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NUR-631 ADVANCED HEALTH ASSESSMENT TEST
BANK EXAM LATEST 2026/2027 D'YOUVILLE
UNIVERSITY VERIFIED QUESTIONS AND DETAILED
ANSWERS | GRADED A+
OVERVIEW DESCRIPTION:
The NUR-631 Advanced Health Assessment Exam is a graduate-level nursing assessment
that evaluates clinical proficiency in history taking, physical examination, and diagnostic
reasoning across the lifespan. Divided into four modular exams, it covers comprehensive
health assessment fundamentals (including HEENT, skin, and general survey),
cardiovascular and pulmonary systems, neurological and musculoskeletal assessment with
abdominal examination, and genitourinary/women’s health with complex patient
scenarios. Using a multiple-choice format grounded in clinical vignettes, the exam
emphasizes differentiation of normal versus abnormal findings, recognition of pathologic
conditions, and evidence-based clinical reasoning skills essential for advanced nursing
practice.
Exam 1: Fundamentals, History, and HEENT/Skin
QUESTION 1
A 58-year-old patient reports intermittent substernal chest pressure when walking
uphill. Which component of the history of present illness (HPI) does this represent?
A) Review of systems
B) Past medical history
C) Chief complaint
D) Functional assessment
CORRECT ANSWER: C
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EXPERT RATIONALE: The chief complaint is the reason for the visit in the patient’s own
words; “chest pressure with exertion” is the primary problem. The HPI then expands on
location, quality, timing, etc.
QUESTION 2
Which finding is considered objective data?
A) “I feel dizzy when I stand up quickly.”
B) “The pain is a 6 out of 10.”
C) “My father had a heart attack at age 55.”
D) Blood pressure 142/92 mm Hg
CORRECT ANSWER: D
EXPERT RATIONALE: Objective data are measurable and observable by the examiner
(e.g., vital signs). Subjective data come solely from the patient’s report.
QUESTION 3
During the general survey, you note a patient with poor grooming, flat affect, and slow,
monotonous speech. This most likely suggests:
A) Hyperthyroidism
B) Depression
C) Mania
D) Delirium tremens
CORRECT ANSWER: B
EXPERT RATIONALE: Poor grooming, flat affect, and psychomotor slowing are classic
signs of major depressive disorder. Mania typically shows hyperactivity and rapid
speech.
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QUESTION 4
A newborn has a blue-gray macular area over the sacrum and buttocks. This finding is
most consistent with:
A) Petechiae
B) Hemangioma
C) Mongolian spot
D) Ecchymosis from birth trauma
CORRECT ANSWER: C
EXPERT RATIONALE: Mongolian spots are benign, congenital dermal melanocytosis
common in darker-skinned infants and fade without treatment. They are not bruises or
vascular lesions.
QUESTION 5
Which of the following best describes the “A” in the ABCDE rule for melanoma
screening?
A) Asymmetry of the lesion
B) Average diameter >6 mm
C) Absence of pigment
D) Associated bleeding
CORRECT ANSWER: A
EXPERT RATIONALE: The ABCDE mnemonic stands for Asymmetry, Border irregularity,
Color variation, Diameter >6 mm, and Evolution/changes. Asymmetry is the first feature.
QUESTION 6
On fundoscopic exam, you see sharp optic disc margins, a physiologic cup, and
arteriovenous nicking. What is the most likely diagnosis?
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A) Papilledema
B) Glaucoma
C) Hypertensive retinopathy
D) Optic atrophy
CORRECT ANSWER: C
EXPERT RATIONALE: Arteriovenous nicking is characteristic of chronic hypertension.
Papilledema shows blurred disc margins; glaucoma has increased cupping.
QUESTION 7
A patient reports using a “sick day” regimen for diabetes. This information belongs in
which section of the comprehensive health history?
A) Chief complaint
B) Past medical history
C) Medications and allergies
D) Social history
CORRECT ANSWER: B
EXPERT RATIONALE: Past medical history includes chronic illnesses (diabetes) and how
the patient manages them, including medication adjustments during illness.
