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NUR 614 Assessment & Diagnostic Reasoning Exam 2 120 Questions 2026 – Cardiac, GI, Musculoskeletal

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This document contains approximately 120 exam-style questions with verified answers and illustrations for NUR 614 Assessment and Diagnostic Reasoning Exam 2 . It provides comprehensive coverage of advanced physical assessment concepts, including cardiovascular, gastrointestinal, and musculoskeletal system evaluation. The material is presented in a structured question-and-answer format, making it highly effective for exam preparation, clinical application, and active recall. As demonstrated in the early sections (pages 1–7), it covers key cardiac assessment concepts such as PMI location, heart sounds (S1, S2, S3), murmurs (systolic vs. diastolic), EKG interpretation (P wave, QRS complex, ST/T wave), and normal versus abnormal findings. It also integrates risk factors for conditions like DVT and age-related cardiovascular changes. In addition, the document provides detailed gastrointestinal assessment content (pages 8–12), including abdominal examination techniques (inspection, auscultation, percussion, palpation), clinical signs (Murphy’s, McBurney’s, Cullen’s), and common conditions such as GERD, splenic rupture, and constipation. It emphasizes proper documentation in HPI versus ROS and clinical reasoning in identifying urgent conditions based on patient presentations. Later sections (pages 18–27) focus on musculoskeletal assessment and anatomy, including ligament and tendon injuries, orthopedic tests (Lachman, McMurray, Valgus/Varus stress tests), carpal tunnel evaluations (Tinel’s, Phalen’s), and bone physiology. It also covers joint types, skeletal structure, age-related changes, and injury assessment, providing a well-rounded review of physical exam skills and diagnostic reasoning. This resource is ideal for students enrolled in Advanced Health Assessment, Diagnostic Reasoning, Adult-Gerontology, and Nurse Practitioner programs. It is particularly beneficial for graduate nursing students, NP students, and advanced practice learners preparing for Exam 2, OSCEs, or board-style assessments. It may also support healthcare students seeking to strengthen clinical examination skills across multiple body systems. The content aligns closely with widely used textbooks such as Bates’ Guide to Physical Examination and History Taking and Seidel’s Guide to Physical Examination, which cover advanced assessment techniques, diagnostic reasoning, and system-based evaluation. Keywords: advanced health assessment, NUR 614 exam 2 questions, cardiac assessment nursing, PMI location, heart sounds nursing, EKG interpretation nursing, gastrointestinal assessment nursing, abdominal exam techniques, Murphy sign McBurney sign, musculoskeletal assessment nursing, ligament injury tests, Lachman test ACL, carpal tunnel tests, bone anatomy nursing

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NUR 614 Exam 2 Practice
Questions 2026 Exam All
Answers and Illustrations Given


Expected findings of the PMI in an adult is typically located in the following

area?

All of the above

Right sternal border MCL 5th ICS

Left sternal border MCL 7th ICS

,Left sternal border MCL 5th ICS. - 🧠 ANSWER ✔✔Left sternal border MCL

5th ICS.

All of the following are risk factors for DVT except?

Recent femur fracture

Sedentary lifestyle

HTN


History of hypercoagulable disorder - 🧠 ANSWER ✔✔HTN


In relation to the EKG tracing, which statement is correct?

P wave represents atrial repolarization

QRS complex represents ventricular conduction

ST segment & T wave represents ventricular repolarization


PR interval represents atrial depolarization - 🧠 ANSWER ✔✔ST segment &

T wave represents ventricular repolarization

All of them following are true regarding of venous hum, except?

Continuous

Louder during diastole

, Low pitched


Pathologic in children - 🧠 ANSWER ✔✔Pathologic in children


A murmur that is heard after S2 and ends before S1 is called what

Silent murmur

Diastolic murmur

Systolic murmur


Venous hum murmur - 🧠 ANSWER ✔✔Diastolic murmur


Which of the following patients would you be most concerned about for a

complaint of lower abdominal pain and flank pain

14 yo with vitals 108/64, HR 80, T: 101.3F, O2 100%, pain 6/10

45 yo with vitals: 140/88, HR 82, 97.6F, 100%, 4/10

72 yo female with vitals 136/84, 106 HR, 102.5, 99%, 2/10

86 yo female with vitals: 132/84, HR, 74, 98.4F, 98%, 7/10 - 🧠 ANSWER

✔✔72 yo female with vitals 136/84, 106 HR, 102.5, 99%, 2/10


To accurately test for celiac the patient must refrain from eating gluten for

at least 2 weeks



3
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