NUR-631 Advanced Health Assessment
NUR-631 Advanced Health Assessment
TEST BANK Exam LATEST 2024/2025
D'Youville University GRADED A +
GUARANTEED PASS (QUESTIONS AND
ANSWERS WITH RATIONALES) ACE YOUR
EXAM
Instructions – Read the Questions CAREFULLY , PERSONALLY HANDPICKED FROM BATES
Kidney pain is commonly described as "flank pain." Which of the following would be considered in the flank area?
A) periumbilical
B) costovertebral angle
C) suprapubic
D) epigastric - ANS :B) costovertebral angle
Costovertabal angle (CVA) pain or tenderness with percussion is a common test for kidney pain
At what age is colorectal cancer screening started in those with "average risk?"
A) 50
B) 45
C) 25
D) 35 - ANS :A) 50
The recommendation for colorectal cancer screening starts at 50 years old for those with "average risk
While performing a fundoscopic examination on a 38 year old African American female, the color of the fundus is a
grayish brown, almost purple. You determine:
, NUR-631 Advanced Health Assessment
A) this is a sign of diabetic retinopathy
B) this is a sign of hypertensive retinopathy
C) this indicates retinal detachment and requires immediate intervention
D) this is a normal variation, no action is needed - ANS :D) this is a normal variation, no action is needed
There are normal variants for darker skinned patients (Bates, p283).
Wheezes are a result of:
A) abnormal lung tissue
B) narrowed air passages
C) fibrosis
D) fluid in the lungs - ANS :B) narrowed air passages
Wheezes are the result of narrowed airways, like in asthma, COPD, or bronchitis (Bates, p338)
Rhonchi suggests:
A) secretions is large airways
B) secretions in the pleural sac
C) secretions in alveoli
D) secretions in bronchioles - ANS :A) secretions is large airways
Rhonchi are suggestive of secretions in large airways (Bates, p325).
The prevalence of strokes in women ages 45-54 are:
A) half that of men in the same age group
B) greater than that of men in the same age group
C) women have less strokes, but more heart attacks than men the same age
D) none of the above - ANS :B) greater than that of men in the same age group
, NUR-631 Advanced Health Assessment
Women have about 60% of the total number of strokes in the 45-54 years old age group, which is important when
evaluating their health risks (Bates, p361).
Normal blood pressure would be best described as:
A) < 130/90
B) < 120/80
C) < 100/50
D) 110/60 - ANS :B) < 120/80
Normal blood pressure is 120/80 (Bates, p130)
Which of the following is a vesicular lesion?
A) psoriasis
B) nevus
C) café au lait spots
D) herpes simplex - ANS :D) herpes simplex
Herpes simplex presents initially as a vesicle/vesicles. Café au lait spots are macules, psoriasis is a plaque or papule, a
nevus is a papule (Bates, p290).
Generalized lymphadenopathy is seen in
A) lymphoma
B) infectious mononucleosis
C) leukemia
D) all of the above - ANS :D) all of the above
All of the above can cause generalized lymphadenopathy (Bates, p261)
A 53-year-old obese man comes in for an exam. When he starts to sit up, you notice a ridge/bulge vertically just
under the sternum that resolves once he sits up. This is most likely:
A) lipoma
, NUR-631 Advanced Health Assessment
B) diastasis recti
C) a direct hernia
D) an indirect hernia - ANS :B) diastasis recti
A diastasis recti is the separation of the two rectus abdominus muscles that happens when the head and shoulders
are raised in some patients, especially obese, chronic lung disease, or after repeated pregnancies (Bates, p499).
Ascites would be described as ____________ with abdominal percussion.
A) dullness around the outside (periphery) of the abdomen and tympany in the center of the abdomen when supine
B) diffuse hyperresonance
C) hyperresonance in the right upper quadrant with tympany in the rest of the abdomen
D) none of the above - ANS :A) dullness around the outside (periphery) of the abdomen and tympany in the center of
the abdomen when supine
The percussion of the abdomen with ascites is dullness around the outside portion of the abdomen (because of the
fluid) and tympany in the center (since it is above the level of the fluid). Bates, pg484-485
Which abdominal quadrant pain would most likely occur with diverticulitis?
A) LUQ
B) LLQ
C) RLQ
D) RUQ - ANS :B) LLQ
Bates, p488
A 59 year old patients tells the nurse practitioner that he thinks he must have ulcerative colitis. He has been having
"black stools" for the last 24 hours. How would the nurse practitioner best document THE FACTS for his reason for
seeking care?
A) JM is a 59 year old male here for having "black stools" for the past 24 hours.
B) JM came into the clinic complaining of black stools for the past 24 hours.
C) JM is a 59 year old male here for "ulcerative colitis."
