GCU NUR 634 Midterm Exam – Grand
Canyon University College of Nursing
MSN/FNP Advanced Health Assessment
& Diagnostic Reasoning
NUR-634 focuses on advanced health assessment, diagnostic
reasoning, history taking, physical examination techniques,
differential diagnosis development, SOAP documentation, and
clinical decision-making across the lifespan.
Question 1
A new patient presents to establish care. Which type of health
history is most appropriate?
A. Focused history
B. Emergency history
C. Comprehensive health history
D. Problem-oriented history
Correct Answer: C. Comprehensive health history
Rationale: New patients require a comprehensive health
history that includes past medical, family, social, and
preventive health information.
,Question 2
Which component of a SOAP note contains the patient's direct
statements and symptoms?
A. Objective
B. Assessment
C. Plan
D. Subjective
Correct Answer: D. Subjective
Rationale: The subjective section includes information
reported by the patient, including symptoms and concerns.
Question 3
Which assessment technique should generally be performed first?
A. Percussion
B. Palpation
C. Inspection
D. Auscultation
Correct Answer: C. Inspection
Rationale: Inspection is performed first to obtain visual
information before other examination techniques.
Question 4
A patient reports chest pain that began suddenly 2 hours ago.
Which framework assists in obtaining symptom details?
A. ABCDE
B. OPQRST
, C. FAST
D. SBAR
Correct Answer: B. OPQRST
Rationale: OPQRST evaluates onset, provocation, quality,
radiation, severity, and timing of symptoms.
Question 5
Which cranial nerve is responsible for visual acuity?
A. CN II
B. CN III
C. CN IV
D. CN VI
Correct Answer: A. CN II
Rationale: The optic nerve (CN II) transmits visual information
from the retina to the brain.
Question 6
An older adult reports difficulty reading small print. Which age-
related change is most likely?
A. Cataracts
B. Presbyopia
C. Glaucoma
D. Retinal detachment
Correct Answer: B. Presbyopia
Rationale: Presbyopia is an age-related decrease in the eye's
ability to focus on near objects.
Canyon University College of Nursing
MSN/FNP Advanced Health Assessment
& Diagnostic Reasoning
NUR-634 focuses on advanced health assessment, diagnostic
reasoning, history taking, physical examination techniques,
differential diagnosis development, SOAP documentation, and
clinical decision-making across the lifespan.
Question 1
A new patient presents to establish care. Which type of health
history is most appropriate?
A. Focused history
B. Emergency history
C. Comprehensive health history
D. Problem-oriented history
Correct Answer: C. Comprehensive health history
Rationale: New patients require a comprehensive health
history that includes past medical, family, social, and
preventive health information.
,Question 2
Which component of a SOAP note contains the patient's direct
statements and symptoms?
A. Objective
B. Assessment
C. Plan
D. Subjective
Correct Answer: D. Subjective
Rationale: The subjective section includes information
reported by the patient, including symptoms and concerns.
Question 3
Which assessment technique should generally be performed first?
A. Percussion
B. Palpation
C. Inspection
D. Auscultation
Correct Answer: C. Inspection
Rationale: Inspection is performed first to obtain visual
information before other examination techniques.
Question 4
A patient reports chest pain that began suddenly 2 hours ago.
Which framework assists in obtaining symptom details?
A. ABCDE
B. OPQRST
, C. FAST
D. SBAR
Correct Answer: B. OPQRST
Rationale: OPQRST evaluates onset, provocation, quality,
radiation, severity, and timing of symptoms.
Question 5
Which cranial nerve is responsible for visual acuity?
A. CN II
B. CN III
C. CN IV
D. CN VI
Correct Answer: A. CN II
Rationale: The optic nerve (CN II) transmits visual information
from the retina to the brain.
Question 6
An older adult reports difficulty reading small print. Which age-
related change is most likely?
A. Cataracts
B. Presbyopia
C. Glaucoma
D. Retinal detachment
Correct Answer: B. Presbyopia
Rationale: Presbyopia is an age-related decrease in the eye's
ability to focus on near objects.
