NURS 6512 Advanced Health Assessment | 100-
Question Exam Bundle with Answers &
Rationales | Walden University
NCLEX-style | 1 Correct Answer | Rationales Included
Walden University – Graduate Nursing Students (NP/PMHNP)
SECTION 1: Health History & Interview (1–10)
1. The primary goal of the health interview is to:
A. Document the patient's insurance details
B. Build trust and gather subjective data
C. List all medications and allergies
D. Obtain objective vital signs
Answer: B
Rationale: The health interview is designed to collect subjective data while establishing rapport.
2. When a nurse repeats a patient’s statement for clarification, this is known as:
A. Interpretation
B. Facilitation
C. Reflection
D. Confrontation
Answer: C
Rationale: Reflection echoes the patient’s words to encourage elaboration.
3. A reliable source of health history is:
A. The patient’s spouse
B. The electronic health record
C. The primary care provider
D. The patient
Answer: D
Rationale: The patient is always the primary source unless they are incapacitated.
4. Asking “What brings you in today?” is an example of a:
A. Leading question
B. Closed-ended question
C. Open-ended question
D. Biased question
Answer: C
Rationale: Open-ended questions promote detailed responses.
5. Which component of the health history addresses lifestyle habits?
A. Review of systems
B. Social history
C. Family history
D. Chief complaint
, Answer: B
Rationale: Social history includes habits, occupation, and lifestyle behaviors.
6. “Do you smoke, drink, or use drugs?” belongs in:
A. HPI
B. Review of Systems
C. Family History
D. Social History
Answer: D
Rationale: This question screens for lifestyle and substance use.
7. What does OLDCART stand for in symptom assessment?
Answer: Onset, Location, Duration, Characteristics, Aggravating factors, Relieving factors,
Treatment
Rationale: OLDCART helps guide comprehensive symptom analysis.
8. Which of the following is subjective data?
A. Blood pressure reading
B. Weight
C. Pain reported as 8/10
D. Capillary refill
Answer: C
Rationale: Pain is subjective because it's based on the patient’s perception.
9. The nurse is documenting the Review of Systems. This section contains:
A. Objective physical findings
B. Family history
C. Systematic subjective symptoms
D. Current medications
Answer: C
Rationale: ROS is the patient’s report of symptoms by system.
10. Which is the most effective technique to manage a talkative patient?
A. Interrupt and redirect immediately
B. Ask multiple questions at once
C. Use closed-ended questions and redirect politely
D. Avoid eye contact
Answer: C
Rationale: Closed-ended questions help control long-winded responses respectfully.
SECTION 2: Physical Exam & Techniques (11–20)
11. The correct sequence for physical exam techniques (except abdomen):
A. Inspection, Palpation, Auscultation, Percussion
B. Inspection, Palpation, Percussion, Auscultation
C. Auscultation, Percussion, Inspection, Palpation
D. Percussion, Palpation, Inspection, Auscultation
Answer: B
Rationale: The general sequence is inspection → palpation → percussion → auscultation.
, 12. In the abdominal exam, which step comes first?
Answer: Inspection
Rationale: Always inspect before any contact with the abdomen.
13. Deep palpation is used to assess:
A. Skin temperature
B. Tenderness
C. Organ size or masses
D. Turgor
Answer: C
Rationale: Deep palpation evaluates underlying structures like liver and spleen.
14. A tympanic sound on percussion usually indicates:
A. Fluid
B. Air-filled organ like stomach
C. Bone
D. Consolidation
Answer: B
Rationale: Tympany is heard over gas-filled areas like the stomach.
15. The diaphragm of the stethoscope is best for:
A. Heart murmurs
B. Bruits
C. Low-pitched sounds
D. High-pitched sounds
Answer: D
Rationale: The diaphragm picks up high-pitched sounds such as breath or bowel sounds.
16. What is the most accurate site for core temperature?
A. Oral
B. Axillary
C. Tympanic
D. Rectal
Answer: D
Rationale: Rectal is closest to core body temperature.
17. A pulse amplitude of 3+ indicates:
A. Absent
B. Diminished
C. Normal
D. Increased
Answer: D
Rationale: 3+ is bounding/increased; normal is 2+.
