NR509 ADVANCED HEALTH ASSESSMENT
Comprehensive Practice Final Exam | 100+ Questions with
Rationales
Key Topics Covered
Question 1
1. A 72-year-old patient presents for a routine annual physical.
Which of the following findings is most consistent with normal
aging and does not indicate a pathological process?
A) New-onset confusion and memory loss
B) Decreased visual acuity and presbyopia
C) Orthostatic hypotension with dizziness
D) Urinary incontinence
Answer
,Answer B:
Rationale
Presbyopia (difficulty focusing on near objects) is a normal age-
related change. New confusion, orthostatic hypotension, and
incontinence warrant further evaluation. ---
Question 2
2. A nurse practitioner is performing a comprehensive health
history on a new patient. Which of the following is an example of
subjective data?
A) Blood pressure 142/88 mmHg
B) "I feel short of breath when I walk up stairs."
C) Heart rate 88 bpm and regular
D) Lungs clear to auscultation
Answer
Answer B:
Rationale
Subjective data are what the patient reports (symptoms, feelings).
Objective data are measurable findings (vitals, physical exam). ---
,Question 3
3. A patient presents with acute-onset severe headache, nuchal
rigidity, and photophobia. The NP assesses for Kernig's sign. Which
finding would be positive?
A) Inability to touch the chin to the chest
B) Pain and resistance with knee extension while hip is flexed
C) Pain with passive neck flexion
D) Involuntary hip flexion with neck flexion
Answer
Answer B:
Rationale
Kernig's sign is positive when the patient experiences pain or
resistance when the knee is extended with the hip flexed, indicating
meningeal irritation. ---
Question 4
4. Which of the following techniques is always performed first
during a physical examination?
, A) Palpation
B) Percussion
C) Auscultation
D) Inspection
Answer
Answer D:
Rationale
Inspection is always performed first. It is a visual examination of the
patient and the environment, and it should be done before
palpation, percussion, or auscultation to avoid altering findings. ---
Question 5
5. A patient reports chronic pain rated 6/10 that has been present
for 6 months. Which of the following best describes this type of
pain?
A) Acute pain
B) Nociceptive pain
C) Neuropathic pain
D) Chronic pain
Comprehensive Practice Final Exam | 100+ Questions with
Rationales
Key Topics Covered
Question 1
1. A 72-year-old patient presents for a routine annual physical.
Which of the following findings is most consistent with normal
aging and does not indicate a pathological process?
A) New-onset confusion and memory loss
B) Decreased visual acuity and presbyopia
C) Orthostatic hypotension with dizziness
D) Urinary incontinence
Answer
,Answer B:
Rationale
Presbyopia (difficulty focusing on near objects) is a normal age-
related change. New confusion, orthostatic hypotension, and
incontinence warrant further evaluation. ---
Question 2
2. A nurse practitioner is performing a comprehensive health
history on a new patient. Which of the following is an example of
subjective data?
A) Blood pressure 142/88 mmHg
B) "I feel short of breath when I walk up stairs."
C) Heart rate 88 bpm and regular
D) Lungs clear to auscultation
Answer
Answer B:
Rationale
Subjective data are what the patient reports (symptoms, feelings).
Objective data are measurable findings (vitals, physical exam). ---
,Question 3
3. A patient presents with acute-onset severe headache, nuchal
rigidity, and photophobia. The NP assesses for Kernig's sign. Which
finding would be positive?
A) Inability to touch the chin to the chest
B) Pain and resistance with knee extension while hip is flexed
C) Pain with passive neck flexion
D) Involuntary hip flexion with neck flexion
Answer
Answer B:
Rationale
Kernig's sign is positive when the patient experiences pain or
resistance when the knee is extended with the hip flexed, indicating
meningeal irritation. ---
Question 4
4. Which of the following techniques is always performed first
during a physical examination?
, A) Palpation
B) Percussion
C) Auscultation
D) Inspection
Answer
Answer D:
Rationale
Inspection is always performed first. It is a visual examination of the
patient and the environment, and it should be done before
palpation, percussion, or auscultation to avoid altering findings. ---
Question 5
5. A patient reports chronic pain rated 6/10 that has been present
for 6 months. Which of the following best describes this type of
pain?
A) Acute pain
B) Nociceptive pain
C) Neuropathic pain
D) Chronic pain
