NUR 6001 Exam 2
Advanced Health Assessment
William Paterson University (WPU)
2026/2027 | Newly Released
Verified Q & A with Rationales |100% Guaranteed Pass | Graded A+
Q1: A patient with a history of asthma presents with shortness of breath. During auscultation,
the nurse practitioner hears continuous, high-pitched, musical sounds that are primarily heard
on expiration. What adventitious breath sound is the nurse practitioner auscultating?
A. Crackles
B. Wheezes
C. Rhonchi
D. Pleural friction rub
Correct Answer: B
Rationale: Correct because wheezes are continuous, high-pitched musical sounds caused by air
passing through narrowed airways (bronchospasm, inflammation, or mucus), typically heard
during expiration in conditions like asthma and COPD.
Q2: During a cardiovascular assessment, a nurse practitioner measures a patient's blood
pressure: Right Brachial = 120 mmHg, Left Brachial = 122 mmHg, Right Dorsalis Pedis = 90
mmHg, Right Posterior Tibial = 88 mmHg, Left Dorsalis Pedis = 80 mmHg, Left Posterior
Tibial = 78 mmHg. Calculate the Ankle-Brachial Index (ABI) and interpret the result.
A. 0.73; Moderate Peripheral Artery Disease (PAD)
B. 0.95; Borderline PAD
C. 1.10; Normal
D. 0.40; Severe PAD
Correct Answer: A
Rationale: Correct because the ABI is calculated by dividing the highest ankle pressure (90
mmHg) by the highest brachial pressure (122 mmHg), resulting in 0.74 (approx. 0.73), which
falls within the range of 0.41–0.90, indicating moderate Peripheral Artery Disease.
,Q3: A nurse practitioner is assessing a patient with suspected gallbladder disease. While
palpating the right upper quadrant (RUQ) at the midclavicular line, the patient takes a deep
breath and suddenly stops inspiration due to pain. What is the name of this sign and its
implication?
A. Murphy’s sign; positive for acute cholecystitis
B. Rovsing’s sign; positive for appendicitis
C. McBurney’s point tenderness; positive for appendicitis
D. Grey Turner’s sign; positive for pancreatitis
Correct Answer: A
Rationale: Correct because Murphy’s sign is positive when inspiratory arrest occurs due to
pain as the inflamed gallbladder descends and contacts the examiner's fingers, which is a highly
specific indicator of acute cholecystitis.
Q4: Upon percussion of a patient's chest, the nurse practitioner notes a dull sound over the left
lower lobe. What does this percussion finding most likely suggest?
A. Hyperinflation as seen in emphysema
B. Pneumothorax
C. Consolidation or pleural effusion
D. Normal lung tissue
Correct Answer: C
Rationale: Correct because dullness replaces the normal resonant sound when air-filled lung
tissue becomes solid (consolidation, as in pneumonia) or fluid-filled (pleural effusion), both of
which dampen the sound.
Q5: During cardiac auscultation, the nurse practitioner hears a holosystolic murmur that is best
heard at the apex and radiates to the left axilla. Which valvular defect is most consistent with
these findings?
A. Aortic stenosis
B. Mitral regurgitation
C. Mitral stenosis
D. Tricuspid regurgitation
, Correct Answer: B
Rationale: Correct because mitral regurgitation causes a holosystolic murmur as blood flows
backward from the left ventricle into the left atrium throughout systole; the turbulence is best
heard at the apex and radiates to the axilla.
Q6: A patient presents with right lower quadrant (RLQ) pain. The nurse practitioner applies
deep pressure to the left lower quadrant (LLQ) and then suddenly releases it. The patient
reports increased pain in the RLQ upon release. What is the name of this sign?
A. McBurney's sign
B. Murphy’s sign
C. Rovsing’s sign
D. Psoas sign
Correct Answer: C
Rationale: Correct because Rovsing’s sign is positive when palpation or rebound of the LLQ
causes pain in the RLQ, indicating peritoneal irritation in the appendiceal region via shared
nerve pathways.
Q7: A nurse practitioner auscultates a patient's lungs and hears discontinuous, low-pitched,
bubbling sounds that are present during early inspiration and clear with coughing. How are
these breath sounds best described?
A. Fine crackles
B. Coarse crackles
C. Wheezes
D. Stridor
Correct Answer: B
Rationale: Correct because coarse crackles are discontinuous, low-pitched sounds caused by
air moving through secretions in large airways, typically heard during early inspiration and
often resolving after coughing, unlike fine crackles which are late inspiratory a nd do not clear
with coughing.
