NUR 6001 Advanced Health Assessment – Exam 2
2026 NUR 6001 Advanced Health
Assessment Practice Exam 2 100 Expert
Solved Questions and Answers with
Rationales
Focuses on cardiovascular, respiratory, vascular, and abdominal assessment findings, including
differential diagnosis and interpretation of abnormal findings.
Cardiovascular Assessment
1. A patient with left-sided heart failure is most likely to present with:
A. Hepatomegaly
B. Peripheral edema
C. Bibasilar crackles
D. Ascites
Answer: C. Bibasilar crackles
Rationale: Left-sided HF causes pulmonary congestion leading to crackles, dyspnea, and
orthopnea.
2. Which heart sound is associated with decreased ventricular compliance?
A. S1
B. S2
C. S3
D. S4
Answer: D. S4
Rationale: S4 occurs when the atria contract against a stiff ventricle, often due to hypertension.
, NUR 6001 Advanced Health Assessment – Exam 2
3. A murmur best heard at the apex radiating to the axilla suggests:
A. Aortic stenosis
B. Mitral regurgitation
C. Tricuspid stenosis
D. Pulmonic stenosis
Answer: B. Mitral regurgitation
Rationale: MR classically radiates toward the left axilla.
4. The opening snap followed by a diastolic rumble is characteristic of:
A. Aortic stenosis
B. Mitral stenosis
C. Mitral valve prolapse
D. Tricuspid regurgitation
Answer: B. Mitral stenosis
Rationale: Mitral stenosis produces an opening snap and low-pitched diastolic rumble.
5. A carotid bruit is best described as:
A. Venous hum
B. Turbulent arterial flow
C. Pericardial rub
D. Gallop rhythm
Answer: B. Turbulent arterial flow
Rationale: A bruit indicates arterial narrowing causing turbulent blood flow.
6. Pulsus paradoxus is commonly associated with:
A. Aortic regurgitation
B. Cardiac tamponade
C. Mitral stenosis
D. Hypertension
Answer: B. Cardiac tamponade
Rationale: Excessive inspiratory drop in systolic BP occurs in tamponade.
, NUR 6001 Advanced Health Assessment – Exam 2
7. Which finding suggests infective endocarditis?
A. Janeway lesions
B. Tophi
C. Heberden nodes
D. Xanthelasma
Answer: A. Janeway lesions
Rationale: Janeway lesions are painless hemorrhagic lesions associated with endocarditis.
8. An S3 sound in an older adult usually indicates:
A. Normal aging
B. Heart failure
C. Mitral stenosis
D. Pericarditis
Answer: B. Heart failure
Rationale: S3 after age 40 is often pathologic and linked to volume overload.
9. Which maneuver increases hypertrophic cardiomyopathy murmur intensity?
A. Squatting
B. Handgrip
C. Valsalva
D. Leg elevation
Answer: C. Valsalva
Rationale: Decreased preload intensifies HCM murmur.
10. Chest pain relieved by leaning forward suggests:
A. MI
B. GERD
C. Pericarditis
D. Angina
Answer: C. Pericarditis
Rationale: Positional pain relief is classic for pericarditis.
2026 NUR 6001 Advanced Health
Assessment Practice Exam 2 100 Expert
Solved Questions and Answers with
Rationales
Focuses on cardiovascular, respiratory, vascular, and abdominal assessment findings, including
differential diagnosis and interpretation of abnormal findings.
Cardiovascular Assessment
1. A patient with left-sided heart failure is most likely to present with:
A. Hepatomegaly
B. Peripheral edema
C. Bibasilar crackles
D. Ascites
Answer: C. Bibasilar crackles
Rationale: Left-sided HF causes pulmonary congestion leading to crackles, dyspnea, and
orthopnea.
2. Which heart sound is associated with decreased ventricular compliance?
A. S1
B. S2
C. S3
D. S4
Answer: D. S4
Rationale: S4 occurs when the atria contract against a stiff ventricle, often due to hypertension.
, NUR 6001 Advanced Health Assessment – Exam 2
3. A murmur best heard at the apex radiating to the axilla suggests:
A. Aortic stenosis
B. Mitral regurgitation
C. Tricuspid stenosis
D. Pulmonic stenosis
Answer: B. Mitral regurgitation
Rationale: MR classically radiates toward the left axilla.
4. The opening snap followed by a diastolic rumble is characteristic of:
A. Aortic stenosis
B. Mitral stenosis
C. Mitral valve prolapse
D. Tricuspid regurgitation
Answer: B. Mitral stenosis
Rationale: Mitral stenosis produces an opening snap and low-pitched diastolic rumble.
5. A carotid bruit is best described as:
A. Venous hum
B. Turbulent arterial flow
C. Pericardial rub
D. Gallop rhythm
Answer: B. Turbulent arterial flow
Rationale: A bruit indicates arterial narrowing causing turbulent blood flow.
6. Pulsus paradoxus is commonly associated with:
A. Aortic regurgitation
B. Cardiac tamponade
C. Mitral stenosis
D. Hypertension
Answer: B. Cardiac tamponade
Rationale: Excessive inspiratory drop in systolic BP occurs in tamponade.
, NUR 6001 Advanced Health Assessment – Exam 2
7. Which finding suggests infective endocarditis?
A. Janeway lesions
B. Tophi
C. Heberden nodes
D. Xanthelasma
Answer: A. Janeway lesions
Rationale: Janeway lesions are painless hemorrhagic lesions associated with endocarditis.
8. An S3 sound in an older adult usually indicates:
A. Normal aging
B. Heart failure
C. Mitral stenosis
D. Pericarditis
Answer: B. Heart failure
Rationale: S3 after age 40 is often pathologic and linked to volume overload.
9. Which maneuver increases hypertrophic cardiomyopathy murmur intensity?
A. Squatting
B. Handgrip
C. Valsalva
D. Leg elevation
Answer: C. Valsalva
Rationale: Decreased preload intensifies HCM murmur.
10. Chest pain relieved by leaning forward suggests:
A. MI
B. GERD
C. Pericarditis
D. Angina
Answer: C. Pericarditis
Rationale: Positional pain relief is classic for pericarditis.
