NR.210.601 Advanced Health Assessment &
Measurement
Comprehensive Final Exam (Qns & Ans)
2025
MULTIPLE CHOICE (MCQ)
1. A 56-year-old male presents with a new onset headache and
visual disturbances. Which advanced neurological assessment tool
would provide the most objective measurement of his intracranial
status?
A. Glasgow Coma Scale
B. Mini-Mental State Examination
C. Intracranial Pressure Monitoring
D. Modified Rankin Scale
©2025
,ANS: C
Rationale: Intracranial Pressure Monitoring objectively measures
pressure, providing critical data on intracranial status.
2. When performing an advanced cardiovascular assessment,
which heart sound is most associated with left ventricular failure?
A. S1
B. S2
C. S3
D. S4
ANS: C
Rationale: An S3 ("ventricular gallop") is associated with left
ventricular failure due to increased volume filling the ventricle.
3. Which pulmonary function test parameter best reflects the
patency of small airways in a patient with suspected early-stage
COPD?
A. Forced Vital Capacity (FVC)
B. Peak Expiratory Flow Rate (PEFR)
C. Forced Expiratory Volume in 1 second (FEV1)
D. Forced Expiratory Flow 25-75% (FEF25-75%)
©2025
,ANS: D
Rationale: FEF25-75% is sensitive for detecting changes in small
airways.
4. An elderly patient presents with acute abdomen. Which
advanced technique best differentiates between localized and
generalized peritonitis?
A. Rebound tenderness
B. Guarding
C. Percussion for shifting dullness
D. Blumberg’s sign
ANS: D
Rationale: Blumberg’s sign (rebound tenderness) strongly
suggests peritonitis, especially generalized.
5. Which assessment tool is most effective in diagnosing delirium
in critically ill non-verbal patients?
A. Mini-Cog Test
B. Confusion Assessment Method for the ICU (CAM-ICU)
C. Geriatric Depression Scale
©2025
, D. Glasgow Coma Scale
ANS: B
Rationale: CAM-ICU is validated for non-verbal, critically ill
patients to assess delirium.
6. What is the gold standard for measuring central venous
pressure (CVP)?
A. Manual blood pressure cuff
B. Pulmonary artery catheter
C. Jugular venous distension estimation
D. Ultrasound of the internal jugular
ANS: B
Rationale: Pulmonary artery catheter directly and accurately
measures CVP.
7. A patient has a pulse oximeter reading of 90% but a normal
arterial blood gas (ABG). Which factor may falsely lower the
oximeter reading?
A. Polycythemia
B. Cold extremities
©2025
Measurement
Comprehensive Final Exam (Qns & Ans)
2025
MULTIPLE CHOICE (MCQ)
1. A 56-year-old male presents with a new onset headache and
visual disturbances. Which advanced neurological assessment tool
would provide the most objective measurement of his intracranial
status?
A. Glasgow Coma Scale
B. Mini-Mental State Examination
C. Intracranial Pressure Monitoring
D. Modified Rankin Scale
©2025
,ANS: C
Rationale: Intracranial Pressure Monitoring objectively measures
pressure, providing critical data on intracranial status.
2. When performing an advanced cardiovascular assessment,
which heart sound is most associated with left ventricular failure?
A. S1
B. S2
C. S3
D. S4
ANS: C
Rationale: An S3 ("ventricular gallop") is associated with left
ventricular failure due to increased volume filling the ventricle.
3. Which pulmonary function test parameter best reflects the
patency of small airways in a patient with suspected early-stage
COPD?
A. Forced Vital Capacity (FVC)
B. Peak Expiratory Flow Rate (PEFR)
C. Forced Expiratory Volume in 1 second (FEV1)
D. Forced Expiratory Flow 25-75% (FEF25-75%)
©2025
,ANS: D
Rationale: FEF25-75% is sensitive for detecting changes in small
airways.
4. An elderly patient presents with acute abdomen. Which
advanced technique best differentiates between localized and
generalized peritonitis?
A. Rebound tenderness
B. Guarding
C. Percussion for shifting dullness
D. Blumberg’s sign
ANS: D
Rationale: Blumberg’s sign (rebound tenderness) strongly
suggests peritonitis, especially generalized.
5. Which assessment tool is most effective in diagnosing delirium
in critically ill non-verbal patients?
A. Mini-Cog Test
B. Confusion Assessment Method for the ICU (CAM-ICU)
C. Geriatric Depression Scale
©2025
, D. Glasgow Coma Scale
ANS: B
Rationale: CAM-ICU is validated for non-verbal, critically ill
patients to assess delirium.
6. What is the gold standard for measuring central venous
pressure (CVP)?
A. Manual blood pressure cuff
B. Pulmonary artery catheter
C. Jugular venous distension estimation
D. Ultrasound of the internal jugular
ANS: B
Rationale: Pulmonary artery catheter directly and accurately
measures CVP.
7. A patient has a pulse oximeter reading of 90% but a normal
arterial blood gas (ABG). Which factor may falsely lower the
oximeter reading?
A. Polycythemia
B. Cold extremities
©2025
