NUR631-ADVANCED HEALTH ASSESSMENT TEST 1 EXAM
QUESTIONS CORRECT ANSWERS _2025 WELL UPDATED
A 68-year-old retired farmer comes to your office for evaluation of a skin lesion. On the right
temporal area of the forehead, you see a flattened papule the same color as his skin, covered
by a dry scale that is round and feels hard. He has several more of these scattered on the
forehead, arms, and legs. Based on this description, what is your most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma - CORRECT ANSWERS-A) actinic keratosis
A 58-year-old gardener comes to your office for evaluation of a new lesion on her upper chest.
The lesion appears to be "stuck on" and is oval, brown, and slightly elevated with a flat surface.
It has a rough, wartlike texture on palpation. Based on this description, what is your most likely
diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma - CORRECT ANSWERS-B) seborrheic keratosis
"stuck on"
A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after being in the
hospital for 6 weeks. She was treated for sepsis and respiratory failure and had to be on the
ventilator for 3 weeks. You are completing your initial assessment and are evaluating her skin
condition. On her sacrum there is full-thickness skin loss that is 5 cm in diameter, with damage
to the subcutaneous tissue. The underlying muscle is not affected. You diagnose this as a
pressure ulcer. What is the stage of this ulcer?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4 - CORRECT ANSWERS-C) stage 3
,full thickness skin loss with damage to subcutaneous tissue
An 8-year-old girl comes with her mother for evaluation of hair loss. She denies pulling or
twisting her hair, and her mother has not noted this behavior at all. She does not put her hair in
braids. On physical examination, you note a clearly demarcated, round patch of hair loss without
visible scaling or inflammation. There are no hair shafts visible. Based on this description, what
is your most likely diagnosis?
A) Alopecia areata
B) Trichotillomania
C) Tinea capitis
D) Traction alopecia - CORRECT ANSWERS-A) alopecia areata
A mother brings her 11 month old to you because her mother-in-law and others have told her
that her baby is jaundiced. She is eating and growing well and performing the developmental
milestones she should for her age. On examination you indeed notice a yellow tone to her skin
from head to toe. Her sclerae are white. To which area should your next questions be related?
A) Diet
B) Family history of liver diseases
C) Family history of blood diseases
D) Ethnicity of the child - CORRECT ANSWERS-A) diet
6. The following information is recorded in the health history: "The patient completed 8th grade.
He currently lives with his wife and two children. He works on old cars on the weekend. He
works in a glass factory during the week."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - CORRECT ANSWERS-C) personal and social history
7. The following information is recorded in the health history: "I feel really tired."
Which category does it belong to?
,A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - CORRECT ANSWERS-A) chief complaint
pt's own words
8. The following information is recorded in the health history: "Patient denies chest pain,
palpitations, orthopnea, and paroxysmal nocturnal dyspnea."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - CORRECT ANSWERS-D) review of systems
9. The following information is best placed in which category?
"The patient has had three cesarean sections."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - CORRECT ANSWERS-B) surgeries
10. The following information is best placed in which category?
"The patient had a stent placed in the left anterior descending artery (LAD) in 1999."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - CORRECT ANSWERS-A) adult illnesses
, *a stent is a major procedure but does not involve a surgeon*
11. The following information is best placed in which category?
"The patient was treated for an asthma exacerbation in the hospital last year; the patient has
never been intubated."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - CORRECT ANSWERS-A) adult illnesses
A patient presents for evaluation of a sharp, aching chest pain which increases with breathing.
Which anatomic area would you localize the symptom to?
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine - CORRECT ANSWERS-A)musculoskeletal
A patient comes to the emergency room for evaluation of shortness of breath. To which
anatomic region would you assign the symptom?
A) Reproductive
B) Urinary
C) Cardiac
D) Hematologic - CORRECT ANSWERS-C)cardiac
A patient presents for evaluation of a cough. Which of the following anatomic regions can be
responsible for a cough?
