NUR631 Midterm Exam Prep Test Bank 1 Latest / NUR 631 Advanced Health Assessment Newest Midterm Exam Prep Test Bank with 300+ Questions and Correct Answers

NUR631 Midterm Exam Prep Test Bank 1
Latest / NUR 631 Advanced Health
Assessment Newest Midterm Exam Prep Test
Bank with 300+ Questions and Correct
Answers



PART 1: HEALTH HISTORY & INTERVIEW TECHNIQUES

1. A patient presents with a complaint of "stomach pain." Which of the following
is the best initial question to elicit the patient's story?

 A) "Is the pain sharp or dull?"
 B) "Tell me about your pain."
 C) "When did your pain start?"
 D) "Have you had this pain before?"

Rationale: Beginning with an open-ended question about the symptom onset allows
the patient to tell their story in their own words. This is the foundation of the patient
interview sequence: greet patient, establish rapport, invite the patient's story, establish
agenda, expand and clarify, and negotiate a plan . Asking about the quality of the pain
initially can shut down the narrative.

,2. Which of the following represents the correct sequence for a patient-provider
interview?

 A) Establish the agenda, negotiate a plan, establish rapport, and invite the
patient's story.
 B) Greet the patient, establish rapport, invite the patient's story, establish
the agenda, expand and clarify the patient's story, and negotiate a plan.
 C) Invite the patient's story, negotiate a plan, establish the agenda, and establish
rapport.
 D) Negotiate a plan, establish an agenda, invite the patient's story, and establish
rapport.

Rationale: The patient-provider interview follows a logical sequence to ensure patient-
centered care: greeting, building rapport, and then allowing the patient to narrate their
concerns before moving to clarifying questions and the treatment plan .




3. The symptom analysis includes exploring seven attributes of a symptom. Which
of the following is NOT one of these attributes?

 A) Location
 B) Quality
 C) Family history
 D) Timing

Rationale: The seven attributes of a symptom are: 1) location, 2) quality, 3)
quantity/severity, 4) timing (onset, duration, frequency), 5) setting in which it occurs, 6)
aggravating/relieving factors, and 7) associated manifestations. Family history is a
separate part of the health history (past medical history), not an attribute of a symptom.

,4. A patient describes her pain: "It's a dull ache in my right upper abdomen. It
started a few weeks ago, comes and goes, and lasts for 2-3 hours at a time. It
happens after I eat greasy foods. Nothing makes it better, and it's getting worse."
Which of the seven symptom attributes was omitted?

 A) Quality
 B) Timing
 C) Setting
 D) Associated manifestations

Rationale: The patient described location, quality, timing, setting/aggravating factors,
and severity (getting worse). However, she did not mention any associated symptoms
such as nausea, vomiting, fever, or changes in bowel habits. Associated manifestations
help differentiate biliary colic from other sources of right upper quadrant pain .




5. The nurse practitioner must prioritize the patient's problems. A 72-year-old
patient reports chronic arthritis, old war injury pain, headaches, and new dull chest
pain under the sternum. What is the correct order of priority for the problem list?

 A) Arthritis, war injury pain, headaches, chest pain
 B) War injury pain, arthritis, headaches, chest pain
 C) Headaches, arthritis, war injury pain, chest pain
 D) Chest pain, headaches, arthritis, war injury pain

Rationale: The problem list should be prioritized based on the urgency and potential
threat to life. New-onset chest pain is a "red flag" symptom for potentially life-

, threatening cardiac or pulmonary conditions and should be prioritized first. Chronic,
stable problems are placed lower on the list .




6. A 42-year-old man injured his back. You consider prescribing physical therapy
three times weekly for an hour. What is the most appropriate next step?

 A) Write the prescription immediately.
 B) Have your office staff explain the directions to the physical therapy center.
 C) Discuss the plan with the patient.
 D) Tell the patient he will be going to physical therapy three times a week.

Rationale: Shared decision-making is essential. The provider must discuss the treatment
plan with the patient, confirm the patient's agreement, and address any questions or
concerns before writing a prescription. An unilaterally imposed plan may lead to non-
adherence .




7. The symptom "shortness of breath with exertion" should be fully characterized.
Which attribute was not addressed in the following description: "The shortness of
breath occurs with exertion and improves with rest. It has been going on for
several months. Initially, it occurred with strenuous exertion; however, it now
occurs with minimal exertion. It lasts for less than 5 minutes at a time. He has no
cough, chest pressure, pain, swelling, or orthopnea."

 A) Severity
 B) Setting
 C) Timing
 D) Associated manifestations