NU 650 ADVANCED HEALTH ASSESSMENT
EXAM WITH VERIFIED QUESTIONS AND
ANSWERS|| ALREADY GRADED A+||
GUARANTEED PASS|| LATEST VERSION 2025
A 62-year-old smoker complains of "coughing up small amounts of blood," so
you consider hemoptysis. Which of the following should you also consider?
A) Intestinal bleeding
B) Hematoma of the nasal septum
C) Epistaxis
D) Bruising of the tongue - ANSWER-C
Which of the following occurs in respiratory distress?
A) Speaking in sentences of 10-20 words
B) Skin between the ribs moves inward with inspiration
C) Neck muscles are relaxed
D) Patient torso leans posteriorly - ANSWER-B
Which of the following is consistent with good percussion technique?
A) Allow all of the fingers to touch the chest while performing percussion.
B) Maintain a stiff wrist and hand.
C) Leave the plexor finger on the pleximeter after each strike.
,D) Strike the pleximeter over the distal inter-phalangeal joint. - ANSWER-D
Which of the following percussion notes would you obtain over the gastric
bubble?
A) Resonance
B) Tympany
C) Hyperresonance
D) Flatness - ANSWER-B
Which of the following conditions would produce a hyperresonant percussion
note?
A) Large pneumothorax
B) Lobar pneumonia
C) Pleural effusion
D) Empyema - ANSWER-A
Which lung sound possesses the characteristics of being louder and higher in
pitch, with a short silence between inspiration and expiration and with
expiration being longer than inspiration?
A) Bronchovesicular
B) Vesicular
C) Bronchial
D) Tracheal - ANSWER-C
You are palpating the apical impulse in a patient with heart disease and find that
the amplitude is diffuse and increased. Which of the following conditions could
be a potential cause of an increase in the amplitude of the impulse?
A) Hypothyroidism
B) Aortic stenosis, with pressure overload of the left ventricle
,C) Mitral stenosis, with volume overload of the left atrium
D) Cardiomyopathy - ANSWER-B
You are performing a cardiac examination on a patient with shortness of breath
and palpitations. You listen to the heart with the patient sitting upright, then
have him change to a supine position, and finally have him turn onto his left
side in the left lateral decubitus position. Which of the following valvular
defects is best heard in this position?
A) Aortic
B) Pulmonic
C) Mitral
D) Tricuspid - ANSWER-C
You are concerned that a patient has an aortic regurgitation murmur. Which is
the best position to accentuate the murmur?
A) Upright
B) Upright, but leaning forward
C) Supine
D) Left lateral decubitus - ANSWER-B
A 68-year-old retired waiter comes to your clinic for evaluation of fatigue. You
perform a cardiac examination and find his pulse rate is less than 60. Which of
the following conditions could be responsible for this heart rate?
A) Second-degree A-V block
B) Atrial flutter
C) Sinus arrhythmia
D) Atrial fibrillation - ANSWER-A
Where is the point of maximal impulse (PMI) normally located?
A) In the left 5th intercostal space, 7 to 9 cm lateral to the sternum
, B) In the left 5th intercostal space, 10 to 12 cm lateral to the sternum
C) In the left 5th intercostal space, in the anterior axillary line
D) In the left 5th intercostal space, in the midaxillary line - ANSWER-A
Which of the following events occurs at the start of diastole?
A) Closure of the tricuspid valve
B) Opening of the pulmonic valve
C) Closure of the aortic valve
D) Production of the first heart sound (S1) - ANSWER-C
You have just completed your examination and you document that the patient is
unable to differentiate between sharp and dull touch bilaterally. You interpret
this as:
(A) Bell's palsy
(B) Scleroderma of the face and cheeks
(C) Damage to cranial nerve V (trigeminal nerve)
(D) Paralysis - ANSWER-C
You notice that your patient's submental lymph nodes are enlarged. You would
then assess the:
(A) Supraclavicular area
(B) Infraclavicular area
(C) Area proximal to the enlarged node
(D) Area distal to the enlarged node - ANSWER-C
A 26-year-old woman presents for evaluation of hair loss. She also has noticed
increased weight loss and diarrhea. You diagnose Graves' disease
(hyperthyroidism). On physical examination of the hair, what would you expect
to find?
