NUR631-Advanced Health Assessment Test
1 Questions and Answers
Question 1
A middle-aged man comes in because he has noticed multiple small, blood-red,
raised lesions over his anterior chest and abdomen for the past several months. They
are not painful and he has not noted any bleeding or bruising. He is concerned this
may be consistent with a dangerous condition. What should you do?
A) Reassure him that there is nothing to worry about.
B) Do laboratory work to check for platelet problems.
C) Obtain an extensive history regarding blood problems and bleeding disorders.
D) Do a skin biopsy in the office.
Correct Answer
A) reassure him there is nothing to worry about - this is a cherry angioma and it's
benign
Question 2
A patient tells you about her experience with prolonged therapy for her breast cancer.
You comment, "That must have been a very trying time for you." What is this an
example of?
A) Reassurance
B) Empathy
C) Summarization
D) Validation
Correct Answer
D) validation
Page 1 of 47
,Question 3
You have just asked a patient how he feels about his emphysema. He becomes silent,
folds his arms across his chest and leans back in his chair, and then replies, "It is what
it is." How should you respond?
A) "You seem bothered by this question."
B) "Next, I would like to talk with you about your smoking habit."
C) "Okay, let's move on to your other problems."
D) "You have adopted a practical attitude toward your problem."
Correct Answer
A) you seem bothered by this question
Question 4
A 28-year-old patient comes to the office for evaluation of a rash. At first there was
only one large patch, but then more lesions erupted suddenly on the back and torso;
the lesions itch. On physical examination, you note that the pattern of eruption is like
a Christmas tree and that there are a variety of erythematous papules and macules on
the cleavage lines of the back. Based on this description, what is the most likely
diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema
Correct Answer
a) pityriasis rosea
one large patch that erupted into many lesions
"Christmas tree pattern"
Question 5
Claire's daughter brings her in today after Claire fell at her home. Which assessments
are indicated at this time?
A) Orthostatic vital signs
B) Review of her medications
C) Assessment of gait and balance
D) All of the above
Correct Answer
D) All of the above
Page 2 of 47
,Question 6
An 88-year-old retired piano teacher comes for evaluation of fatigue. You notice that
her clothes are hanging loosely off her frame and that she has lost 15 pounds. She is
unaware of this. Her husband of 63 years died a few months ago. You ask the patient
to complete a Rapid Screen for Dietary Intake. Which of the following statements is
considered to be part of this rapid screen?
A) I eat more than two meals per day.
B) I drink one glass of alcohol every day.
C) Without wanting to, I have lost or gained 10 pounds in the last 6 months.
D) I eat with at least one other person most of the time.
Correct Answer
C) Without wanting to, I have lost or gained 10 pounds in the last 6 months.
Question 7
A 70-year-old retired auto mechanic comes to your office because his neighbor is
concerned about his memory. The patient himself admits to misplacing his keys more
often and forgets what he is supposed to buy from the grocery store and where he
has parked the car. He denies getting lost in familiar places. Upon further questioning,
he states that his wife of 40 years died 8 months ago; his three children live in three
different states; and he has limited his activities because the people he interacted with
were "his wife's friends, not his." He drinks a six-pack of beer daily; he does not smoke
or use illicit drugs. You perform a mini-mental state examination and obtain a total
score of 24 out of 28. Based on this information, what is your most likely diagnosis?
A) Benign forgetfulness
B) Dementia
C) Meningitis
D) Depression
Correct Answer
D) Depression
Page 3 of 47
, Question 8
A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a
regular skin check-up. She has just returned from her annual dig site in Greece. She
has fair skin and reddish-blonde hair. She has a family history of melanoma. She has
many freckles scattered across her skin. From this description, which of the following
is not a risk factor for melanoma in this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure
Correct Answer
A) age
melanoma risk increases at age 50
Question 9
In assessing a person with or at risk for orthostatic hypotension, the BP should be
measured after 5 minutes in the supine position and then ---- and ---- minutes after
standing
a. 1,3
b. 2,4
c. 3,5
d. 5,10
Correct Answer
a. 1,3
Page 4 of 47
1 Questions and Answers
Question 1
A middle-aged man comes in because he has noticed multiple small, blood-red,
raised lesions over his anterior chest and abdomen for the past several months. They
are not painful and he has not noted any bleeding or bruising. He is concerned this
may be consistent with a dangerous condition. What should you do?
