NUR 504 Final Exam –2025-2026 Complete Advanced Nursing
Study Guide with Detailed Notes, Key Concepts, and Practice
Questions for Exam Success with Correct Answers||Latest
Version!!!
1. A patient comes to the clinic complaining of repeated headaches
and lightheadedness. As the provider takes a health history, he or she
should:
a. perform a comprehensive ROS.
b. skip the social history in order to focus on the current issue.
c. focus her interest and questions on the patient's neurologic system.
d. spend a good deal of time assessing the reliability of the
information she is getting. - Answer-c. focus her interest and
questions on the patient's neurologic system.
1. What are the two main general considerations of physical
examinations listed in the text?
a. Preparation and sequence
b. Medical and financial
c. Patient interaction and scope
d. Inspection and palpation - Answer-c. Patient interaction and scope
1. The physician has begun her first physical examination on a new
patient who has come to the clinic for a well-patient visit. Which of
the following is true?
a. The first thing the physician will do as part of the physical
examination is perform the history.
b. This will likely be a head-to-toe examination.
c. As a first exam, this will likely be brief and focused.
d. The patient, on his first visit, will likely be disoriented and unaware
of the physician's tone and expressions. - Answer-b. This will likely
be a head-to-toe examination.
pg. 1
,1. The physician records a sound as "tympanic." The physician has
just performed which assessment technique?
a. Palpation
b. Auscultation
c. Percussion
d. Compression - Answer-c. Percussion
1. A physician is listening to a patient's heart, but something has
negatively impacted the sound. Which of the following has most
likely caused this?
a. Indirect rather than direct percussion
b. A double-lumen stethoscope
c. Lack of palpation
d. Loose-fitting ear tips - Answer-d. Loose-fitting ear tips
1. Which of the following is included on the list of basic equipment
needed for a physical examination?
a. Syringe
b. Measuring tape
c. Occult blood testing materials
d. Culture media - Answer-b. Measuring tape
Which of the following is an example of subjective data that may be
collected during a health assessment?
a. Height and weight
b. A patient's recall of his or her past health conditions
c. Results from an abdominal CT scan
d. Complete blood count - Answer-b. A patient's recall of his or her
past health conditions
pg. 2
,1. Which of the following is true regarding the data taken in a health
history?
a. Most health history data are objective and measurable.
b. Objective data are error-free, quantifiable data.
c. Subjective data, being inherently less accurate, are of less value
than objective data.
d. A successful individualized plan of care must incorporate
subjective data. - Answer-d. A successful individualized plan of care
must incorporate subjective data.
1. What do Coulehan and Block define as "listening to the total
communication . . . and letting the patient know that you are really
hearing"?
a. Cultural competence
b. Patience
c. Empathy
d. Top-tier communication - Answer-c. Empathy
1. The provider is preparing to take a health history for a new patient.
He takes the patient to a private room and asks the patient to don a
hospital gown. After stepping outside to give the patient sufficient
time to change, he then comes back in and asks permission to conduct
the history. He sits next to the patient at eye level, discreetly observes
the patient for any sensory deficits, and asks the patient if he may take
brief notes of the conversation. During the conversation, he gives the
patient time to answer questions fully. He makes sure that his
questions do not contain technical terms and quietly observes the
patient's nonverbal behaviors throughout. Which mistake did the
provider make?
a. He should have allowed the patient to remain fully clothed in their
own clothing for their comfort.
pg. 3
, b. He should not have omitted technical terminology. Patients like
having a chance to learn.
c. He should have seated - Answer-a. He should have allowed the
patient to remain fully clothed in their own clothing for their comfort.
1. Which of the following is true of both comprehensive and focused
health histories?
a. They both include identifying data.
b. They both include a social history.
c. They both include a family history.
d. They are both conducted in emergency situations. - Answer-a. They
both include identifying data.
1. In the mnemonic devise PQRST, which of the following includes
describing the location of the symptoms?
a. Precipitating factors
b. Quality
c. Radiation
d. Severity - Answer-b. Quality
1. What is the current mnemonic device for taking a health history?
a. PQRST
b. CLIENT OUTCOMES
c. PRACTICE
d. GOOD MEDICINE - Answer-b. CLIENT OUTCOMES
1. When taking a PMI, which of the following is correct?
a. Do not take the statement "I'm allergic to. . . " at face value.
b. Ask the patient for a very brief summary of their current health.
c. If a patient states that they have been vaccinated with BCG, make
sure to administer a PPD test.
pg. 4
Study Guide with Detailed Notes, Key Concepts, and Practice
Questions for Exam Success with Correct Answers||Latest
Version!!!
