Drexel NURS 550 Final Exam || 150 Verified
Questions & Answers | Advanced Health Assessment
& Diagnostic Reasoning | Instant Download
Q1. 64-year-old patient: Which assessment technique is most
appropriate for advanced health assessment of thorax? (Variation 74 –
lifespan consideration age 64)
A. Inspection, palpation, percussion, auscultation in sequence with
comparison side to side – Variation 74 age 64 lifespan differentiation
[74]
B. Only auscultation without inspection – Variation 74 [74A]
C. Inspection alone sufficient – Variation 74 [74C]
D. Only percussion without palpation – Variation 74 [74B]
Correct Answer: A. Inspection, palpation, percussion, auscultation in
sequence with comparison side to side – Variation 74 age 64 lifespan
differentiation [74]
Rationale: CORRECT: Inspection, palpation, percussion, auscultation in
sequence with comparison side to side. Age 64 variation demonstrates
normal vs pathophysiologic change across lifespan per NURS 550 advanced
assessment. WHY WRONG: Distractors confuse subjective objective or
comprehensive focused or incorrect exam sequence.
Q2. 32-year-old patient: What is data cluster in diagnostic reasoning?
(Variation 92 – lifespan consideration age 32)
A. Single vital sign alone – Variation 92 [92A]
B. Grouping of related subjective and objective data signs symptoms that
suggest a diagnostic pattern – Variation 92 age 32 lifespan
differentiation [92]
C. Random data without clustering – Variation 92 [92C]
D. Only lab results without history – Variation 92 [92B]
Correct Answer: B. Grouping of related subjective and objective data
signs symptoms that suggest a diagnostic pattern – Variation 92 age 32
lifespan differentiation [92]
Rationale: CORRECT: Grouping of related subjective and objective data
signs symptoms that suggest a diagnostic pattern. Age 32 variation
demonstrates normal vs pathophysiologic change across lifespan per NURS
550 advanced assessment. WHY WRONG: Distractors confuse subjective
objective or comprehensive focused or incorrect exam sequence.
Page 1
,
Q3. 55-year-old patient: What is significance of pleural friction rub
on auscultation? (Variation 57 – lifespan consideration age 55)
A. Normal lung sound – Variation 57 [57A]
B. Indicates asthma wheezing – Variation 57 [57B]
C. Inflamed pleura rubbing together indicates pleuritis, may accompany
pneumonia or pulmonary embolism – Variation 57 age 55 lifespan
differentiation [57]
D. Indicates heart murmur – Variation 57 [57C]
Correct Answer: C. Inflamed pleura rubbing together indicates
pleuritis, may accompany pneumonia or pulmonary embolism – Variation
57 age 55 lifespan differentiation [57]
Rationale: CORRECT: Inflamed pleura rubbing together indicates
pleuritis, may accompany pneumonia or pulmonary embolism. Age 55
variation demonstrates normal vs pathophysiologic change across lifespan
per NURS 550 advanced assessment. WHY WRONG: Distractors confuse
subjective objective or comprehensive focused or incorrect exam
sequence.
Q4. 29-year-old patient: What is appropriate order for abdominal
physical examination? (Variation 75 – lifespan consideration age 29)
A. Palpation first then inspection – Variation 75 [75A]
B. Percussion first then inspection – Variation 75 [75B]
C. Inspection, palpation, percussion, auscultation – Variation 75 [75C]
D. Inspection, auscultation, percussion, palpation – auscultation before
percussion palpation to avoid altering bowel sounds – Variation 75 age
29 lifespan differentiation [75]
Correct Answer: D. Inspection, auscultation, percussion, palpation –
auscultation before percussion palpation to avoid altering bowel
sounds – Variation 75 age 29 lifespan differentiation [75]
Rationale: CORRECT: Inspection, auscultation, percussion, palpation –
auscultation before percussion palpation to avoid altering bowel sounds.
Age 29 variation demonstrates normal vs pathophysiologic change across
lifespan per NURS 550 advanced assessment. WHY WRONG: Distractors
confuse subjective objective or comprehensive focused or incorrect exam
sequence.
