NUR643E Advanced Health Assessment – Questions
With Comprehensive Solutions
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) a new patient with the CC of "I am here to establish care"
the patient is new to the provider so a comprehensive health history is needed
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) thorax and lungs
these are part of the physical examination
3. Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is
worse with activity and relieved by rest.
A) Subjective
B) Objective Correct Answer - A) subjective
this is information given by the patient
4. Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
A) Subjective
,B) Objective Correct Answer - B) objective
this is information obtained by the examiner
5. The following information is recorded in the health history: "The patient
has had abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it
comes and goes. The severity is 7 to 9 on a scale of 1 to 10. It is accompanied
by nausea and vomiting. It is located in the mid-epigastric area."
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems Correct Answer - B) Present illness
HPI
6. The following information is recorded in the health history: "The patient
completed 8th grade. He currently lives with his wife and two children. He
works on old cars on the weekend. He works in a glass factory during the
week."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems Correct Answer - C) personal and social history
7. The following information is recorded in the health history: "I feel really
tired."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems Correct Answer - A) chief complaint
pt's own words
,8. The following information is recorded in the health history: "Patient denies
chest pain, palpitations, orthopnea, and paroxysmal nocturnal dyspnea."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems Correct Answer - D) review of systems
9. The following information is best placed in which category?
"The patient has had three cesarean sections."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric Correct Answer - B) surgeries
10. The following information is best placed in which category?
"The patient had a stent placed in the left anterior descending artery (LAD) in
1999."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric Correct Answer - A) adult illnesses
*a stent is a major procedure but does not involve a surgeon*
11. The following information is best placed in which category?
"The patient was treated for an asthma exacerbation in the hospital last year;
the patient has never been intubated."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric Correct Answer - A) adult illnesses
A patient presents for evaluation of a sharp, aching chest pain which increases
with breathing. Which anatomic area would you localize the symptom to?
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine Correct Answer - A)musculoskeletal
, A patient comes to the emergency room for evaluation of shortness of breath.
To which anatomic region would you assign the symptom?
A) Reproductive
B) Urinary
C) Cardiac
D) Hematologic Correct Answer - C)cardiac
A patient presents for evaluation of a cough. Which of the following anatomic
regions can be responsible for a cough?
A) Ophthalmologic
B) Auditory
C) Cardiac
D) Endocrine Correct Answer - C) cardiac
A 22-year-old advertising copywriter presents for evaluation of joint pain. The
pain is new, located in the wrists and fingers bilaterally, with some subjective
fever. The patient denies a rash; she also denies recent travel or camping
activities. She has a family history significant for rheumatoid arthritis. Based
on this information, which of the following pathologic processes would be the
most correct?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic Correct Answer - B) inflammatory
A 47-year-old contractor presents for evaluation of neck pain, which has been
intermittent for several years. He normally takes over-the-counter
medications to ease the pain, but this time they haven't worked as well and he
still has discomfort. He recently wallpapered the entire second floor in his
house, which caused him great discomfort. The pain resolved with rest. He
denies fever, chills, rash, upper respiratory symptoms, trauma, or injury to the
neck. Based on this description, what is the most likely pathologic process?
A) Infectious
B) Neoplastic
C) Degenerative
D) Traumatic Correct Answer - C) degenerative
With Comprehensive Solutions
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) a new patient with the CC of "I am here to establish care"
the patient is new to the provider so a comprehensive health history is needed
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) thorax and lungs
these are part of the physical examination
3. Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is
worse with activity and relieved by rest.
A) Subjective
B) Objective Correct Answer - A) subjective
this is information given by the patient
4. Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
A) Subjective
,B) Objective Correct Answer - B) objective
this is information obtained by the examiner
5. The following information is recorded in the health history: "The patient
has had abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it
comes and goes. The severity is 7 to 9 on a scale of 1 to 10. It is accompanied
by nausea and vomiting. It is located in the mid-epigastric area."
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems Correct Answer - B) Present illness
HPI
6. The following information is recorded in the health history: "The patient
completed 8th grade. He currently lives with his wife and two children. He
works on old cars on the weekend. He works in a glass factory during the
week."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems Correct Answer - C) personal and social history
7. The following information is recorded in the health history: "I feel really
tired."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems Correct Answer - A) chief complaint
pt's own words
,8. The following information is recorded in the health history: "Patient denies
chest pain, palpitations, orthopnea, and paroxysmal nocturnal dyspnea."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems Correct Answer - D) review of systems
9. The following information is best placed in which category?
"The patient has had three cesarean sections."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric Correct Answer - B) surgeries
10. The following information is best placed in which category?
"The patient had a stent placed in the left anterior descending artery (LAD) in
1999."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric Correct Answer - A) adult illnesses
*a stent is a major procedure but does not involve a surgeon*
11. The following information is best placed in which category?
"The patient was treated for an asthma exacerbation in the hospital last year;
the patient has never been intubated."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric Correct Answer - A) adult illnesses
A patient presents for evaluation of a sharp, aching chest pain which increases
with breathing. Which anatomic area would you localize the symptom to?
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine Correct Answer - A)musculoskeletal
, A patient comes to the emergency room for evaluation of shortness of breath.
To which anatomic region would you assign the symptom?
A) Reproductive
B) Urinary
C) Cardiac
D) Hematologic Correct Answer - C)cardiac
A patient presents for evaluation of a cough. Which of the following anatomic
regions can be responsible for a cough?
A) Ophthalmologic
B) Auditory
C) Cardiac
D) Endocrine Correct Answer - C) cardiac
A 22-year-old advertising copywriter presents for evaluation of joint pain. The
pain is new, located in the wrists and fingers bilaterally, with some subjective
fever. The patient denies a rash; she also denies recent travel or camping
activities. She has a family history significant for rheumatoid arthritis. Based
on this information, which of the following pathologic processes would be the
most correct?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic Correct Answer - B) inflammatory
A 47-year-old contractor presents for evaluation of neck pain, which has been
intermittent for several years. He normally takes over-the-counter
medications to ease the pain, but this time they haven't worked as well and he
still has discomfort. He recently wallpapered the entire second floor in his
house, which caused him great discomfort. The pain resolved with rest. He
denies fever, chills, rash, upper respiratory symptoms, trauma, or injury to the
neck. Based on this description, what is the most likely pathologic process?
A) Infectious
B) Neoplastic
C) Degenerative
D) Traumatic Correct Answer - C) degenerative
