NUR631-Advanced Health Assessment Test 1 Latest 2026 Update
|Complete 2026 Exam with Question and Correct Verified
Answers with Rationales| Already Graded A+||Brand New!!!
A 19-year old-college student presents to the emergency room with
fever, headache, and neck pain/stiffness. She is concerned about the
possibility of meningococcal meningitis. Several of her dorm mates
have been vaccinated, but she hasn't been. Which of the following
physical examination descriptions is most consistent with meningitis?
A) Head is normocephalic and atraumatic, fundi with sharp discs,
neck supple with full range of motion
B) Head is normocephalic and atraumatic, fundi with sharp discs,
neck with paraspinous muscle spasm and limited range of motion to
the right
C) Head is normocephalic and atraumatic, fundi with blurred disc
margins, neck tender to palpation, unable to perform range of motion
D) Head is normocephalic and atraumatic, fundi with blurred disc
margins, neck supple with full range of motion - Answer -C
A 37-year-old nurse comes for evaluation of colicky right upper
quadrant abdominal pain. The pain is associated with nausea and
vomiting and occurs 1 to 2 hours after eating greasy foods. Which one
of the following physical examination descriptions would be most
consistent with the diagnosis of cholecystitis?
A) Abdomen is soft, nontender, and nondistended, without
hepatosplenomegaly or masses.
B) Abdomen is soft and tender to palpation in the right lower
quadrant, without rebound or guarding.
C) Abdomen is soft and tender to palpation in the right upper quadrant
with inspiration, to the point of stopping inspiration, and there is no
rebound or guarding.
pg. 1
,D) Abdomen is soft and tender to palpation in the mid-epigastric area,
without rebound or guarding. - Answer -C) tender to palpation in
RUQ
A 55-year-old data entry operator comes to the clinic to establish care.
She has the following symptoms: headache, neck pain, sinus
congestion, sore throat, ringing in ears, sharp brief chest pains at rest,
burning abdominal pain with spicy foods, constipation, urinary
frequency that is worse with coughing and sneezing, and swelling in
legs. This cluster of symptoms is explained by:
A) One disease process
B) More than one disease process - Answer -B) more than one disease
process
A 62-year-old teacher presents to the clinic for evaluation of the
following symptoms: fever, headache, sinus congestion, sore throat,
green nasal discharge, and cough. This cluster of symptoms is best
explained by:
A) One disease process
B) More than one disease process - Answer -A) one disease process
Steve has just seen a 5-year-old girl who wheezes when exposed to
cats. The patient's family history is positive for asthma. You think the
child most likely has asthma. What have you just accomplished?
A) You have tested your hypothesis.
B) You have developed a plan.
C) You have established a working diagnosis.
D) You have created a hypothesis. - Answer -D) created a hypothesis
its too early to establish a working diagnosis
Ms. Washington is a 67-year-old who had a heart attack last month.
Now she complains of shortness of breath and not being able to sleep
in a flat position (orthopnea). On examination you note increased
pg. 2
,jugular venous pressure, an S3 gallop, crackles low in the lung fields,
and swollen ankles (edema). This is an example of a:
A) Pathophysiologic problem
B) Psychopathologic problem - Answer -A) pathophysiologic problem
On the way to see your next patient, you glance at the calendar and
make a mental note to buy a Mother's Day card. Your patient is Ms.
Hernandez, a 76-year-old widow who lost her husband in May, two
years ago. She comes in today with a headaches, abdominal pain, and
general malaise. This happened once before, about a year ago,
according to your detailed office notes. You have done a thorough
evaluation but are unable to arrive at a consistent picture to tie these
symptoms together. This is an example of a:
A) Pathophysiologic problem
B) Psychopathologic problem - Answer -B) psychopathologic
problem
Mr. Larson is a 42-year-old widowed father of two children, ages 4
and 11. He works in a sales office to support his family. Recently he
has injured his back and you are thinking he would benefit from
physical therapy, three times a week, for an hour per session. What
would be your next step?
A) Write the physical therapy prescription.
B) Have your office staff explain directions to the physical therapy
center.
C) Discuss the plan with Mr. Larson.
D) Tell Mr. Larson that he will be going to physical therapy three
times a week. - Answer -C) discuss the plan with Mr. Larson
You are seeing an elderly man with multiple complaints. He has
chronic arthritis, pain from an old war injury, and headaches. Today
he complains of these pains, as well as dull chest pain under his
sternum. What would the order of priority be for your problem list?
pg. 3
, A) Arthritis, war injury pain, headaches, chest pain
B) War injury pain, arthritis, headaches, chest pain
C) Headaches, arthritis, war injury pain, chest pain
D) Chest pain, headaches, arthritis, war injury pain - Answer -D) CP,
HA, arthritis, war injury pain
You are excited about a positive test finding you have just noticed on
physical examination of your patient. You go on to do more
examination, laboratory work, and diagnostic tests, only to find that
there is no sign of the disease you thought would correlate with the
finding. This same experience happens several times. What should
you conclude?
A) Consider not doing this test routinely.
B) Use this test when you have a higher suspicion for a certain
correlating condition.
C) Continue using the test, perhaps doing less laboratory work and
diagnostics.
D) Omit this test from future examinations. - Answer -C) continue
using the test, perhaps doing less laboratory work and diagnostics
You are growing fatigued of performing a maneuver on examination
because you have never found a positive and are usually pressed for
time. How should you next approach this maneuver?
A) Use this test when you have a higher suspicion for a certain
correlating condition.
B) Omit this test from future examinations.
C) Continue doing the test, but rely more heavily on laboratory work
and diagnostics.
