NUR 6001 Advanced Health Assessment – Exam 2:
Questions & Answers (Verified Answers) With
Explanations | Latest Update(WPU)
Advanced Health Assessment (NUR 6001-Level)
Comprehensive Practice Exam 2 (Original)
Graduate NP/APRN Level | 2026–2027 Practice Examination
Instructions
• 50 multiple-choice questions
• Each question includes a rationale in the answer key.
• Time: 75–90 minutes
Cardiovascular Assessment
Question 1
A 67-year-old man reports exertional chest discomfort relieved by rest. During
auscultation, the NP hears a harsh crescendo-decrescendo systolic murmur loudest at
the right second intercostal space that radiates to the carotids. Which diagnosis is most
likely?
A. Mitral regurgitation
B. Aortic stenosis
C. Pulmonic stenosis
D. Mitral valve prolapse
Answer: B
,Rationale:
Aortic stenosis classically produces a systolic ejection murmur heard best at the right
upper sternal border with radiation into the carotids.
Question 2
A third heart sound (S3) in a 72-year-old adult most commonly suggests:
A. Normal aging
B. Increased ventricular filling pressure
C. Pericarditis
D. Hyperthyroidism
Answer: B
Rationale:
An S3 in older adults is abnormal and commonly indicates volume overload or heart
failure.
Question 3
Which pulse deficit finding should prompt evaluation for atrial fibrillation?
A. Bounding radial pulse
B. Delayed femoral pulse
C. Apical rate greater than radial rate
D. Equal apical and radial rates
Answer: C
Rationale:
A pulse deficit occurs when some ventricular contractions do not generate a palpable
peripheral pulse, commonly seen in atrial fibrillation.
Question 4
A displaced PMI is most consistent with:
A. Left ventricular enlargement
B. Right atrial enlargement
C. Pericardial effusion
D. Pulmonary embolism
,Answer: A
Rationale:
Left ventricular hypertrophy or dilation displaces the point of maximal impulse laterally.
Question 5
Jugular venous distention at 45 degrees primarily reflects:
A. Left atrial pressure
B. Right atrial pressure
C. Pulmonary artery pressure
D. Systemic vascular resistance
Answer: B
Rationale:
JVD estimates central venous pressure and right atrial pressure.
Respiratory Assessment
Question 6
Fine late inspiratory crackles are most consistent with:
A. Asthma
B. Pulmonary fibrosis
C. Pleural effusion
D. Bronchitis
Answer: B
Rationale:
Fibrotic lung disease causes late inspiratory crackles due to delayed opening of stiff
alveoli.
Question 7
Hyperresonance on percussion suggests:
A. Pleural effusion
B. Consolidation
, C. Pneumothorax
D. Pneumonia
Answer: C
Rationale:
Air trapping, including pneumothorax, produces hyperresonance.
Question 8
The earliest physical finding of COPD often includes:
A. Clubbing
B. Prolonged expiratory phase
C. Cyanosis
D. Tracheal deviation
Answer: B
Rationale:
Airflow limitation results in prolonged expiration.
Question 9
Whispered pectoriloquy is increased in:
A. Pneumothorax
B. Pleural effusion
C. Lung consolidation
D. Emphysema
Answer: C
Rationale:
Consolidated lung tissue transmits sound more efficiently.
Question 10
Which patient requires immediate intervention?
A. RR 20
B. Oxygen saturation 99%
Questions & Answers (Verified Answers) With
Explanations | Latest Update(WPU)
Advanced Health Assessment (NUR 6001-Level)
Comprehensive Practice Exam 2 (Original)
Graduate NP/APRN Level | 2026–2027 Practice Examination
Instructions
• 50 multiple-choice questions
• Each question includes a rationale in the answer key.
• Time: 75–90 minutes
Cardiovascular Assessment
Question 1
A 67-year-old man reports exertional chest discomfort relieved by rest. During
auscultation, the NP hears a harsh crescendo-decrescendo systolic murmur loudest at
the right second intercostal space that radiates to the carotids. Which diagnosis is most
likely?
A. Mitral regurgitation
B. Aortic stenosis
C. Pulmonic stenosis
D. Mitral valve prolapse
Answer: B
,Rationale:
Aortic stenosis classically produces a systolic ejection murmur heard best at the right
upper sternal border with radiation into the carotids.
Question 2
A third heart sound (S3) in a 72-year-old adult most commonly suggests:
A. Normal aging
B. Increased ventricular filling pressure
C. Pericarditis
D. Hyperthyroidism
Answer: B
Rationale:
An S3 in older adults is abnormal and commonly indicates volume overload or heart
failure.
Question 3
Which pulse deficit finding should prompt evaluation for atrial fibrillation?
A. Bounding radial pulse
B. Delayed femoral pulse
C. Apical rate greater than radial rate
D. Equal apical and radial rates
Answer: C
Rationale:
A pulse deficit occurs when some ventricular contractions do not generate a palpable
peripheral pulse, commonly seen in atrial fibrillation.
Question 4
A displaced PMI is most consistent with:
A. Left ventricular enlargement
B. Right atrial enlargement
C. Pericardial effusion
D. Pulmonary embolism
,Answer: A
Rationale:
Left ventricular hypertrophy or dilation displaces the point of maximal impulse laterally.
Question 5
Jugular venous distention at 45 degrees primarily reflects:
A. Left atrial pressure
B. Right atrial pressure
C. Pulmonary artery pressure
D. Systemic vascular resistance
Answer: B
Rationale:
JVD estimates central venous pressure and right atrial pressure.
Respiratory Assessment
Question 6
Fine late inspiratory crackles are most consistent with:
A. Asthma
B. Pulmonary fibrosis
C. Pleural effusion
D. Bronchitis
Answer: B
Rationale:
Fibrotic lung disease causes late inspiratory crackles due to delayed opening of stiff
alveoli.
Question 7
Hyperresonance on percussion suggests:
A. Pleural effusion
B. Consolidation
, C. Pneumothorax
D. Pneumonia
Answer: C
Rationale:
Air trapping, including pneumothorax, produces hyperresonance.
Question 8
The earliest physical finding of COPD often includes:
A. Clubbing
B. Prolonged expiratory phase
C. Cyanosis
D. Tracheal deviation
Answer: B
Rationale:
Airflow limitation results in prolonged expiration.
Question 9
Whispered pectoriloquy is increased in:
A. Pneumothorax
B. Pleural effusion
C. Lung consolidation
D. Emphysema
Answer: C
Rationale:
Consolidated lung tissue transmits sound more efficiently.
Question 10
Which patient requires immediate intervention?
A. RR 20
B. Oxygen saturation 99%