NUR-631 Advanced Health Assessment
TEST BANK Exam LATEST 2024/2025
D'Youville University GRADED A +
GUARANTEED PASS (QUESTIONS AND
ANSWERS WITH RATIONALES) ACE YOUR
EXAM
Instructions – Read the Questions CAREFULLY , PERSONALLY HANDPICKED FROM BATES
Kidney pain is commonly described as "flank pain." Which of the following would be considered in the flank area?
A) periumbilical
B) costovertebral angle
C) suprapubic
D) epigastric - ANS :B) costovertebral angle
Costovertabal angle (CVA) pain or tenderness with percussion is a common test for kidney pain
At what age is colorectal cancer screening started in those with "average risk?"
A) 50
B) 45
C) 25
D) 35 - ANS :A) 50
The recommendation for colorectal cancer screening starts at 50 years old for those with "average risk
While performing a fundoscopic examination on a 38 year old African American female, the color of the fundus is a
grayish brown, almost purple. You determine:
, NUR-631 Advanced Health Assessment
A) this is a sign of diabetic retinopathy
B) this is a sign of hypertensive retinopathy
C) this indicates retinal detachment and requires immediate intervention
D) this is a normal variation, no action is needed - ANS :D) this is a normal variation, no action is needed
There are normal variants for darker skinned patients (Bates, p283).
Wheezes are a result of:
A) abnormal lung tissue
B) narrowed air passages
C) fibrosis
D) fluid in the lungs - ANS :B) narrowed air passages
Wheezes are the result of narrowed airways, like in asthma, COPD, or bronchitis (Bates, p338)
Rhonchi suggests:
A) secretions is large airways
B) secretions in the pleural sac
C) secretions in alveoli
D) secretions in bronchioles - ANS :A) secretions is large airways
Rhonchi are suggestive of secretions in large airways (Bates, p325).
The prevalence of strokes in women ages 45-54 are:
A) half that of men in the same age group
B) greater than that of men in the same age group
C) women have less strokes, but more heart attacks than men the same age
D) none of the above - ANS :B) greater than that of men in the same age group
, NUR-631 Advanced Health Assessment
Women have about 60% of the total number of strokes in the 45-54 years old age group, which is important when
evaluating their health risks (Bates, p361).
Normal blood pressure would be best described as:
A) < 130/90
B) < 120/80
C) < 100/50
D) 110/60 - ANS :B) < 120/80
Normal blood pressure is 120/80 (Bates, p130)
Which of the following is a vesicular lesion?
A) psoriasis
B) nevus
C) café au lait spots
D) herpes simplex - ANS :D) herpes simplex
Herpes simplex presents initially as a vesicle/vesicles. Café au lait spots are macules, psoriasis is a plaque or papule, a
nevus is a papule (Bates, p290).
Generalized lymphadenopathy is seen in
A) lymphoma
B) infectious mononucleosis
C) leukemia
D) all of the above - ANS :D) all of the above
All of the above can cause generalized lymphadenopathy (Bates, p261)
A 53-year-old obese man comes in for an exam. When he starts to sit up, you notice a ridge/bulge vertically just
under the sternum that resolves once he sits up. This is most likely:
A) lipoma
, NUR-631 Advanced Health Assessment
B) diastasis recti
C) a direct hernia
D) an indirect hernia - ANS :B) diastasis recti
A diastasis recti is the separation of the two rectus abdominus muscles that happens when the head and shoulders
are raised in some patients, especially obese, chronic lung disease, or after repeated pregnancies (Bates, p499).
Ascites would be described as ____________ with abdominal percussion.
A) dullness around the outside (periphery) of the abdomen and tympany in the center of the abdomen when supine
B) diffuse hyperresonance
C) hyperresonance in the right upper quadrant with tympany in the rest of the abdomen
D) none of the above - ANS :A) dullness around the outside (periphery) of the abdomen and tympany in the center of
the abdomen when supine
The percussion of the abdomen with ascites is dullness around the outside portion of the abdomen (because of the
fluid) and tympany in the center (since it is above the level of the fluid). Bates, pg484-485
Which abdominal quadrant pain would most likely occur with diverticulitis?
A) LUQ
B) LLQ
C) RLQ
D) RUQ - ANS :B) LLQ
Bates, p488
A 59 year old patients tells the nurse practitioner that he thinks he must have ulcerative colitis. He has been having
"black stools" for the last 24 hours. How would the nurse practitioner best document THE FACTS for his reason for
seeking care?
A) JM is a 59 year old male here for having "black stools" for the past 24 hours.
B) JM came into the clinic complaining of black stools for the past 24 hours.
C) JM is a 59 year old male here for "ulcerative colitis."
