NUR631 ADVANCED HEALTH ASSESSMENT
ACTUAL PAPER 2026 VERIFIED CLINICAL
SOLUTIONS HIGH PERFORMANCE RESULTS
◉ Mr. Q. is a 45-year-old salesman who comes to your office for
evaluation of fatigue. He has come to the office many times in the
past with a variety of injuries, and you suspect that he has a problem
with alcohol. Which one of the following questions will be most
helpful in diagnosing this problem?
A) You are an alcoholic, aren't you?
B) When was your last drink?
C) Do you drink 2 to 3 beers every weekend?
D) Do you drink alcohol when you are supposed to be working?.
Answer: B) when was your last drink?
◉ On a very busy day in the office, Mrs. Donelan, who is 81 years old,
comes for her usual visit for her blood pressure. She is on a low-dose
diuretic chronically and denies any side effects. Her blood pressure
is 118/78 today, which is well-controlled. As you are writing her
script, she mentions that it is hard not having her husband Bill
around anymore. What would you do next?
A) Hand her the script and make sure she has a 3-month follow-up
appointment.
,B) Make sure she understands the script.
C) Ask why Bill is not there.
D) Explain that you will have more time at the next visit to discuss
this..
Answer: C) ask why bill is not there?
patient is looking for support and empathy
◉ A patient is describing a very personal part of her history very
quickly and in great detail. How should you react to this?
A) Write down as much as you can, as quickly as possible.
B) Ask her to repeat key phrases or to pause at regular intervals, so
you can get almost every word.
C) Tell her that she can go over the notes later to make sure they are
accurate.
D) Push away from the keyboard or put down your pen and listen..
Answer: D) push away from the keyboard and put down your pen
and listen
◉ You arrive at the bedside of an elderly woman who has had a
stroke, affecting her entire right side. She cannot speak (aphasia).
You are supposed to examine her. You notice that the last examiner
left her socks at the bottom of the bed, and although sensitive areas
,are covered by a sheet, the blanket is heaped by her feet at the
bottom of the bed. What would you do next?
A) Carry out your examination, focusing on the neurologic portion,
and then cover her properly.
B) Carry out your examination and let the nurse assigned to her "put
her back together."
C) Put her socks back on and cover her completely before beginning
the evaluation.
D) Apologize for the last examiner but let the next examiner dress
and cover her..
Answer: C) put her socks back on and cover her completely before
beginning the evaluation
*make patient comfortable before examining*
◉ When you enter your patient's examination room, his wife is
waiting there with him. Which of the following is most appropriate?
A) Ask if it's okay to carry out the visit with both people in the room.
B) Carry on as you would ordinarily. The permission is implied
because his wife is in the room with him.
C) Ask his wife to leave the room for reasons of confidentiality.
D) First ask his wife what she thinks is going on..
Answer: A) ask if it's okay to carry out the visit with both people in
the room
, ◉ A patient complains of knee pain on your arrival in the room.
What should your first sentence be after greeting the patient?
A) How much pain are you having?
B) Have you injured this knee in the past?
C) When did this first occur?
D) Could you please describe what happened?.
Answer: D) could you please describe what happened
◉ You have just asked a patient how he feels about his emphysema.
He becomes silent, folds his arms across his chest and leans back in
his chair, and then replies, "It is what it is." How should you respond?
A) "You seem bothered by this question."
B) "Next, I would like to talk with you about your smoking habit."
C) "Okay, let's move on to your other problems."
D) "You have adopted a practical attitude toward your problem.".
Answer: A) you seem bothered by this question
◉ 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) Reassurance
B) Empathy
ACTUAL PAPER 2026 VERIFIED CLINICAL
SOLUTIONS HIGH PERFORMANCE RESULTS
◉ Mr. Q. is a 45-year-old salesman who comes to your office for
evaluation of fatigue. He has come to the office many times in the
past with a variety of injuries, and you suspect that he has a problem
with alcohol. Which one of the following questions will be most
helpful in diagnosing this problem?
A) You are an alcoholic, aren't you?
B) When was your last drink?
C) Do you drink 2 to 3 beers every weekend?
D) Do you drink alcohol when you are supposed to be working?.
Answer: B) when was your last drink?
◉ On a very busy day in the office, Mrs. Donelan, who is 81 years old,
comes for her usual visit for her blood pressure. She is on a low-dose
diuretic chronically and denies any side effects. Her blood pressure
is 118/78 today, which is well-controlled. As you are writing her
script, she mentions that it is hard not having her husband Bill
around anymore. What would you do next?
A) Hand her the script and make sure she has a 3-month follow-up
appointment.
,B) Make sure she understands the script.
C) Ask why Bill is not there.
D) Explain that you will have more time at the next visit to discuss
this..
Answer: C) ask why bill is not there?
patient is looking for support and empathy
◉ A patient is describing a very personal part of her history very
quickly and in great detail. How should you react to this?
A) Write down as much as you can, as quickly as possible.
B) Ask her to repeat key phrases or to pause at regular intervals, so
you can get almost every word.
C) Tell her that she can go over the notes later to make sure they are
accurate.
D) Push away from the keyboard or put down your pen and listen..
Answer: D) push away from the keyboard and put down your pen
and listen
◉ You arrive at the bedside of an elderly woman who has had a
stroke, affecting her entire right side. She cannot speak (aphasia).
You are supposed to examine her. You notice that the last examiner
left her socks at the bottom of the bed, and although sensitive areas
,are covered by a sheet, the blanket is heaped by her feet at the
bottom of the bed. What would you do next?
A) Carry out your examination, focusing on the neurologic portion,
and then cover her properly.
B) Carry out your examination and let the nurse assigned to her "put
her back together."
C) Put her socks back on and cover her completely before beginning
the evaluation.
D) Apologize for the last examiner but let the next examiner dress
and cover her..
Answer: C) put her socks back on and cover her completely before
beginning the evaluation
*make patient comfortable before examining*
◉ When you enter your patient's examination room, his wife is
waiting there with him. Which of the following is most appropriate?
A) Ask if it's okay to carry out the visit with both people in the room.
B) Carry on as you would ordinarily. The permission is implied
because his wife is in the room with him.
C) Ask his wife to leave the room for reasons of confidentiality.
D) First ask his wife what she thinks is going on..
Answer: A) ask if it's okay to carry out the visit with both people in
the room
, ◉ A patient complains of knee pain on your arrival in the room.
What should your first sentence be after greeting the patient?
A) How much pain are you having?
B) Have you injured this knee in the past?
C) When did this first occur?
D) Could you please describe what happened?.
Answer: D) could you please describe what happened
◉ You have just asked a patient how he feels about his emphysema.
He becomes silent, folds his arms across his chest and leans back in
his chair, and then replies, "It is what it is." How should you respond?
A) "You seem bothered by this question."
B) "Next, I would like to talk with you about your smoking habit."
C) "Okay, let's move on to your other problems."
D) "You have adopted a practical attitude toward your problem.".
Answer: A) you seem bothered by this question
◉ 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) Reassurance
B) Empathy
