NUR 5354 Advanced Health Assessment
Comprehensive Resource To Help You Ace 2026-2027 Exams Includes
Frequently Tested Questions With ELABORATED 100% Correct
COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
1. 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.
2. 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)
3. 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
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)
4. 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)
5. 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.
, 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).
6. 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).
7. 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.
The left lung has 2 lobes, and the right lung has 3 lobes. The right lung is shorter than
the left lung because of the underlying LIVER. The left lung is narrower than the right
lung because the heart bulges to the left. The posterior chest is almost all lower lobe
(Bates, p307).
8. The primary muscles of respiration include the :
A) trapezius and rectus abdominis.
B) sternomastoids and scaleni.
, C) diaphragm and intercostals.
D) external obliques and pectoralis major. - Correct Answer: C) diaphragm and
intercostals.
The major muscle of respiration is the diaphragm. The intercostal muscles life the
sternum and elevate the ribs during inspiration, increasing the anteroposterior diameter.
Expiration is primarily passive. Forced inspiration involves the use of other muscles, such
as the accessory neck muscles (sternomastoids, scalene, trapazii). Forced expiration
involves the abdominal muscles (Bates, p309).
9. 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
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)
10. 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.
Comprehensive Resource To Help You Ace 2026-2027 Exams Includes
Frequently Tested Questions With ELABORATED 100% Correct
COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
1. 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.
2. 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)
3. 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
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)
4. 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)
5. 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.
, 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).
6. 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).
7. 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.
The left lung has 2 lobes, and the right lung has 3 lobes. The right lung is shorter than
the left lung because of the underlying LIVER. The left lung is narrower than the right
lung because the heart bulges to the left. The posterior chest is almost all lower lobe
(Bates, p307).
8. The primary muscles of respiration include the :
A) trapezius and rectus abdominis.
B) sternomastoids and scaleni.
, C) diaphragm and intercostals.
D) external obliques and pectoralis major. - Correct Answer: C) diaphragm and
intercostals.
The major muscle of respiration is the diaphragm. The intercostal muscles life the
sternum and elevate the ribs during inspiration, increasing the anteroposterior diameter.
Expiration is primarily passive. Forced inspiration involves the use of other muscles, such
as the accessory neck muscles (sternomastoids, scalene, trapazii). Forced expiration
involves the abdominal muscles (Bates, p309).
9. 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
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)
10. 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.
