Actual Exam NUR 631 Advanced Health

NUR631 Advanced Health Assessment Actual Exam NUR 631 Advanced Health Assessment Actual Exam Latest Update Questions and Correct Answers Rated A+

A patient present for evaluation of a sharp, aching chest pain which increases with breathing. Which anatomic area would you localize the symptom to?

• Musculoskeletal
• Reproductive
• Urinary
• 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?

• Reproductive
• Urinary
• Cardiac
• Hematologic -ANSWER-C)cardiac

A patient present for evaluation of a cough. Which of the following anatomic regions can be responsible for a cough?

• Ophthalmologic
• Auditory
• Cardiac
• 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?

• Infectious
• Inflammatory
• Hematologic
• 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?

• Infectious
• Neoplastic
• Degenerative
• 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?

• Infection
• Inflammation
• Allergic
• 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?

• Head is norm cephalic and atraumatic, fundi with sharp discs, neck

supple with full range of motion

• Head is norm cephalic and atraumatic, fundi with sharp discs, neck

with paraspinous muscle spasm and limited range of motion to the right

• Head is norm cephalic and atraumatic, fundi with blurred disc

margins, neck tender to palpation, unable to perform range of motion

• Head is norm cephalic 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?

• Abdomen is soft, no tender, and no distended, without

hepatosplenomegaly or masses.

• Abdomen is soft and tender to palpation in the right lower quadrant,

without rebound or guarding.

• 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.

• 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:

• One disease process
• 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:

• One disease process
• 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?

• You have tested your hypothesis.
• You have developed a plan.
• You have established a working diagnosis.
• 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