NUR 634 MIDTERM EXAM (GCU) NEWEST 2027 ACTUAL
EXAM TEST BANK| NUR 634 ADVANCED PHYSICAL
ASSESSMENT MIDTERM EXAM REVIEW WITH COMPLETE 300
REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ (MOST
RECENT!!)
Question 1
A 45-year-old male presents for an annual physical. He has no
complaints. Which of the following represents the BEST approach
to the comprehensive health history?
A) Focus only on the chief complaint
B) Complete a full history including chief complaint, HPI, PMH, FH,
SH, ROS, and medications
C) Ask only about current symptoms
D) Skip the history and proceed directly to the physical exam
Answer: B
Rationale: A comprehensive health history includes chief complaint
(if any), history of present illness (HPI), past medical history
(PMH), family history (FH), social history (SH), review of systems
(ROS), and medication/allergy list. Even in an asymptomatic
1
,patient, this comprehensive approach detects risk factors and
subclinical disease.
Question 2
When performing advanced physical assessment, the NP uses the
"OLDCARTS" mnemonic to characterize a symptom. What does
"C" stand for?
A) Color
B) Character (quality)
C) Cause
D) Course
Answer: B
Rationale: OLDCARTS stands for Onset, Location, Duration,
Character (quality), Aggravating factors, Relieving factors,
Timing, and Severity. Character describes the quality of the
symptom (e.g., burning, sharp, dull, crushing, stabbing). This
mnemonic ensures a complete description of the HPI.
Question 3
A patient reports chest pressure that radiates to the left arm and
jaw, worse with exertion, relieved by rest. This description is
2
,MOST consistent with:
A) Musculoskeletal chest pain
B) Angina pectoris
C) GERD
D) Pericarditis
Answer: B
Rationale: Angina pectoris typically presents as substernal chest
pressure or heaviness that radiates to the left arm, jaw, or back,
precipitated by exertion or stress, and relieved by rest or
nitroglycerin. The character (pressure), radiation, and provoking
factors are classic for cardiac ischemia. Pericarditis pain is often
positional (worse lying flat, better leaning forward).
Question 4
The NP understands that the "review of systems" (ROS) is:
A) A physical examination of each body system
B) An inventory of potential symptoms organized by body system
that the patient may be experiencing or has experienced
C) A review of past medical records
D) A review of medications
3
, Answer: B
Rationale: The ROS is a systematic inventory of symptoms
(present or past) organized by body system (e.g., general,
HEENT, cardiovascular, respiratory, GI, GU, musculoskeletal,
neurological, psychiatric, endocrine, hematologic, allergic). It is
obtained through questioning, not physical examination.
Question 5
In a patient with a history of hypertension, which of the following
is a "review of systems" question specific to the cardiovascular
system?
A) Have you ever had a heart attack?
B) Do you experience chest pain or discomfort?
C) Do you take lisinopril?
D) Does your father have high blood pressure?
Answer: B
Rationale: ROS questions ask about symptoms, not past medical
history (A), medications (C), or family history (D). For the
cardiovascular system, ROS includes chest pain, palpitations,
dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea,
lower extremity edema, and claudication.
4
EXAM TEST BANK| NUR 634 ADVANCED PHYSICAL
ASSESSMENT MIDTERM EXAM REVIEW WITH COMPLETE 300
REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ (MOST
RECENT!!)
Question 1
A 45-year-old male presents for an annual physical. He has no
complaints. Which of the following represents the BEST approach
to the comprehensive health history?
A) Focus only on the chief complaint
B) Complete a full history including chief complaint, HPI, PMH, FH,
SH, ROS, and medications
C) Ask only about current symptoms
D) Skip the history and proceed directly to the physical exam
Answer: B
Rationale: A comprehensive health history includes chief complaint
(if any), history of present illness (HPI), past medical history
(PMH), family history (FH), social history (SH), review of systems
(ROS), and medication/allergy list. Even in an asymptomatic
1
,patient, this comprehensive approach detects risk factors and
subclinical disease.
Question 2
When performing advanced physical assessment, the NP uses the
"OLDCARTS" mnemonic to characterize a symptom. What does
"C" stand for?
A) Color
B) Character (quality)
C) Cause
D) Course
Answer: B
Rationale: OLDCARTS stands for Onset, Location, Duration,
Character (quality), Aggravating factors, Relieving factors,
Timing, and Severity. Character describes the quality of the
symptom (e.g., burning, sharp, dull, crushing, stabbing). This
mnemonic ensures a complete description of the HPI.
Question 3
A patient reports chest pressure that radiates to the left arm and
jaw, worse with exertion, relieved by rest. This description is
2
,MOST consistent with:
A) Musculoskeletal chest pain
B) Angina pectoris
C) GERD
D) Pericarditis
Answer: B
Rationale: Angina pectoris typically presents as substernal chest
pressure or heaviness that radiates to the left arm, jaw, or back,
precipitated by exertion or stress, and relieved by rest or
nitroglycerin. The character (pressure), radiation, and provoking
factors are classic for cardiac ischemia. Pericarditis pain is often
positional (worse lying flat, better leaning forward).
Question 4
The NP understands that the "review of systems" (ROS) is:
A) A physical examination of each body system
B) An inventory of potential symptoms organized by body system
that the patient may be experiencing or has experienced
C) A review of past medical records
D) A review of medications
3
, Answer: B
Rationale: The ROS is a systematic inventory of symptoms
(present or past) organized by body system (e.g., general,
HEENT, cardiovascular, respiratory, GI, GU, musculoskeletal,
neurological, psychiatric, endocrine, hematologic, allergic). It is
obtained through questioning, not physical examination.
Question 5
In a patient with a history of hypertension, which of the following
is a "review of systems" question specific to the cardiovascular
system?
A) Have you ever had a heart attack?
B) Do you experience chest pain or discomfort?
C) Do you take lisinopril?
D) Does your father have high blood pressure?
Answer: B
Rationale: ROS questions ask about symptoms, not past medical
history (A), medications (C), or family history (D). For the
cardiovascular system, ROS includes chest pain, palpitations,
dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea,
lower extremity edema, and claudication.
4
