Advanced Health Assessment NP Exam

Advanced Health Assessment NP Exam (Chamberlain College Nursing) | / Edition | Actual Questions & 100% Correct Verified Answers​ Chamberlain College Nursing – Advanced Health Assessment (NP Assessment / NR-509 / NR-601) | Real Exam Items with Expert-Verified Answers & Rationales | A+ Rated Content

Introduction​ This complete exam packet contains the full set of Advanced Health Assessment NP Assessment exam questions administered by Chamberlain College of Nursing in the / cycle. The content reflects the actual assessment format (generally 160–200 multiple-choice and alternate-item questions) and includes expert-verified correct answers and clinical rationales aligned with academic grading standards.Answer Format​ All correct responses are displayed in bold and green, with concise, evidence-based explanations provided where crucial to reinforce learning and exam accuracy.Question 1​ What is the first step in performing a comprehensive health assessment?​

• Physical examination​
• Obtaining a patient history​
• Ordering diagnostic tests​
• Reviewing past medical records​
• Obtaining a patient history​

Rationale: Establishes the foundation for understanding the patient’s health status.Question 2​ Which technique is used to assess lung sounds?​

• Percussion​
• Palpation​
• Auscultation​
• Inspection​
• Auscultation​

Rationale: Listening with a stethoscope detects abnormal breath sounds.

Question 3​ What finding is indicative of dehydration in a physical exam?​

• Edema in lower extremities​ 1 / 4

• Dry mucous membranes​
• Bounding pulses​
• Hyperactive bowel sounds​
• Dry mucous membranes​

Rationale: Indicates reduced fluid levels in the body.

Question 4​ Which cranial nerve is assessed by testing visual acuity?​

• III (Oculomotor)​
• II (Optic)​
• IV (Trochlear)​
• VI (Abducens)​
• II (Optic)​

Rationale: Responsible for vision and assessed with a Snellen chart.

Question 5​ What is a normal finding when palpating the thyroid gland?​

• A firm, fixed mass​
• No palpable enlargement​
• Pulsatile mass​
• Tenderness on palpation​
• No palpable enlargement​

Rationale: Indicates absence of thyroid pathology.

Question 6​ Which assessment finding suggests a potential cardiac issue?​

• Regular S1 and S2 heart sounds​
• Presence of an S3 gallop​
• Clear lung fields​
• Symmetric pulses​
• Presence of an S3 gallop​

Rationale: May indicate heart failure or volume overload.

Question 7​ What is the appropriate position for examining the abdomen?​

• Supine with knees bent​
• Prone​
• Sitting upright​
• Lateral recumbent​
• Supine with knees bent​

Rationale: Relaxes abdominal muscles for better palpation.

Question 8​ Which reflex is tested to assess the integrity of the S1 nerve root?​

• Patellar reflex​
• Achilles reflex​
• Biceps reflex​ 2 / 4

• Triceps reflex​
• Achilles reflex​

Rationale: Evaluates the S1 nerve root via the ankle jerk.

Question 9​ What is a common sign of peripheral artery disease (PAD) on examination?​

• Warm extremities​
• Diminished distal pulses​
• Edema in feet​
• Hyperpigmentation​
• Diminished distal pulses​

Rationale: Indicates reduced blood flow to extremities.

Question 10​ Which assessment tool is used to screen for cognitive impairment?​

• Otoscope​
• Mini-Mental State Examination (MMSE)​
• Tuning fork​
• Reflex hammer​
• Mini-Mental State Examination (MMSE)​

Rationale: Assesses memory, attention, and orientation.

Question 11​ What finding on a skin exam suggests melanoma?​

• Uniform color and symmetry​
• Asymmetry and irregular borders​
• Small, flat lesion​
• Smooth texture​
• Asymmetry and irregular borders​

Rationale: Part of the ABCDE criteria for melanoma.

Question 12​ Which technique is used to assess for liver enlargement?​

• Auscultation​
• Percussion​
• Palpation​
• Inspection​
• Percussion​

Rationale: Detects dullness indicating organ size.

Question 13​ What is a normal respiratory rate for an adult at rest?​

• 4-8 breaths per minute​
• 12-20 breaths per minute​
• 25-30 breaths per minute​
• 35-40 breaths per minute​ 3 / 4

• 12-20 breaths per minute​

Rationale: Falls within the normal adult range.

Question 14​ Which finding is consistent with otitis media in a pediatric patient?​

• Clear tympanic membrane​
• Bulging tympanic membrane​
• Retracted eardrum​
• Normal light reflex​
• Bulging tympanic membrane​

Rationale: Indicates fluid or infection behind the eardrum.

Question 15​ What is the purpose of the Romberg test?​

• Assess hearing​
• Evaluate balance and proprioception​
• Test muscle strength​
• Check vision​
• Evaluate balance and proprioception​

Rationale: Detects issues with coordination.

Question 16​ Which assessment finding suggests hypothyroidism?​

• Exophthalmos​
• Dry skin and hair loss​
• Weight loss​
• Hyperactive reflexes​
• Dry skin and hair loss​

Rationale: Common signs of slowed metabolism.

Question 17​ What is a normal finding when inspecting the oral cavity?​

• White patches on tongue​
• Moist mucous membranes​
• Ulcerations​
• Red, swollen gums​
• Moist mucous membranes​

Rationale: Indicates adequate hydration.

Question 18​ Which cranial nerve is assessed by testing the gag reflex?​

• V (Trigeminal)​
• IX (Glossopharyngeal) and X (Vagus)​
• VII (Facial)​
• XII (Hypoglossal)​
• IX (Glossopharyngeal) and X (Vagus)​

Rationale: Control swallowing and gag response.

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