NUR 612 Final Exam (PDF) | (Updated) Advanced Health Assessment Questions
NUR 612 Final Exam (PDF) – Advanced Health Assessment
📚 Quick Reference: Key Normal Values
Assessment Parameter Normal Range
Blood Pressure 90/60 – 120/80 mmHg
Heart Rate 60 – 100 bpm
Respiratory Rate 12 – 20 breaths/min
Temperature 97.0 – 99.0°F (36.1 – 37.2°C)
BMI Normal 18.5 – 24.9 kg/m²
Pulse Oximetry 95 – 100%
🩺 Section 1: Comprehensive Health History (Questions 1-25)
1. What are the components of a comprehensive health history? (SATA)
A. Chief complaint and history of present illness
B. Past medical and surgical history
C. Family and social history
D. Review of systems
E. All of the above
,Answer: E. All of the above
Rationale: A full health history includes the patient's chief complaint,
medical/surgical history, family/social context, and review of systems to guide
assessment and differential diagnosis .
2. During an abdominal exam, the nurse notes tympany in the lower quadrants.
What does this finding most likely indicate?
A. Normal bowel gas
B. Ascites
C. Solid organ enlargement
D. Mass lesion
Answer: A. Normal bowel gas
Rationale: Tympany is a normal finding over air-filled structures such as the
stomach and bowel. Dullness would suggest fluid or solid mass .
3. Which of the following represents normal vital sign ranges for adults? (SATA)
,A. BP: 90/60–120/80 mmHg
B. HR: 60–100 bpm
C. RR: 12–20/min
D. Temp: 97–99°F (36.1–37.2°C)
Answer: A, B, C, D
Rationale: These are standard adult vital sign reference ranges; deviations may
indicate underlying pathology .
4. A patient's chief complaint of chest pain should be further explored using which
mnemonic?
A. PQRST
B. HEADSS
C. SAMPLE
D. SOAP
Answer: A. PQRST
, Rationale: PQRST (Provocation/Palliation, Quality, Region/Radiation, Severity,
Timing) is used to thoroughly assess pain characteristics and guide differential
diagnosis.
5. Which finding in a patient's history is considered a "red flag" requiring
immediate evaluation?
A. Gradual onset fatigue
B. Unintentional weight loss of 10 lbs over 6 months
C. Intermittent mild headaches
D. Occasional heartburn after spicy foods
Answer: B. Unintentional weight loss of 10 lbs over 6 months
Rationale: Unintentional weight loss, especially >5% of body weight over 6-12
months, may indicate malignancy, chronic infection, or metabolic disorder and
requires evaluation .
6. When assessing a patient's functional health, the nurse should evaluate:
NUR 612 Final Exam (PDF) – Advanced Health Assessment
📚 Quick Reference: Key Normal Values
Assessment Parameter Normal Range
Blood Pressure 90/60 – 120/80 mmHg
Heart Rate 60 – 100 bpm
Respiratory Rate 12 – 20 breaths/min
Temperature 97.0 – 99.0°F (36.1 – 37.2°C)
BMI Normal 18.5 – 24.9 kg/m²
Pulse Oximetry 95 – 100%
🩺 Section 1: Comprehensive Health History (Questions 1-25)
1. What are the components of a comprehensive health history? (SATA)
A. Chief complaint and history of present illness
B. Past medical and surgical history
C. Family and social history
D. Review of systems
E. All of the above
,Answer: E. All of the above
Rationale: A full health history includes the patient's chief complaint,
medical/surgical history, family/social context, and review of systems to guide
assessment and differential diagnosis .
2. During an abdominal exam, the nurse notes tympany in the lower quadrants.
What does this finding most likely indicate?
A. Normal bowel gas
B. Ascites
C. Solid organ enlargement
D. Mass lesion
Answer: A. Normal bowel gas
Rationale: Tympany is a normal finding over air-filled structures such as the
stomach and bowel. Dullness would suggest fluid or solid mass .
3. Which of the following represents normal vital sign ranges for adults? (SATA)
,A. BP: 90/60–120/80 mmHg
B. HR: 60–100 bpm
C. RR: 12–20/min
D. Temp: 97–99°F (36.1–37.2°C)
Answer: A, B, C, D
Rationale: These are standard adult vital sign reference ranges; deviations may
indicate underlying pathology .
4. A patient's chief complaint of chest pain should be further explored using which
mnemonic?
A. PQRST
B. HEADSS
C. SAMPLE
D. SOAP
Answer: A. PQRST
, Rationale: PQRST (Provocation/Palliation, Quality, Region/Radiation, Severity,
Timing) is used to thoroughly assess pain characteristics and guide differential
diagnosis.
5. Which finding in a patient's history is considered a "red flag" requiring
immediate evaluation?
A. Gradual onset fatigue
B. Unintentional weight loss of 10 lbs over 6 months
C. Intermittent mild headaches
D. Occasional heartburn after spicy foods
Answer: B. Unintentional weight loss of 10 lbs over 6 months
Rationale: Unintentional weight loss, especially >5% of body weight over 6-12
months, may indicate malignancy, chronic infection, or metabolic disorder and
requires evaluation .
6. When assessing a patient's functional health, the nurse should evaluate:
