NSG 500 | NSG500 FINAL EXAM | ADVANCED
HEALTH ASSESSMENT FINAL EXAM |
QUESTIONS AND VERIFIED ANSWERS RATED
A+ | 2025/2026 GUIDE
The nurse practitioner is doing an assessment on a 21 year old patient
and notices that his nasal mucosa appears pale and bluish. What would
be the most appropriate question to ask the patient?
A) Have you had any symptoms of a cold?
B) Don't ask any questions. This is a normal finding.
C) Are you aware of having any allergies?
D) Have you been having frequent nosebleeds?
- Correct Answer - C) Are you aware of having any allergies?
With chronic allergy, mucosa looks swollen, boggy, pale, and gray. Colds
and nosebleeds do not cause these mucosal changes.
A 10-year-old is at the clinic for "a sore throat lasting 6 days." The nurse
is aware that which of these findings would be consistent with an acute
infection?
A) Tonsils 3+/1-4+ with large white spots
B) Tonsils 1+/1-4+ with pale coloring
C) Tonsils 1+/1-4+ and pink, same color as oral mucosa
D) Tonsils 2+/1-4+ and pink with white particles inside deep crypts
,- Correct Answer - A) Tonsils 3+/1-4+ with large white spots
With an acute infection, tonsils are bright red and swollen and may have
exudate or large white spots. Tonsils are enlarged to 2+, 3+, or 4+ with
an acute infection.
The nurse practitioner is reviewing the immunization history of a new 24
year old female patient. Which is the best to ask the patient to obtain the
needed information for your records?
A) Do you need vaccines today?
B) When was your last flu shot, tetanus shot?
C) Have you received these vaccines in your lifetime? When did you
receive them? Tetanus, pertussis, diphtheria, polio, measles, mumps,
rubella, influenza, varicella, hepatitis B, haemophilus influenzae type B,
pneumococcal, HPV?
D) Are your immunizations up to date?
- Correct Answer - C) Have you received these vaccines in your lifetime?
When did you receive them? Tetanus, pertussis, diphtheria, polio,
measles, mumps, rubella, influenza, varicella, hepatitis B, haemophilus
influenzae type B, pneumococcal, HPV?
Find out whether the patient has received required and recommended
vaccines. (Bates, 10)
The assessment of a COPD patient will most likely reveal:
A) resonant percussion sounds, no adventitious sounds and vesicular
breath sounds
,B) dull percussion sounds and absent breath sounds. No crackles or
wheezes
C) resonant to hyper-resonant sounds with percussion and wheezes
present
D) diffusely hyper-resonant sounds with percussion, decreased or
absent breath sounds per auscultation, decreased tactile fremitus, and
no crackles, wheezes, or rhonchi.
- Correct Answer - D) diffusely hyper-resonant sounds with percussion,
decreased or absent breath sounds per auscultation, decreased tactile
fremitus, and no crackles, wheezes, or rhonchi.
COPD is characterized by diffusely hyper-resonant sounds with
percussion, decreased or absent breath sounds per auscultation,
decreased tactile fremitus, and no crackles, wheezes, or rhonchi. (Bates,
p340)
Which of the following is true about auscultating the heart?
A) the diaphragm is better for picking up the sounds of S1 and S2 and
the bell is better for picking up the sounds of S3 and S4.
B) The bell is better for picking up the sounds of S1 and S2 and the
diaphragm is better for picking up the sounds of S3 and S4.
C) The diaphragm is not necessary for accurate auscultation during the
cardiac exam.
D) The bell is not necessary for the cardiac exam, but it is necessary for
accurate auscultation during the abdominal exam.
, - Correct Answer - A) the diaphragm is better for picking up the sounds
of S1 and S2 and the bell is better for picking up the sounds of S3 and
S4. (Bates, p390)
The nurse practitioner aucultates the heart and hears a murmur which
she documents as 4/6 at its loudest point. She means the murmur is:
A) moderately loud
B) very loud, with thrill. May be heard when the stethoscope is partly off
the chest.
C) loud with a palpable thrill.
D) quiet, but heard immediately after placing the stethoscope on the
chest.
- Correct Answer - C) loud with a palpable thrill.
Grade 4 is loud with a palpable thrill (Bates, p396).
