Nur 643E Week 2 Quiz Review | Health Assessment Practice
Questions & Answers | Newest Actual Exam With Complete
Questions And Correct Answers With Detailed Rationales |
Already Graded A+| |Brand New Version!!
Question 1
A nurse practitioner is interviewing a patient who speaks limited English. Which action is most
appropriate?
A) Use a family member as an interpreter
B) Use a professional medical interpreter
C) Speak loudly and slowly in English
D) Use gestures to communicate
Answer
Answer: B
Rationale
Professional interpreters ensure accurate communication and confidentiality. Family members may
mistranslate or omit sensitive information.
Question 2
A patient reports chest pain. Which question is most important to ask first?
A) “Does the pain radiate to your back?”
B) “Can you describe the pain and when it started?”
C) “Have you taken any medications for it?”
D) “Does anyone in your family have heart disease?”
Answer
Answer: B
,Rationale
Begin with open-ended questions to characterize the pain (onset, quality, severity, location, duration)
before focused questions.
Question 3
The nurse practitioner is performing a physical exam and notes a patient’s blood pressure is
150/95 mmHg. What is the next best action?
A) Recheck immediately in the same arm
B) Recheck in the other arm after 1-2 minutes
C) Document and continue the exam
D) Refer to the emergency department
Answer
Answer: B
Rationale
Confirm elevated readings by repeating in the contralateral arm. A single elevated reading does not
diagnose hypertension.
Question 4
During auscultation of the lungs, the nurse practitioner hears high-pitched, musical sounds on
expiration. These are:
A) Crackles
B) Wheezes
C) Rhonchi
D) Pleural friction rub
Answer
Answer: B
2
,Rationale
Wheezes are continuous, high-pitched, musical sounds caused by narrowed airways, often on
expiration (asthma, COPD).
Question 5
A patient has a BMI of 32. Which classification is correct?
A) Normal weight
B) Overweight
C) Obese class I
D) Obese class II
Answer
Answer: C
Rationale
BMI 30-34.9 is obese class I; 25-29.9 overweight; 35-39.9 class II; ≥40 class III.
Question 6
The nurse practitioner is assessing a patient’s skin. Which finding is most concerning for
melanoma?
A) A symmetrical, uniformly pigmented macule
B) A lesion with irregular borders and color variation
C) A lesion that has been stable for years
D) A lesion <6 mm with regular borders
Answer
Answer: B
Rationale
3
, ABCDE criteria: Asymmetry, Border irregularity, Color variation, Diameter >6 mm, Evolving. Irregular
borders + color variation are concerning.
Question 7
During a cardiovascular exam, the nurse practitioner notes an S3 heart sound. This finding is
most commonly associated with:
A) Aortic stenosis
B) Heart failure
C) Pericarditis
D) Mitral stenosis
Answer
Answer: B
Rationale
S3 (ventricular gallop) is heard in early diastole and indicates volume overload, common in heart
failure.
Question 8
A patient presents with a sudden onset of severe, unilateral eye pain and redness. Which
condition should be suspected first?
A) Conjunctivitis
B) Acute angle-closure glaucoma
C) Corneal abrasion
D) Uveitis
Answer
Answer: B
Rationale
4
Questions & Answers | Newest Actual Exam With Complete
Questions And Correct Answers With Detailed Rationales |
Already Graded A+| |Brand New Version!!
Question 1
A nurse practitioner is interviewing a patient who speaks limited English. Which action is most
appropriate?
A) Use a family member as an interpreter
B) Use a professional medical interpreter
C) Speak loudly and slowly in English
D) Use gestures to communicate
Answer
Answer: B
Rationale
Professional interpreters ensure accurate communication and confidentiality. Family members may
mistranslate or omit sensitive information.
Question 2
A patient reports chest pain. Which question is most important to ask first?
A) “Does the pain radiate to your back?”
B) “Can you describe the pain and when it started?”
C) “Have you taken any medications for it?”
D) “Does anyone in your family have heart disease?”
Answer
Answer: B
,Rationale
Begin with open-ended questions to characterize the pain (onset, quality, severity, location, duration)
before focused questions.
Question 3
The nurse practitioner is performing a physical exam and notes a patient’s blood pressure is
150/95 mmHg. What is the next best action?
A) Recheck immediately in the same arm
B) Recheck in the other arm after 1-2 minutes
C) Document and continue the exam
D) Refer to the emergency department
Answer
Answer: B
Rationale
Confirm elevated readings by repeating in the contralateral arm. A single elevated reading does not
diagnose hypertension.
Question 4
During auscultation of the lungs, the nurse practitioner hears high-pitched, musical sounds on
expiration. These are:
A) Crackles
B) Wheezes
C) Rhonchi
D) Pleural friction rub
Answer
Answer: B
2
,Rationale
Wheezes are continuous, high-pitched, musical sounds caused by narrowed airways, often on
expiration (asthma, COPD).
Question 5
A patient has a BMI of 32. Which classification is correct?
A) Normal weight
B) Overweight
C) Obese class I
D) Obese class II
Answer
Answer: C
Rationale
BMI 30-34.9 is obese class I; 25-29.9 overweight; 35-39.9 class II; ≥40 class III.
Question 6
The nurse practitioner is assessing a patient’s skin. Which finding is most concerning for
melanoma?
A) A symmetrical, uniformly pigmented macule
B) A lesion with irregular borders and color variation
C) A lesion that has been stable for years
D) A lesion <6 mm with regular borders
Answer
Answer: B
Rationale
3
, ABCDE criteria: Asymmetry, Border irregularity, Color variation, Diameter >6 mm, Evolving. Irregular
borders + color variation are concerning.
Question 7
During a cardiovascular exam, the nurse practitioner notes an S3 heart sound. This finding is
most commonly associated with:
A) Aortic stenosis
B) Heart failure
C) Pericarditis
D) Mitral stenosis
Answer
Answer: B
Rationale
S3 (ventricular gallop) is heard in early diastole and indicates volume overload, common in heart
failure.
Question 8
A patient presents with a sudden onset of severe, unilateral eye pain and redness. Which
condition should be suspected first?
A) Conjunctivitis
B) Acute angle-closure glaucoma
C) Corneal abrasion
D) Uveitis
Answer
Answer: B
Rationale
4
