NUR631/ NUR 631 ADVANCED HEALTH ASSESSMENT
EXAM 1 (V2) | COMPLETE QUESTIONS & ANSWERS | 100%
ANSWERED LATEST UPDATED
Core Domains
Health History and Interviewing Techniques
Physical Examination Techniques and Equipment
HEENT and Neurological Assessment
Cardiovascular and Peripheral Vascular Assessment
Respiratory and Thoracic Assessment
Abdominal and Gastrointestinal Assessment
Musculoskeletal and Integumentary Assessment
Lifespan and Cultural Considerations
Clinical Reasoning and Documentation
Ethical and Professional Standards in Advanced Assessment
Introduction
This comprehensive examination is designed to evaluate the
advanced practice nurse's proficiency in health assessment. It
assesses skills in obtaining comprehensive health histories,
performing systematic physical examinations, and applying
clinical reasoning to identify normal and abnormal findings.
The exam utilizes multiple-choice and scenario-based
,questions to simulate real-world clinical encounters. Emphasis
is placed on evidence-based practice, patient-centered
communication, and the integration of cultural and lifespan
considerations into advanced assessment.
Section One: Questions 1-100
A patient reports a sudden onset of severe, tearing chest
pain that radiates to the back. Which assessment finding is
most concerning for a dissecting aortic aneurysm?
A. Blood pressure difference greater than 20 mm Hg
between arms
B. Pain relieved by leaning forward
C. Muffled heart sounds
D. Pleuritic chest pain worsened by deep breathing
🟢 Correct answer A. Blood pressure difference greater than
20 mm Hg between arms
🔴 RATIONALE: A significant blood pressure differential
between arms is a classic sign of aortic dissection. The other
findings are associated with other cardiac or pulmonary
conditions.
When performing a neurological assessment, which finding
indicates a positive Romberg sign?
,A. The patient sways and loses balance with eyes closed
B. The patient's pupils are unequal
C. The patient cannot identify a familiar object by touch
D. The patient has decreased deep tendon reflexes
🟢 Correct answer A. The patient sways and loses balance
with eyes closed
🔴 RATIONALE: A positive Romberg sign indicates
proprioceptive or vestibular dysfunction. The patient is
asked to stand with feet together and eyes open, then
closed; significant swaying with eyes closed is positive.
Which technique is used to assess for fluid wave in a patient
with suspected ascites?
A. Percussing the liver span
B. Auscultating bowel sounds
C. Having an assistant press on the midline while the
examiner taps one flank
D. Palpating the spleen
🟢 Correct answer C. Having an assistant press on the
midline while the examiner taps one flank
🔴 RATIONALE: The fluid wave test detects ascites. An
assistant presses firmly on the midline to prevent
, transmission of fat waves, while the examiner taps one flank
and feels for a wave on the opposite flank.
A patient presents with a "mask-like" facies, resting tremor,
and cogwheel rigidity. These findings are most consistent
with:
A. Parkinson's disease
B. Myasthenia gravis
C. Multiple sclerosis
D. Bell's palsy
🟢 Correct answer A. Parkinson's disease
🔴 RATIONALE: The triad of resting tremor, rigidity, and
bradykinesia (often with mask-like facies) is classic for
Parkinson's disease.
When assessing a patient's cranial nerves, which test
evaluates the function of cranial nerve VIII?
A. Asking the patient to shrug shoulders
B. Testing hearing with a whispered voice or tuning fork
C. Having the patient stick out the tongue
D. Checking the gag reflex
🟢 Correct answer B. Testing hearing with a whispered voice
or tuning fork
EXAM 1 (V2) | COMPLETE QUESTIONS & ANSWERS | 100%
ANSWERED LATEST UPDATED
Core Domains
Health History and Interviewing Techniques
Physical Examination Techniques and Equipment
HEENT and Neurological Assessment
Cardiovascular and Peripheral Vascular Assessment
Respiratory and Thoracic Assessment
Abdominal and Gastrointestinal Assessment
Musculoskeletal and Integumentary Assessment
Lifespan and Cultural Considerations
Clinical Reasoning and Documentation
Ethical and Professional Standards in Advanced Assessment
Introduction
This comprehensive examination is designed to evaluate the
advanced practice nurse's proficiency in health assessment. It
assesses skills in obtaining comprehensive health histories,
performing systematic physical examinations, and applying
clinical reasoning to identify normal and abnormal findings.
The exam utilizes multiple-choice and scenario-based
,questions to simulate real-world clinical encounters. Emphasis
is placed on evidence-based practice, patient-centered
communication, and the integration of cultural and lifespan
considerations into advanced assessment.
Section One: Questions 1-100
A patient reports a sudden onset of severe, tearing chest
pain that radiates to the back. Which assessment finding is
most concerning for a dissecting aortic aneurysm?
A. Blood pressure difference greater than 20 mm Hg
between arms
B. Pain relieved by leaning forward
C. Muffled heart sounds
D. Pleuritic chest pain worsened by deep breathing
🟢 Correct answer A. Blood pressure difference greater than
20 mm Hg between arms
🔴 RATIONALE: A significant blood pressure differential
between arms is a classic sign of aortic dissection. The other
findings are associated with other cardiac or pulmonary
conditions.
When performing a neurological assessment, which finding
indicates a positive Romberg sign?
,A. The patient sways and loses balance with eyes closed
B. The patient's pupils are unequal
C. The patient cannot identify a familiar object by touch
D. The patient has decreased deep tendon reflexes
🟢 Correct answer A. The patient sways and loses balance
with eyes closed
🔴 RATIONALE: A positive Romberg sign indicates
proprioceptive or vestibular dysfunction. The patient is
asked to stand with feet together and eyes open, then
closed; significant swaying with eyes closed is positive.
Which technique is used to assess for fluid wave in a patient
with suspected ascites?
A. Percussing the liver span
B. Auscultating bowel sounds
C. Having an assistant press on the midline while the
examiner taps one flank
D. Palpating the spleen
🟢 Correct answer C. Having an assistant press on the
midline while the examiner taps one flank
🔴 RATIONALE: The fluid wave test detects ascites. An
assistant presses firmly on the midline to prevent
, transmission of fat waves, while the examiner taps one flank
and feels for a wave on the opposite flank.
A patient presents with a "mask-like" facies, resting tremor,
and cogwheel rigidity. These findings are most consistent
with:
A. Parkinson's disease
B. Myasthenia gravis
C. Multiple sclerosis
D. Bell's palsy
🟢 Correct answer A. Parkinson's disease
🔴 RATIONALE: The triad of resting tremor, rigidity, and
bradykinesia (often with mask-like facies) is classic for
Parkinson's disease.
When assessing a patient's cranial nerves, which test
evaluates the function of cranial nerve VIII?
A. Asking the patient to shrug shoulders
B. Testing hearing with a whispered voice or tuning fork
C. Having the patient stick out the tongue
D. Checking the gag reflex
🟢 Correct answer B. Testing hearing with a whispered voice
or tuning fork
