NU 518 EXAM 1 – ADVANCED HEALTH ASSESSMENT &
PATHOPHYSIOLOGY | 380 QUESTIONS WITH CORRECT ANSWERS
COVERING THE MOST TESTED QUESTIONS ALREADY GRADED A+
NU 518 EXAM 1 FOCUSES ON THE CORE ELEMENTS OF ADVANCED HEALTH
ASSESSMENT, INCLUDING SYSTEMATIC DATA GATHERING, INTERPRETING
PHYSIOLOGICAL CHANGES, AND DIFFERENTIATING BETWEEN NORMAL AND
ABNORMAL FINDINGS. THIS EXAM RESOURCE IS ESSENTIAL FOR BUILDING A
STRONG FOUNDATION IN CLINICAL PRACTICE AND PREPARING FOR FUTURE
EXAMS IN GRADUATE NURSING EDUCATION.
1. For which of the following patients would a comprehensive health history be appropriate?
A) A new patient with the chief complaint of "I sprained my ankle"
B) An established patient with the chief complaint of "I have an upper respiratory infection"
C) A new patient with the chief complaint of "I am here to establish care"
D) A new patient with the chief complaint of "I cut my hand" -CORRECT ANSWER-C
2. The components of the health history include all of the following except which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items -CORRECT ANSWER-B
Mrs. T. comes for her regular visit to the clinic. She is on your schedule because her regular
provider is on vacation and she wanted to be seen. You have heard about her many times from
your colleague and are aware that she is a very talkative person. Which of the following is a
helpful technique to improve the quality of the interview for both the provider and the patient?
A) Allow the patient to speak uninterrupted for the duration of the appointment.
B) Briefly summarize what you heard from the patient in the first 5 minutes and then try
to have her focus on one aspect of what she told you.
C) Set the time limit at the beginning of the interview and stick with it, no matter what occurs in
the course of the interview.
,D) Allow your impatience to show so that the patient picks up on your nonverbal cue that the
appointment needs to end. -CORRECT ANSWER-B
Mrs. H. comes to your clinic, wanting antibiotics for a sinus infection. When you enter the
room, she appears to be very angry. She has a raised tone of voice and states that she has been
waiting for the past hour and has to get back to work. She states that she is unimpressed by the
reception staff, the nurse, and the clinic in general and wants to know why the office wouldn't
call in an antibiotic for her. Which of the following techniques is not useful in helping to calm
this patient?
A) Avoiding admission that you had a part in provoking her anger because you were late
B) Accepting angry feelings from the patient and trying not to get angry in return
C) Staying calm
D) Keeping your posture relaxed -CORRECT ANSWER-A
A 23-year-old graduate student comes to your clinic for evaluation of a urethral discharge.
As the provider, you need to get a sexual history. Which one of the following questions is
inappropriate for eliciting the information?
A) Are you sexually active?
B) When was the last time you had intimate physical contact with someone, and did that contact
include sexual intercourse?
C) Do you have sex with men, women, or both?
D) How many sexual partners have you had in the last 6 months? -CORRECT ANSWER-A
Mr. Q. is a 45-year-old salesman who comes to your office for evaluation of fatigue. He has
come to the office many times in the past with a variety of injuries, and you suspect that he has a
problem with alcohol. Which one of the following questions will be most helpful in diagnosing
this problem?
A) You are an alcoholic, aren't you?
B) When was your last drink?
C) Do you drink 2 to 3 beers every weekend?
D) Do you drink alcohol when you are supposed to be working? -CORRECT ANSWER-B
,On a very busy day in the office, Mrs. Donelan, who is 81 years old, comes for her usual
visit for her blood pressure. She is on a low-dose diuretic chronically and denies any side
effects. Her blood pressure is 118/78 today, which is well-controlled. As you are writing her
script, she mentions that it is hard not having her husband Bill around anymore. What would you do
next?
A) Hand her the script and make sure she has a 3-month follow-up appointment.
B) Make sure she understands the script.
C) Ask why Bill is not there.
D) Explain that you will have more time at the next visit to discuss this. -CORRECT ANSWER-C
A patient is describing a very personal part of her history very quickly and in great detail.
How should you react to this?
A) Write down as much as you can, as quickly as possible.
B) Ask her to repeat key phrases or to pause at regular intervals, so you can get almost every
word.
