NUR-631 Advanced Health Assessment
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 1 -pdf
INSTRUCTIONS :read the questions carefully
,personally handpicked from Bates
The nurse practitioner is assessing a patient who may have hearing loss. Which of these statements is true
concerning air conduction?
A) Air conduction is the normal pathway for hearing.
B) Vibrations of the bones in the skull cause air conduction.
C) Amplitude of sound determines the pitch that is heard.
D) Loss of air conduction is called a conductive hearing loss. - ANS :A) Air conduction is the normal pathway for
hearing.
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
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The normal pathway of hearing is air conduction, which starts when sound waves produce vibrations on the
tympanic membrane. Conductive hearing loss results from a mechanical dysfunction of the external or middle
ear. The other statements are not true concerning air conduction.
When examining the ear of a young child, which of the following is the proper technique to use?
A) Examine the ear canal and tympanic membrane as the last steps in the exam if the child is sensitive or
fearful.
B) Pull the auricle downward, outward, and backward for the best view.
C) Use the largest speculum possible on the otoscope.
D) All of the above. - ANS :D) All of the above.
If a child is fearful or sensitive because she can't see the ear exam, you might need to restrain her so wait until
the end of the exam. Use the largest speculum for the best view. For best visualization, pull the auricle
downward, outward, and backward (Bates 867-869).
The nurse practitioner might see which of the following physical findings in a patient with otitis externa?
A) a bulging, red tympanic membrane
B) an unusually prominent short process and prominent handle.
C) a chalky, white patch with irregular margins on the inferior part of the tympanic membrane.
D) Pain with the movement of the auricle and tragus (tug test): a swollen, narrowed, moist, pale and tender
ear canal. - ANS :D) Pain with the movement of the auricle and tragus (tug test): a swollen, narrowed, moist,
pale and tender ear canal.
Frank blood or clear watery drainage (cerebrospinal leak) after trauma suggest a basal skull fracture and
warrants immediate referral. Purulent drainage indicates otitis externa or otitis media. (Bates, 245-246)
An Annual Low Dose Computed Tomography (LDCT) screening would be recommended for which patient?
A) Tammy, age 57, who smokes a half pack of cigarettes a day for the last 20 years.
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
, NUR-631 Advanced Health Assessment
TEST BANK
B) Bob, age 72, who quit smoking 10 years ago after a 30-pack year history.
C) Angela, age 43, and started smoking when she was 15 years old.
D) George, age 80, who lives with his wife and is a smoker. - ANS :B) Bob, age 72, who quit smoking 10 years
ago after a 30-pack year history.
LDCT screenings are recommended to patients 55-74 years, a 30-pack year smoking history or current smoking
or have quit in the last 15 years (Bates, p315-316).
NP is preparing to perform an otoscopic examination of a newborn infant. Which statement is true regarding
this examination?
A) Immobility of the drum is a normal finding.
B) The light reflex is cone shaped in the first few days of life.
C) The appearance of the membrane is identical to that of an adult.
D) The normal membrane may appear thick and opaque because of the vernix caseosa obscuring the tympanic
membrane for the first few days of life. - ANS :D) The normal membrane may appear thick and opaque because
of the vernix caseosa obscuring the tympanic membrane for the first few days of life.
During the first few days, the tympanic membrane often looks thickened and opaque because there is vernix
caseosa obscuring the tympanic membrane (Bates, p825).
The projections in the nasal cavity that increase the surface area are called the:
A) Kiesselbach plexus
B) turbinates
C) meatus
D) septum - ANS :B) turbinates
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
, NUR-631 Advanced Health Assessment
TEST BANK
The lateral walls of each nasal cavity contain 3 parallel bony projections: the superior, middle, and inferior
turbinates. They increase the surface area so that more blood vessels and mucous membrane are available to
warm, humidify, and filter the inhaled air (Bates, p250).
All of the following are true of the nasal inspection EXCEPT:
A) Tilt the patient's head back a bit and insert the speculum gently into the vestibule of each nostril. Avoid
contact with the nasal septum. You should inspect the inferior and middle turbinates, the nasal septum, and
the narrow passage between them.
B) In viral rhinitis, the mucosa is usually reddened and swollen, and in allergic rhinitis the mucosa is often pale,
bluish, or red.
C) Examine the inside of the nose without a speculum on the otoscope keeping the otoscope 6-10 inches away
from the tip of the patient's nose are you look at each nostril.
D) Use the largest available ear speculum on the otoscope during inspection. - ANS :C) Examine the inside of
the nose without a speculum on the otoscope keeping the otoscope 6-10 inches away from the tip of the
patient's nose are you look at each nostril.
Tilt the patient's head back a bit and insert the speculum gently into the vestibule of each nostril. Avoid contact
with the nasal septum. Use the largest available speculum. In viral rhinitis, the mucosa is usually reddened and
swollen, and in allergic rhinitis the mucosa is often pale, bluish, or red.
A 46 year old female patient is in the clinic with a chief complaint of chest pain. You are wanting to best
understand the patient's perception of the chest pain. Which fo the following questions would you ask first?
A) How do you rate your pain on a scale of 0-10?
B) Is the pain related to exertion?
C) Tell me about your chest discomfort.
D) Are you taking all of your medications? - ANS :C) Tell me about your chest discomfort.
Move from open ended to focused questions to allow for the flow of ideas and thoughts from the patient.
