1
NURS 612 EXAM 1 MARYVILLE UNIVERSITY
2026/2027 COMPLETE EXAM PREPARATION |
ACTUAL QUESTIONS & VERIFIED ANSWERS |
ADVANCED PATHOPHYSIOLOGY &
PHARMACOLOGY | PASS GUARANTEE
Section 1: Comprehensive History-Taking
Q1: During a patient interview, which technique is most effective for facilitating a patient’s
narrative while ensuring relevant details are captured?
A. Asking rapid-fire yes/no questions.
B. Using open-ended questions followed by focused follow-up.
C. Reading questions directly from a template.
D. Discussing your own experiences first.
Answer: B
Verified Rationale: Open-ended questions invite the patient’s full story, and targeted follow-up
clarifies clinical details essential for accurate diagnosis.
Q2: The “Review of Systems” (ROS) in a comprehensive health history primarily serves to:
A. Identify symptoms or problems not previously mentioned.
B. Replace the physical examination.
C. Diagnose specific diseases.
D. Shorten the visit time.
Answer: A
Verified Rationale: ROS systematically screens each body system to uncover symptoms the
patient has not yet reported.
Q3: Which interviewing behavior best conveys cultural humility?
A. Interrupting to correct misinformation.
B. Asking the patient to teach you about their cultural norms.
C. Assuring the patient you are “color-blind.”
D. Finishing the patient’s sentences to save time.
Answer: B
Verified Rationale: Inviting the patient to share cultural perspectives demonstrates respect and
reduces power imbalance.
Q4: A 68-year-old woman mentions she lives alone and has no family nearby. Which
psychosocial assessment domain requires immediate follow-up?
,2
A. Financial status.
B. Social isolation and support systems.
C. Spiritual preferences.
D. Sleep hygiene.
Answer: B
Verified Rationale: Limited support systems predict higher risks for depression, medication non-
adherence, and emergency visits.
Q5: When obtaining a sexual history, which opening shows the best sensitivity?
A. “Are you sexually active with men, women, or both?”
B. “You don’t have any STDs, right?”
C. “I assume you’re married?”
D. “We don’t need to discuss sex unless you have symptoms.”
Answer: A
Verified Rationale: A neutral, inclusive question normalizes discussion and allows disclosure
without judgment.
Q6: Which mnemonic best guides a pain assessment?
A. FAST.
B. COLDSPA.
C. OPQRSTU.
D. SAMPLE.
Answer: C
Verified Rationale: OPQRSTU systematically evaluates Onset, Provocation, Quality, Region,
Severity, Time, and patient Understanding.
Q7: While exploring medication adherence, which question avoids accusation?
A. “Why don’t you take your pills?”
B. “Many patients struggle with daily pills; how do you manage?”
C. “You know your refusal harms you, correct?”
D. “Do you always follow my instructions?”
Answer: B
Verified Rationale: Normalizing the challenge invites honest disclosure about barriers such as
cost or side effects.
Q8: A patient becomes tearful when describing recent job loss. Your best immediate response is:
A. Redirect to past medical history.
B. Offer a tissue and pause in silence.
C. Promise everything will improve.
D. Summon security for emotional instability.
Answer: B
, 3
Verified Rationale: Silent presence respects the patient’s emotion and maintains therapeutic
rapport.
Q9: Which element is required in every chief complaint documentation?
A. Family history linkage.
B. Patient’s own words in quotes.
C. Review of systems.
D. Differential diagnosis.
Answer: B
Verified Rationale: Quoting the patient’s words preserves symptom authenticity for later
interpretation.
Q10: The “ICE” mnemonic in patient-centered interviewing stands for:
A. Inspection, Contusion, Edema.
B. Ideas, Concerns, Expectations.
C. Infection, Circulation, Environment.
D. Integrity, Consent, Empathy.
Answer: B
Verified Rationale: Exploring ICE reveals patient beliefs and goals essential for shared decision-
making.
Section 2: Advanced Physical Examination – Cardiovascular
Q11: To best hear a physiologic S3 gallop, place the stethoscope bell at which location with the
patient in the left lateral decubitus position?
A. 2nd right intercostal space.
B. 5th intercostal space, mid-clavicular line.
C. 3rd left intercostal parasternal.
D. Epigastric area.
Answer: B
Verified Rationale: The apex (mitral area) aligns closest to the chest wall in this position,
amplifying low-frequency S3.
Q12: A paradoxical pulse >12 mmHg suggests:
A. Aortic stenosis.
B. Cardiac tamponade.
C. Mitral regurgitation.
D. Ventricular septal defect.
Answer: B
Verified Rationale: Tamponade causes ventricular interdependence, reducing left-sided filling
during inspiration.
Q13: While grading murmurs, a thrill palpable to the hand corresponds to which grade?