C) Tell her that she can go over the notes later to make sure they are accurate.
D) Push away from the keyboard or put down your pen and listen. -CORRECT ANSWER-D
You arrive at the bedside of an elderly woman who has had a stroke, affecting her entire
right side. She cannot speak (aphasia). You are supposed to examine her. You notice that the
last examiner left her socks at the bottom of the bed, and although sensitive areas are covered by
a sheet, the blanket is heaped by her feet at the bottom of the bed. What would you do next?
A) Carry out your examination, focusing on the neurologic portion, and then cover her properly.
B) Carry out your examination and let the nurse assigned to her "put her back together."
C) Put her socks back on and cover her completely before beginning the evaluation.
D) Apologize for the last examiner but let the next examiner dress and cover her. -CORRECT
ANSWER-C
When you enter your patient's examination room, his wife is waiting there with him. Which
of the following is most appropriate?
, A) Ask if it's okay to carry out the visit with both people in the room.
B) Carry on as you would ordinarily. The permission is implied because his wife is in the room
with him.
C) Ask his wife to leave the room for reasons of confidentiality.
D) First ask his wife what she thinks is going on. -CORRECT ANSWER-A
A patient complains of knee pain on your arrival in the room. What should your first
sentence be after greeting the patient?
A) How much pain are you having?
B) Have you injured this knee in the past?
C) When did this first occur?
D) Could you please describe what happened? -CORRECT ANSWER-D
You have just asked a patient how he feels about his emphysema. He becomes silent, folds
his arms across his chest and leans back in his chair, and then replies, "It is what it is." How
should you respond?
A) "You seem bothered by this question."
B) "Next, I would like to talk with you about your smoking habit."
C) "Okay, let's move on to your other problems."
D) "You have adopted a practical attitude toward your problem." -CORRECT ANSWER-A
. A patient tells you about her experience with prolonged therapy for her breast cancer. You
comment, "That must have been a very trying time for you." What is this an example of?
A) Reassurance
B) Empathy
C) Summarization
D) Validation -CORRECT ANSWER-D
You are performing a young woman's first pelvic examination. You make sure to tell her
verbally what is coming next and what to expect. Then you carry out each maneuver of the
PATHOPHYSIOLOGY | 380 QUESTIONS WITH CORRECT ANSWERS
COVERING THE MOST TESTED QUESTIONS ALREADY GRADED A+
NU 518 EXAM 1 FOCUSES ON THE CORE ELEMENTS OF ADVANCED HEALTH
ASSESSMENT, INCLUDING SYSTEMATIC DATA GATHERING, INTERPRETING
PHYSIOLOGICAL CHANGES, AND DIFFERENTIATING BETWEEN NORMAL AND
ABNORMAL FINDINGS. THIS EXAM RESOURCE IS ESSENTIAL FOR BUILDING A
STRONG FOUNDATION IN CLINICAL PRACTICE AND PREPARING FOR FUTURE
EXAMS IN GRADUATE NURSING EDUCATION.
1. For which of the following patients would a comprehensive health history be appropriate?
A) A new patient with the chief complaint of "I sprained my ankle"
B) An established patient with the chief complaint of "I have an upper respiratory infection"
C) A new patient with the chief complaint of "I am here to establish care"
D) A new patient with the chief complaint of "I cut my hand" -CORRECT ANSWER-C
2. The components of the health history include all of the following except which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items -CORRECT ANSWER-B
Mrs. T. comes for her regular visit to the clinic. She is on your schedule because her regular
provider is on vacation and she wanted to be seen. You have heard about her many times from
your colleague and are aware that she is a very talkative person. Which of the following is a
helpful technique to improve the quality of the interview for both the provider and the patient?
A) Allow the patient to speak uninterrupted for the duration of the appointment.
B) Briefly summarize what you heard from the patient in the first 5 minutes and then try
to have her focus on one aspect of what she told you.
C) Set the time limit at the beginning of the interview and stick with it, no matter what occurs in
the course of the interview.
,D) Allow your impatience to show so that the patient picks up on your nonverbal cue that the
appointment needs to end. -CORRECT ANSWER-B
Mrs. H. comes to your clinic, wanting antibiotics for a sinus infection. When you enter the
room, she appears to be very angry. She has a raised tone of voice and states that she has been
waiting for the past hour and has to get back to work. She states that she is unimpressed by the
reception staff, the nurse, and the clinic in general and wants to know why the office wouldn't
call in an antibiotic for her. Which of the following techniques is not useful in helping to calm
this patient?
