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NUR 614 Assessment Practice Exam 120 Questions 2026 – Health Assessment, Cardiac, Neurological

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This document contains approximately 120 exam-style questions with verified answers for NUR 614 Assessment and Diagnostic Reasoning practice exam . It provides comprehensive coverage of advanced health assessment concepts, including subjective and objective data collection, patient history (HPI, ROS), and clinical reasoning across multiple body systems. The material is presented in a structured question-and-answer format, making it highly effective for exam preparation, OSCE practice, and active recall. As shown in the early sections (pages 1–6), it emphasizes key assessment principles such as OLDCARTS for symptom analysis, proper social history collection (including adolescent considerations like school history), and best practices for physical examination techniques (e.g., avoiding auscultation through clothing). It also integrates pediatric, adult, and geriatric assessment variations, ensuring a broad clinical understanding. In addition, the document provides in-depth system-based assessment content, including cardiovascular findings (PMI location, murmurs, EKG interpretation), respiratory conditions (ACE inhibitor-induced cough, pneumonia findings), gastrointestinal assessment techniques, and musculoskeletal evaluation (Lachman, Valgus stress tests) (pages 8–13). It further expands into neurological assessment (cranial nerve testing, reflexes), breast and lymphatic evaluation, dermatological findings, and infectious diseases such as pertussis and measles (pages 14–21). Later sections (pages 22–27) highlight nutrition assessment, aging considerations (e.g., sarcopenia), lymphatic system function, and screening tools like PHQ-9, reinforcing clinical decision-making and patient-centered care. 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 comprehensive exams, OSCEs, or board-style assessments. It may also support healthcare students seeking to strengthen multi-system assessment skills and clinical reasoning across lifespan populations. 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 in clinical practice. Keywords: advanced health assessment, NUR 614 practice questions, diagnostic reasoning nursing, OLDCARTS assessment, patient history nursing, cardiac assessment PMI, EKG interpretation nursing, neurological assessment cranial nerves, musculoskeletal tests nursing, gastrointestinal assessment, respiratory assessment nursing, lymphatic system nursing, PHQ 9 screening, sarcopenia aging

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NUR614 (Assessment) Practice
Questions 2026 Exam All
Answers and Illustrations Given



You are collecting subjective information on a 13-year-old female for their

well visit. Which piece of information would you need to include in the

social history for this patient in addition to the typical social history

information?

A. Drug/alcohol use

B. School history

,C. Exercise habits


D. Household living situation - 🧠 ANSWER ✔✔B. School history


Your patient presents to the office with a chief complaint of shoulder pain

that he reports as stabbing. In using the mnemonic OLDCARTS, this is

noted as:

A. location.

B. character.

C. onset.


D. duration. - 🧠 ANSWER ✔✔B. character.


Which technique will most likely facilitate the examination of a small

frightened girl?

A. Tell the child a story in order to distract her.

B. tell the child you will give her a toy or treat if she does not cry.

C. Promise the child you won't hurt her.

D. Use restraints to hold the child but tell her you are playing a game with

her. - 🧠 ANSWER ✔✔A. Tell the child a story in order to distract her.

, A 59-year-old male presents to your clinic for an episodic visit with a chief

complaint of knee pain. Which body system would you NOT have to include

in your ROS?

A. Cardiovascular

B. Musculoskeletal

C. General/Constitutional


D. HEENT - 🧠 ANSWER ✔✔D. HEENT


Which of the following techniques is not best practice and affects the

accuracy of auscultation?

A. Isolating one sound at a time during auscultation

B. Auscultating through clothing

C. Placing the stethoscope firmly on the surface to be auscultated


D. Listening for sound characteristics - 🧠 ANSWER ✔✔B. Auscultating

through clothing

When performing a Weber test, which of the following is considered a

normal finding? The patient

A. hears the tone better in one ear than in the other.


3
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