 12-20 breaths per minute
Rationale: Normal adult respiratory rate is 12 to 20 breaths per minute.
