NUR 634: ADVANCED HEALTH
ASSESSMENT – FINAL EXAM/
ACTUAL EXAM QUESTIONS AND
VERIFIED ANSWERS WITH
RATIONALES GRADED A+
LATEST
Question 1
A 74-year-old patient presents with exertional dyspnea, orthopnea, and
bilateral crackles. Which assessment finding most strongly supports
acute left-sided heart failure?
A. Jugular venous distention
B. Hepatomegaly
C. Pulmonary edema on auscultation
D. Peripheral edema
Correct Answer: C
Rationale: Left-sided heart failure causes pulmonary congestion,
producing crackles and pulmonary edema.
,Question 2
Which heart sound is most commonly associated with decreased
ventricular compliance?
A. S1
B. S2
C. S3
D. S4
Correct Answer: D
Rationale: An S4 is caused by atrial contraction against a stiff ventricle
and is associated with decreased compliance.
Question 3
A patient presents with calf pain during walking that resolves with rest.
Which diagnosis is most likely?
A. Deep vein thrombosis
B. Chronic venous insufficiency
C. Peripheral arterial disease
D. Lumbar radiculopathy
Correct Answer: C
Rationale: Intermittent claudication is a hallmark of peripheral arterial
disease.
,Question 4
Which thyroid assessment finding is most concerning for malignancy?
A. Painful thyroid enlargement
B. Soft, mobile nodule
C. Firm, fixed nodule
D. Symmetric goiter
Correct Answer: C
Rationale: Firm, fixed nodules raise suspicion for thyroid cancer.
Question 5
Which lung sound indicates fluid in the alveoli?
A. Wheezes
B. Rhonchi
C. Fine crackles
D. Stridor
Correct Answer: C
Rationale: Fine crackles are caused by alveolar fluid accumulation.
Question 6
A patient with COPD is most likely to exhibit which thoracic change?
A. Funnel chest
B. Pectus carinatum
C. Barrel chest
D. Kyphosis
, Correct Answer: C
Rationale: Chronic air trapping leads to barrel chest configuration.
Question 7
Which abdominal finding suggests ascites?
A. Tympany throughout
B. Guarding
C. Shifting dullness
D. Rebound tenderness
Correct Answer: C
Rationale: Shifting dullness indicates free fluid in the abdomen.
Question 8
Which neurological test best evaluates cerebellar function?
A. Romberg test
B. Babinski reflex
C. Finger-to-nose test
D. Deep tendon reflexes
Correct Answer: C
Rationale: Cerebellar function is assessed by coordination tests.
ASSESSMENT – FINAL EXAM/
ACTUAL EXAM QUESTIONS AND
VERIFIED ANSWERS WITH
RATIONALES GRADED A+
LATEST
Question 1
A 74-year-old patient presents with exertional dyspnea, orthopnea, and
bilateral crackles. Which assessment finding most strongly supports
acute left-sided heart failure?
A. Jugular venous distention
B. Hepatomegaly
C. Pulmonary edema on auscultation
D. Peripheral edema
Correct Answer: C
Rationale: Left-sided heart failure causes pulmonary congestion,
producing crackles and pulmonary edema.
,Question 2
Which heart sound is most commonly associated with decreased
ventricular compliance?
A. S1
B. S2
C. S3
D. S4
Correct Answer: D
Rationale: An S4 is caused by atrial contraction against a stiff ventricle
and is associated with decreased compliance.
Question 3
A patient presents with calf pain during walking that resolves with rest.
Which diagnosis is most likely?
A. Deep vein thrombosis
B. Chronic venous insufficiency
C. Peripheral arterial disease
D. Lumbar radiculopathy
Correct Answer: C
Rationale: Intermittent claudication is a hallmark of peripheral arterial
disease.
,Question 4
Which thyroid assessment finding is most concerning for malignancy?
A. Painful thyroid enlargement
B. Soft, mobile nodule
C. Firm, fixed nodule
D. Symmetric goiter
Correct Answer: C
Rationale: Firm, fixed nodules raise suspicion for thyroid cancer.
Question 5
Which lung sound indicates fluid in the alveoli?
A. Wheezes
B. Rhonchi
C. Fine crackles
D. Stridor
Correct Answer: C
Rationale: Fine crackles are caused by alveolar fluid accumulation.
Question 6
A patient with COPD is most likely to exhibit which thoracic change?
A. Funnel chest
B. Pectus carinatum
C. Barrel chest
D. Kyphosis
, Correct Answer: C
Rationale: Chronic air trapping leads to barrel chest configuration.
Question 7
Which abdominal finding suggests ascites?
A. Tympany throughout
B. Guarding
C. Shifting dullness
D. Rebound tenderness
Correct Answer: C
Rationale: Shifting dullness indicates free fluid in the abdomen.
Question 8
Which neurological test best evaluates cerebellar function?
A. Romberg test
B. Babinski reflex
C. Finger-to-nose test
D. Deep tendon reflexes
Correct Answer: C
Rationale: Cerebellar function is assessed by coordination tests.
