NUR-631 Advanced Health Assessment TEST BANK
NUR-631 Advanced Health Assessment
TEST BANK Exam LATEST 2024/2025
D'Youville University GRADED A +
GUARANTEED PASS (QUESTIONS AND
ANSWERS WITH detailed RATIONALES)
ACE YOUR EXAM -pdf
INSTRUCTIONS :read the questions carefully
,personally handpicked from Bates
The nurse is preparing to auscultate for heart sounds. Which technique is correct?
A) Listen in the 6 auscultation areas.
B) Listen for only murmurs and low pitched sounds.
C) Listen to the sounds at the aortic, tricuspid, pulmonic, and mitral areas.
D) Listen to the sounds only at the site where the apical pulse is felt to be the strongest. –
ANS :A) Listen in the 6 auscultation areas.
Bates p390-391
EXAM NEWEST 2025 ABOMB
, NUR-631 Advanced Health Assessment TEST BANK
While counting the apical pulse on a 16-year-old patient, the nurse notices an irregular rhythm. His rate speeds
up on inspiration and slows on expiration. What would be the nurse's response?
A) Talk with the patient about his intake of caffeine.
B) Refer the patient to a cardiologist for further testing.
C) No further response is needed because this is a normal variation.
D) Perform an echocardiogram after the examination.
- ANS :C) No further response is needed because this is a normal variation.
The rhythm should be regular, although sinus arrhythmia occurs normally in young adults and children. With
sinus arrhythmia, the rhythm varies with the person's breathing. Increasing at the peak of inspiration and
slowing with expiration (Bates, p401).
Which of following is not found in the upper left quadrant of the abdomen?
A) spleen
B) left kidney
C) pancreas
D) gallbladder –
ANS :D) gallbladder
All except the gallbladder are found in the upper left abdominal quadrant. (Bates, p450-451)
What is the correct way to perform the Whisper test to assess hearing?
A) whisper a combination of 3 letters and numbers out of the patient's sight while occluding the other ear and
have them repeat it, then test the other side.
B) whisper, "Can you hear me?"
C) have someone whisper a sentence outside the exam room door and have the patient repeat it
D) whisper a sentence of 5 words and have the patient repeat it. –
ANS :A) whisper a combination of 3 letters and numbers out of the patient's sight while occluding the other ear
and have them repeat it, then test the other side.
EXAM NEWEST 2025 ABOMB
, NUR-631 Advanced Health Assessment TEST BANK
The Whisper test is recommended to be a combination of 3 letters and numbers while occluding the other ear.
Have the patient repeat it, then test the other ear. (Bates, p246-247)
Macular degeration effects:
A) lateral vision
B) peripheral vision
C) central vision
D) none of the above –
ANS :C) central vision
Bates, p 242
Which of the following is not an ABCDE screening for melanoma?
A) asymmetry
B) borders
C) clarity
D) diameter –
ANS :C) clarity
Asymmetry, Border, Color, Diameter, and Evolution are the ABCDE for melanoma detection. (Bates, p179)
Ms. Jones complains of visible blood in her urine. This is called:
A) hematochezia
B) melena
C) gross hematuria
D) microscopic hematuria –
ANS :C) gross hematuria
EXAM NEWEST 2025 ABOMB
, NUR-631 Advanced Health Assessment TEST BANK
Blood visible in urine with the naked eye is called gross hematuria. If the blood is not visible with the human
eye and only when examined with a microscope, it is microscopic hematuria. (Bates, p463)
Hepatitis A is transmitted via:
A) IV drug use
B) sexual contact
C) fecal-oral route
D) blood and body fluids –
ANS :C) fecal-oral route
Bates, p466
Which of the following is the most common bloodborne pathogen in the United States?
A) Hepatitis C
B) HIV
C) Hepatitis A
D) Hepatitis B – A
NS :A) Hepatitis C
Hepatitis C is the most common bloodborne pathogen in the United States with about 2% of the population
having the virus. Bates, p467-468
A patient tells the nurse that he is allergic to penicillin. What would be the nurse's best response to this
information?
A) "Are you allergic to any other drugs?"
B) "How often have you received penicillin?"
C) "I'll write your allergy on your chart so you won't receive any."
D) "Please describe what happens to you when you take penicillin." –
ANS :D) "Please describe what happens to you when you take penicillin."