(A) Fine texture
EXAM WITH VERIFIED QUESTIONS AND
ANSWERS|| ALREADY GRADED A+||
GUARANTEED PASS|| LATEST VERSION 2025
A 62-year-old smoker complains of "coughing up small amounts of blood," so
you consider hemoptysis. Which of the following should you also consider?
A) Intestinal bleeding
B) Hematoma of the nasal septum
C) Epistaxis
D) Bruising of the tongue - ANSWER-C
Which of the following occurs in respiratory distress?
A) Speaking in sentences of 10-20 words
B) Skin between the ribs moves inward with inspiration
C) Neck muscles are relaxed
D) Patient torso leans posteriorly - ANSWER-B
Which of the following is consistent with good percussion technique?
A) Allow all of the fingers to touch the chest while performing percussion.
B) Maintain a stiff wrist and hand.
C) Leave the plexor finger on the pleximeter after each strike.
,D) Strike the pleximeter over the distal inter-phalangeal joint. - ANSWER-D
Which of the following percussion notes would you obtain over the gastric
bubble?
A) Resonance
B) Tympany
C) Hyperresonance
D) Flatness - ANSWER-B
Which of the following conditions would produce a hyperresonant percussion
note?
A) Large pneumothorax
B) Lobar pneumonia
C) Pleural effusion
D) Empyema - ANSWER-A
Which lung sound possesses the characteristics of being louder and higher in
pitch, with a short silence between inspiration and expiration and with
expiration being longer than inspiration?
A) Bronchovesicular
B) Vesicular
C) Bronchial
D) Tracheal - ANSWER-C
You are palpating the apical impulse in a patient with heart disease and find that
the amplitude is diffuse and increased. Which of the following conditions could
be a potential cause of an increase in the amplitude of the impulse?
A) Hypothyroidism
B) Aortic stenosis, with pressure overload of the left ventricle
,C) Mitral stenosis, with volume overload of the left atrium
D) Cardiomyopathy - ANSWER-B
You are performing a cardiac examination on a patient with shortness of breath
and palpitations. You listen to the heart with the patient sitting upright, then
have him change to a supine position, and finally have him turn onto his left
side in the left lateral decubitus position. Which of the following valvular
defects is best heard in this position?
A) Aortic
B) Pulmonic
C) Mitral
D) Tricuspid - ANSWER-C
You are concerned that a patient has an aortic regurgitation murmur. Which is
the best position to accentuate the murmur?
A) Upright
B) Upright, but leaning forward
C) Supine
D) Left lateral decubitus - ANSWER-B
A 68-year-old retired waiter comes to your clinic for evaluation of fatigue. You
perform a cardiac examination and find his pulse rate is less than 60. Which of
the following conditions could be responsible for this heart rate?
A) Second-degree A-V block
B) Atrial flutter
C) Sinus arrhythmia
D) Atrial fibrillation - ANSWER-A
Where is the point of maximal impulse (PMI) normally located?
A) In the left 5th intercostal space, 7 to 9 cm lateral to the sternum
, B) In the left 5th intercostal space, 10 to 12 cm lateral to the sternum
C) In the left 5th intercostal space, in the anterior axillary line
D) In the left 5th intercostal space, in the midaxillary line - ANSWER-A
Which of the following events occurs at the start of diastole?
A) Closure of the tricuspid valve
B) Opening of the pulmonic valve
C) Closure of the aortic valve
D) Production of the first heart sound (S1) - ANSWER-C
You have just completed your examination and you document that the patient is
unable to differentiate between sharp and dull touch bilaterally. You interpret
this as:
(A) Bell's palsy
(B) Scleroderma of the face and cheeks
(C) Damage to cranial nerve V (trigeminal nerve)
(D) Paralysis - ANSWER-C
You notice that your patient's submental lymph nodes are enlarged. You would
then assess the:
(A) Supraclavicular area
(B) Infraclavicular area
(C) Area proximal to the enlarged node
(D) Area distal to the enlarged node - ANSWER-C
A 26-year-old woman presents for evaluation of hair loss. She also has noticed
increased weight loss and diarrhea. You diagnose Graves' disease
(hyperthyroidism). On physical examination of the hair, what would you expect
to find?
(A) Fine texture
