A+ Graded Paper
Advanced Health Assessment Test 1 – NUR631 |
100% Verified Q&A | A+ Graded Content
Questions and Mark scheme
Version: Final 1.1
,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.
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
1. For which of the following patients would a comprehensive health history be appropriate?
A) A new patient with the chief complaint of "I sprained my ankle"
B) An established patient with the chief complaint of "I have an upper respiratory infection"
C) A new patient with the chief complaint of "I am here to establish care"
D) A new patient with the chief complaint of "I cut my hand" - ✔✔c) a new patient with the CC of "I am here to establish
care"
the patient is new to the provider so a comprehensive health history is needed
2. The components of the health history include all of the following except which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items - ✔✔B) thorax and lungs
these are part of the physical examination
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) Subjective
B) Objective - ✔✔A) subjective
this is information given by the patient
, 4. Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
A) Subjective
B) Objective - ✔✔B) objective
this is information obtained by the examiner
5. The following information is recorded in the health history: "The patient has had abdominal pain for 1 week. The pain
lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9 on a scale of 1 to 10. It is accompanied by nausea
and vomiting. It is located in the mid-epigastric area."
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - ✔✔B) Present illness
HPI
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 complaint
B) Present illness
C) Personal and social history
D) Review of systems - ✔✔C) personal and social history
7. The following information is recorded in the health history: "I feel really tired."
Which category does it belong to?
Advanced Health Assessment Test 1 – NUR631 |
100% Verified Q&A | A+ Graded Content
Questions and Mark scheme
Version: Final 1.1
,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.
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
1. For which of the following patients would a comprehensive health history be appropriate?
A) A new patient with the chief complaint of "I sprained my ankle"
B) An established patient with the chief complaint of "I have an upper respiratory infection"
C) A new patient with the chief complaint of "I am here to establish care"
D) A new patient with the chief complaint of "I cut my hand" - ✔✔c) a new patient with the CC of "I am here to establish
care"
the patient is new to the provider so a comprehensive health history is needed
2. The components of the health history include all of the following except which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items - ✔✔B) thorax and lungs
these are part of the physical examination
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) Subjective
B) Objective - ✔✔A) subjective
this is information given by the patient
, 4. Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
A) Subjective
B) Objective - ✔✔B) objective
this is information obtained by the examiner
5. The following information is recorded in the health history: "The patient has had abdominal pain for 1 week. The pain
lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9 on a scale of 1 to 10. It is accompanied by nausea
and vomiting. It is located in the mid-epigastric area."
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - ✔✔B) Present illness
HPI
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 complaint
B) Present illness
C) Personal and social history
D) Review of systems - ✔✔C) personal and social history
7. The following information is recorded in the health history: "I feel really tired."
Which category does it belong to?
