A+ VERIFIED
NUR 6001 Exam 1 — Complete
Official Exam
50 Questions Full Rationales Verified Answers
50 5 100%
QUESTIONS SECTIONS RATIONALES
Complete coverage Core exam domains Every answer explained
WHAT THIS COVERS
01 Health History & Interviewing
02 General Survey, Vital Signs & Pain Assessment
03 Skin, Hair, Nails & HEENT Assessment
04 Cardiovascular, Respiratory & Abdominal Assessment
05 Neurologic, Musculoskeletal & Mental Health Assessment
ABOUT THIS ASSESSMENT
Build mastery in advanced health assessment — from health history and interviewing to general survey, vital signs, pain
assessment, skin, HEENT, cardiovascular, respiratory, abdominal, neurologic, musculoskeletal, and mental health assessment.
This original study bank targets application and analysis skills for NUR 6001 Exam 1, with full rationales for every answer. For
review use only; not an institutional proctored assessment.
PASSING SCORE LEVEL FORMAT
80% Advanced (Graduate Nursing) Application / Analysis
STUVIA ACTUAL EXAM Page 1
,SECTION 1: HEALTH HISTORY & INTERVIEWING
Q1. A 72-year-old patient presents for a comprehensive health assessment. During the interview the patient
repeatedly digresses into lengthy stories about unrelated past events and becomes frustrated when redirected.
The advanced practice nurse recognizes this communication pattern and selects the most effective
interviewing technique to obtain accurate data while maintaining rapport.
A. Allow unrestricted storytelling and return later to fill gaps from the medical record.
B. Use focused, closed-ended questions to limit digressions and complete the history efficiently.
C. Employ gentle redirection combined with summary statements to acknowledge the narrative while guiding the interview back to
the current health concerns.
D. Terminate the interview early and schedule a follow-up with a family member present.
Correct Answer: C
Rationale:
Gentle redirection with summary statements validates the patient’s need to share while restoring structure. Purely closed-ended questioning
can damage rapport in older adults; unrestricted storytelling prevents completion of essential data; early termination is rarely appropriate.
Q2. During a new-patient visit a 45-year-old woman reports intermittent abdominal pain. When asked about
alcohol use she becomes defensive and minimizes intake. The nurse practitioner applies motivational
interviewing principles and chooses the response most likely to elicit accurate information and promote change
readiness.
A. Express empathy for the difficulty of discussing sensitive topics and ask permission to explore alcohol use further in a
nonjudgmental manner.
B. Document the denial and move immediately to the physical examination without further inquiry.
C. Warn the patient that continued alcohol use will lead to irreversible liver disease.
D. Confront the patient with laboratory evidence of elevated liver enzymes to force disclosure.
Correct Answer: A
Rationale:
Motivational interviewing emphasizes partnership, empathy, and permission-seeking. Confrontation and scare tactics increase resistance;
skipping the topic leaves critical data incomplete.
Q3. A Spanish-speaking patient arrives with a family member who offers to interpret. The advanced practice
nurse must decide how to obtain the health history while adhering to best-practice communication standards.
A. Rely on the nurse’s limited Spanish vocabulary and gesture to complete the interview.
B. Accept the family member as interpreter to preserve cultural comfort and family involvement.
C. Use a professional medical interpreter or a validated remote interpretation service and explain the rationale to the family.
D. Postpone the history until a bilingual clinician is available later in the day.
Correct Answer: C
Rationale:
Professional interpreters ensure accuracy, confidentiality, and completeness. Family members may omit, edit, or misunderstand medical
content and may create role conflicts. Limited language skill or delay compromises care.
STUVIA ACTUAL EXAM · Page 2
, SECTION 1: HEALTH HISTORY & INTERVIEWING
Q4. While eliciting a review of systems, a patient describes a two-month history of unintentional weight loss,
night sweats, and persistent cough. The nurse practitioner recognizes these as constitutional symptoms and
prioritizes the next history-taking step.
A. Reassure the patient that such symptoms are common with aging and continue the standard ROS checklist.
B. Order laboratory tests before completing any further history.
C. Focus exclusively on gastrointestinal causes of weight loss and defer pulmonary questions.
D. Shift immediately to a detailed pulmonary history and inquire about tuberculosis exposure, smoking, and hemoptysis.
Correct Answer: D
Rationale:
Constitutional symptoms plus cough raise concern for serious pulmonary or systemic disease. A targeted, hypothesis-driven history is more
efficient and clinically appropriate than rigid checklist continuation or premature testing.
Q5. A 28-year-old patient discloses a history of intimate-partner violence during the social history. The patient
is currently living with the partner and appears anxious. The advanced practice nurse selects the most
appropriate immediate action within the interview setting.
A. Require the patient to leave the partner before any further medical care is provided.
B. Invite the partner into the room to mediate the conflict and obtain a joint history.
C. Notify law enforcement immediately without discussing the plan with the patient.
D. Document the disclosure thoroughly, assess current safety, provide resources, and avoid confronting the partner if present.
Correct Answer: D
Rationale:
Safety assessment, nonjudgmental documentation, and resource provision are core responsibilities. Forcing separation, involving the partner,
or mandatory reporting without patient discussion can increase risk.
Q6. An older adult with mild cognitive impairment is accompanied by an adult child. The patient answers some
questions accurately but becomes confused about medication names and recent hospitalizations. The nurse
practitioner determines the optimal approach to history taking.
A. Skip the history and proceed directly to physical examination and chart review.
B. Interview the patient first, using simple language and verification techniques, then corroborate key data with the family member
after obtaining the patient’s permission.
C. Use only closed-ended questions directed exclusively to the patient.
D. Obtain the history solely from the accompanying family member to ensure accuracy.
Correct Answer: B
Rationale:
Respect for autonomy requires attempting history from the patient first. Corroboration with permission balances accuracy and dignity.
Exclusive reliance on family or omission of patient input is inappropriate.
STUVIA ACTUAL EXAM · Page 3