A) Avoiding admission that you had a part in provoking her anger because you were late
B) Accepting angry feelings from the patient and trying not to get angry in return
C) Staying calm
D) Keeping your posture relaxed -CORRECT ANSWER-A
A 23-year-old graduate student comes to your clinic for evaluation of a urethral discharge.
As the provider, you need to get a sexual history. Which one of the following questions is
inappropriate for eliciting the information?
A) Are you sexually active?
B) When was the last time you had intimate physical contact with someone, and did that contact
include sexual intercourse?
C) Do you have sex with men, women, or both?
D) How many sexual partners have you had in the last 6 months? -CORRECT ANSWER-A
Mr. Q. is a 45-year-old salesman who comes to your office for evaluation of fatigue. He has
come to the office many times in the past with a variety of injuries, and you suspect that he has a
problem with alcohol. Which one of the following questions will be most helpful in diagnosing
this problem?
A) You are an alcoholic, aren't you?
B) When was your last drink?
C) Do you drink 2 to 3 beers every weekend?
D) Do you drink alcohol when you are supposed to be working? -CORRECT ANSWER-B
,On a very busy day in the office, Mrs. Donelan, who is 81 years old, comes for her usual
visit for her blood pressure. She is on a low-dose diuretic chronically and denies any side
effects. Her blood pressure is 118/78 today, which is well-controlled. As you are writing her
script, she mentions that it is hard not having her husband Bill around anymore. What would you do
next?
A) Hand her the script and make sure she has a 3-month follow-up appointment.
B) Make sure she understands the script.
C) Ask why Bill is not there.
D) Explain that you will have more time at the next visit to discuss this. -CORRECT ANSWER-C
A patient is describing a very personal part of her history very quickly and in great detail.
How should you react to this?
A) Write down as much as you can, as quickly as possible.
B) Ask her to repeat key phrases or to pause at regular intervals, so you can get almost every
word.
C) Tell her that she can go over the notes later to make sure they are accurate.
D) Push away from the keyboard or put down your pen and listen. -CORRECT ANSWER-D
You arrive at the bedside of an elderly woman who has had a stroke, affecting her entire
right side. She cannot speak (aphasia). You are supposed to examine her. You notice that the
last examiner left her socks at the bottom of the bed, and although sensitive areas are covered by
a sheet, the blanket is heaped by her feet at the bottom of the bed. What would you do next?
A) Carry out your examination, focusing on the neurologic portion, and then cover her properly.
B) Carry out your examination and let the nurse assigned to her "put her back together."
C) Put her socks back on and cover her completely before beginning the evaluation.
D) Apologize for the last examiner but let the next examiner dress and cover her. -CORRECT
ANSWER-C
When you enter your patient's examination room, his wife is waiting there with him. Which
of the following is most appropriate?
, A) Ask if it's okay to carry out the visit with both people in the room.
B) Carry on as you would ordinarily. The permission is implied because his wife is in the room
with him.
C) Ask his wife to leave the room for reasons of confidentiality.
D) First ask his wife what she thinks is going on. -CORRECT ANSWER-A
A patient complains of knee pain on your arrival in the room. What should your first
sentence be after greeting the patient?
A) How much pain are you having?
B) Have you injured this knee in the past?
C) When did this first occur?
D) Could you please describe what happened? -CORRECT ANSWER-D
You have just asked a patient how he feels about his emphysema. He becomes silent, folds
his arms across his chest and leans back in his chair, and then replies, "It is what it is." How
should you respond?
A) "You seem bothered by this question."
B) "Next, I would like to talk with you about your smoking habit."
C) "Okay, let's move on to your other problems."
D) "You have adopted a practical attitude toward your problem." -CORRECT ANSWER-A
. A patient tells you about her experience with prolonged therapy for her breast cancer. You
comment, "That must have been a very trying time for you." What is this an example of?
A) Reassurance
B) Empathy
C) Summarization
D) Validation -CORRECT ANSWER-D
You are performing a young woman's first pelvic examination. You make sure to tell her
verbally what is coming next and what to expect. Then you carry out each maneuver of the
