D'Youville University NUR-631 Advanced Health Assessment TEST BANK Exam
D'YOUVILLE UNIVERSITY NUR-631 ADVANCED HEALTH
ASSESSMENT TEST BANK EXAM LATEST 2025/2026 GRADED A
+ GUARANTEED PASS (QUESTIONS AND ANSWERS WITH
RATIONALES) ACE YOUR EXAM
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. - ANSWER-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 an
example of a:
A) Pathophysiologic problem
B) Psychopathologic problem - ANSWER-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
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, D'Youville University NUR-631 Advanced Health Assessment TEST BANK Exam
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 - ANSWER-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. -
ANSWER-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 - ANSWER-D) CP, HA, arthritis,
war injury pain
2|Page
, D'Youville University NUR-631 Advanced Health Assessment TEST BANK Exam
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 work,
and diagnostic tests, only to find that there is no sign of the disease you thought
would correlate with the finding. This same experience happens several times.
What should you conclude?
A) Consider not doing this test routinely.
B) Use this test when you have a higher suspicion for a certain correlating
condition.
C) Continue using the test, perhaps doing less laboratory work and diagnostics.
D) Omit this test from future examinations. - ANSWER-C) continue using the test,
perhaps doing less laboratory work and diagnostics
You are growing fatigued of performing a maneuver on examination because you
have never found a positive and are usually pressed for time. How should you next
approach this maneuver?
A) Use this test when you have a higher suspicion for a certain correlating
condition.
B) Omit this test from future examinations.
C) Continue doing the test, but rely more heavily on laboratory work and
diagnostics.
D) Continue performing it on all future examinations. - ANSWER-A) use this test
when you have a higher suspicion for a certain correlating condition
You have recently returned from a medical missions trip to sub-Saharan Africa,
where you learned a great deal about malaria. You decide to use some of the
same questions and maneuvers in your "routine" when examining patients in the
3|Page
, D'Youville University NUR-631 Advanced Health Assessment TEST BANK Exam
midwestern United States. You are disappointed to find that despite getting some
positive answers and findings, on further workup, none of your patients has
malaria except one, who recently emigrated from Ghana. How should you next
approach these questions and maneuvers?
A) Continue asking these questions in a more selective way.
B) Stop asking these questions, because they are low yield.
C) Question the validity of the questions.
D) Ask these questions of all your patients. - ANSWER-A) continue asking these
questions in a more selective way
You are running late after your quarterly quality improvement meeting at the
hospital and have just gotten paged from the nurses' station because a family
member of one of your patients wants to talk with you about that patient's care.
You have clinic this afternoon and are double-booked for the first appointment
time; three other patients also have arrived and are sitting in the waiting room.
Which of the following demeanors is a behavior consistent with skilled
interviewing when you walk into the examination room to speak with your first
clinic patient?
A) Irritability
B) Impatience
C) Boredom
D) Calm - ANSWER-D) calm
Suzanne, a 25 year old, comes to your clinic to establish care. You are the student
preparing to go into the examination room to interview her. Which of the
following is the most logical sequence for the patient-provider interview?
4|Page
D'YOUVILLE UNIVERSITY NUR-631 ADVANCED HEALTH
ASSESSMENT TEST BANK EXAM LATEST 2025/2026 GRADED A
+ GUARANTEED PASS (QUESTIONS AND ANSWERS WITH
RATIONALES) ACE YOUR EXAM
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. - ANSWER-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 an
example of a:
A) Pathophysiologic problem
B) Psychopathologic problem - ANSWER-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
1|Page
, D'Youville University NUR-631 Advanced Health Assessment TEST BANK Exam
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 - ANSWER-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. -
ANSWER-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 - ANSWER-D) CP, HA, arthritis,
war injury pain
2|Page
, D'Youville University NUR-631 Advanced Health Assessment TEST BANK Exam
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 work,
and diagnostic tests, only to find that there is no sign of the disease you thought
would correlate with the finding. This same experience happens several times.
What should you conclude?
A) Consider not doing this test routinely.
B) Use this test when you have a higher suspicion for a certain correlating
condition.
C) Continue using the test, perhaps doing less laboratory work and diagnostics.
D) Omit this test from future examinations. - ANSWER-C) continue using the test,
perhaps doing less laboratory work and diagnostics
You are growing fatigued of performing a maneuver on examination because you
have never found a positive and are usually pressed for time. How should you next
approach this maneuver?
A) Use this test when you have a higher suspicion for a certain correlating
condition.
B) Omit this test from future examinations.
C) Continue doing the test, but rely more heavily on laboratory work and
diagnostics.
D) Continue performing it on all future examinations. - ANSWER-A) use this test
when you have a higher suspicion for a certain correlating condition
You have recently returned from a medical missions trip to sub-Saharan Africa,
where you learned a great deal about malaria. You decide to use some of the
same questions and maneuvers in your "routine" when examining patients in the
3|Page
, D'Youville University NUR-631 Advanced Health Assessment TEST BANK Exam
midwestern United States. You are disappointed to find that despite getting some
positive answers and findings, on further workup, none of your patients has
malaria except one, who recently emigrated from Ghana. How should you next
approach these questions and maneuvers?
A) Continue asking these questions in a more selective way.
B) Stop asking these questions, because they are low yield.
C) Question the validity of the questions.
D) Ask these questions of all your patients. - ANSWER-A) continue asking these
questions in a more selective way
You are running late after your quarterly quality improvement meeting at the
hospital and have just gotten paged from the nurses' station because a family
member of one of your patients wants to talk with you about that patient's care.
You have clinic this afternoon and are double-booked for the first appointment
time; three other patients also have arrived and are sitting in the waiting room.
Which of the following demeanors is a behavior consistent with skilled
interviewing when you walk into the examination room to speak with your first
clinic patient?
A) Irritability
B) Impatience
C) Boredom
D) Calm - ANSWER-D) calm
Suzanne, a 25 year old, comes to your clinic to establish care. You are the student
preparing to go into the examination room to interview her. Which of the
following is the most logical sequence for the patient-provider interview?
4|Page