QUESTION 8
During a hearing assessment, the Rinne test shows bone conduction > air conduction in
the right ear. This indicates:
A) Normal hearing
B) Sensorineural hearing loss
C) Conductive hearing loss in the right ear
D) Conductive hearing loss in the left ear
NUR-631 ADVANCED HEALTH ASSESSMENT TEST
BANK EXAM LATEST 2026/2027 D'YOUVILLE
UNIVERSITY VERIFIED QUESTIONS AND DETAILED
ANSWERS | GRADED A+
OVERVIEW DESCRIPTION:
The NUR-631 Advanced Health Assessment Exam is a graduate-level nursing assessment
that evaluates clinical proficiency in history taking, physical examination, and diagnostic
reasoning across the lifespan. Divided into four modular exams, it covers comprehensive
health assessment fundamentals (including HEENT, skin, and general survey),
cardiovascular and pulmonary systems, neurological and musculoskeletal assessment with
abdominal examination, and genitourinary/women’s health with complex patient
scenarios. Using a multiple-choice format grounded in clinical vignettes, the exam
emphasizes differentiation of normal versus abnormal findings, recognition of pathologic
conditions, and evidence-based clinical reasoning skills essential for advanced nursing
practice.
Exam 1: Fundamentals, History, and HEENT/Skin
QUESTION 1
A 58-year-old patient reports intermittent substernal chest pressure when walking
uphill. Which component of the history of present illness (HPI) does this represent?
A) Review of systems
B) Past medical history
C) Chief complaint
D) Functional assessment
CORRECT ANSWER: C
,2|Page
EXPERT RATIONALE: The chief complaint is the reason for the visit in the patient’s own
words; “chest pressure with exertion” is the primary problem. The HPI then expands on
location, quality, timing, etc.
QUESTION 2
Which finding is considered objective data?
A) “I feel dizzy when I stand up quickly.”
B) “The pain is a 6 out of 10.”
C) “My father had a heart attack at age 55.”
D) Blood pressure 142/92 mm Hg
CORRECT ANSWER: D
EXPERT RATIONALE: Objective data are measurable and observable by the examiner
(e.g., vital signs). Subjective data come solely from the patient’s report.
QUESTION 3
During the general survey, you note a patient with poor grooming, flat affect, and slow,
monotonous speech. This most likely suggests:
A) Hyperthyroidism
B) Depression
C) Mania
D) Delirium tremens
CORRECT ANSWER: B
EXPERT RATIONALE: Poor grooming, flat affect, and psychomotor slowing are classic
signs of major depressive disorder. Mania typically shows hyperactivity and rapid
speech.
,3|Page
QUESTION 4
A newborn has a blue-gray macular area over the sacrum and buttocks. This finding is
most consistent with:
A) Petechiae
B) Hemangioma
C) Mongolian spot
D) Ecchymosis from birth trauma
CORRECT ANSWER: C
EXPERT RATIONALE: Mongolian spots are benign, congenital dermal melanocytosis
common in darker-skinned infants and fade without treatment. They are not bruises or
vascular lesions.
QUESTION 5
Which of the following best describes the “A” in the ABCDE rule for melanoma
screening?
A) Asymmetry of the lesion
B) Average diameter >6 mm
C) Absence of pigment
D) Associated bleeding
CORRECT ANSWER: A
EXPERT RATIONALE: The ABCDE mnemonic stands for Asymmetry, Border irregularity,
Color variation, Diameter >6 mm, and Evolution/changes. Asymmetry is the first feature.
QUESTION 6
On fundoscopic exam, you see sharp optic disc margins, a physiologic cup, and
arteriovenous nicking. What is the most likely diagnosis?
, 4|Page
A) Papilledema
B) Glaucoma
C) Hypertensive retinopathy
D) Optic atrophy
CORRECT ANSWER: C
EXPERT RATIONALE: Arteriovenous nicking is characteristic of chronic hypertension.
Papilledema shows blurred disc margins; glaucoma has increased cupping.
QUESTION 7
A patient reports using a “sick day” regimen for diabetes. This information belongs in
which section of the comprehensive health history?
A) Chief complaint
B) Past medical history
C) Medications and allergies
D) Social history
CORRECT ANSWER: B
EXPERT RATIONALE: Past medical history includes chronic illnesses (diabetes) and how
the patient manages them, including medication adjustments during illness.
QUESTION 8
During a hearing assessment, the Rinne test shows bone conduction > air conduction in
the right ear. This indicates:
A) Normal hearing
B) Sensorineural hearing loss
C) Conductive hearing loss in the right ear
D) Conductive hearing loss in the left ear