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
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 1 -pdf
INSTRUCTIONS :read the questions carefully
,personally handpicked from Bates
The nurse practitioner is assessing a patient who may have hearing loss. Which of these statements is true
concerning air conduction?
A) Air conduction is the normal pathway for hearing.
B) Vibrations of the bones in the skull cause air conduction.
C) Amplitude of sound determines the pitch that is heard.
D) Loss of air conduction is called a conductive hearing loss. - ANS :A) Air conduction is the normal pathway for
hearing.
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
, NUR-631 Advanced Health Assessment
TEST BANK
The normal pathway of hearing is air conduction, which starts when sound waves produce vibrations on the
tympanic membrane. Conductive hearing loss results from a mechanical dysfunction of the external or middle
ear. The other statements are not true concerning air conduction.
When examining the ear of a young child, which of the following is the proper technique to use?
A) Examine the ear canal and tympanic membrane as the last steps in the exam if the child is sensitive or
fearful.
B) Pull the auricle downward, outward, and backward for the best view.
C) Use the largest speculum possible on the otoscope.
D) All of the above. - ANS :D) All of the above.
If a child is fearful or sensitive because she can't see the ear exam, you might need to restrain her so wait until
the end of the exam. Use the largest speculum for the best view. For best visualization, pull the auricle
downward, outward, and backward (Bates 867-869).
The nurse practitioner might see which of the following physical findings in a patient with otitis externa?
A) a bulging, red tympanic membrane
B) an unusually prominent short process and prominent handle.
C) a chalky, white patch with irregular margins on the inferior part of the tympanic membrane.
D) Pain with the movement of the auricle and tragus (tug test): a swollen, narrowed, moist, pale and tender
ear canal. - ANS :D) Pain with the movement of the auricle and tragus (tug test): a swollen, narrowed, moist,
pale and tender ear canal.
Frank blood or clear watery drainage (cerebrospinal leak) after trauma suggest a basal skull fracture and
warrants immediate referral. Purulent drainage indicates otitis externa or otitis media. (Bates, 245-246)
An Annual Low Dose Computed Tomography (LDCT) screening would be recommended for which patient?
A) Tammy, age 57, who smokes a half pack of cigarettes a day for the last 20 years.
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
, NUR-631 Advanced Health Assessment
TEST BANK
B) Bob, age 72, who quit smoking 10 years ago after a 30-pack year history.
C) Angela, age 43, and started smoking when she was 15 years old.
D) George, age 80, who lives with his wife and is a smoker. - ANS :B) Bob, age 72, who quit smoking 10 years
ago after a 30-pack year history.
LDCT screenings are recommended to patients 55-74 years, a 30-pack year smoking history or current smoking
or have quit in the last 15 years (Bates, p315-316).
NP is preparing to perform an otoscopic examination of a newborn infant. Which statement is true regarding
this examination?
A) Immobility of the drum is a normal finding.
B) The light reflex is cone shaped in the first few days of life.
C) The appearance of the membrane is identical to that of an adult.
D) The normal membrane may appear thick and opaque because of the vernix caseosa obscuring the tympanic
membrane for the first few days of life. - ANS :D) The normal membrane may appear thick and opaque because
of the vernix caseosa obscuring the tympanic membrane for the first few days of life.
During the first few days, the tympanic membrane often looks thickened and opaque because there is vernix
caseosa obscuring the tympanic membrane (Bates, p825).
The projections in the nasal cavity that increase the surface area are called the:
A) Kiesselbach plexus
B) turbinates
C) meatus
D) septum - ANS :B) turbinates
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
, NUR-631 Advanced Health Assessment
TEST BANK
The lateral walls of each nasal cavity contain 3 parallel bony projections: the superior, middle, and inferior
turbinates. They increase the surface area so that more blood vessels and mucous membrane are available to
warm, humidify, and filter the inhaled air (Bates, p250).
All of the following are true of the nasal inspection EXCEPT:
A) Tilt the patient's head back a bit and insert the speculum gently into the vestibule of each nostril. Avoid
contact with the nasal septum. You should inspect the inferior and middle turbinates, the nasal septum, and
the narrow passage between them.
B) In viral rhinitis, the mucosa is usually reddened and swollen, and in allergic rhinitis the mucosa is often pale,
bluish, or red.
C) Examine the inside of the nose without a speculum on the otoscope keeping the otoscope 6-10 inches away
from the tip of the patient's nose are you look at each nostril.
D) Use the largest available ear speculum on the otoscope during inspection. - ANS :C) Examine the inside of
the nose without a speculum on the otoscope keeping the otoscope 6-10 inches away from the tip of the
patient's nose are you look at each nostril.
Tilt the patient's head back a bit and insert the speculum gently into the vestibule of each nostril. Avoid contact
with the nasal septum. Use the largest available speculum. In viral rhinitis, the mucosa is usually reddened and
swollen, and in allergic rhinitis the mucosa is often pale, bluish, or red.
A 46 year old female patient is in the clinic with a chief complaint of chest pain. You are wanting to best
understand the patient's perception of the chest pain. Which fo the following questions would you ask first?
A) How do you rate your pain on a scale of 0-10?
B) Is the pain related to exertion?
C) Tell me about your chest discomfort.
D) Are you taking all of your medications? - ANS :C) Tell me about your chest discomfort.
Move from open ended to focused questions to allow for the flow of ideas and thoughts from the patient.
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
