• Advanced Health
Assessment 09/01/2026
Exam
NUR 6001 Exams 1–3 – Advanced Health
Assessment Exam Prep | 1,500+
Comprehensive Q-bank Questions, Detailed
Rationales, Predictor Exams, Clinical Case
Studies, Practice Questions and Answers
with Rationales| (A+ Guarantee) | PDF
P 1
, • Advanced Health
Assessment 09/01/2026
Exam
A patient presents for evaluation of a cough. Which of the following anatomic regions can be responsible for a
cough?
Ophthalmologic
Auditory
Cardiac
Endocrine –
Correct Answer :Cardiac
The cardiac system can cause a cough if the patient has congestive heart failure. This results in fluid buildup in
the lungs, which in turn can cause a cough that produces pink, frothy sputum. A foreign body in the ear may also
cause a cough by stimulating Arnold's branch of the vagus nerve, but this is less likely to be seen clinically than
heart failure.
When auscultating the lungs of an adult patient, the nurse practitioner notes that over the posterior lower lobes
low-pitched, soft breath sounds are heard, with inspiration being longer than expiration. The nurse interprets
that these are:
A) bronchial breath sounds and are normal in that location
B) sounds normally auscultated over the trachea
C) vesicular breath sounds and are normal in that location
P 2
, • Advanced Health
Assessment 09/01/2026
Exam
D) bronchovesicular breath sounds and are normal in that location
- Correct Answer :C) vesicular breath sounds and are normal in that location
Vesicular breath sounds are low-pitched, soft sounds with inspiration being longer than expiration. These breath
sounds are expected over peripheral lung fields where air flows through smaller bronchioles and alveoli (Bates,
p324)
The nurse practitioner is auscultating the chest in an adult. Which technique is correct?
A) Instruct the patient to breathe in and out only through his or her nose.
B) Use the diaphragm of the stethoscope held firmly against the chest.
C) Instruct the patient to take deep, rapid breaths.
D) Use the bell of the stethoscope held lightly against the chest to avoid friction.
- Correct Answer :B) Use the diaphragm of the stethoscope held firmly against the chest.
The diaphragm of the stethoscope held firmly against the chest is the correct way to auscultate breath sounds.
The patient should be instructed to breathe through his or her mouth, a little deeper than usual, but not to
hyperventilate. (Bates, p323)
You can tell that you hear bronchovesicular sounds by the:
A) soft, low pitch sound you hear over most of both lung. The inspiratory sounds last longer than the expiratory
sounds.
B) very loud and relatively high pitch of the sounds heard over the trachea in the neck
P 3
, • Advanced Health
Assessment 09/01/2026
Exam
C) inspiratory and expiratory sounds are equal in duration and pitch is intermediate. Sounds are heard in the 1st
and 2nd interspaces anteriorly and between the scapulae
D) crepitus palpated at the costochrondral junctions
- Correct Answer :C) inspiratory and expiratory sounds are equal in duration and pitch is intermediate. Sounds
are heard in the 1st and 2nd interspaces anteriorly and between the scapulae
Bronchovesicular breath sounds are heard in the 1st and 2nd interspaces anteriorly and between the scapulae.
They are intermediate in intensity. Inspiration to expiration periods are equal. Inspiration and expiration are
equal. (Bates, p324)
The NP knows that normal newborn lung sounds:
A) are harsh and loud in the upper airway of the infant because the stethoscope is closer to the origin of the
sounds
B) are vesicular
C) are easily auscultated without the stethoscope
D) are quiet in the infant compared to the adult –
Correct Answer :A) are harsh and loud in the upper airway of the infant because the stethoscope is closer to
the origin of the sounds
Fine crackles are commonly heard in the immediate newborn period as a result of the opening of the airways and
learning of fluid. Persistent fine crackles would be noticed with pneumonia, bronchiolitis, or atelectasis. (Bates, p
831)
For which of the following patients would a comprehensive health history be appropriate?