1. A patient comes to the clinic complaining of repeated headaches
and lightheadedness. As the provider takes a health history, he or she
should:
a. perform a comprehensive ROS.
b. skip the social history in order to focus on the current issue.
c. focus her interest and questions on the patient's neurologic system.
d. spend a good deal of time assessing the reliability of the
information she is getting. - Answer-c. focus her interest and
questions on the patient's neurologic system.
1. What are the two main general considerations of physical
examinations listed in the text?
a. Preparation and sequence
b. Medical and financial
c. Patient interaction and scope
d. Inspection and palpation - Answer-c. Patient interaction and scope
1. The physician has begun her first physical examination on a new
patient who has come to the clinic for a well-patient visit. Which of
the following is true?
a. The first thing the physician will do as part of the physical
examination is perform the history.
b. This will likely be a head-to-toe examination.
c. As a first exam, this will likely be brief and focused.
d. The patient, on his first visit, will likely be disoriented and unaware
of the physician's tone and expressions. - Answer-b. This will likely
be a head-to-toe examination.
pg. 1
,1. The physician records a sound as "tympanic." The physician has
just performed which assessment technique?
a. Palpation
b. Auscultation
c. Percussion
d. Compression - Answer-c. Percussion
1. A physician is listening to a patient's heart, but something has
negatively impacted the sound. Which of the following has most
likely caused this?
a. Indirect rather than direct percussion
b. A double-lumen stethoscope
c. Lack of palpation
d. Loose-fitting ear tips - Answer-d. Loose-fitting ear tips
1. Which of the following is included on the list of basic equipment
needed for a physical examination?
a. Syringe
b. Measuring tape
c. Occult blood testing materials
d. Culture media - Answer-b. Measuring tape
Which of the following is an example of subjective data that may be
collected during a health assessment?
a. Height and weight
b. A patient's recall of his or her past health conditions
c. Results from an abdominal CT scan
d. Complete blood count - Answer-b. A patient's recall of his or her
past health conditions
pg. 2
,1. Which of the following is true regarding the data taken in a health
history?
a. Most health history data are objective and measurable.
b. Objective data are error-free, quantifiable data.
c. Subjective data, being inherently less accurate, are of less value
than objective data.
d. A successful individualized plan of care must incorporate
subjective data. - Answer-d. A successful individualized plan of care
must incorporate subjective data.
1. What do Coulehan and Block define as "listening to the total
communication . . . and letting the patient know that you are really
hearing"?
a. Cultural competence
b. Patience
c. Empathy
d. Top-tier communication - Answer-c. Empathy
1. The provider is preparing to take a health history for a new patient.
He takes the patient to a private room and asks the patient to don a
hospital gown. After stepping outside to give the patient sufficient
time to change, he then comes back in and asks permission to conduct
the history. He sits next to the patient at eye level, discreetly observes
the patient for any sensory deficits, and asks the patient if he may take
brief notes of the conversation. During the conversation, he gives the
patient time to answer questions fully. He makes sure that his
questions do not contain technical terms and quietly observes the
patient's nonverbal behaviors throughout. Which mistake did the
provider make?
a. He should have allowed the patient to remain fully clothed in their
own clothing for their comfort.
pg. 3
, b. He should not have omitted technical terminology. Patients like
having a chance to learn.
c. He should have seated - Answer-a. He should have allowed the
patient to remain fully clothed in their own clothing for their comfort.
1. Which of the following is true of both comprehensive and focused
health histories?
a. They both include identifying data.
b. They both include a social history.
c. They both include a family history.
d. They are both conducted in emergency situations. - Answer-a. They
both include identifying data.
1. In the mnemonic devise PQRST, which of the following includes
describing the location of the symptoms?
a. Precipitating factors
b. Quality
c. Radiation
d. Severity - Answer-b. Quality
1. What is the current mnemonic device for taking a health history?
a. PQRST
b. CLIENT OUTCOMES
c. PRACTICE
d. GOOD MEDICINE - Answer-b. CLIENT OUTCOMES
1. When taking a PMI, which of the following is correct?
a. Do not take the statement "I'm allergic to. . . " at face value.
b. Ask the patient for a very brief summary of their current health.
c. If a patient states that they have been vaccinated with BCG, make
sure to administer a PPD test.
pg. 4
