OSCE (Objective Structured Clinical
Examination) NRNP 5100: Advanced Health
Assessment and Diagnostic Reasoning
EXAM COVERAGE
1. Health History and Interviewing Techniques: Subjective vs. objective
data, PQRST mnemonic, OLDCARTS, comprehensive vs. focused
assessment, secondary sources, cultural considerations, and patient-
centered communication 12 14 15
2. Cardiovascular System Assessment: Heart sounds, murmurs, jugular
venous distention, peripheral pulses, blood pressure interpretation, and
chest pain differential diagnosis 3 16
3. Respiratory System Assessment: Breath sounds, percussion notes,
tactile fremitus, vocal resonance, and differential diagnosis of
, dyspnea 3
4. Abdominal and Gastrointestinal Assessment: Abdominal pain
assessment, Murphy's sign, Rovsing's sign, Cullen's sign, and
organomegaly 16
5. Neurological and Mental Health Assessment: Cranial nerves,
cerebellar function, stereognosis, suicide risk assessment, and
depression screening 8 16
6. HEENT (Head, Eyes, Ears, Nose, Throat) Assessment: Fundoscopic
examination, pupillary responses, tympanic membrane assessment,
and vision changes 16
7. Musculoskeletal and Integumentary Assessment: Joint examination,
skin lesion description, pressure ulcers, and edema grading 16
8. Clinical Reasoning and Diagnostic Reasoning: Hypothesis generation,
differential diagnosis, diagnostic test interpretation, and evidence-
based practice 2 15
, 9. Documentation and Communication: SOAP notes, patient education,
informed consent, and interprofessional communication 3 12
10. Special Populations Assessment: Pediatric, geriatric, and obstetric
considerations in advanced health assessment 2 17
OSCE (Objective Structured Clinical
Examination) NRNP 5100: Advanced Health
Assessment and Diagnostic Reasoning
200 EXTREMELY DETAILED MULTIPLE-CHOICE
QUESTIONS WITH RATIONALES
, 1. During a comprehensive health assessment, which component of the
patient interview is specifically categorized as subjective data requiring
careful documentation by the advanced practice nurse?
A. The patient's serum potassium level of 3.8 mEq/L obtained from
today's laboratory results
B. The patient reports a sharp, radiating pain in the left shoulder that
began two days ago
C. The patient's right tympanic membrane appears erythematous upon
otoscopic examination
D. The patient demonstrates a positive Romberg test during the
neurological assessment
Answer: B
Rationale: Subjective data encompasses the patient's narrative—feelings,
recollections, or claims that cannot be directly observed or measured.
Examination) NRNP 5100: Advanced Health
Assessment and Diagnostic Reasoning
EXAM COVERAGE
1. Health History and Interviewing Techniques: Subjective vs. objective
data, PQRST mnemonic, OLDCARTS, comprehensive vs. focused
assessment, secondary sources, cultural considerations, and patient-
centered communication 12 14 15
2. Cardiovascular System Assessment: Heart sounds, murmurs, jugular
venous distention, peripheral pulses, blood pressure interpretation, and
chest pain differential diagnosis 3 16
3. Respiratory System Assessment: Breath sounds, percussion notes,
tactile fremitus, vocal resonance, and differential diagnosis of
, dyspnea 3
4. Abdominal and Gastrointestinal Assessment: Abdominal pain
assessment, Murphy's sign, Rovsing's sign, Cullen's sign, and
organomegaly 16
5. Neurological and Mental Health Assessment: Cranial nerves,
cerebellar function, stereognosis, suicide risk assessment, and
depression screening 8 16
6. HEENT (Head, Eyes, Ears, Nose, Throat) Assessment: Fundoscopic
examination, pupillary responses, tympanic membrane assessment,
and vision changes 16
7. Musculoskeletal and Integumentary Assessment: Joint examination,
skin lesion description, pressure ulcers, and edema grading 16
8. Clinical Reasoning and Diagnostic Reasoning: Hypothesis generation,
differential diagnosis, diagnostic test interpretation, and evidence-
based practice 2 15
, 9. Documentation and Communication: SOAP notes, patient education,
informed consent, and interprofessional communication 3 12
10. Special Populations Assessment: Pediatric, geriatric, and obstetric
considerations in advanced health assessment 2 17
OSCE (Objective Structured Clinical
Examination) NRNP 5100: Advanced Health
Assessment and Diagnostic Reasoning
200 EXTREMELY DETAILED MULTIPLE-CHOICE
QUESTIONS WITH RATIONALES
, 1. During a comprehensive health assessment, which component of the
patient interview is specifically categorized as subjective data requiring
careful documentation by the advanced practice nurse?
A. The patient's serum potassium level of 3.8 mEq/L obtained from
today's laboratory results
B. The patient reports a sharp, radiating pain in the left shoulder that
began two days ago
C. The patient's right tympanic membrane appears erythematous upon
otoscopic examination
D. The patient demonstrates a positive Romberg test during the
neurological assessment
Answer: B
Rationale: Subjective data encompasses the patient's narrative—feelings,
recollections, or claims that cannot be directly observed or measured.
