NUR 631 - D'YOUVILLE COLLEGE
PRACTICE EXAMINATION 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ SBIRT.
Answer: Assessment for SUD Ask, Advise, Assess, Assist, Arrange
◍ A patient tells you about her experience with prolonged therapy for her
breast cancer. You comment, "That must have been a very trying time for
you." What is this an example of?A) ReassuranceB) EmpathyC)
SummarizationD) Validation.
Answer: D) validation
◍ Examples of Incorporating technology into Health Literacy.
Answer: Ehealth, Videos, DVDs, audio information, self monitoring devices
◍ match the following descriptions to the correct lesion or distribution name:1.
multiple lesions blending together2. flat discoloration less than 1 cm 3.
circumscribed area of skin edema4. narrow linear crack into epidermis,
exposing dermis5. vesicle like lesion with purulent content 6. flat
discoloration greater than 1 cm 7. raised lesion, larger than 1 cm, may be
same or different color from the surrounding skin 8. net-like cluster9. loss of
epidermis and dermis10. loss of skin markings and full skin thickness11.
skin thickening usually found over pruritic or friction areas12. in a ring
formation a. ulcerb. atrophyc.fissured. reticular e. wheal f. pustule g. patch
h. plaque i. macule j. confluent k. annular l. lichenification.
Answer: 1. confluent 2. macule 3. wheal 4. fissure 5. pustule 6. patch 7.
plaque 8. reticular 9. ulcer10. atrophy 11. lichenification12. annular
◍ What does medicare & Medicaid supply for determining the reading level of
patient materials.
, Answer: an 11-part toolkit
◍ What is an ACO?.
Answer: Accountable Care OrganizationGroup of doctors and healthcare
professionals who voluntarily work to avoid unnecessary duplication of
services and prevent medical errors in highly quality coordinated care.
◍ 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 complaintB) Present
illnessC) Personal and social historyD) Review of systems.
Answer: C) personal and social history
◍ Jenny is one of your favorite patients who usually shares a joke with you
and is nattily dressed. Today she is dressed in old jeans, lacks makeup, and
avoids eye contact. To what do you attribute these changes?A) She is
lacking sleep.B) She is fatigued from work.C) She is running into financial
difficulty.D) She is depressed..
Answer: D) she is depressed
◍ SBIRT Assess: If a patient is not ready for change.
Answer: the provider encourages the patient to continue to reflect on health
concerns and offers help for when and if the patient becomes ready
◍ Labs associated with Anorexia.
Answer: TSHCBC w/ diffCMPA1c
◍ A 30-year-old sales clerk comes to your office wanting to lose weight; her
BMI is 30.0 kg/m2. What is the most appropriate amount for a weekly
weight reduction goal?A) .5 to 1 pound per weekB) 1 to 2.5 pounds per
weekC) 2.5 to 3.5 pounds per weekD) 3.5 to 4.5 pounds per week.
Answer: A) .5-1 pound per week
◍ How do we assess the health of obese patients?.
Answer: BMI(kg/ (height (meters^1)))
,◍ Level 1 ACO.
Answer: Least financial riskas small as a legal entityMinimal
InfrastructureReceives shared savings bonus based on achievement of
benchmarks of quality measures and spending
◍ Which of the following questions is part of the screening for physical
disability?A) Are you able to go shopping for groceries or clothes?B) Are
you able to walk one block?C) Are you able to pass the driver's license
test?D) Are you able to perform light dusting and pick up after yourself
around the house?.
Answer: A) Are you able to go shopping for groceries or clothes?
◍ Autosomal Dominant Disorders.
Answer: only 1 parent needs to have the gene to pass to the next generation
◍ A 28-year-old patient comes to the office for evaluation of a rash. At first
there was only one large patch, but then more lesions erupted suddenly on
the back and torso; the lesions itch. On physical examination, you note that
the pattern of eruption is like a Christmas tree and that there are a variety of
erythematous papules and macules on the cleavage lines of the back. Based
on this description, what is the most likely diagnosis?A) Pityriasis roseaB)
Tinea versicolorC) PsoriasisD) Atopic eczema.
Answer: a) pityriasis rosea one large patch that erupted into many lesions
"Christmas tree pattern"
◍ Signs and Symptoms of Anorexia.
