NUR631-Advanced Health
Assessment Test 1 with 100%
correct answers.
A 72-year-old retired truck driver comes to the clinic with his wife for
evaluation of hearing loss. He has noticed some decreased ability to hear
what his wife and grandchildren are saying to him. He admits to lip-reading
more. He has a history of noise exposure in his young adult years: He worked
as a sound engineer at a local arena and had to attend a lot of concerts.
Based on this information, what is the most likely finding regarding his
hearing acuity?
A) Loss of acuity for middle-range sounds
B) Increase of acuity for low-range sounds
C) Loss of acuity for high-range sounds
D) Increase of acuity for high-range sounds
A) Loss of acuity for middle-range sounds
human speech is middle-range sound
`•°
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
D) Depression
`•°
A 78-year-old retired seamstress comes to the office for a routine check-up.
You obtain an ECG (electrocardiogram) because of her history of
hypertension. You diagnose a previous myocardial infarction and ask her if
she had any symptoms related to this. Which of the following symptoms
would be more common in this patient's age group for an acute myocardial
infarction?
A) Chest pain
B) Syncope
C) Pain radiating into the left arm
D) Pain radiating into the jaw
B) syncope
`•°
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.
C) Without wanting to, I have lost or gained 10 pounds in the last 6
months.
An 89-year-old retired school principal comes for an annual check-up. She
would like to know whether or not she should undergo a screening
colonoscopy. She has never done this before. Which of the following factors
should not be considered when discussing whether she should go for this
screening test?
A) Life expectancy
B) Time interval until benefit from screening accrues
C) Patient preference
D) Current age of patient
D) current age of the patient
`•°
Which of the following booster immunizations is recommended in the older
adult population?
A) Tetanus
B) Diphtheria
C) Measles
D) Mumps
A) tetanus
, `•°
You are asked to perform a home safety assessment for an 87-year-old
retired farmer who lives by himself. Which of the following is not considered
to be an increased risk for falls?
A) Loose electrical cords
B) Slippery or irregular surfaces
C) Chairs at awkward angles
D) Bright lighting
D) Bright lighting
Which of the following brief screening measures is useful in assessing
memory?
A) Three-item recall
B) Serial 7s
C) Spelling "world" backward
D) Copying intersecting pentagrams
A) Three-item recall
`•°
Which of the following questions is part of the screening for physical
disability?
A) Are you able to go shopping for groceries or clothes?
B) Are you able to walk one block?
C) Are you able to pass the driver's license test?
Assessment Test 1 with 100%
correct answers.
A 72-year-old retired truck driver comes to the clinic with his wife for
evaluation of hearing loss. He has noticed some decreased ability to hear
what his wife and grandchildren are saying to him. He admits to lip-reading
more. He has a history of noise exposure in his young adult years: He worked
as a sound engineer at a local arena and had to attend a lot of concerts.
Based on this information, what is the most likely finding regarding his
hearing acuity?
A) Loss of acuity for middle-range sounds
B) Increase of acuity for low-range sounds
C) Loss of acuity for high-range sounds
D) Increase of acuity for high-range sounds
A) Loss of acuity for middle-range sounds
human speech is middle-range sound
`•°
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
D) Depression
`•°
A 78-year-old retired seamstress comes to the office for a routine check-up.
You obtain an ECG (electrocardiogram) because of her history of
hypertension. You diagnose a previous myocardial infarction and ask her if
she had any symptoms related to this. Which of the following symptoms
would be more common in this patient's age group for an acute myocardial
infarction?
A) Chest pain
B) Syncope
C) Pain radiating into the left arm
D) Pain radiating into the jaw
B) syncope
`•°
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.
C) Without wanting to, I have lost or gained 10 pounds in the last 6
months.
An 89-year-old retired school principal comes for an annual check-up. She
would like to know whether or not she should undergo a screening
colonoscopy. She has never done this before. Which of the following factors
should not be considered when discussing whether she should go for this
screening test?
A) Life expectancy
B) Time interval until benefit from screening accrues
C) Patient preference
D) Current age of patient
D) current age of the patient
`•°
Which of the following booster immunizations is recommended in the older
adult population?
A) Tetanus
B) Diphtheria
C) Measles
D) Mumps
A) tetanus
, `•°
You are asked to perform a home safety assessment for an 87-year-old
retired farmer who lives by himself. Which of the following is not considered
to be an increased risk for falls?
A) Loose electrical cords
B) Slippery or irregular surfaces
C) Chairs at awkward angles
D) Bright lighting
D) Bright lighting
Which of the following brief screening measures is useful in assessing
memory?
A) Three-item recall
B) Serial 7s
C) Spelling "world" backward
D) Copying intersecting pentagrams
A) Three-item recall
`•°
Which of the following questions is part of the screening for physical
disability?
A) Are you able to go shopping for groceries or clothes?
B) Are you able to walk one block?
C) Are you able to pass the driver's license test?
