3 Bundle | Practice Questions and Correct Answers on
HEENT, Cardiovascular, GI & Neuro | William
Paterson University | 2026-2027
Ace all three NUR 6001 Advanced Health Assessment exams with this complete 600-question
bundle! This comprehensive resource covers the full course curriculum—from comprehensive
health history taking and advanced physical examination techniques to system-specific
assessments (cardiovascular, respiratory, neurological, abdominal, musculoskeletal,
integumentary), diagnostic interpretation, differential diagnosis, and assessment of special
populations. Each exam features 200+ verified questions with detailed Rationales and NGN-
style case scenarios designed for William Paterson University MSN/DNP students. Updated
for 2026/2027, this test bank strengthens clinical reasoning and guarantees success on your
first attempt!
,NUR 6001 Exam 1: Foundations of Health Assessment (Questions 1-100)
1. A 72-year-old patient presents with a complaint of generalized itching without a visible
rash. What is the most common cause of pruritus in the elderly population?
o A. Allergic contact dermatitis
o B. Xerosis (dry skin)
o C. Scabies infestation
o D. Medication side effect
o B. Xerosis (dry skin)
o Rationale: Xerosis, or dry skin, is the most frequent cause of pruritus in older
adults due to age-related decreases in sebaceous and sweat gland activity.
While allergic reactions, infestations, and medications can cause itching,
xerosis is the primary and most common benign cause in this demographic.
2. During a health history interview, a patient answers questions with very brief, concrete
responses and avoids eye contact. Which therapeutic communication technique is most
effective to encourage the patient to elaborate?
o A. Asking "why" questions to explore the reason for their brevity
o B. Using open-ended questions and silence
o C. Reassuring the patient that their answers are correct
o D. Moving to the physical exam to avoid uncomfortable conversation
o B. Using open-ended questions and silence
o Rationale: Open-ended questions (e.g., "Tell me more about that") and the
therapeutic use of silence give the patient control over the conversation and
encourage them to expand on their thoughts. "Why" questions can sound
accusatory, and reassurance or changing the subject does not facilitate further
communication.
3. You are assessing a patient's skin and note a flat, non-palpable, circumscribed area of
color change that is less than 1 cm in diameter. How should this lesion be documented?
o A. Papule
, o B. Nodule
o C. Macule
o D. Wheal
o C. Macule
o Rationale: A macule is a flat, circumscribed, non-palpable area of skin color
change that is less than 1 cm. A papule is elevated and palpable, a nodule is a
larger elevated solid mass, and a wheal is an elevated, transient, and
irregularly shaped area of edema.
4. A patient reports a history of a first-degree relative who was diagnosed with premature
coronary artery disease. At what age does this diagnosis in a male first-degree relative
become a significant risk factor for the patient?
o A. Older than 65 years
o B. Older than 75 years
o C. Younger than 55 years
o D. Younger than 45 years
o C. Younger than 55 years
o Rationale: Premature coronary artery disease is defined as a diagnosis in a
first-degree male relative younger than 55 years and in a first-degree female
relative younger than 65 years. This family history significantly increases the
patient's own risk.
5. When conducting a physical examination, what is the correct order of assessment
techniques for the abdomen?
o A. Inspection, palpation, percussion, auscultation
o B. Auscultation, inspection, percussion, palpation
o C. Inspection, auscultation, percussion, palpation
o D. Palpation, auscultation, inspection, percussion
o C. Inspection, auscultation, percussion, palpation
o Rationale: For abdominal assessment, inspection should be done first.
Auscultation precedes palpation and percussion because palpation and
, percussion can alter bowel sounds, making them unreliable if done beforehand.
Therefore, the correct order is Inspection, Auscultation, Percussion, then
Palpation.
6. A patient is being examined and you need to assess for a thrill. What physical
assessment technique will you use?
o A. Inspection
o B. Auscultation
o C. Palpation with the fingertips
o D. Palpation with the ulnar surface or base of the fingers
o D. Palpation with the ulnar surface or base of the fingers
o Rationale: A thrill is a palpable vibration that feels like a purring cat. It is best
felt using the ulnar surface of the hand or the base of the fingers, as these
areas are more sensitive to vibratory sensations than the fingertips.
7. While taking a health history, a patient uses the term "stomach ache" to describe their
pain. What should be the advanced practice nurse's next action?
o A. Document the symptom as "stomach ache" to respect the patient's
terminology
o B. Move on to the next question as the symptom has been identified
o C. Ask the patient to point to the pain and describe it further using their own
words
o D. Reassure the patient that stomach aches are common and usually benign
o C. Ask the patient to point to the pain and describe it further using their own
words
o Rationale: "Stomach ache" is a vague, lay term. The examiner must clarify the
symptom by having the patient localize it (e.g., point to the area) and then
explore the character, quality, timing, and associated factors using the patient's
own descriptive words.
8. Which cranial nerve is primarily responsible for assessing a patient's visual acuity?
o A. Cranial Nerve II (Optic)
o B. Cranial Nerve III (Oculomotor)