Physiologic splitting of the S2 in the 2nd and 3rd interspace, which is
usually accentuated by inspiration, is caused by:
A) the closing of the aortic and pulmonic valves
B) the addition of the S4 sound
C) the addition of the S3 sound
D) the closing of the tricuspid and mitral
- Correct Answer - A) the closing of the aortic and pulmonic valves
HEALTH ASSESSMENT FINAL EXAM |
QUESTIONS AND VERIFIED ANSWERS RATED
A+ | 2025/2026 GUIDE
The nurse practitioner is doing an assessment on a 21 year old patient
and notices that his nasal mucosa appears pale and bluish. What would
be the most appropriate question to ask the patient?
A) Have you had any symptoms of a cold?
B) Don't ask any questions. This is a normal finding.
C) Are you aware of having any allergies?
D) Have you been having frequent nosebleeds?
- Correct Answer - C) Are you aware of having any allergies?
With chronic allergy, mucosa looks swollen, boggy, pale, and gray. Colds
and nosebleeds do not cause these mucosal changes.
A 10-year-old is at the clinic for "a sore throat lasting 6 days." The nurse
is aware that which of these findings would be consistent with an acute
infection?
A) Tonsils 3+/1-4+ with large white spots
B) Tonsils 1+/1-4+ with pale coloring
C) Tonsils 1+/1-4+ and pink, same color as oral mucosa
D) Tonsils 2+/1-4+ and pink with white particles inside deep crypts
,- Correct Answer - A) Tonsils 3+/1-4+ with large white spots
With an acute infection, tonsils are bright red and swollen and may have
exudate or large white spots. Tonsils are enlarged to 2+, 3+, or 4+ with
an acute infection.
The nurse practitioner is reviewing the immunization history of a new 24
year old female patient. Which is the best to ask the patient to obtain the
needed information for your records?
A) Do you need vaccines today?
B) When was your last flu shot, tetanus shot?
C) Have you received these vaccines in your lifetime? When did you
receive them? Tetanus, pertussis, diphtheria, polio, measles, mumps,
rubella, influenza, varicella, hepatitis B, haemophilus influenzae type B,
pneumococcal, HPV?
D) Are your immunizations up to date?
- Correct Answer - C) Have you received these vaccines in your lifetime?
When did you receive them? Tetanus, pertussis, diphtheria, polio,
measles, mumps, rubella, influenza, varicella, hepatitis B, haemophilus
influenzae type B, pneumococcal, HPV?
Find out whether the patient has received required and recommended
vaccines. (Bates, 10)
The assessment of a COPD patient will most likely reveal:
A) resonant percussion sounds, no adventitious sounds and vesicular
breath sounds
,B) dull percussion sounds and absent breath sounds. No crackles or
wheezes
C) resonant to hyper-resonant sounds with percussion and wheezes
present
D) diffusely hyper-resonant sounds with percussion, decreased or
absent breath sounds per auscultation, decreased tactile fremitus, and
no crackles, wheezes, or rhonchi.
- Correct Answer - D) diffusely hyper-resonant sounds with percussion,
decreased or absent breath sounds per auscultation, decreased tactile
fremitus, and no crackles, wheezes, or rhonchi.
COPD is characterized by diffusely hyper-resonant sounds with
percussion, decreased or absent breath sounds per auscultation,
decreased tactile fremitus, and no crackles, wheezes, or rhonchi. (Bates,
p340)
Which of the following is true about auscultating the heart?
A) the diaphragm is better for picking up the sounds of S1 and S2 and
the bell is better for picking up the sounds of S3 and S4.
B) The bell is better for picking up the sounds of S1 and S2 and the
diaphragm is better for picking up the sounds of S3 and S4.
C) The diaphragm is not necessary for accurate auscultation during the
cardiac exam.
D) The bell is not necessary for the cardiac exam, but it is necessary for
accurate auscultation during the abdominal exam.
, - Correct Answer - A) the diaphragm is better for picking up the sounds
of S1 and S2 and the bell is better for picking up the sounds of S3 and
S4. (Bates, p390)
The nurse practitioner aucultates the heart and hears a murmur which
she documents as 4/6 at its loudest point. She means the murmur is:
A) moderately loud
B) very loud, with thrill. May be heard when the stethoscope is partly off
the chest.
C) loud with a palpable thrill.
D) quiet, but heard immediately after placing the stethoscope on the
chest.
- Correct Answer - C) loud with a palpable thrill.
Grade 4 is loud with a palpable thrill (Bates, p396).
Physiologic splitting of the S2 in the 2nd and 3rd interspace, which is
usually accentuated by inspiration, is caused by:
A) the closing of the aortic and pulmonic valves
B) the addition of the S4 sound
C) the addition of the S3 sound
D) the closing of the tricuspid and mitral
- Correct Answer - A) the closing of the aortic and pulmonic valves