Answer: OrthostasisArrhythmiasPallorJaundiceRashSkin Texture,
turgorHair consistency & distributionPoor wound healingHyperpigmented
Joints
◍ Dakota is a 14-year-old boy who just noticed a rash at his ankles. There is
no history of exposure to ill people or other agents in the environment. He
has a slight fever in the office. The rash consists of small, bright red marks.
When they are pressed, the red color remains. What should you do?A)
Prescribe a steroid cream to decrease inflammation.B) Consider admitting
the patient to the hospital.C) Reassure the parents and the patient that this
, should resolve within a week.D) Tell him not to scratch them, and follow up
in 3 days..
Answer: B) consider admitting patient to hospital non-blanchable means
there is pinpoint bleeding under the skin
◍ which of the following best describes seborrheic dermatitis lesions?a.
flaking lesions in the AC and popliteal spacesb. greasy, scaling lesions in
the nasolabial foldsc. intensely itchy lesions in the groin foldsd. silvery
lesions on the elbows and knees.
Answer: b. greasy, scaling lesions in the nasolabia folds think sebaceous
glands so greasy, oily
◍ A new mother is concerned that her child occasionally "turns blue." On
further questioning, she mentions that this is at her hands and feet. She does
not remember the child's lips turning blue. She is otherwise eating and
growing well. What would you do now?A) Reassure her that this is
normalB) Obtain an echocardiogram to check for structural heart disease
and consult cardiologyC) Admit the child to the hospital for further
observationD) Question the validity of her story.
Answer: A) reassure her that this is normal peripheral cyanosis when cold
◍ 3. Is the following information subjective or objective?Mr.
M. has shortness of breath that has persisted for the past 10 days; it is worse
with activity and relieved by rest.A) SubjectiveB) Objective.
Answer: A) subjective this is information given by the patient
◍ Examples of Autosomal Recessive Disorders.
Answer: Sickle CellCystic FibrosisThalassemia Disorders
◍ Adverse childhood events increase the risk for what in adulthood?.
Answer: Cardiovascular diseaseCancersAsthmaDepressionObesitySmoking
Substance Abuse
◍ Selected Screening Tools for Alcohol and Drug Use in Primary Care.
Answer: AUDITCRAFFT
◍ How does SUD present to the PCP as a primary finding?.
PRACTICE EXAMINATION 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ SBIRT.
Answer: Assessment for SUD Ask, Advise, Assess, Assist, Arrange
◍ A patient tells you about her experience with prolonged therapy for her
breast cancer. You comment, "That must have been a very trying time for
you." What is this an example of?A) ReassuranceB) EmpathyC)
SummarizationD) Validation.
Answer: D) validation
◍ Examples of Incorporating technology into Health Literacy.
Answer: Ehealth, Videos, DVDs, audio information, self monitoring devices
◍ match the following descriptions to the correct lesion or distribution name:1.
multiple lesions blending together2. flat discoloration less than 1 cm 3.
circumscribed area of skin edema4. narrow linear crack into epidermis,
exposing dermis5. vesicle like lesion with purulent content 6. flat
discoloration greater than 1 cm 7. raised lesion, larger than 1 cm, may be
same or different color from the surrounding skin 8. net-like cluster9. loss of
epidermis and dermis10. loss of skin markings and full skin thickness11.
skin thickening usually found over pruritic or friction areas12. in a ring
formation a. ulcerb. atrophyc.fissured. reticular e. wheal f. pustule g. patch
h. plaque i. macule j. confluent k. annular l. lichenification.
Answer: 1. confluent 2. macule 3. wheal 4. fissure 5. pustule 6. patch 7.
plaque 8. reticular 9. ulcer10. atrophy 11. lichenification12. annular
◍ What does medicare & Medicaid supply for determining the reading level of
patient materials.
, Answer: an 11-part toolkit
◍ What is an ACO?.
Answer: Accountable Care OrganizationGroup of doctors and healthcare
professionals who voluntarily work to avoid unnecessary duplication of
services and prevent medical errors in highly quality coordinated care.
◍ 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 complaintB) Present
illnessC) Personal and social historyD) Review of systems.
Answer: C) personal and social history
◍ Jenny is one of your favorite patients who usually shares a joke with you
and is nattily dressed. Today she is dressed in old jeans, lacks makeup, and
avoids eye contact. To what do you attribute these changes?A) She is
lacking sleep.B) She is fatigued from work.C) She is running into financial
difficulty.D) She is depressed..