Page 2
,
Q5. 53-year-old patient: What is appropriate order for abdominal
physical examination? (Variation 95 – lifespan consideration age 53)
A. Inspection, auscultation, percussion, palpation – auscultation before
percussion palpation to avoid altering bowel sounds – Variation 95 age
53 lifespan differentiation [95]
B. Palpation first then inspection – Variation 95 [95A]
C. Inspection, palpation, percussion, auscultation – Variation 95 [95C]
D. Percussion first then inspection – Variation 95 [95B]
Correct Answer: A. Inspection, auscultation, percussion, palpation –
auscultation before percussion palpation to avoid altering bowel
sounds – Variation 95 age 53 lifespan differentiation [95]
Rationale: CORRECT: Inspection, auscultation, percussion, palpation –
auscultation before percussion palpation to avoid altering bowel sounds.
Age 53 variation demonstrates normal vs pathophysiologic change across
lifespan per NURS 550 advanced assessment. WHY WRONG: Distractors
confuse subjective objective or comprehensive focused or incorrect exam
sequence.
Q6. 24-year-old patient: What constitutes subjective data vs objective
data in health assessment? (Variation 143 – lifespan consideration age
24)
A. Objective is patient statements – Variation 143 [143B]
B. Subjective what patient tells you using own words, objective what
clinician observes measures physical exam labs diagnostic data –
Variation 143 age 24 lifespan differentiation [143]
C. Both same definition – Variation 143 [143C]
D. Subjective is clinician observation – Variation 143 [143A]
Correct Answer: B. Subjective what patient tells you using own words,
objective what clinician observes measures physical exam labs
diagnostic data – Variation 143 age 24 lifespan differentiation [143]
Rationale: CORRECT: Subjective what patient tells you using own words,
objective what clinician observes measures physical exam labs diagnostic
data. Age 24 variation demonstrates normal vs pathophysiologic change
across lifespan per NURS 550 advanced assessment. WHY WRONG: Distractors
confuse subjective objective or comprehensive focused or incorrect exam
sequence.
Page 3
,
Q7. 64-year-old patient: Differentiation of normal variations vs
pathophysiologic changes across lifespan is emphasized in NURS 550.
Example of normal aging variation? (Variation 33 – lifespan
consideration age 64)
A. Acute chest pain normal aging – Variation 33 [33A]
B. New murmur with syncope normal aging – Variation 33 [33B]
C. Decreased skin turgor, arcus senilis, presbyopia are normal aging
variations not pathology – Variation 33 age 64 lifespan differentiation
[33]
D. Hemoptysis normal aging – Variation 33 [33C]
Correct Answer: C. Decreased skin turgor, arcus senilis, presbyopia
are normal aging variations not pathology – Variation 33 age 64
lifespan differentiation [33]
Rationale: CORRECT: Decreased skin turgor, arcus senilis, presbyopia are
normal aging variations not pathology. Age 64 variation demonstrates
normal vs pathophysiologic change across lifespan per NURS 550 advanced
assessment. WHY WRONG: Distractors confuse subjective objective or
comprehensive focused or incorrect exam sequence.
Q8. 58-year-old patient: What is included in a comprehensive health
history and exam per NURS 550 foundations? (Variation 21 – lifespan
consideration age 58)
A. Only review of systems without history – Variation 21 [21B]
B. Only focused problem assessment – Variation 21 [21A]
C. Only vital signs without exam – Variation 21 [21C]
D. Includes all elements of health history and complete physical
examination providing fundamental personalized knowledge baseline for
future assessments – Variation 21 age 58 lifespan differentiation [21]
Correct Answer: D. Includes all elements of health history and
complete physical examination providing fundamental personalized
knowledge baseline for future assessments – Variation 21 age 58
lifespan differentiation [21]
Rationale: CORRECT: Includes all elements of health history and complete
physical examination providing fundamental personalized knowledge
baseline for future assessments. Age 58 variation demonstrates normal vs
pathophysiologic change across lifespan per NURS 550 advanced
assessment. WHY WRONG: Distractors confuse subjective objective or
comprehensive focused or incorrect exam sequence.
