Page 1 of 37
NUR631-ADVANCED HEALTH ASSESSMENT EXAM
QUESTIONS NEWEST 2026 EXAM QUESTIONS LATEST
VERSION SOLVED QUESTIONS & ANSWERS VERIFIED 100
%
A 22-year-old advertising copywriter presents for evaluation of joint pain. The
pain is new, located in the wrists and fingers bilaterally, with some subjective
fever. The patient denies a rash; she also denies recent travel or camping
activities. She has a family history significant for rheumatoid arthritis. Based
on this information, which of the following pathologic processes would be the
most correct?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic
B) inflammatory
A 47-year-old contractor presents for evaluation of neck pain, which has been
intermittent for several years. He normally takes over-the-counter medications
to ease the pain, but this time they haven't worked as well and he still has
discomfort. He recently wallpapered the entire second floor in his house,
which caused him great discomfort. The pain resolved with rest. He denies
fever, chills, rash, upper respiratory symptoms, trauma, or injury to the neck.
Based on this description, what is the most likely pathologic process?
A) Infectious
B) Neoplastic
C) Degenerative
D) Traumatic
, Page 2 of 37
C) degenerative
A 15-year-old high school sophomore comes to the clinic for evaluation of a 3-
week history of sneezing; itchy, watery eyes; clear nasal discharge; ear pain;
and nonproductive cough. Which is the most likely pathologic process?
A) Infection
B) Inflammation
C) Allergic
D) Vascular
C) allergic
consistent with allergic rhinitis
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
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.
, Page 3 of 37
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.
D) Abdomen is soft and tender to palpation in the mid-epigastric area, without
rebound or guarding.
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
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
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.
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 jugular venous pressure, an
S3 gallop, crackles low in the lung fields, and swollen ankles (edema). This is
, Page 4 of 37
an example of a:
A) Pathophysiologic problem
B) Psychopathologic problem
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
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.
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?
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
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
NUR631-ADVANCED HEALTH ASSESSMENT EXAM
QUESTIONS NEWEST 2026 EXAM QUESTIONS LATEST
VERSION SOLVED QUESTIONS & ANSWERS VERIFIED 100
%
A 22-year-old advertising copywriter presents for evaluation of joint pain. The
pain is new, located in the wrists and fingers bilaterally, with some subjective
fever. The patient denies a rash; she also denies recent travel or camping
activities. She has a family history significant for rheumatoid arthritis. Based
on this information, which of the following pathologic processes would be the
most correct?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic
B) inflammatory
A 47-year-old contractor presents for evaluation of neck pain, which has been
intermittent for several years. He normally takes over-the-counter medications
to ease the pain, but this time they haven't worked as well and he still has
discomfort. He recently wallpapered the entire second floor in his house,
which caused him great discomfort. The pain resolved with rest. He denies
fever, chills, rash, upper respiratory symptoms, trauma, or injury to the neck.
Based on this description, what is the most likely pathologic process?
A) Infectious
B) Neoplastic
C) Degenerative
D) Traumatic
, Page 2 of 37
C) degenerative
A 15-year-old high school sophomore comes to the clinic for evaluation of a 3-
week history of sneezing; itchy, watery eyes; clear nasal discharge; ear pain;
and nonproductive cough. Which is the most likely pathologic process?
A) Infection
B) Inflammation
C) Allergic
D) Vascular
C) allergic
consistent with allergic rhinitis
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
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.
, Page 3 of 37
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.
D) Abdomen is soft and tender to palpation in the mid-epigastric area, without
rebound or guarding.
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
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
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.
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 jugular venous pressure, an
S3 gallop, crackles low in the lung fields, and swollen ankles (edema). This is
, Page 4 of 37
an example of a:
A) Pathophysiologic problem
B) Psychopathologic problem
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
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.
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?
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
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