Answer: D) she is depressed
◍ SBIRT Assess: If a patient is not ready for change.
Answer: the provider encourages the patient to continue to reflect on health
concerns and offers help for when and if the patient becomes ready
◍ Labs associated with Anorexia.
Answer: TSHCBC w/ diffCMPA1c
◍ A 30-year-old sales clerk comes to your office wanting to lose weight; her
BMI is 30.0 kg/m2. What is the most appropriate amount for a weekly
weight reduction goal?A) .5 to 1 pound per weekB) 1 to 2.5 pounds per
weekC) 2.5 to 3.5 pounds per weekD) 3.5 to 4.5 pounds per week.
Answer: A) .5-1 pound per week
◍ How do we assess the health of obese patients?.
Answer: BMI(kg/ (height (meters^1)))
,◍ Level 1 ACO.
Answer: Least financial riskas small as a legal entityMinimal
InfrastructureReceives shared savings bonus based on achievement of
benchmarks of quality measures and spending
◍ Which of the following questions is part of the screening for physical
disability?A) Are you able to go shopping for groceries or clothes?B) Are
you able to walk one block?C) Are you able to pass the driver's license
test?D) Are you able to perform light dusting and pick up after yourself
around the house?.
Answer: A) Are you able to go shopping for groceries or clothes?
◍ Autosomal Dominant Disorders.
Answer: only 1 parent needs to have the gene to pass to the next generation
◍ A 28-year-old patient comes to the office for evaluation of a rash. At first
there was only one large patch, but then more lesions erupted suddenly on
the back and torso; the lesions itch. On physical examination, you note that
the pattern of eruption is like a Christmas tree and that there are a variety of
erythematous papules and macules on the cleavage lines of the back. Based
on this description, what is the most likely diagnosis?A) Pityriasis roseaB)
Tinea versicolorC) PsoriasisD) Atopic eczema.
Answer: a) pityriasis rosea one large patch that erupted into many lesions
"Christmas tree pattern"
◍ Signs and Symptoms of Anorexia.
Answer: OrthostasisArrhythmiasPallorJaundiceRashSkin Texture,
turgorHair consistency & distributionPoor wound healingHyperpigmented
Joints
◍ Dakota is a 14-year-old boy who just noticed a rash at his ankles. There is
no history of exposure to ill people or other agents in the environment. He
has a slight fever in the office. The rash consists of small, bright red marks.
When they are pressed, the red color remains. What should you do?A)
Prescribe a steroid cream to decrease inflammation.B) Consider admitting
the patient to the hospital.C) Reassure the parents and the patient that this
, should resolve within a week.D) Tell him not to scratch them, and follow up
in 3 days..
Answer: B) consider admitting patient to hospital non-blanchable means
there is pinpoint bleeding under the skin
◍ which of the following best describes seborrheic dermatitis lesions?a.
flaking lesions in the AC and popliteal spacesb. greasy, scaling lesions in
the nasolabial foldsc. intensely itchy lesions in the groin foldsd. silvery
lesions on the elbows and knees.
Answer: b. greasy, scaling lesions in the nasolabia folds think sebaceous
glands so greasy, oily
◍ A new mother is concerned that her child occasionally "turns blue." On
further questioning, she mentions that this is at her hands and feet. She does
not remember the child's lips turning blue. She is otherwise eating and
growing well. What would you do now?A) Reassure her that this is
normalB) Obtain an echocardiogram to check for structural heart disease
and consult cardiologyC) Admit the child to the hospital for further
observationD) Question the validity of her story.
Answer: A) reassure her that this is normal peripheral cyanosis when cold
◍ 3. Is the following information subjective or objective?Mr.
M. has shortness of breath that has persisted for the past 10 days; it is worse
with activity and relieved by rest.A) SubjectiveB) Objective.
Answer: A) subjective this is information given by the patient
◍ Examples of Autosomal Recessive Disorders.
Answer: Sickle CellCystic FibrosisThalassemia Disorders
◍ Adverse childhood events increase the risk for what in adulthood?.
Answer: Cardiovascular diseaseCancersAsthmaDepressionObesitySmoking
Substance Abuse
◍ Selected Screening Tools for Alcohol and Drug Use in Primary Care.
Answer: AUDITCRAFFT
◍ How does SUD present to the PCP as a primary finding?.