A) Ophthalmologic
B) Auditory
C) Cardiac
D) Endocrine - CORRECT ANSWERS-C) cardiac
QUESTIONS CORRECT ANSWERS _2025 WELL UPDATED
A 68-year-old retired farmer comes to your office for evaluation of a skin lesion. On the right
temporal area of the forehead, you see a flattened papule the same color as his skin, covered
by a dry scale that is round and feels hard. He has several more of these scattered on the
forehead, arms, and legs. Based on this description, what is your most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma - CORRECT ANSWERS-A) actinic keratosis
A 58-year-old gardener comes to your office for evaluation of a new lesion on her upper chest.
The lesion appears to be "stuck on" and is oval, brown, and slightly elevated with a flat surface.
It has a rough, wartlike texture on palpation. Based on this description, what is your most likely
diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma - CORRECT ANSWERS-B) seborrheic keratosis
"stuck on"
A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after being in the
hospital for 6 weeks. She was treated for sepsis and respiratory failure and had to be on the
ventilator for 3 weeks. You are completing your initial assessment and are evaluating her skin
condition. On her sacrum there is full-thickness skin loss that is 5 cm in diameter, with damage
to the subcutaneous tissue. The underlying muscle is not affected. You diagnose this as a
pressure ulcer. What is the stage of this ulcer?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4 - CORRECT ANSWERS-C) stage 3
,full thickness skin loss with damage to subcutaneous tissue
An 8-year-old girl comes with her mother for evaluation of hair loss. She denies pulling or
twisting her hair, and her mother has not noted this behavior at all. She does not put her hair in
braids. On physical examination, you note a clearly demarcated, round patch of hair loss without
visible scaling or inflammation. There are no hair shafts visible. Based on this description, what
is your most likely diagnosis?
A) Alopecia areata
B) Trichotillomania
C) Tinea capitis
D) Traction alopecia - CORRECT ANSWERS-A) alopecia areata
A mother brings her 11 month old to you because her mother-in-law and others have told her
that her baby is jaundiced. She is eating and growing well and performing the developmental
milestones she should for her age. On examination you indeed notice a yellow tone to her skin
from head to toe. Her sclerae are white. To which area should your next questions be related?
A) Diet
B) Family history of liver diseases
C) Family history of blood diseases
D) Ethnicity of the child - CORRECT ANSWERS-A) diet
6. The following information is recorded in the health history: "The patient completed 8th grade.
He currently lives with his wife and two children. He works on old cars on the weekend. He
works in a glass factory during the week."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - CORRECT ANSWERS-C) personal and social history
7. The following information is recorded in the health history: "I feel really tired."
Which category does it belong to?
,A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - CORRECT ANSWERS-A) chief complaint
pt's own words
8. The following information is recorded in the health history: "Patient denies chest pain,
palpitations, orthopnea, and paroxysmal nocturnal dyspnea."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - CORRECT ANSWERS-D) review of systems
9. The following information is best placed in which category?
"The patient has had three cesarean sections."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - CORRECT ANSWERS-B) surgeries
10. The following information is best placed in which category?
"The patient had a stent placed in the left anterior descending artery (LAD) in 1999."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - CORRECT ANSWERS-A) adult illnesses
, *a stent is a major procedure but does not involve a surgeon*
11. The following information is best placed in which category?
"The patient was treated for an asthma exacerbation in the hospital last year; the patient has
never been intubated."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - CORRECT ANSWERS-A) adult illnesses
A patient presents for evaluation of a sharp, aching chest pain which increases with breathing.
Which anatomic area would you localize the symptom to?
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine - CORRECT ANSWERS-A)musculoskeletal
A patient comes to the emergency room for evaluation of shortness of breath. To which
anatomic region would you assign the symptom?
A) Reproductive
B) Urinary
C) Cardiac
D) Hematologic - CORRECT ANSWERS-C)cardiac
A patient presents for evaluation of a cough. Which of the following anatomic regions can be
responsible for a cough?
A) Ophthalmologic
B) Auditory
C) Cardiac
D) Endocrine - CORRECT ANSWERS-C) cardiac