D) Continue performing it on all future examinations. - Answer -A)
use this test when you have a higher suspicion for a certain correlating
condition
pg. 4
|Complete 2026 Exam with Question and Correct Verified
Answers with Rationales| Already Graded A+||Brand New!!!
A 19-year old-college student presents to the emergency room with
fever, headache, and neck pain/stiffness. She is concerned about the
possibility of meningococcal meningitis. Several of her dorm mates
have been vaccinated, but she hasn't been. Which of the following
physical examination descriptions is most consistent with meningitis?
A) Head is normocephalic and atraumatic, fundi with sharp discs,
neck supple with full range of motion
B) Head is normocephalic and atraumatic, fundi with sharp discs,
neck with paraspinous muscle spasm and limited range of motion to
the right
C) Head is normocephalic and atraumatic, fundi with blurred disc
margins, neck tender to palpation, unable to perform range of motion
D) Head is normocephalic and atraumatic, fundi with blurred disc
margins, neck supple with full range of motion - Answer -C
A 37-year-old nurse comes for evaluation of colicky right upper
quadrant abdominal pain. The pain is associated with nausea and
vomiting and occurs 1 to 2 hours after eating greasy foods. Which one
of the following physical examination descriptions would be most
consistent with the diagnosis of cholecystitis?
A) Abdomen is soft, nontender, and nondistended, without
hepatosplenomegaly or masses.
B) Abdomen is soft and tender to palpation in the right lower
quadrant, without rebound or guarding.
C) Abdomen is soft and tender to palpation in the right upper quadrant
with inspiration, to the point of stopping inspiration, and there is no
rebound or guarding.
pg. 1
,D) Abdomen is soft and tender to palpation in the mid-epigastric area,
without rebound or guarding. - Answer -C) tender to palpation in
RUQ
A 55-year-old data entry operator comes to the clinic to establish care.
She has the following symptoms: headache, neck pain, sinus
congestion, sore throat, ringing in ears, sharp brief chest pains at rest,
burning abdominal pain with spicy foods, constipation, urinary
frequency that is worse with coughing and sneezing, and swelling in
legs. This cluster of symptoms is explained by:
A) One disease process
B) More than one disease process - Answer -B) more than one disease
process
A 62-year-old teacher presents to the clinic for evaluation of the
following symptoms: fever, headache, sinus congestion, sore throat,
green nasal discharge, and cough. This cluster of symptoms is best
explained by:
A) One disease process
B) More than one disease process - Answer -A) one disease process
Steve has just seen a 5-year-old girl who wheezes when exposed to
cats. The patient's family history is positive for asthma. You think the
child most likely has asthma. What have you just accomplished?
A) You have tested your hypothesis.
B) You have developed a plan.
C) You have established a working diagnosis.
D) You have created a hypothesis. - Answer -D) created a hypothesis
its too early to establish a working diagnosis
Ms. Washington is a 67-year-old who had a heart attack last month.
Now she complains of shortness of breath and not being able to sleep
in a flat position (orthopnea). On examination you note increased
pg. 2
,jugular venous pressure, an S3 gallop, crackles low in the lung fields,
and swollen ankles (edema). This is an example of a:
A) Pathophysiologic problem
B) Psychopathologic problem - Answer -A) pathophysiologic problem
On the way to see your next patient, you glance at the calendar and
make a mental note to buy a Mother's Day card. Your patient is Ms.
Hernandez, a 76-year-old widow who lost her husband in May, two
years ago. She comes in today with a headaches, abdominal pain, and
general malaise. This happened once before, about a year ago,
according to your detailed office notes. You have done a thorough
evaluation but are unable to arrive at a consistent picture to tie these
symptoms together. This is an example of a:
A) Pathophysiologic problem
B) Psychopathologic problem - Answer -B) psychopathologic
problem
Mr. Larson is a 42-year-old widowed father of two children, ages 4
and 11. He works in a sales office to support his family. Recently he
has injured his back and you are thinking he would benefit from
physical therapy, three times a week, for an hour per session. What
would be your next step?
A) Write the physical therapy prescription.
B) Have your office staff explain directions to the physical therapy
center.
C) Discuss the plan with Mr. Larson.
D) Tell Mr. Larson that he will be going to physical therapy three
times a week. - Answer -C) discuss the plan with Mr. Larson
You are seeing an elderly man with multiple complaints. He has
chronic arthritis, pain from an old war injury, and headaches. Today
he complains of these pains, as well as dull chest pain under his
sternum. What would the order of priority be for your problem list?
pg. 3
, A) Arthritis, war injury pain, headaches, chest pain
B) War injury pain, arthritis, headaches, chest pain
C) Headaches, arthritis, war injury pain, chest pain
D) Chest pain, headaches, arthritis, war injury pain - Answer -D) CP,
HA, arthritis, war injury pain
You are excited about a positive test finding you have just noticed on
physical examination of your patient. You go on to do more
examination, laboratory work, and diagnostic tests, only to find that
there is no sign of the disease you thought would correlate with the
finding. This same experience happens several times. What should
you conclude?
A) Consider not doing this test routinely.
B) Use this test when you have a higher suspicion for a certain
correlating condition.
C) Continue using the test, perhaps doing less laboratory work and
diagnostics.
D) Omit this test from future examinations. - Answer -C) continue
using the test, perhaps doing less laboratory work and diagnostics
You are growing fatigued of performing a maneuver on examination
because you have never found a positive and are usually pressed for
time. How should you next approach this maneuver?
A) Use this test when you have a higher suspicion for a certain
correlating condition.
B) Omit this test from future examinations.
C) Continue doing the test, but rely more heavily on laboratory work
and diagnostics.
D) Continue performing it on all future examinations. - Answer -A)
use this test when you have a higher suspicion for a certain correlating
condition
pg. 4
