AGACNP NU 610 Advanced Health Assessment
Midterms Exam (Qns & Ans)
2025
1. Multiple Choice
Question:
Which of the following physical findings is most indicative of
severe aortic regurgitation in an adult patient?
A. A high‑pitched, blowing early diastolic murmur heard best
along the left sternal border
B. A crescendo‑decrescendo systolic murmur heard best at the
right upper sternal border
C. A holosystolic murmur heard at the cardiac apex
D. A continuous murmur best heard in the infraclavicular area
©2025
, Correct ANS:
A
Rationale:
Severe aortic regurgitation typically manifests as a high‑pitched,
blowing early diastolic murmur with a decrescendo quality. This
finding, along with signs such as a widened pulse pressure, is
central to advanced cardiovascular assessment.
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2. Fill-in-the-Blank
Question:
During an advanced health assessment, evaluation of jugular
venous distention (JVD) primarily reflects increased ______.
Correct ANS:
central venous pressure
Rationale:
©2025
,JVD is used as a noninvasive indicator of central venous pressure,
which reflects right atrial pressure and overall fluid status—
critical data when assessing patients with cardiovascular
compromise.
---
3. True/False
Question:
True or False: In older adults, decreased skin turgor is as reliable
an indicator of dehydration as it is in younger patients.
Correct ANS:
False
Rationale:
Age‑related changes in skin elasticity render skin turgor less
reliable in elderly patients. Advanced assessment in this
population requires integration of multiple hydration indicators.
---
©2025
, 4. Multiple Response
Question:
Which of the following are essential components of an advanced
neurological examination? (Select all that apply)
A. Cranial nerve evaluation
B. Assessment of deep tendon reflexes
C. Detailed mental status examination
D. Auscultation of heart sounds
Correct ANSs:
A, B, C
Rationale:
A comprehensive neurological evaluation includes assessment of
cranial nerves, testing deep tendon reflexes, and performing a
mental status exam. Auscultation of heart sounds is part of the
cardiovascular assessment, not the neurological exam.
---
5. Multiple Choice
Question:
©2025
Midterms Exam (Qns & Ans)
2025
1. Multiple Choice
Question:
Which of the following physical findings is most indicative of
severe aortic regurgitation in an adult patient?
A. A high‑pitched, blowing early diastolic murmur heard best
along the left sternal border
B. A crescendo‑decrescendo systolic murmur heard best at the
right upper sternal border
C. A holosystolic murmur heard at the cardiac apex
D. A continuous murmur best heard in the infraclavicular area
©2025
, Correct ANS:
A
Rationale:
Severe aortic regurgitation typically manifests as a high‑pitched,
blowing early diastolic murmur with a decrescendo quality. This
finding, along with signs such as a widened pulse pressure, is
central to advanced cardiovascular assessment.
---
2. Fill-in-the-Blank
Question:
During an advanced health assessment, evaluation of jugular
venous distention (JVD) primarily reflects increased ______.
Correct ANS:
central venous pressure
Rationale:
©2025
,JVD is used as a noninvasive indicator of central venous pressure,
which reflects right atrial pressure and overall fluid status—
critical data when assessing patients with cardiovascular
compromise.
---
3. True/False
Question:
True or False: In older adults, decreased skin turgor is as reliable
an indicator of dehydration as it is in younger patients.
Correct ANS:
False
Rationale:
Age‑related changes in skin elasticity render skin turgor less
reliable in elderly patients. Advanced assessment in this
population requires integration of multiple hydration indicators.
---
©2025
, 4. Multiple Response
Question:
Which of the following are essential components of an advanced
neurological examination? (Select all that apply)
A. Cranial nerve evaluation
B. Assessment of deep tendon reflexes
C. Detailed mental status examination
D. Auscultation of heart sounds
Correct ANSs:
A, B, C
Rationale:
A comprehensive neurological evaluation includes assessment of
cranial nerves, testing deep tendon reflexes, and performing a
mental status exam. Auscultation of heart sounds is part of the
cardiovascular assessment, not the neurological exam.
---
5. Multiple Choice
Question:
©2025
