1|Page
NUR631-ADVANCED HEALTH ASSESSMENT TEST 1 EXAM
FULLY SOLVED & UPDATED (LATEST VERSION VERIFIED
FOR ACCURACY) | LATEST!! 2026
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 ......ANSWER......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 ......ANSWER......C)cardiac
A patient presents for evaluation of a cough. Which of the following
anatomic regions can be responsible for a cough?
pg. 1
,2|Page
A) Ophthalmologic
B) Auditory
C) Cardiac
D) Endocrine ......ANSWER......C) cardiac
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 ......ANSWER......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
pg. 2
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B) Neoplastic
C) Degenerative
D) Traumatic ......ANSWER......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 ......ANSWER......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
pg. 3
, 4|Page
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.
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:
pg. 4
NUR631-ADVANCED HEALTH ASSESSMENT TEST 1 EXAM
FULLY SOLVED & UPDATED (LATEST VERSION VERIFIED
FOR ACCURACY) | LATEST!! 2026
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 ......ANSWER......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 ......ANSWER......C)cardiac
A patient presents for evaluation of a cough. Which of the following
anatomic regions can be responsible for a cough?
pg. 1
,2|Page
A) Ophthalmologic
B) Auditory
C) Cardiac
D) Endocrine ......ANSWER......C) cardiac
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 ......ANSWER......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
pg. 2
,3|Page
B) Neoplastic
C) Degenerative
D) Traumatic ......ANSWER......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 ......ANSWER......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
pg. 3
, 4|Page
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.
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:
pg. 4