A. Grade 2.
NURS 612 EXAM 1 MARYVILLE UNIVERSITY
2026/2027 COMPLETE EXAM PREPARATION |
ACTUAL QUESTIONS & VERIFIED ANSWERS |
ADVANCED PATHOPHYSIOLOGY &
PHARMACOLOGY | PASS GUARANTEE
Section 1: Comprehensive History-Taking
Q1: During a patient interview, which technique is most effective for facilitating a patient’s
narrative while ensuring relevant details are captured?
A. Asking rapid-fire yes/no questions.
B. Using open-ended questions followed by focused follow-up.
C. Reading questions directly from a template.
D. Discussing your own experiences first.
Answer: B
Verified Rationale: Open-ended questions invite the patient’s full story, and targeted follow-up
clarifies clinical details essential for accurate diagnosis.
Q2: The “Review of Systems” (ROS) in a comprehensive health history primarily serves to:
A. Identify symptoms or problems not previously mentioned.
B. Replace the physical examination.
C. Diagnose specific diseases.
D. Shorten the visit time.
Answer: A
Verified Rationale: ROS systematically screens each body system to uncover symptoms the
patient has not yet reported.
Q3: Which interviewing behavior best conveys cultural humility?
A. Interrupting to correct misinformation.
B. Asking the patient to teach you about their cultural norms.
C. Assuring the patient you are “color-blind.”
D. Finishing the patient’s sentences to save time.
Answer: B
Verified Rationale: Inviting the patient to share cultural perspectives demonstrates respect and
reduces power imbalance.
Q4: A 68-year-old woman mentions she lives alone and has no family nearby. Which
psychosocial assessment domain requires immediate follow-up?
,2
A. Financial status.
B. Social isolation and support systems.
C. Spiritual preferences.
D. Sleep hygiene.
Answer: B
Verified Rationale: Limited support systems predict higher risks for depression, medication non-
adherence, and emergency visits.
Q5: When obtaining a sexual history, which opening shows the best sensitivity?
A. “Are you sexually active with men, women, or both?”
B. “You don’t have any STDs, right?”
C. “I assume you’re married?”
D. “We don’t need to discuss sex unless you have symptoms.”
Answer: A
Verified Rationale: A neutral, inclusive question normalizes discussion and allows disclosure
without judgment.
Q6: Which mnemonic best guides a pain assessment?
A. FAST.
B. COLDSPA.
C. OPQRSTU.
D. SAMPLE.
Answer: C
Verified Rationale: OPQRSTU systematically evaluates Onset, Provocation, Quality, Region,
Severity, Time, and patient Understanding.
Q7: While exploring medication adherence, which question avoids accusation?
A. “Why don’t you take your pills?”
B. “Many patients struggle with daily pills; how do you manage?”
C. “You know your refusal harms you, correct?”
D. “Do you always follow my instructions?”
Answer: B
Verified Rationale: Normalizing the challenge invites honest disclosure about barriers such as
cost or side effects.
Q8: A patient becomes tearful when describing recent job loss. Your best immediate response is:
A. Redirect to past medical history.
B. Offer a tissue and pause in silence.
C. Promise everything will improve.
D. Summon security for emotional instability.
Answer: B
, 3
Verified Rationale: Silent presence respects the patient’s emotion and maintains therapeutic
rapport.
Q9: Which element is required in every chief complaint documentation?
A. Family history linkage.
B. Patient’s own words in quotes.
C. Review of systems.
D. Differential diagnosis.
Answer: B
Verified Rationale: Quoting the patient’s words preserves symptom authenticity for later
interpretation.
Q10: The “ICE” mnemonic in patient-centered interviewing stands for:
A. Inspection, Contusion, Edema.
B. Ideas, Concerns, Expectations.
C. Infection, Circulation, Environment.
D. Integrity, Consent, Empathy.
Answer: B
Verified Rationale: Exploring ICE reveals patient beliefs and goals essential for shared decision-
making.
Section 2: Advanced Physical Examination – Cardiovascular
Q11: To best hear a physiologic S3 gallop, place the stethoscope bell at which location with the
patient in the left lateral decubitus position?
A. 2nd right intercostal space.
B. 5th intercostal space, mid-clavicular line.
C. 3rd left intercostal parasternal.
D. Epigastric area.
Answer: B
Verified Rationale: The apex (mitral area) aligns closest to the chest wall in this position,
amplifying low-frequency S3.
Q12: A paradoxical pulse >12 mmHg suggests:
A. Aortic stenosis.
B. Cardiac tamponade.
C. Mitral regurgitation.
D. Ventricular septal defect.
Answer: B
Verified Rationale: Tamponade causes ventricular interdependence, reducing left-sided filling
during inspiration.
Q13: While grading murmurs, a thrill palpable to the hand corresponds to which grade?
A. Grade 2.
