You can also smell oil burning. A healthy engine smells like nothing, like hot air mixed with a slight, sort of sweet smelling "chemical-ish" stuff (hard to explain), but the smell is mild. The only time your exaust should smell is when you do a cold start, and the cats have not warmed up yet, your engine is running rich at this time and no emissions are being filtered. It only takes no more than 3 minutes for your engine to warm up and filter the exhaust at the cat, and regulate its fuel/air mixtures. If you are burning oil inside the combustion chamber, even a slight amount, you can definitely notice this once the truck as warmed up after 3 minutes. It will be like a burning rubber or plastic smell if using synthetic oil. I'm not sure what burning conventional oil smells like though, but I am definitely sure even a slight amount should be noticeable. You have to sort of train your nose on how to be a detective. Try it on other healthy vehicles too. Always use caution when inhaling carbon monoxide though, it doesn't take much to make you sick! Hope this helps.
Edit: your engine with 225k miles, will almost certainly not be "healthy" with properly tuned fuel/air ratio. It will smell rich like a cold start for much longer, maybe even always. You can still detect oil through this smell though.