NURS 612 ADVANCED HEALTH
ASSESSMENT FINAL PRACTICE EXAM 2
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2025 MARYVILLE UNIVERSITY
1. What is the primary purpose of a health history in a comprehensive
health assessment?
a) To perform physical examination
b) To establish a therapeutic relationship
c) To collect subjective data about the patient’s health
d) To diagnose a medical condition
c) To collect subjective data about the patient’s health
Collecting subjective data such as symptoms, history, and concerns is the
main goal of the health history to guide further assessment.
, 2. When auscultating lung sounds, which finding indicates consolidation?
a) Crackles
b) Wheezes
c) Bronchial breath sounds over the peripheral lung fields
d) Decreased breath sounds
c) Bronchial breath sounds over the peripheral lung fields
Bronchial breath sounds heard where vesicular sounds are normally
expected suggest lung consolidation, such as in pneumonia.
3. What does a positive Murphy’s sign indicate?
a) Appendicitis
b) Cholecystitis
c) Pancreatitis
d) Hepatitis
b) Cholecystitis
Pain and inspiratory arrest on palpation of the gallbladder (Murphy’s sign)
suggest inflammation of the gallbladder.
4. Which cranial nerve is responsible for pupillary constriction?
a) CN II (Optic)
b) CN III (Oculomotor)
c) CN IV (Trochlear)
d) CN VI (Abducens)
,b) CN III (Oculomotor)
The oculomotor nerve controls pupillary constriction via parasympathetic
fibers.
5. In cardiovascular examination, where is the best location to auscultate
the mitral valve?
a) Second right intercostal space
b) Second left intercostal space
c) Fifth intercostal space at the midclavicular line
d) Fourth intercostal space at the left sternal border
c) Fifth intercostal space at the midclavicular line
The mitral valve is best heard at the apex of the heart, located at the fifth
intercostal space at the midclavicular line.
6. What is the significance of a bounding pulse?
a) Heart failure
b) Hypovolemia
c) Increased stroke volume or aortic regurgitation
d) Bradycardia
c) Increased stroke volume or aortic regurgitation
Bounding pulses may occur with increased stroke volume or conditions like
aortic regurgitation where blood flow is forceful.
7. Which technique is used to assess tactile fremitus?
a) Auscultation
, b) Palpation
c) Inspection
d) Percussion
b) Palpation
Tactile fremitus is assessed by palpating the chest while the patient
speaks, feeling for vibrations.
8. What does a positive straight leg raise test suggest?
a) Hip fracture
b) Sciatic nerve irritation or lumbar disc herniation
c) Spinal stenosis
d) Muscle strain
b) Sciatic nerve irritation or lumbar disc herniation
Pain radiating down the leg on straight leg raising is indicative of nerve
root irritation, commonly from a herniated disc.
9. What is the normal range for adult respiratory rate?
a) 8-12 breaths per minute
b) 12-20 breaths per minute
c) 20-30 breaths per minute
d) 30-40 breaths per minute
b) 12-20 breaths per minute
The normal adult respiratory rate ranges from 12 to 20 breaths per minute.
ASSESSMENT FINAL PRACTICE EXAM 2
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2025 MARYVILLE UNIVERSITY
1. What is the primary purpose of a health history in a comprehensive
health assessment?
a) To perform physical examination
b) To establish a therapeutic relationship
c) To collect subjective data about the patient’s health
d) To diagnose a medical condition
c) To collect subjective data about the patient’s health
Collecting subjective data such as symptoms, history, and concerns is the
main goal of the health history to guide further assessment.
, 2. When auscultating lung sounds, which finding indicates consolidation?
a) Crackles
b) Wheezes
c) Bronchial breath sounds over the peripheral lung fields
d) Decreased breath sounds
c) Bronchial breath sounds over the peripheral lung fields
Bronchial breath sounds heard where vesicular sounds are normally
expected suggest lung consolidation, such as in pneumonia.
3. What does a positive Murphy’s sign indicate?
a) Appendicitis
b) Cholecystitis
c) Pancreatitis
d) Hepatitis
b) Cholecystitis
Pain and inspiratory arrest on palpation of the gallbladder (Murphy’s sign)
suggest inflammation of the gallbladder.
4. Which cranial nerve is responsible for pupillary constriction?
a) CN II (Optic)
b) CN III (Oculomotor)
c) CN IV (Trochlear)
d) CN VI (Abducens)
,b) CN III (Oculomotor)
The oculomotor nerve controls pupillary constriction via parasympathetic
fibers.
5. In cardiovascular examination, where is the best location to auscultate
the mitral valve?
a) Second right intercostal space
b) Second left intercostal space
c) Fifth intercostal space at the midclavicular line
d) Fourth intercostal space at the left sternal border
c) Fifth intercostal space at the midclavicular line
The mitral valve is best heard at the apex of the heart, located at the fifth
intercostal space at the midclavicular line.
6. What is the significance of a bounding pulse?
a) Heart failure
b) Hypovolemia
c) Increased stroke volume or aortic regurgitation
d) Bradycardia
c) Increased stroke volume or aortic regurgitation
Bounding pulses may occur with increased stroke volume or conditions like
aortic regurgitation where blood flow is forceful.
7. Which technique is used to assess tactile fremitus?
a) Auscultation
, b) Palpation
c) Inspection
d) Percussion
b) Palpation
Tactile fremitus is assessed by palpating the chest while the patient
speaks, feeling for vibrations.
8. What does a positive straight leg raise test suggest?
a) Hip fracture
b) Sciatic nerve irritation or lumbar disc herniation
c) Spinal stenosis
d) Muscle strain
b) Sciatic nerve irritation or lumbar disc herniation
Pain radiating down the leg on straight leg raising is indicative of nerve
root irritation, commonly from a herniated disc.
9. What is the normal range for adult respiratory rate?
a) 8-12 breaths per minute
b) 12-20 breaths per minute
c) 20-30 breaths per minute
d) 30-40 breaths per minute
b) 12-20 breaths per minute
The normal adult respiratory rate ranges from 12 to 20 breaths per minute.