A new patient with the chief complaint of "I sprained my ankle"
P 4
Assessment 09/01/2026
Exam
NUR 6001 Exams 1–3 – Advanced Health
Assessment Exam Prep | 1,500+
Comprehensive Q-bank Questions, Detailed
Rationales, Predictor Exams, Clinical Case
Studies, Practice Questions and Answers
with Rationales| (A+ Guarantee) | PDF
P 1
, • Advanced Health
Assessment 09/01/2026
Exam
A patient presents for evaluation of a cough. Which of the following anatomic regions can be responsible for a
cough?
Ophthalmologic
Auditory
Cardiac
Endocrine –
Correct Answer :Cardiac
The cardiac system can cause a cough if the patient has congestive heart failure. This results in fluid buildup in
the lungs, which in turn can cause a cough that produces pink, frothy sputum. A foreign body in the ear may also
cause a cough by stimulating Arnold's branch of the vagus nerve, but this is less likely to be seen clinically than
heart failure.
When auscultating the lungs of an adult patient, the nurse practitioner notes that over the posterior lower lobes
low-pitched, soft breath sounds are heard, with inspiration being longer than expiration. The nurse interprets
that these are:
A) bronchial breath sounds and are normal in that location
B) sounds normally auscultated over the trachea
C) vesicular breath sounds and are normal in that location
P 2
, • Advanced Health
Assessment 09/01/2026
Exam
D) bronchovesicular breath sounds and are normal in that location
- Correct Answer :C) vesicular breath sounds and are normal in that location
Vesicular breath sounds are low-pitched, soft sounds with inspiration being longer than expiration. These breath
sounds are expected over peripheral lung fields where air flows through smaller bronchioles and alveoli (Bates,
p324)
The nurse practitioner is auscultating the chest in an adult. Which technique is correct?
A) Instruct the patient to breathe in and out only through his or her nose.
B) Use the diaphragm of the stethoscope held firmly against the chest.
C) Instruct the patient to take deep, rapid breaths.
D) Use the bell of the stethoscope held lightly against the chest to avoid friction.
- Correct Answer :B) Use the diaphragm of the stethoscope held firmly against the chest.
The diaphragm of the stethoscope held firmly against the chest is the correct way to auscultate breath sounds.
The patient should be instructed to breathe through his or her mouth, a little deeper than usual, but not to
hyperventilate. (Bates, p323)
You can tell that you hear bronchovesicular sounds by the:
A) soft, low pitch sound you hear over most of both lung. The inspiratory sounds last longer than the expiratory
sounds.
B) very loud and relatively high pitch of the sounds heard over the trachea in the neck
P 3
, • Advanced Health
Assessment 09/01/2026
Exam
C) inspiratory and expiratory sounds are equal in duration and pitch is intermediate. Sounds are heard in the 1st
and 2nd interspaces anteriorly and between the scapulae
D) crepitus palpated at the costochrondral junctions
- Correct Answer :C) inspiratory and expiratory sounds are equal in duration and pitch is intermediate. Sounds
are heard in the 1st and 2nd interspaces anteriorly and between the scapulae
Bronchovesicular breath sounds are heard in the 1st and 2nd interspaces anteriorly and between the scapulae.
They are intermediate in intensity. Inspiration to expiration periods are equal. Inspiration and expiration are
equal. (Bates, p324)
The NP knows that normal newborn lung sounds:
A) are harsh and loud in the upper airway of the infant because the stethoscope is closer to the origin of the
sounds
B) are vesicular
C) are easily auscultated without the stethoscope
D) are quiet in the infant compared to the adult –
Correct Answer :A) are harsh and loud in the upper airway of the infant because the stethoscope is closer to
the origin of the sounds
Fine crackles are commonly heard in the immediate newborn period as a result of the opening of the airways and
learning of fluid. Persistent fine crackles would be noticed with pneumonia, bronchiolitis, or atelectasis. (Bates, p
831)
For which of the following patients would a comprehensive health history be appropriate?
A new patient with the chief complaint of "I sprained my ankle"
P 4