A) Reassure him that there is nothing to worry about.
B) Do laboratory work to check for platelet problems.
C) Obtain an extensive history regarding blood problems and bleeding disorders.
D) Do a skin biopsy in the office.
Correct Answer
A) reassure him there is nothing to worry about - this is a cherry angioma and it's
benign
Question 2
A patient tells you about her experience with prolonged therapy for her breast cancer.
You comment, "That must have been a very trying time for you." What is this an
example of?
A) Reassurance
B) Empathy
C) Summarization
D) Validation
Correct Answer
D) validation
Page 1 of 47
,Question 3
You have just asked a patient how he feels about his emphysema. He becomes silent,
folds his arms across his chest and leans back in his chair, and then replies, "It is what
it is." How should you respond?
A) "You seem bothered by this question."
B) "Next, I would like to talk with you about your smoking habit."
C) "Okay, let's move on to your other problems."
D) "You have adopted a practical attitude toward your problem."
Correct Answer
A) you seem bothered by this question
Question 4
A 28-year-old patient comes to the office for evaluation of a rash. At first there was
only one large patch, but then more lesions erupted suddenly on the back and torso;
the lesions itch. On physical examination, you note that the pattern of eruption is like
a Christmas tree and that there are a variety of erythematous papules and macules on
the cleavage lines of the back. Based on this description, what is the most likely
diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema
Correct Answer
a) pityriasis rosea
one large patch that erupted into many lesions
"Christmas tree pattern"
Question 5
Claire's daughter brings her in today after Claire fell at her home. Which assessments
are indicated at this time?
A) Orthostatic vital signs
B) Review of her medications
C) Assessment of gait and balance
D) All of the above
Correct Answer
D) All of the above
Page 2 of 47
,Question 6
An 88-year-old retired piano teacher comes for evaluation of fatigue. You notice that
her clothes are hanging loosely off her frame and that she has lost 15 pounds. She is
unaware of this. Her husband of 63 years died a few months ago. You ask the patient
to complete a Rapid Screen for Dietary Intake. Which of the following statements is
considered to be part of this rapid screen?
A) I eat more than two meals per day.
B) I drink one glass of alcohol every day.
C) Without wanting to, I have lost or gained 10 pounds in the last 6 months.
D) I eat with at least one other person most of the time.
Correct Answer
C) Without wanting to, I have lost or gained 10 pounds in the last 6 months.
Question 7
A 70-year-old retired auto mechanic comes to your office because his neighbor is
concerned about his memory. The patient himself admits to misplacing his keys more
often and forgets what he is supposed to buy from the grocery store and where he
has parked the car. He denies getting lost in familiar places. Upon further questioning,
he states that his wife of 40 years died 8 months ago; his three children live in three
different states; and he has limited his activities because the people he interacted with
were "his wife's friends, not his." He drinks a six-pack of beer daily; he does not smoke
or use illicit drugs. You perform a mini-mental state examination and obtain a total
score of 24 out of 28. Based on this information, what is your most likely diagnosis?
A) Benign forgetfulness
B) Dementia
C) Meningitis
D) Depression
Correct Answer
D) Depression
Page 3 of 47
, Question 8
A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a
regular skin check-up. She has just returned from her annual dig site in Greece. She
has fair skin and reddish-blonde hair. She has a family history of melanoma. She has
many freckles scattered across her skin. From this description, which of the following
is not a risk factor for melanoma in this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure
Correct Answer
A) age
melanoma risk increases at age 50
Question 9
In assessing a person with or at risk for orthostatic hypotension, the BP should be
measured after 5 minutes in the supine position and then ---- and ---- minutes after
standing
a. 1,3
b. 2,4
c. 3,5
d. 5,10
Correct Answer
a. 1,3
Page 4 of 47