18. Which side of the hand is best for assessing temperature?
A. Palmar
B. Fingertips
C. Dorsal
D. Ulnar
Question Exam Bundle with Answers &
Rationales | Walden University
NCLEX-style | 1 Correct Answer | Rationales Included
Walden University – Graduate Nursing Students (NP/PMHNP)
SECTION 1: Health History & Interview (1–10)
1. The primary goal of the health interview is to:
A. Document the patient's insurance details
B. Build trust and gather subjective data
C. List all medications and allergies
D. Obtain objective vital signs
Answer: B
Rationale: The health interview is designed to collect subjective data while establishing rapport.
2. When a nurse repeats a patient’s statement for clarification, this is known as:
A. Interpretation
B. Facilitation
C. Reflection
D. Confrontation
Answer: C
Rationale: Reflection echoes the patient’s words to encourage elaboration.
3. A reliable source of health history is:
A. The patient’s spouse
B. The electronic health record
C. The primary care provider
D. The patient
Answer: D
Rationale: The patient is always the primary source unless they are incapacitated.
4. Asking “What brings you in today?” is an example of a:
A. Leading question
B. Closed-ended question
C. Open-ended question
D. Biased question
Answer: C
Rationale: Open-ended questions promote detailed responses.
5. Which component of the health history addresses lifestyle habits?
A. Review of systems
B. Social history
C. Family history
D. Chief complaint
, Answer: B
Rationale: Social history includes habits, occupation, and lifestyle behaviors.
6. “Do you smoke, drink, or use drugs?” belongs in:
A. HPI
B. Review of Systems
C. Family History
D. Social History
Answer: D
Rationale: This question screens for lifestyle and substance use.
7. What does OLDCART stand for in symptom assessment?
Answer: Onset, Location, Duration, Characteristics, Aggravating factors, Relieving factors,
Treatment
Rationale: OLDCART helps guide comprehensive symptom analysis.
8. Which of the following is subjective data?
A. Blood pressure reading
B. Weight
C. Pain reported as 8/10
D. Capillary refill
Answer: C
Rationale: Pain is subjective because it's based on the patient’s perception.
9. The nurse is documenting the Review of Systems. This section contains:
A. Objective physical findings
B. Family history
C. Systematic subjective symptoms
D. Current medications
Answer: C
Rationale: ROS is the patient’s report of symptoms by system.
10. Which is the most effective technique to manage a talkative patient?
A. Interrupt and redirect immediately
B. Ask multiple questions at once
C. Use closed-ended questions and redirect politely
D. Avoid eye contact
Answer: C
Rationale: Closed-ended questions help control long-winded responses respectfully.
SECTION 2: Physical Exam & Techniques (11–20)
11. The correct sequence for physical exam techniques (except abdomen):
A. Inspection, Palpation, Auscultation, Percussion
B. Inspection, Palpation, Percussion, Auscultation
C. Auscultation, Percussion, Inspection, Palpation
D. Percussion, Palpation, Inspection, Auscultation
Answer: B
Rationale: The general sequence is inspection → palpation → percussion → auscultation.
, 12. In the abdominal exam, which step comes first?
Answer: Inspection
Rationale: Always inspect before any contact with the abdomen.
13. Deep palpation is used to assess:
A. Skin temperature
B. Tenderness
C. Organ size or masses
D. Turgor
Answer: C
Rationale: Deep palpation evaluates underlying structures like liver and spleen.
14. A tympanic sound on percussion usually indicates:
A. Fluid
B. Air-filled organ like stomach
C. Bone
D. Consolidation
Answer: B
Rationale: Tympany is heard over gas-filled areas like the stomach.
15. The diaphragm of the stethoscope is best for:
A. Heart murmurs
B. Bruits
C. Low-pitched sounds
D. High-pitched sounds
Answer: D
Rationale: The diaphragm picks up high-pitched sounds such as breath or bowel sounds.
16. What is the most accurate site for core temperature?
A. Oral
B. Axillary
C. Tympanic
D. Rectal
Answer: D
Rationale: Rectal is closest to core body temperature.
17. A pulse amplitude of 3+ indicates:
A. Absent
B. Diminished
C. Normal
D. Increased
Answer: D
Rationale: 3+ is bounding/increased; normal is 2+.
18. Which side of the hand is best for assessing temperature?
A. Palmar
B. Fingertips
C. Dorsal
D. Ulnar
