,NUR 631 –ADVANCED HEALTH ASSESSMENT TEST 1
2025/2026/120 ACTUAL QUESTIONS WITH CORRECT
VERIFIED ANSWERS|LATEST UPDATE SPRING 2025/
GRADED A+: D’YOUVILLE UNIVERSITY | 229
Updated Questions and Answers
TRUSTED SOURCE AND VERIFIED, GRADED A+
Western Governors University - College of Health Professions
, Page 2
1. A nurse is reviewing a patient's lab results showing elevated potassium levels. Which of the
following interventions should be prioritized?
A. Administer sodium polystyrene sulfonate as prescribed
B. Encourage oral potassium intake
C. Monitor vital signs every hour
D. Document findings and notify the physician in 24 hours
ANSWER ~A
2. During a head-to-toe assessment, the nurse notes bilateral pitting edema in a patient. What is the
most appropriate initial nursing action?
A. Document the findings in the medical record
B. Elevate the patient's legs and feet
C. Assess the patient's nutritional status
D. Measure the patient's blood pressure
ANSWER ~B
3. A patient presents with chest pain and is diagnosed with angina. Which assessment finding would
indicate worsening ischemia?
A. Stable vital signs with slight tachycardia
B. Increased frequency of anginal episodes
C. Pain relieved by nitroglycerin
D. Mild shortness of breath during exertion
ANSWER ~B
4. A nurse is preparing to teach a patient about self-administration of insulin. Which of the
following should be addressed first?
A. The importance of rotating injection sites
B. How to store insulin properly
C. Signs and symptoms of hypoglycemia
D. The technique for drawing up insulin
ANSWER ~C
, Page 3
5. During a focused cardiovascular assessment, the nurse detects a murmur. What is the most
appropriate nursing response?
A. Document the findings and monitor for changes
B. Notify the healthcare provider immediately
C. Perform a thorough respiratory assessment
D. Assess for peripheral pulses
ANSWER ~A
6. A nurse assesses a patient with COPD. Which finding would indicate early respiratory distress?
A. Increased use of accessory muscles
B. Cyanosis of the lips
C. Increased respiratory rate
D. Diminished breath sounds
ANSWER ~C
7. In preparing a patient for discharge after a total hip replacement, which instruction is most
critical for the nurse to provide?
A. Avoid using a walker for the first week
B. Incorporate deep breathing exercises into daily routine
C. Keep the incision dry until follow-up appointment
D. Avoid crossing the legs when sitting
ANSWER ~D
8. A nurse is assessing a patient with diabetes mellitus and notices a non-healing ulcer on the foot.
Which assessment finding would be most concerning?
A. Capillary refill of less than three seconds
B. A faint pulse in the dorsalis pedis artery
C. Presence of purulent drainage from the ulcer
D. Skin temperature warmer than the opposite foot
ANSWER ~C
2025/2026/120 ACTUAL QUESTIONS WITH CORRECT
VERIFIED ANSWERS|LATEST UPDATE SPRING 2025/
GRADED A+: D’YOUVILLE UNIVERSITY | 229
Updated Questions and Answers
TRUSTED SOURCE AND VERIFIED, GRADED A+
Western Governors University - College of Health Professions
, Page 2
1. A nurse is reviewing a patient's lab results showing elevated potassium levels. Which of the
following interventions should be prioritized?
A. Administer sodium polystyrene sulfonate as prescribed
B. Encourage oral potassium intake
C. Monitor vital signs every hour
D. Document findings and notify the physician in 24 hours
ANSWER ~A
2. During a head-to-toe assessment, the nurse notes bilateral pitting edema in a patient. What is the
most appropriate initial nursing action?
A. Document the findings in the medical record
B. Elevate the patient's legs and feet
C. Assess the patient's nutritional status
D. Measure the patient's blood pressure
ANSWER ~B
3. A patient presents with chest pain and is diagnosed with angina. Which assessment finding would
indicate worsening ischemia?
A. Stable vital signs with slight tachycardia
B. Increased frequency of anginal episodes
C. Pain relieved by nitroglycerin
D. Mild shortness of breath during exertion
ANSWER ~B
4. A nurse is preparing to teach a patient about self-administration of insulin. Which of the
following should be addressed first?
A. The importance of rotating injection sites
B. How to store insulin properly
C. Signs and symptoms of hypoglycemia
D. The technique for drawing up insulin
ANSWER ~C
, Page 3
5. During a focused cardiovascular assessment, the nurse detects a murmur. What is the most
appropriate nursing response?
A. Document the findings and monitor for changes
B. Notify the healthcare provider immediately
C. Perform a thorough respiratory assessment
D. Assess for peripheral pulses
ANSWER ~A
6. A nurse assesses a patient with COPD. Which finding would indicate early respiratory distress?
A. Increased use of accessory muscles
B. Cyanosis of the lips
C. Increased respiratory rate
D. Diminished breath sounds
ANSWER ~C
7. In preparing a patient for discharge after a total hip replacement, which instruction is most
critical for the nurse to provide?
A. Avoid using a walker for the first week
B. Incorporate deep breathing exercises into daily routine
C. Keep the incision dry until follow-up appointment
D. Avoid crossing the legs when sitting
ANSWER ~D
8. A nurse is assessing a patient with diabetes mellitus and notices a non-healing ulcer on the foot.
Which assessment finding would be most concerning?
A. Capillary refill of less than three seconds
B. A faint pulse in the dorsalis pedis artery
C. Presence of purulent drainage from the ulcer
D. Skin temperature warmer than the opposite foot
ANSWER ~C
