NUR631-Advanced Health Assessment
Test 1 Updated Questions And
Answers
1. The following information is best placed in which category?
"The patient was treated for an asthma exacerbation in the hospital last year; the
patient has never been intubated."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - ANSWER -A) adult illnesses
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?
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
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
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:
A) One disease process
B) More than one disease process - ANSWER -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 - ANSWER -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. - 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
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
Test 1 Updated Questions And
Answers
1. The following information is best placed in which category?
"The patient was treated for an asthma exacerbation in the hospital last year; the
patient has never been intubated."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - ANSWER -A) adult illnesses
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?
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
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
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:
A) One disease process
B) More than one disease process - ANSWER -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 - ANSWER -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. - 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
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