Page 4
Questions & Answers | Advanced Health Assessment
& Diagnostic Reasoning | Instant Download
Q1. 64-year-old patient: Which assessment technique is most
appropriate for advanced health assessment of thorax? (Variation 74 –
lifespan consideration age 64)
A. Inspection, palpation, percussion, auscultation in sequence with
comparison side to side – Variation 74 age 64 lifespan differentiation
[74]
B. Only auscultation without inspection – Variation 74 [74A]
C. Inspection alone sufficient – Variation 74 [74C]
D. Only percussion without palpation – Variation 74 [74B]
Correct Answer: A. Inspection, palpation, percussion, auscultation in
sequence with comparison side to side – Variation 74 age 64 lifespan
differentiation [74]
Rationale: CORRECT: Inspection, palpation, percussion, auscultation in
sequence with comparison side to side. Age 64 variation demonstrates
normal vs pathophysiologic change across lifespan per NURS 550 advanced
assessment. WHY WRONG: Distractors confuse subjective objective or
comprehensive focused or incorrect exam sequence.
Q2. 32-year-old patient: What is data cluster in diagnostic reasoning?
(Variation 92 – lifespan consideration age 32)
A. Single vital sign alone – Variation 92 [92A]
B. Grouping of related subjective and objective data signs symptoms that
suggest a diagnostic pattern – Variation 92 age 32 lifespan
differentiation [92]
C. Random data without clustering – Variation 92 [92C]
D. Only lab results without history – Variation 92 [92B]
Correct Answer: B. Grouping of related subjective and objective data
signs symptoms that suggest a diagnostic pattern – Variation 92 age 32
lifespan differentiation [92]
Rationale: CORRECT: Grouping of related subjective and objective data
signs symptoms that suggest a diagnostic pattern. Age 32 variation
demonstrates normal vs pathophysiologic change across lifespan per NURS
550 advanced assessment. WHY WRONG: Distractors confuse subjective
objective or comprehensive focused or incorrect exam sequence.
Page 1
,
Q3. 55-year-old patient: What is significance of pleural friction rub
on auscultation? (Variation 57 – lifespan consideration age 55)
A. Normal lung sound – Variation 57 [57A]
B. Indicates asthma wheezing – Variation 57 [57B]
C. Inflamed pleura rubbing together indicates pleuritis, may accompany
pneumonia or pulmonary embolism – Variation 57 age 55 lifespan
differentiation [57]
D. Indicates heart murmur – Variation 57 [57C]
Correct Answer: C. Inflamed pleura rubbing together indicates
pleuritis, may accompany pneumonia or pulmonary embolism – Variation
57 age 55 lifespan differentiation [57]
Rationale: CORRECT: Inflamed pleura rubbing together indicates
pleuritis, may accompany pneumonia or pulmonary embolism. Age 55
variation demonstrates normal vs pathophysiologic change across lifespan
per NURS 550 advanced assessment. WHY WRONG: Distractors confuse
subjective objective or comprehensive focused or incorrect exam
sequence.
Q4. 29-year-old patient: What is appropriate order for abdominal
physical examination? (Variation 75 – lifespan consideration age 29)
A. Palpation first then inspection – Variation 75 [75A]
B. Percussion first then inspection – Variation 75 [75B]
C. Inspection, palpation, percussion, auscultation – Variation 75 [75C]
D. Inspection, auscultation, percussion, palpation – auscultation before
percussion palpation to avoid altering bowel sounds – Variation 75 age
29 lifespan differentiation [75]
Correct Answer: D. Inspection, auscultation, percussion, palpation –
auscultation before percussion palpation to avoid altering bowel
sounds – Variation 75 age 29 lifespan differentiation [75]
Rationale: CORRECT: Inspection, auscultation, percussion, palpation –
auscultation before percussion palpation to avoid altering bowel sounds.
Age 29 variation demonstrates normal vs pathophysiologic change across
lifespan per NURS 550 advanced assessment. WHY WRONG: Distractors
confuse subjective objective or comprehensive focused or incorrect exam
sequence.
