Nur 643E Grand Canyon University -Nur 643E
Advanced Health Assessment Final Exam.
SECTION 1: HEALTH HISTORY AND INTERVIEWING (Questions 1–30)
Question 1
A new patient presents to establish care. Which type of health history is most appropriate?
A) Focused problem-oriented history
B) Comprehensive health history
C) Emergency assessment
D) Interval history
Answer
Answer: B
Rationale
A comprehensive health history is appropriate for a new patient establishing care, as it gathers
complete information about the patient’s medical background, symptoms, and health concerns across
all systems.
Question 2
Which component is part of the health history rather than the physical examination?
A) Thorax and lungs
B) Review of systems
C) Auscultation of heart sounds
D) Palpation of the abdomen
Answer
Answer: B
Rationale
The review of systems is a component of the health history, whereas thorax and lungs, heart sounds,
and abdominal palpation are components of the physical examination.
,Question 3
A patient reports shortness of breath that worsens with activity. This information is classified
as:
A) Objective data
B) Subjective data
C) Laboratory data
D) Diagnostic imaging
Answer
Answer: B
Rationale
Subjective data are information provided by the patient about symptoms and circumstances, such as
shortness of breath worsened by activity.
Question 4
A respiratory rate of 32 breaths/min and a pulse of 120 bpm are classified as:
A) Subjective data
B) Objective data
C) Review of systems
D) Chief complaint
Answer
Answer: B
Rationale
Objective data are measurements obtained by the examiner, including vital signs such as respiratory
rate and pulse.
Question 5
A patient states, “I feel really tired.” This statement belongs in which category of the health
history?
A) Chief complaint
2
,B) Present illness
C) Past medical history
D) Family history
Answer
Answer: A
Rationale
The chief complaint is a brief statement in the patient’s own words describing the primary reason for
the visit.
Question 6
Information about a patient’s educational level, employment, and living situation belongs in
which category?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Answer
Answer: C
Rationale
Personal and social history includes educational level, household status, employment, lifestyle, and
related factors.
Question 7
A detailed description of abdominal pain, including location, timing, severity, and associated
symptoms, belongs in which category?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
3
, Answer
Answer: B
Rationale
The present illness characterizes the chief complaint in detail, including location, timing, severity, and
associated manifestations.
Question 8
Which technique is most appropriate for beginning a patient interview?
A) Asking closed-ended questions first
B) Using an open-ended question
C) Immediately focusing on the physical examination
D) Reading from a checklist
Answer
Answer: B
Rationale
Open-ended questions encourage the patient to describe concerns in their own words and build
rapport, making them ideal for beginning the interview.
Question 9
A patient avoids eye contact and gives brief answers during the interview. What is the most
appropriate interpretation?
A) The patient is definitely being deceptive
B) The behavior may reflect cultural norms, anxiety, or discomfort and should be explored
nonjudgmentally
C) The patient is uninterested in the interview
D) The patient should be confronted about dishonesty
Answer
Answer: B
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Advanced Health Assessment Final Exam.
SECTION 1: HEALTH HISTORY AND INTERVIEWING (Questions 1–30)
Question 1
A new patient presents to establish care. Which type of health history is most appropriate?
A) Focused problem-oriented history
B) Comprehensive health history
C) Emergency assessment
D) Interval history
Answer
Answer: B
Rationale
A comprehensive health history is appropriate for a new patient establishing care, as it gathers
complete information about the patient’s medical background, symptoms, and health concerns across
all systems.
Question 2
Which component is part of the health history rather than the physical examination?
A) Thorax and lungs
B) Review of systems
C) Auscultation of heart sounds
D) Palpation of the abdomen
Answer
Answer: B
Rationale
The review of systems is a component of the health history, whereas thorax and lungs, heart sounds,
and abdominal palpation are components of the physical examination.
,Question 3
A patient reports shortness of breath that worsens with activity. This information is classified
as:
A) Objective data
B) Subjective data
C) Laboratory data
D) Diagnostic imaging
Answer
Answer: B
Rationale
Subjective data are information provided by the patient about symptoms and circumstances, such as
shortness of breath worsened by activity.
Question 4
A respiratory rate of 32 breaths/min and a pulse of 120 bpm are classified as:
A) Subjective data
B) Objective data
C) Review of systems
D) Chief complaint
Answer
Answer: B
Rationale
Objective data are measurements obtained by the examiner, including vital signs such as respiratory
rate and pulse.
Question 5
A patient states, “I feel really tired.” This statement belongs in which category of the health
history?
A) Chief complaint
2
,B) Present illness
C) Past medical history
D) Family history
Answer
Answer: A
Rationale
The chief complaint is a brief statement in the patient’s own words describing the primary reason for
the visit.
Question 6
Information about a patient’s educational level, employment, and living situation belongs in
which category?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Answer
Answer: C
Rationale
Personal and social history includes educational level, household status, employment, lifestyle, and
related factors.
Question 7
A detailed description of abdominal pain, including location, timing, severity, and associated
symptoms, belongs in which category?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
3
, Answer
Answer: B
Rationale
The present illness characterizes the chief complaint in detail, including location, timing, severity, and
associated manifestations.
Question 8
Which technique is most appropriate for beginning a patient interview?
A) Asking closed-ended questions first
B) Using an open-ended question
C) Immediately focusing on the physical examination
D) Reading from a checklist
Answer
Answer: B
Rationale
Open-ended questions encourage the patient to describe concerns in their own words and build
rapport, making them ideal for beginning the interview.
Question 9
A patient avoids eye contact and gives brief answers during the interview. What is the most
appropriate interpretation?
A) The patient is definitely being deceptive
B) The behavior may reflect cultural norms, anxiety, or discomfort and should be explored
nonjudgmentally
C) The patient is uninterested in the interview
D) The patient should be confronted about dishonesty
Answer
Answer: B
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