NUR 631/NUR631 Exam 2 (V2) –
Advanced Health Assessment –
D’Youville College – 2026 Latest
Questions & Correct Answers (Verified)
with Rationales | Instant Download PDF |
Graded A+.
CoreDominion Introduction
Welcome to the CoreDominion review for D'Youville College NUR 631:
Advanced Health Assessment Exam 2 (Version 2). This resource is
designed to consolidate the essential clinical decision-making and physical
examination content required for success on the second major assessment
of the course.
Advanced Health Assessment moves beyond basic technique into the
interpretation of findings and the formulation of differential diagnoses. This
exam focuses heavily on system-specific assessment—cardiac, respiratory,
abdominal, neurological, and musculoskeletal—and on the clinical
reasoning that connects a patient's presentation to the correct diagnostic
pathway.
The following 150 questions mirror the style and rigor of the NUR 631 Exam
2. Each item includes the correct answer and a concise rationale that
explains why that answer is correct and, where useful, why the distractors
,are less appropriate. Use this guide to test your recall, refine your clinical
judgment, and identify areas requiring further review.
1. A patient with progressive cough, wheezing, and dyspnea asks what
the notes identify as the leading COPD risk factor.
Answer: Cigarette smoking.
Rationale: The COPD risk-factor section consistently identifies
smoking as the leading risk factor and primary cause.
2. What is the correct order for performing an abdominal physical
examination?
Answer: Inspection, auscultation, percussion, palpation.
Rationale: Auscultation precedes percussion and palpation to avoid
altering bowel sounds.
3. During a general survey, a barrel-shaped chest and use of accessory
muscles are classic signs of what condition?
Answer: Chronic obstructive pulmonary disease (COPD).
Rationale: These physical signs reflect hyperinflation and increased
work of breathing characteristic of COPD.
4. Which heart chamber receives blood from the superior and inferior
vena cava?
Answer: Right atrium.
Rationale: The SVC and IVC drain deoxygenated systemic blood into
the right atrium.
, 5. Which valve lies between the right atrium and right ventricle?
Answer: Tricuspid valve.
Rationale: The tricuspid valve separates the right atrium from the
right ventricle.
6. A patient presents with persistent hypertension and hypokalemia.
Which condition is most likely?
Answer: Primary aldosteronism (Conn syndrome).
Rationale: Hypertension with hypokalemia is a classic presentation of
mineralocorticoid excess.
7. Which mechanism is primary in the development of Type 1 Diabetes
Mellitus?
Answer: Autoimmune destruction of pancreatic beta cells.
Rationale: Type 1 DM results from autoimmune-mediated loss of
insulin-producing beta cells.
8. What type of pain is caused by distention or inflammation of hollow
organs such as the intestine?
Answer: Visceral pain.
Rationale: Visceral pain arises from stretching or inflammation of
hollow organ walls.
9. A new patient presents with the chief complaint of a sprained ankle.
What type of health history is indicated?
Answer: Comprehensive health history.
Rationale: A new patient requires a comprehensive history regardless
of the specific complaint.
Advanced Health Assessment –
D’Youville College – 2026 Latest
Questions & Correct Answers (Verified)
with Rationales | Instant Download PDF |
Graded A+.
CoreDominion Introduction
Welcome to the CoreDominion review for D'Youville College NUR 631:
Advanced Health Assessment Exam 2 (Version 2). This resource is
designed to consolidate the essential clinical decision-making and physical
examination content required for success on the second major assessment
of the course.
Advanced Health Assessment moves beyond basic technique into the
interpretation of findings and the formulation of differential diagnoses. This
exam focuses heavily on system-specific assessment—cardiac, respiratory,
abdominal, neurological, and musculoskeletal—and on the clinical
reasoning that connects a patient's presentation to the correct diagnostic
pathway.
The following 150 questions mirror the style and rigor of the NUR 631 Exam
2. Each item includes the correct answer and a concise rationale that
explains why that answer is correct and, where useful, why the distractors
,are less appropriate. Use this guide to test your recall, refine your clinical
judgment, and identify areas requiring further review.
1. A patient with progressive cough, wheezing, and dyspnea asks what
the notes identify as the leading COPD risk factor.
Answer: Cigarette smoking.
Rationale: The COPD risk-factor section consistently identifies
smoking as the leading risk factor and primary cause.
2. What is the correct order for performing an abdominal physical
examination?
Answer: Inspection, auscultation, percussion, palpation.
Rationale: Auscultation precedes percussion and palpation to avoid
altering bowel sounds.
3. During a general survey, a barrel-shaped chest and use of accessory
muscles are classic signs of what condition?
Answer: Chronic obstructive pulmonary disease (COPD).
Rationale: These physical signs reflect hyperinflation and increased
work of breathing characteristic of COPD.
4. Which heart chamber receives blood from the superior and inferior
vena cava?
Answer: Right atrium.
Rationale: The SVC and IVC drain deoxygenated systemic blood into
the right atrium.
, 5. Which valve lies between the right atrium and right ventricle?
Answer: Tricuspid valve.
Rationale: The tricuspid valve separates the right atrium from the
right ventricle.
6. A patient presents with persistent hypertension and hypokalemia.
Which condition is most likely?
Answer: Primary aldosteronism (Conn syndrome).
Rationale: Hypertension with hypokalemia is a classic presentation of
mineralocorticoid excess.
7. Which mechanism is primary in the development of Type 1 Diabetes
Mellitus?
Answer: Autoimmune destruction of pancreatic beta cells.
Rationale: Type 1 DM results from autoimmune-mediated loss of
insulin-producing beta cells.
8. What type of pain is caused by distention or inflammation of hollow
organs such as the intestine?
Answer: Visceral pain.
Rationale: Visceral pain arises from stretching or inflammation of
hollow organ walls.
9. A new patient presents with the chief complaint of a sprained ankle.
What type of health history is indicated?
Answer: Comprehensive health history.
Rationale: A new patient requires a comprehensive history regardless
of the specific complaint.
