TEST BANK
NUR-631 Advanced Health Assessment
TEST BANK Exam LATEST 2024/2025
D'Youville University GRADED A +
GUARANTEED PASS (QUESTIONS AND
ANSWERS WITH detailed RATIONALES)
ACE YOUR EXAM predictor 2 -pdf
INSTRUCTIONS :read the questions carefully
,personally handpicked from Bates
Which statement best describes the chief complaint?
A. General health and illness
B. The reason the individual is seeking care
C. Information to make the diagnosis
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D. Concerns about confidentiality and trust - ANS :B
A conversation with a parent concerning a 5-year-old child:
A. violates the child's need for privacy.
B. is inappropriate because the child is able to talk with you.
C. provides significant information about family dynamics.
D. causes distrust in the child toward the examiner. - ANS :C
J.F. shares with you that he has an uncle and a brother with sickle cell disease. Where would this information best
be documented?
A. Chief complaint
B. Medical history
C. Social history
D. Family history - ANS :D
A mother runs into the emergency department with her 6-year-old son. She says that her son fell 15 feet from a
tree. The child is screaming and has an open fracture of the left forearm. You would conduct a(n):
A. complete history.
B. focused history.
C. problem-oriented history.
D. interim history. - ANS :B
Some older adults may have sensory losses that make communication more difficult. Some degree of hearing loss is
common in older adults. One action that tends to worsen hearing or communication problems is:
A. positioning yourself so the patient is looking at your face.
B. speaking clearly and slowly.
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C. using a high-pitched voice.
D. avoiding noisy interviewing rooms. –
ANS :C
A. Prepare the client for a chest x-ray at the bedside.
A chest x-ray (A) should be performed immediately after the procedure to ensure lung expansion has been
maintained after removal of the chest tube. (B) provides additional data after removal of the CT. (C) may assist the
client to breathe easily, but the priority after chest tube removal is to ensure that the procedure was successful.
The entire system, including the chest tube is discarded and not taken apart (D). - ANS :The registered nurse (RN) is
assisting the healthcare provider (HCP) with the removal of a chest tube. Which intervention has the highest
priority and should be anticipated by the RN after removal of the chest tube?
A. Prepare the client for chest x-ray at the bedside.
B. Review arterial blood gases after removal.
C. Elevate the head of the bed to 45 degrees.
D. Assist with disassembling the drainage system.
D. A fracture that bends or splinters part of the bone.
An incomplete fracture (D) occurs through part of the thickness of bone. A linear (A) and a spiral fracture (B)
describe the direction of the fracture line. An open fracture (C) is a compound fracture that breaks through the
skin. - ANS :
A male client is admitted after falling from his bed. The healthcare provider (HCP) tells the family that he has an
incomplete fracture of the humerus. The family asks the nurse what this means. Which type of fracture should the
RN explain from these findings?
A. Straight fracture line that is also a simple, closed fracture.
B. Nondisplaced fracture line that wraps around the bone.
C. A complete fracture that also punctures the skin.
D. A fracture that bends or splinters part of the bone.
A. Hematemesis
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B. Gastric pain on an empty stomach
D. Intolerance of spicy foods
(A, B and D) correct. Manifestations of PUD include hematemesis (A), gastric pain (B), and spicy food intolerance.
(C) is consistent with cholecystitis (D). (E) is not consistent with PUD. - ANS :
The registered nurse (RN) is caring for a client with peptic ulcer disease (PUD). What assessment should the RN
identify that is consistent with PUD? (Select all that apply)
A. Hematemesis
B. Gastric pain on an empty stomach
C. Colic-like pain with fatty food ingestion
D. Intolerance of spicy foods
E. Diarrhea and stearrhea
D.
A client who has chronic constipation (D) often strains to pass constipated stool which increases intestinal pressure
that weakens the intestinal walls and causes out-pouching sacs, called diverticula which commonly occur in the
signmoid. Regular use of laxatives (A) can result in the bowel's dependency on the laxative to stimulate intestinal
motility, but constipation due to lack of fiver in diet, not (C), is a predisposing factor for formation of diverticula.
Growths that protrude into the colon lumen are polyps (B), which are often pre-cancerous lesions. - ANS :
A client is newly diagnosed with diverticulosis. The registered nurse (RN) is assessing the client's basic knowledge
about the disease process. Which statement by the client conveys the client's understanding of the etiology of
diverticula?
A. Over use of laxatives for bowel regularity result in loss of peristaltic tone.
B. Inflammation of the colon mucosa that cause growths that protrude into the lumen.
C. Diverticulosis is the result of high fiber diet and sedentary life style.
D. Chronic constipation causes weakening of colon wall which result in out-pouching sacs.
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