Page 2
,
Q5. 53-year-old patient: What is appropriate order for abdominal
physical examination? (Variation 95 – lifespan consideration age 53)
A. Inspection, auscultation, percussion, palpation – auscultation before
percussion palpation to avoid altering bowel sounds – Variation 95 age
53 lifespan differentiation [95]
B. Palpation first then inspection – Variation 95 [95A]
C. Inspection, palpation, percussion, auscultation – Variation 95 [95C]
D. Percussion first then inspection – Variation 95 [95B]
Correct Answer: A. Inspection, auscultation, percussion, palpation –
auscultation before percussion palpation to avoid altering bowel
sounds – Variation 95 age 53 lifespan differentiation [95]
Rationale: CORRECT: Inspection, auscultation, percussion, palpation –
auscultation before percussion palpation to avoid altering bowel sounds.
Age 53 variation demonstrates normal vs pathophysiologic change across
lifespan per NURS 550 advanced assessment. WHY WRONG: Distractors
confuse subjective objective or comprehensive focused or incorrect exam
sequence.
Q6. 24-year-old patient: What constitutes subjective data vs objective
data in health assessment? (Variation 143 – lifespan consideration age
24)
A. Objective is patient statements – Variation 143 [143B]
B. Subjective what patient tells you using own words, objective what
clinician observes measures physical exam labs diagnostic data –
Variation 143 age 24 lifespan differentiation [143]
C. Both same definition – Variation 143 [143C]
D. Subjective is clinician observation – Variation 143 [143A]
Correct Answer: B. Subjective what patient tells you using own words,
objective what clinician observes measures physical exam labs
diagnostic data – Variation 143 age 24 lifespan differentiation [143]
Rationale: CORRECT: Subjective what patient tells you using own words,
objective what clinician observes measures physical exam labs diagnostic
data. Age 24 variation demonstrates normal vs pathophysiologic change
across lifespan per NURS 550 advanced assessment. WHY WRONG: Distractors
confuse subjective objective or comprehensive focused or incorrect exam
sequence.
Page 3
,
Q7. 64-year-old patient: Differentiation of normal variations vs
pathophysiologic changes across lifespan is emphasized in NURS 550.
Example of normal aging variation? (Variation 33 – lifespan
consideration age 64)
A. Acute chest pain normal aging – Variation 33 [33A]
B. New murmur with syncope normal aging – Variation 33 [33B]
C. Decreased skin turgor, arcus senilis, presbyopia are normal aging
variations not pathology – Variation 33 age 64 lifespan differentiation
[33]
D. Hemoptysis normal aging – Variation 33 [33C]
Correct Answer: C. Decreased skin turgor, arcus senilis, presbyopia
are normal aging variations not pathology – Variation 33 age 64
lifespan differentiation [33]
Rationale: CORRECT: Decreased skin turgor, arcus senilis, presbyopia are
normal aging variations not pathology. Age 64 variation demonstrates
normal vs pathophysiologic change across lifespan per NURS 550 advanced
assessment. WHY WRONG: Distractors confuse subjective objective or
comprehensive focused or incorrect exam sequence.
Q8. 58-year-old patient: What is included in a comprehensive health
history and exam per NURS 550 foundations? (Variation 21 – lifespan
consideration age 58)
A. Only review of systems without history – Variation 21 [21B]
B. Only focused problem assessment – Variation 21 [21A]
C. Only vital signs without exam – Variation 21 [21C]
D. Includes all elements of health history and complete physical
examination providing fundamental personalized knowledge baseline for
future assessments – Variation 21 age 58 lifespan differentiation [21]
Correct Answer: D. Includes all elements of health history and
complete physical examination providing fundamental personalized
knowledge baseline for future assessments – Variation 21 age 58
lifespan differentiation [21]
Rationale: CORRECT: Includes all elements of health history and complete
physical examination providing fundamental personalized knowledge
baseline for future assessments. Age 58 variation demonstrates normal vs
pathophysiologic change across lifespan per NURS 550 advanced
assessment. WHY WRONG: Distractors confuse subjective objective or
comprehensive focused or incorrect exam sequence.
Page 4