Advanced Health Assessment
William Paterson University (WPU)
2026/2027 | Newly Released
Verified Q & A with Rationales |100% Guaranteed Pass | Graded A+
Q1: A patient with a history of asthma presents with shortness of breath. During auscultation,
the nurse practitioner hears continuous, high-pitched, musical sounds that are primarily heard
on expiration. What adventitious breath sound is the nurse practitioner auscultating?
A. Crackles
B. Wheezes
C. Rhonchi
D. Pleural friction rub
Correct Answer: B
Rationale: Correct because wheezes are continuous, high-pitched musical sounds caused by air
passing through narrowed airways (bronchospasm, inflammation, or mucus), typically heard
during expiration in conditions like asthma and COPD.
Q2: During a cardiovascular assessment, a nurse practitioner measures a patient's blood
pressure: Right Brachial = 120 mmHg, Left Brachial = 122 mmHg, Right Dorsalis Pedis = 90
mmHg, Right Posterior Tibial = 88 mmHg, Left Dorsalis Pedis = 80 mmHg, Left Posterior
Tibial = 78 mmHg. Calculate the Ankle-Brachial Index (ABI) and interpret the result.
A. 0.73; Moderate Peripheral Artery Disease (PAD)
B. 0.95; Borderline PAD
C. 1.10; Normal
D. 0.40; Severe PAD
Correct Answer: A
Rationale: Correct because the ABI is calculated by dividing the highest ankle pressure (90
mmHg) by the highest brachial pressure (122 mmHg), resulting in 0.74 (approx. 0.73), which
falls within the range of 0.41–0.90, indicating moderate Peripheral Artery Disease.
,Q3: A nurse practitioner is assessing a patient with suspected gallbladder disease. While
palpating the right upper quadrant (RUQ) at the midclavicular line, the patient takes a deep
breath and suddenly stops inspiration due to pain. What is the name of this sign and its
implication?
A. Murphy’s sign; positive for acute cholecystitis
B. Rovsing’s sign; positive for appendicitis
C. McBurney’s point tenderness; positive for appendicitis
D. Grey Turner’s sign; positive for pancreatitis
Correct Answer: A
Rationale: Correct because Murphy’s sign is positive when inspiratory arrest occurs due to
pain as the inflamed gallbladder descends and contacts the examiner's fingers, which is a highly
specific indicator of acute cholecystitis.
Q4: Upon percussion of a patient's chest, the nurse practitioner notes a dull sound over the left
lower lobe. What does this percussion finding most likely suggest?
A. Hyperinflation as seen in emphysema
B. Pneumothorax
C. Consolidation or pleural effusion
D. Normal lung tissue
Correct Answer: C
Rationale: Correct because dullness replaces the normal resonant sound when air-filled lung
tissue becomes solid (consolidation, as in pneumonia) or fluid-filled (pleural effusion), both of
which dampen the sound.
Q5: During cardiac auscultation, the nurse practitioner hears a holosystolic murmur that is best
heard at the apex and radiates to the left axilla. Which valvular defect is most consistent with
these findings?
A. Aortic stenosis
B. Mitral regurgitation
C. Mitral stenosis
D. Tricuspid regurgitation
, Correct Answer: B
Rationale: Correct because mitral regurgitation causes a holosystolic murmur as blood flows
backward from the left ventricle into the left atrium throughout systole; the turbulence is best
heard at the apex and radiates to the axilla.
Q6: A patient presents with right lower quadrant (RLQ) pain. The nurse practitioner applies
deep pressure to the left lower quadrant (LLQ) and then suddenly releases it. The patient
reports increased pain in the RLQ upon release. What is the name of this sign?
A. McBurney's sign
B. Murphy’s sign
C. Rovsing’s sign
D. Psoas sign
Correct Answer: C
Rationale: Correct because Rovsing’s sign is positive when palpation or rebound of the LLQ
causes pain in the RLQ, indicating peritoneal irritation in the appendiceal region via shared
nerve pathways.
Q7: A nurse practitioner auscultates a patient's lungs and hears discontinuous, low-pitched,
bubbling sounds that are present during early inspiration and clear with coughing. How are
these breath sounds best described?
A. Fine crackles
B. Coarse crackles
C. Wheezes
D. Stridor
Correct Answer: B
Rationale: Correct because coarse crackles are discontinuous, low-pitched sounds caused by
air moving through secretions in large airways, typically heard during early inspiration and
often resolving after coughing, unlike fine crackles which are late inspiratory a nd do not clear
with coughing.
