STUDY BUNDLE WILLIAM PATERSON UNIVERSITY EXAMS 1, 2, & 3
450 PRACTICE QUESTIONS WITH RATIONALES
LATEST UPDATE
NUR 6001 Advanced Health Assessment at William Paterson University prepares
graduate nursing students to conduct comprehensive and focused health assessments across
the adult lifespan. Exam 1 covers foundational concepts including health history taking (chief
complaint, HPI, PMH, FH, SH, ROS using OLD CARTS), physical examination techniques
(inspection, palpation, percussion, auscultation), general survey, vital signs, mental status,
pain assessment, cultural considerations, ethical/legal issues, and SOAP documentation.
Exam 2 addresses the integumentary system (skin, hair, nails, lesions), head and face, eyes
(vision, fundoscopy), ears (hearing, otoscopy), nose, mouth and throat, neck (lymph nodes,
thyroid, carotids), and the thorax and lungs (breath sounds, respiratory patterns, adventitious
sounds). Exam 3 completes the assessment with cardiovascular system (heart sounds S1‑S4,
jugular venous pressure, peripheral pulses), peripheral vascular, abdominal examination
(inspection, auscultation, percussion, palpation), musculoskeletal system (range of motion,
strength, deformities), neurologic system (cranial nerves, motor, sensory, reflexes, cerebellar
function), and integration of comprehensive head‑to‑toe assessment with diagnostic
reasoning. This bundle contains 450 evidence‑based questions with rationales mirroring
WPUNJ graduate‑level rigor.
EXAM 1 — FOUNDATIONS & HEALTH HISTORY
SECTION 1.1: TYPES OF HEALTH ASSESSMENT & HEALTH HISTORY (Questions 1–35)
Q1. A 72-year-old patient reports feeling "tired all the time." What is the most
appropriate initial open-ended question?
A) "How long have you been feeling tired?"
B) "Tell me more about the tiredness you've been experiencing."
C) "Are you sleeping well at night?"
D) "Do you have any other symptoms?"
Answer: B
Rationale: Open-ended questions allow patients to describe their symptoms in
their own words and provide richer clinical information. "Tell me more about..."
is non‑directive and encourages a full narrative.
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,Q2. Which type of health assessment is performed when a patient presents with a
specific, acute complaint?
A) Comprehensive assessment
B) Episodic or problem-focused assessment
C) Emergency assessment
D) Follow-up assessment
Answer: B
Rationale: An episodic or problem‑focused assessment is conducted when a
patient
presents with a specific acute complaint. It focuses on the problem at hand
rather than a full head‑to‑toe evaluation.
Q3. A patient arrives at the clinic with chest pain, diaphoresis, and shortness
of breath. What type of assessment is indicated?
A) Comprehensive assessment
B) Episodic assessment
C) Emergency assessment
D) Interval assessment
Answer: C
Rationale: Emergency assessment is performed when a life‑threatening condition
is suspected. This patient's symptoms suggest possible acute coronary syndrome
requiring immediate evaluation and intervention.
Q4. Which component of the health history includes information about the
patient's parents, siblings, and children?
A) Past medical history
B) Family history
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,C) Social history
D) Review of systems
Answer: B
Rationale: Family history documents health information about the patient's blood
relatives, including parents, siblings, and children, to identify genetic and
familial risk factors.
Q5. The mnemonic OLD CARTS is used to assess which component of the health
history?
A) Past medical history
B) Chief complaint and history of present illness
C) Social history
D) Family history
Answer: B
Rationale: OLD CARTS (Onset, Location, Duration, Character, Aggravating factors,
Relieving factors, Timing, Severity) is a systematic approach for gathering
details about the chief complaint and history of present illness.
Q6. A patient reports taking "a little white pill for my heart." What is the
most appropriate response?
A) "That's probably a blood pressure medication."
B) "Can you bring me the bottle or tell me the name as it appears on the label?"
C) "Is it a beta‑blocker?"
D) "You should know the names of your medications."
Answer: B
Rationale: Asking the patient to provide the exact medication name from the
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, bottle ensures accuracy and prevents assumptions that could lead to medication
errors.
Q7. Which component of the health history includes information about tobacco,
alcohol, and drug use?
A) Past medical history
B) Family history
C) Social history
D) Review of systems
Answer: C
Rationale: Social history includes lifestyle factors such as tobacco, alcohol,
and drug use, as well as occupation, living situation, and sexual history.
Q8. The review of systems (ROS) is:
A) A physical examination of each body system
B) A subjective inventory of symptoms reported by the patient
C) An objective assessment of vital signs
D) A review of laboratory results
Answer: B
Rationale: The ROS is a subjective, systematic review of symptoms reported by
the patient for each body system, completed after the history of present illness.
Q9. A patient's past medical history should include:
A) Childhood illnesses, adult illnesses, surgeries, and hospitalizations
B) Only current medications
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