D’YOUVILLE COLLEGE NUR 631 ADVANCED HEALTH
ASSESSMENT EXAM 1 | COMPLETE QUESTIONS &
ANSWERS | 100% ANSWERED | UPDATED 2026.
Core Domains
Health History and Interviewing Techniques
Subjective vs. Objective Data and Documentation
Review of Systems (ROS) and Symptom Analysis (OLD
CARTS)
General Survey and Vital Signs
Skin, Hair, and Nails Assessment
Head, Eyes, Ears, Nose, and Throat (HEENT) Assessment
Cardiovascular and Peripheral Vascular Assessment
Respiratory and Thoracic Assessment
Abdominal and Gastrointestinal Assessment
Neurological and Musculoskeletal Assessment
Introduction
This comprehensive examination is designed to evaluate the
advanced practice nurse's proficiency in health assessment. It
assesses skills in obtaining comprehensive health histories,
performing systematic physical examinations, and applying
clinical reasoning to identify normal and abnormal findings.
,The exam utilizes multiple-choice and scenario-based
questions to simulate real-world clinical encounters. Emphasis
is placed on evidence-based practice, patient-centered
communication, and the integration of cultural and lifespan
considerations into advanced assessment.
Section One: Questions 1-100
For which of the following patients would a comprehensive
health history be most appropriate?
A. A new patient with the chief complaint of "I sprained my
ankle"
B. An established patient with the chief complaint of "I have
an upper respiratory infection"
C. A new patient with the chief complaint of "I am here to
establish care"
D. A new patient with the chief complaint of "I cut my hand"
🟢 Correct answer C. A new patient with the chief complaint
of "I am here to establish care"
🔴 RATIONALE: A comprehensive health history is
appropriate for new patients establishing care with a
provider, regardless of their specific chief complaint. This
allows the provider to gather baseline information, identify
risk factors, and develop a complete understanding of the
,patient's health status. Patients with focused complaints
typically require a more focused or episodic history.
The components of the health history include all of the
following EXCEPT which one?
A. Review of systems
B. Thorax and lungs
C. Present illness
D. Personal and social items
🟢 Correct answer B. Thorax and lungs
🔴 RATIONALE: The thorax and lungs are part of the
physical examination, not the health history interview. The
health history includes: Chief Complaint, History of Present
Illness (HPI), Past Medical History (PMH), Family History (FH),
Social History (SH), and Review of Systems (ROS).
Is the following information subjective or objective? Mr. M.
has shortness of breath that has persisted for the past 10
days; it is worse with activity and relieved by rest.
A. Subjective
B. Objective
🟢 Correct answer A. Subjective
, 🔴 RATIONALE: This information is given by the patient and
represents symptoms, feelings, and perceptions reported by
the patient. Shortness of breath is a symptom, not a sign.
Is the following information subjective or objective? Mr. M.
has a respiratory rate of 32 and a pulse rate of 120.
A. Subjective
B. Objective
🟢 Correct answer B. Objective
🔴 RATIONALE: This information is obtained by the
examiner (measured vital signs). Objective data are
measurable, observable, and verifiable.
The following information is recorded in the health history:
"The patient has had abdominal pain for 1 week. The pain
lasts for 30 minutes at a time; it comes and goes. The
severity is 7 to 9 on a scale of 1 to 10. It is accompanied by
nausea and vomiting. It is located in the mid-epigastric
area." Which of these categories does it belong to?
A. Chief complaint
B. Present illness
C. Personal and social history
D. Review of systems
ASSESSMENT EXAM 1 | COMPLETE QUESTIONS &
ANSWERS | 100% ANSWERED | UPDATED 2026.
Core Domains
Health History and Interviewing Techniques
Subjective vs. Objective Data and Documentation
Review of Systems (ROS) and Symptom Analysis (OLD
CARTS)
General Survey and Vital Signs
Skin, Hair, and Nails Assessment
Head, Eyes, Ears, Nose, and Throat (HEENT) Assessment
Cardiovascular and Peripheral Vascular Assessment
Respiratory and Thoracic Assessment
Abdominal and Gastrointestinal Assessment
Neurological and Musculoskeletal Assessment
Introduction
This comprehensive examination is designed to evaluate the
advanced practice nurse's proficiency in health assessment. It
assesses skills in obtaining comprehensive health histories,
performing systematic physical examinations, and applying
clinical reasoning to identify normal and abnormal findings.
,The exam utilizes multiple-choice and scenario-based
questions to simulate real-world clinical encounters. Emphasis
is placed on evidence-based practice, patient-centered
communication, and the integration of cultural and lifespan
considerations into advanced assessment.
Section One: Questions 1-100
For which of the following patients would a comprehensive
health history be most appropriate?
A. A new patient with the chief complaint of "I sprained my
ankle"
B. An established patient with the chief complaint of "I have
an upper respiratory infection"
C. A new patient with the chief complaint of "I am here to
establish care"
D. A new patient with the chief complaint of "I cut my hand"
🟢 Correct answer C. A new patient with the chief complaint
of "I am here to establish care"
🔴 RATIONALE: A comprehensive health history is
appropriate for new patients establishing care with a
provider, regardless of their specific chief complaint. This
allows the provider to gather baseline information, identify
risk factors, and develop a complete understanding of the
,patient's health status. Patients with focused complaints
typically require a more focused or episodic history.
The components of the health history include all of the
following EXCEPT which one?
A. Review of systems
B. Thorax and lungs
C. Present illness
D. Personal and social items
🟢 Correct answer B. Thorax and lungs
🔴 RATIONALE: The thorax and lungs are part of the
physical examination, not the health history interview. The
health history includes: Chief Complaint, History of Present
Illness (HPI), Past Medical History (PMH), Family History (FH),
Social History (SH), and Review of Systems (ROS).
Is the following information subjective or objective? Mr. M.
has shortness of breath that has persisted for the past 10
days; it is worse with activity and relieved by rest.
A. Subjective
B. Objective
🟢 Correct answer A. Subjective
, 🔴 RATIONALE: This information is given by the patient and
represents symptoms, feelings, and perceptions reported by
the patient. Shortness of breath is a symptom, not a sign.
Is the following information subjective or objective? Mr. M.
has a respiratory rate of 32 and a pulse rate of 120.
A. Subjective
B. Objective
🟢 Correct answer B. Objective
🔴 RATIONALE: This information is obtained by the
examiner (measured vital signs). Objective data are
measurable, observable, and verifiable.
The following information is recorded in the health history:
"The patient has had abdominal pain for 1 week. The pain
lasts for 30 minutes at a time; it comes and goes. The
severity is 7 to 9 on a scale of 1 to 10. It is accompanied by
nausea and vomiting. It is located in the mid-epigastric
area." Which of these categories does it belong to?
A. Chief complaint
B. Present illness
C. Personal and social history
D. Review of systems
