NUR 6111 ADVANCED HEALTH
ASSESSMENT - EXAM 1
COMPREHENSIVE REVIEW QUESTIONS
AND ANSWERS WITH VERIFIED
SOLUTIONS 2026/2027 UPDATE. JUST
RELEASED
1. When conducting a health history, which technique is most effective for encouraging a
patient to continue speaking without directing the conversation?
A. Asking closed-ended questions
B. Facilitation (e.g., nodding or saying ‘go on’)
C. Interrupting to clarify technical terms
D. Providing immediate reassurance
Answer: B
Conceptual Explanation: Facilitation encourages the patient to say more and shows the
clinician is interested. Closed-ended questions limit the flow, and premature reassurance
may shut down communication.
2. A patient presents with a ‘stabbing’ pain in the chest that worsened suddenly. In the
‘OLDCARTS’ mnemonic, which component does ‘stabbing’ represent?
A. Character
,B. Location
C. Onset
D. Severity
Answer: A
Conceptual Explanation: Character or Quality describes how the pain feels to the patient,
such as stabbing, burning, or aching.
3. During a physical exam, which side of the stethoscope diaphragm/bell should be used to
detect low-pitched sounds like S3 or S4 heart sounds?
A. The diaphragm with firm pressure
B. The diaphragm with light pressure
C. The bell with light pressure
D. The bell with firm pressure
Answer: C
Conceptual Explanation: The bell of the stethoscope is best for hearing low-pitched
sounds, and it must be held lightly against the skin to avoid turning the skin into a
diaphragm.
4. A 65-year-old patient has a blood pressure reading of 155/95 mmHg. According to current
AHA/ACC guidelines, this classification is:
A. Elevated
, B. Stage 1 Hypertension
C. Hypertensive Crisis
D. Stage 2 Hypertension
Answer: D
Conceptual Explanation: Stage 2 Hypertension is defined as a systolic BP of at least 140
mmHg or a diastolic BP of at least 90 mmHg.
5. When assessing the skin, a flat, non-palpable lesion measuring 0.8 cm is correctly
documented as a:
A. Macule
B. Papule
C. Plaque
D. Patch
Answer: A
Conceptual Explanation: A macule is a flat, circumscribed area of color change that is less
than 1 cm in diameter. A patch is larger than 1 cm.
6. Which percussion note would a nurse practitioner expect to hear over a lung with large
amounts of consolidation, such as in lobar pneumonia?
A. Dullness
B. Hyperresonance
ASSESSMENT - EXAM 1
COMPREHENSIVE REVIEW QUESTIONS
AND ANSWERS WITH VERIFIED
SOLUTIONS 2026/2027 UPDATE. JUST
RELEASED
1. When conducting a health history, which technique is most effective for encouraging a
patient to continue speaking without directing the conversation?
A. Asking closed-ended questions
B. Facilitation (e.g., nodding or saying ‘go on’)
C. Interrupting to clarify technical terms
D. Providing immediate reassurance
Answer: B
Conceptual Explanation: Facilitation encourages the patient to say more and shows the
clinician is interested. Closed-ended questions limit the flow, and premature reassurance
may shut down communication.
2. A patient presents with a ‘stabbing’ pain in the chest that worsened suddenly. In the
‘OLDCARTS’ mnemonic, which component does ‘stabbing’ represent?
A. Character
,B. Location
C. Onset
D. Severity
Answer: A
Conceptual Explanation: Character or Quality describes how the pain feels to the patient,
such as stabbing, burning, or aching.
3. During a physical exam, which side of the stethoscope diaphragm/bell should be used to
detect low-pitched sounds like S3 or S4 heart sounds?
A. The diaphragm with firm pressure
B. The diaphragm with light pressure
C. The bell with light pressure
D. The bell with firm pressure
Answer: C
Conceptual Explanation: The bell of the stethoscope is best for hearing low-pitched
sounds, and it must be held lightly against the skin to avoid turning the skin into a
diaphragm.
4. A 65-year-old patient has a blood pressure reading of 155/95 mmHg. According to current
AHA/ACC guidelines, this classification is:
A. Elevated
, B. Stage 1 Hypertension
C. Hypertensive Crisis
D. Stage 2 Hypertension
Answer: D
Conceptual Explanation: Stage 2 Hypertension is defined as a systolic BP of at least 140
mmHg or a diastolic BP of at least 90 mmHg.
5. When assessing the skin, a flat, non-palpable lesion measuring 0.8 cm is correctly
documented as a:
A. Macule
B. Papule
C. Plaque
D. Patch
Answer: A
Conceptual Explanation: A macule is a flat, circumscribed area of color change that is less
than 1 cm in diameter. A patch is larger than 1 cm.
6. Which percussion note would a nurse practitioner expect to hear over a lung with large
amounts of consolidation, such as in lobar pneumonia?
A. Dullness
B. Hyperresonance
