NUR631 Advanced Health Assessment Test 1

NUR631 Advanced Health Assessment Test 1 Exam Advanced Health Assessment NUR 643E Actual Exam Questions and Correct Answers Rated A+

• For which of the following patients would a comprehensive health

history be appropriate?

• A new patient with the chief complaint of "I sprained my ankle"
• An established patient with the chief complaint of "I have an upper

respiratory infection"

• A new patient with the chief complaint of "I am here to establish

care"

• A new patient with the chief complaint of "I cut my hand" -

ANSWER-c) a new patient with the CC of "I am here to establish care"

the patient is new to the provider so a comprehensive health history is needed

• The components of the health history include all of the following

except which one?

• Review of systems
• Thorax and lungs
• Present illness
• Personal and social items -ANSWER-B) thorax and lungs

these are part of the physical examination

• Is the following information subjective or objective?

Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity and relieved by rest.

• Subjective

• Objective -ANSWER-A) subjective

this is information given by the patient

• Is the following information subjective or objective?

Mr. M. has a respiratory rate of 32 and a pulse rate of 120.

• Subjective
• Objective -ANSWER-B) objective

this is information obtained by the examiner

5. The following information is recorded in the health history: "The

patient has had abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9 on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in the mid-epigastric area." Which of these categories does it belong to?

• Chief complaint
• Present illness
• Personal and social history
• Review of systems -ANSWER-B) Present illness

HPI

6. The following information is recorded in the health history: "The

patient completed 8th grade. He currently lives with his wife and two children. He works on old cars on the weekend. He works in a glass factory during the week." Which category does it belong to?

• Chief complaint
• Present illness
• Personal and social history
• Review of systems -ANSWER-C) personal and social history

7. The following information is recorded in the health history: "I feel

really tired." Which category does it belong to?

• Chief complaint
• Present illness
• Personal and social history
• Review of systems -ANSWER-A) chief complaint

pt's own words

8. The following information is recorded in the health history: "Patient

denies chest pain, palpitations, orthopnea, and paroxysmal nocturnal dyspnea." Which category does it belong to?

• Chief complaint
• Present illness
• Personal and social history
• Review of systems -ANSWER-D) review of systems

• The following information is best placed in which category?

"The patient has had three cesarean sections."

• Adult illnesses
• Surgeries
• Obstetrics/gynecology
• Psychiatric -ANSWER-B) surgeries

• The following information is best placed in which category?

"The patient had a stent placed in the left anterior descending artery (LAD) in 1999."

• Adult illnesses
• Surgeries
• Obstetrics/gynecology
• Psychiatric -ANSWER-A) adult illnesses

*a stent is a major procedure but does not involve a surgeon*

• 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."

• Adult illnesses
• Surgeries
• Obstetrics/gynecology
• 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?

• 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 presents 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