Assessment 09/01/2026
Exam
NUR 6001 Exams 1–3 – Advanced Health
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P 1
, • Advanced Health
Assessment 09/01/2026
Exam
A 10-year-old is at the clinic for "a sore throat lasting 6 days." The nurse is aware that which of these findings
would be consistent with an acute infection?
A) Tonsils 3+/1-4+ with large white spots
B) Tonsils 1+/1-4+ with pale coloring
C) Tonsils 1+/1-4+ and pink, same color as oral mucosa
D) Tonsils 2+/1-4+ and pink with white particles inside deep crypts –
Correct Answer :A) Tonsils 3+/1-4+ with large white spots
With an acute infection, tonsils are bright red and swollen and may have exudate or large white spots. Tonsils are
enlarged to 2+, 3+, or 4+ with an acute infection.
The nurse practitioner is reviewing the immunization history of a new 24 year old female patient. Which is the
best to ask the patient to obtain the needed information for your records?
A) Do you need vaccines today?
B) When was your last flu shot, tetanus shot?
C) Have you received these vaccines in your lifetime? When did you receive them? Tetanus, pertussis, diphtheria,
polio, measles, mumps, rubella, influenza, varicella, hepatitis B, haemophilus influenzae type B, pneumococcal,
HPV?
D) Are your immunizations up to date? - Correct Answer :C) Have you received these vaccines in your lifetime?
When did you receive them? Tetanus, pertussis, diphtheria, polio, measles, mumps, rubella, influenza, varicella,
hepatitis B, haemophilus influenzae type B, pneumococcal, HPV?
Find out whether the patient has received required and recommended vaccines. (Bates, 10)
The assessment of a COPD patient will most likely reveal:
A) resonant percussion sounds, no adventitious sounds and vesicular breath sounds
B) dull percussion sounds and absent breath sounds. No crackles or wheezes
P 2
, • Advanced Health
Assessment 09/01/2026
Exam
C) resonant to hyper-resonant sounds with percussion and wheezes present
D) diffusely hyper-resonant sounds with percussion, decreased or absent breath sounds per auscultation,
decreased tactile fremitus, and no crackles, wheezes, or rhonchi. –
Correct Answer :D) diffusely hyper-resonant sounds with percussion, decreased or absent breath sounds per
auscultation, decreased tactile fremitus, and no crackles, wheezes, or rhonchi.
COPD is characterized by diffusely hyper-resonant sounds with percussion, decreased or absent breath sounds
per auscultation, decreased tactile fremitus, and no crackles, wheezes, or rhonchi. (Bates, p340)
Which of the following is true about auscultating the heart?
A) the diaphragm is better for picking up the sounds of S1 and S2 and the bell is better for picking up the sounds
of S3 and S4.
B) The bell is better for picking up the sounds of S1 and S2 and the diaphragm is better for picking up the sounds
of S3 and S4.
C) The diaphragm is not necessary for accurate auscultation during the cardiac exam.
D) The bell is not necessary for the cardiac exam, but it is necessary for accurate auscultation during the
abdominal exam. –
Correct Answer :A) the diaphragm is better for picking up the sounds of S1 and S2 and the bell is better for
picking up the sounds of S3 and S4. (Bates, p390)
The nurse practitioner aucultates the heart and hears a murmur which she documents as 4/6 at its loudest point.
She means the murmur is:
A) moderately loud
B) very loud, with thrill. May be heard when the stethoscope is partly off the chest.
C) loud with a palpable thrill.
P 3
, • Advanced Health
Assessment 09/01/2026
Exam
D) quiet, but heard immediately after placing the stethoscope on the chest.
- Correct Answer :C) loud with a palpable thrill.
Grade 4 is loud with a palpable thrill (Bates, p396).
Physiologic splitting of the S2 in the 2nd and 3rd interspace, which is usually accentuated by inspiration, is caused
by:
A) the closing of the aortic and pulmonic valves
B) the addition of the S4 sound
C) the addition of the S3 sound
D) the closing of the tricuspid and mitral valves –
Correct Answer :A) the closing of the aortic and pulmonic valves
Physiologic splitting of the S2 = closing of the aortic and pulmonic valves. Usually, the pulmonic valve closure is
too faint to be heart but at the apex. The split is accentuated upon inspiration and disappears on expiration
(Bates, p405).
When assessing a patient's lungs, the nurse recalls that the left lung:
A) is shorter than the right lung because of the underlying stomach.
B) is divided by the horizontal fissure.
C) consists of 2 lobes.
D) consists primarily of an upper lobe on the posterior chest. - Correct Answer :C) consists of 2 lobes.
P 4