EXAM NEWEST 2025 ABOMB
NUR-631 Advanced Health Assessment
TEST BANK Exam LATEST 2024/2025
D'Youville University GRADED A +
GUARANTEED PASS (QUESTIONS AND
ANSWERS WITH detailed RATIONALES)
ACE YOUR EXAM -pdf
INSTRUCTIONS :read the questions carefully
,personally handpicked from Bates
The nurse is preparing to auscultate for heart sounds. Which technique is correct?
A) Listen in the 6 auscultation areas.
B) Listen for only murmurs and low pitched sounds.
C) Listen to the sounds at the aortic, tricuspid, pulmonic, and mitral areas.
D) Listen to the sounds only at the site where the apical pulse is felt to be the strongest. –
ANS :A) Listen in the 6 auscultation areas.
Bates p390-391
EXAM NEWEST 2025 ABOMB
, NUR-631 Advanced Health Assessment TEST BANK
While counting the apical pulse on a 16-year-old patient, the nurse notices an irregular rhythm. His rate speeds
up on inspiration and slows on expiration. What would be the nurse's response?
A) Talk with the patient about his intake of caffeine.
B) Refer the patient to a cardiologist for further testing.
C) No further response is needed because this is a normal variation.
D) Perform an echocardiogram after the examination.
- ANS :C) No further response is needed because this is a normal variation.
The rhythm should be regular, although sinus arrhythmia occurs normally in young adults and children. With
sinus arrhythmia, the rhythm varies with the person's breathing. Increasing at the peak of inspiration and
slowing with expiration (Bates, p401).
Which of following is not found in the upper left quadrant of the abdomen?
A) spleen
B) left kidney
C) pancreas
D) gallbladder –
ANS :D) gallbladder
All except the gallbladder are found in the upper left abdominal quadrant. (Bates, p450-451)
What is the correct way to perform the Whisper test to assess hearing?
A) whisper a combination of 3 letters and numbers out of the patient's sight while occluding the other ear and
have them repeat it, then test the other side.
B) whisper, "Can you hear me?"
C) have someone whisper a sentence outside the exam room door and have the patient repeat it
D) whisper a sentence of 5 words and have the patient repeat it. –
ANS :A) whisper a combination of 3 letters and numbers out of the patient's sight while occluding the other ear
and have them repeat it, then test the other side.
EXAM NEWEST 2025 ABOMB
, NUR-631 Advanced Health Assessment TEST BANK
The Whisper test is recommended to be a combination of 3 letters and numbers while occluding the other ear.
Have the patient repeat it, then test the other ear. (Bates, p246-247)
Macular degeration effects:
A) lateral vision
B) peripheral vision
C) central vision
D) none of the above –
ANS :C) central vision
Bates, p 242
Which of the following is not an ABCDE screening for melanoma?
A) asymmetry
B) borders
C) clarity
D) diameter –
ANS :C) clarity
Asymmetry, Border, Color, Diameter, and Evolution are the ABCDE for melanoma detection. (Bates, p179)
Ms. Jones complains of visible blood in her urine. This is called:
A) hematochezia
B) melena
C) gross hematuria
D) microscopic hematuria –
ANS :C) gross hematuria
EXAM NEWEST 2025 ABOMB
, NUR-631 Advanced Health Assessment TEST BANK
Blood visible in urine with the naked eye is called gross hematuria. If the blood is not visible with the human
eye and only when examined with a microscope, it is microscopic hematuria. (Bates, p463)
Hepatitis A is transmitted via:
A) IV drug use
B) sexual contact
C) fecal-oral route
D) blood and body fluids –
ANS :C) fecal-oral route
Bates, p466
Which of the following is the most common bloodborne pathogen in the United States?
A) Hepatitis C
B) HIV
C) Hepatitis A
D) Hepatitis B – A
NS :A) Hepatitis C
Hepatitis C is the most common bloodborne pathogen in the United States with about 2% of the population
having the virus. Bates, p467-468
A patient tells the nurse that he is allergic to penicillin. What would be the nurse's best response to this
information?
A) "Are you allergic to any other drugs?"
B) "How often have you received penicillin?"
C) "I'll write your allergy on your chart so you won't receive any."
D) "Please describe what happens to you when you take penicillin." –
ANS :D) "Please describe what happens to you when you take penicillin."
EXAM NEWEST 2025 ABOMB
