NUR-631 Advanced Health Assessment
(D’Youville University, 2025) – Complete Test
Bank with Questions, Answers, and Rationales
INTRODUCTION:
This document is a comprehensive test bank for the course NUR-631
Advanced Health Assessment at D’Youville University (2025). It
contains exam-style multiple-choice questions with correct answers
and detailed rationales, covering key areas such as cardiovascular,
respiratory, gastrointestinal, neurological, dermatological, and
pediatric assessments. The material is structured to help students
prepare thoroughly for graded exams and clinical application by
reinforcing both knowledge and reasoning.
EXAM QUESTIONS AND ANSWERS:
A 46 year old female patient is in the clinic with a chief complaint
of chest pain. You are wanting to best understand the patient's
perception of the chest pain. Which fo the following questions
would you ask first?
A) How do you rate your pain on a scale of 0-10?
B) Is the pain related to exertion?
C) Tell me about your chest discomfort.
,D) Are you taking all of your medications? --- correct answer ---C)
Tell me about your chest discomfort.
Move from open ended to focused questions to allow for the flow of
ideas and thoughts from the patient.
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.
(D’Youville University, 2025) – Complete Test
Bank with Questions, Answers, and Rationales
INTRODUCTION:
This document is a comprehensive test bank for the course NUR-631
Advanced Health Assessment at D’Youville University (2025). It
contains exam-style multiple-choice questions with correct answers
and detailed rationales, covering key areas such as cardiovascular,
respiratory, gastrointestinal, neurological, dermatological, and
pediatric assessments. The material is structured to help students
prepare thoroughly for graded exams and clinical application by
reinforcing both knowledge and reasoning.
EXAM QUESTIONS AND ANSWERS:
A 46 year old female patient is in the clinic with a chief complaint
of chest pain. You are wanting to best understand the patient's
perception of the chest pain. Which fo the following questions
would you ask first?
A) How do you rate your pain on a scale of 0-10?
B) Is the pain related to exertion?
C) Tell me about your chest discomfort.
,D) Are you taking all of your medications? --- correct answer ---C)
Tell me about your chest discomfort.
Move from open ended to focused questions to allow for the flow of
ideas and thoughts from the patient.
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.
