1
NSG 500 Exam 1 – Wilkes Advanced Health Assessment (2026)
Advanced / Mixed Difficulty | Target Audience: MSN Students, Nurse
Practitioner Candidates, Advanced Practice Nursing Students | 100%
Pass Guaranteed | Graded A+
1 A 55-year-old male client presents for a comprehensive health assessment. During the
interview, the client becomes tearful when discussing his recent job loss. Which of the following
responses by the nurse practitioner demonstrates the MOST therapeutic communication?
A. "Let's focus on your physical symptoms for now."
B. "Everything happens for a reason. You'll find something better."
C. "I can see this is very difficult for you. Take all the time you need."
D. "Would you like me to refer you to a grief counselor?"
Correct Answer: C
Explanation: This response validates the client's emotional state and provides support
without rushing or dismissing his feelings. Option A changes the subject prematurely. Option B
offers false reassurance, which is nontherapeutic. Option D, while potentially appropriate,
should come after exploring the client's feelings and is not the most therapeutic immediate
response.
,2
2 A 45-year-old woman reports intermittent chest pain. Using the PQRSTU mnemonic, which
question best assesses the "R" component?
A. "What does the pain feel like?"
B. "Does the pain radiate to your arm or jaw?"
C. "How severe is the pain on a scale of 0 to 10?"
D. "What brings on the pain?"
Correct Answer: B
Explanation: In the PQRSTU mnemonic, "R" stands for Region/Radiation, which assesses
where the pain is located and if it radiates to other areas. Option A assesses Quality ("Q"),
Option C assesses Severity ("S"), and Option D assesses Provocative factors ("P").
3 During a comprehensive health history, the nurse practitioner asks the client, "Can you
describe your typical daily activities?" This question is assessing which component of the health
history?
,3
A. Past medical history
B. Review of systems
C. Functional assessment
D. Family history
Correct Answer: C
Explanation: Functional assessment evaluates how the client manages activities of daily
living (ADLs) and instrumental activities of daily living (IADLs), including typical daily routines.
Past medical history (A) focuses on previous illnesses and surgeries. The Review of Systems (B) is
a systematic head-to-toe inquiry about symptoms. Family history (D) focuses on health
conditions in blood relatives.
4 A client's blood pressure is 148/92 mmHg on two separate occasions. The nurse practitioner
classifies this blood pressure as:
A. Normal
B. Elevated
C. Stage 1 hypertension
D. Stage 2 hypertension
, 4
Correct Answer: C
Explanation: According to the ACC/AHA guidelines, Stage 1 hypertension is defined as
systolic BP 130-139 mmHg or diastolic BP 80-89 mmHg. This client's BP of 148/92 mmHg falls
into Stage 2 hypertension? Wait, let me correct: 148/92 is actually Stage 2 hypertension (systolic
≥140 or diastolic ≥90). Let me verify: Stage 1 is 130-139/80-89. Stage 2 is ≥140 systolic or ≥90
diastolic. So 148/92 is Stage 2. Option C is incorrect. Let me re-evaluate: Actually, JNC 8
guidelines classify ≥140/90 as hypertension. Under ACC/AHA 2017, ≥130/80 is hypertension. The
correct answer should be Stage 2 hypertension (D).
4 A client's blood pressure is 148/92 mmHg on two separate occasions. The nurse practitioner
classifies this blood pressure as:
A. Normal
B. Elevated
C. Stage 1 hypertension
D. Stage 2 hypertension
Correct Answer: D
Explanation: According to the ACC/AHA 2017 hypertension guidelines, Stage 2
NSG 500 Exam 1 – Wilkes Advanced Health Assessment (2026)
Advanced / Mixed Difficulty | Target Audience: MSN Students, Nurse
Practitioner Candidates, Advanced Practice Nursing Students | 100%
Pass Guaranteed | Graded A+
1 A 55-year-old male client presents for a comprehensive health assessment. During the
interview, the client becomes tearful when discussing his recent job loss. Which of the following
responses by the nurse practitioner demonstrates the MOST therapeutic communication?
A. "Let's focus on your physical symptoms for now."
B. "Everything happens for a reason. You'll find something better."
C. "I can see this is very difficult for you. Take all the time you need."
D. "Would you like me to refer you to a grief counselor?"
Correct Answer: C
Explanation: This response validates the client's emotional state and provides support
without rushing or dismissing his feelings. Option A changes the subject prematurely. Option B
offers false reassurance, which is nontherapeutic. Option D, while potentially appropriate,
should come after exploring the client's feelings and is not the most therapeutic immediate
response.
,2
2 A 45-year-old woman reports intermittent chest pain. Using the PQRSTU mnemonic, which
question best assesses the "R" component?
A. "What does the pain feel like?"
B. "Does the pain radiate to your arm or jaw?"
C. "How severe is the pain on a scale of 0 to 10?"
D. "What brings on the pain?"
Correct Answer: B
Explanation: In the PQRSTU mnemonic, "R" stands for Region/Radiation, which assesses
where the pain is located and if it radiates to other areas. Option A assesses Quality ("Q"),
Option C assesses Severity ("S"), and Option D assesses Provocative factors ("P").
3 During a comprehensive health history, the nurse practitioner asks the client, "Can you
describe your typical daily activities?" This question is assessing which component of the health
history?
,3
A. Past medical history
B. Review of systems
C. Functional assessment
D. Family history
Correct Answer: C
Explanation: Functional assessment evaluates how the client manages activities of daily
living (ADLs) and instrumental activities of daily living (IADLs), including typical daily routines.
Past medical history (A) focuses on previous illnesses and surgeries. The Review of Systems (B) is
a systematic head-to-toe inquiry about symptoms. Family history (D) focuses on health
conditions in blood relatives.
4 A client's blood pressure is 148/92 mmHg on two separate occasions. The nurse practitioner
classifies this blood pressure as:
A. Normal
B. Elevated
C. Stage 1 hypertension
D. Stage 2 hypertension
, 4
Correct Answer: C
Explanation: According to the ACC/AHA guidelines, Stage 1 hypertension is defined as
systolic BP 130-139 mmHg or diastolic BP 80-89 mmHg. This client's BP of 148/92 mmHg falls
into Stage 2 hypertension? Wait, let me correct: 148/92 is actually Stage 2 hypertension (systolic
≥140 or diastolic ≥90). Let me verify: Stage 1 is 130-139/80-89. Stage 2 is ≥140 systolic or ≥90
diastolic. So 148/92 is Stage 2. Option C is incorrect. Let me re-evaluate: Actually, JNC 8
guidelines classify ≥140/90 as hypertension. Under ACC/AHA 2017, ≥130/80 is hypertension. The
correct answer should be Stage 2 hypertension (D).
4 A client's blood pressure is 148/92 mmHg on two separate occasions. The nurse practitioner
classifies this blood pressure as:
A. Normal
B. Elevated
C. Stage 1 hypertension
D. Stage 2 hypertension
Correct Answer: D
Explanation: According to the ACC/AHA 2017 hypertension guidelines, Stage 2
