ADVANCED HEALTH ASSESSMENT
NUR631 EXAM QUESTIONS WITH
DETAILED VERIFIED SOLUTIONS
GUARANTEED PASS!
"A 15-year-old high school sophomore comes to the clinic for evaluation of a 3-week history of
sneezing; itchy, watery eyes; clear nasal discharge; ear pain; and nonproductive cough. Which is
the most likely pathologic process?
A) Infection
B) Inflammation
C) Allergic
D) Vascular - CORRECT ANSWER=> C) allergic
*consistent with allergic rhinitis*"
"A 19-year old-college student presents to the emergency room with fever, headache, and neck
pain/stiffness. She is concerned about the possibility of meningococcal meningitis. Several of
her dorm mates have been vaccinated, but she hasn't been. Which of the following physical
examination descriptions is most consistent with meningitis?
A) Head is normocephalic and atraumatic, fundi with sharp discs, neck supple with full range of
motion
B) Head is normocephalic and atraumatic, fundi with sharp discs, neck with paraspinous muscle
spasm and limited range of motion to the right
C) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck tender to
palpation, unable to perform range of motion
D) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck supple with full
range of motion - CORRECT ANSWER=> C)"
"A 37-year-old nurse comes for evaluation of colicky right upper quadrant abdominal pain. The
pain is associated with nausea and vomiting and occurs 1 to 2 hours after eating greasy foods.
Which one of the following physical examination descriptions would be most consistent with
the diagnosis of cholecystitis?
1|Page
,A) Abdomen is soft, nontender, and nondistended, without hepatosplenomegaly or masses.
B) Abdomen is soft and tender to palpation in the right lower quadrant, without rebound or
guarding.
C) Abdomen is soft and tender to palpation in the right upper quadrant with inspiration, to the
point of stopping inspiration, and there is no rebound or guarding.
D) Abdomen is soft and tender to palpation in the mid-epigastric area, without rebound or
guarding. - CORRECT ANSWER=> C) tender to palpation in RUQ"
"A 55-year-old data entry operator comes to the clinic to establish care. She has the following
symptoms: headache, neck pain, sinus congestion, sore throat, ringing in ears, sharp brief chest
pains at rest, burning abdominal pain with spicy foods, constipation, urinary frequency that is
worse with coughing and sneezing, and swelling in legs. This cluster of symptoms is explained
by:
A) One disease process
B) More than one disease process - CORRECT ANSWER=> B) more than one disease process"
"A 62-year-old teacher presents to the clinic for evaluation of the following symptoms: fever,
headache, sinus congestion, sore throat, green nasal discharge, and cough. This cluster of
symptoms is best explained by:
A) One disease process
B) More than one disease process - CORRECT ANSWER=> A) one disease process"
"Steve has just seen a 5-year-old girl who wheezes when exposed to cats. The patient's family
history is positive for asthma. You think the child most likely has asthma. What have you just
accomplished?
A) You have tested your hypothesis.
B) You have developed a plan.
C) You have established a working diagnosis.
D) You have created a hypothesis. - CORRECT ANSWER=> D) created a hypothesis
its too early to establish a working diagnosis"
"Ms. Washington is a 67-year-old who had a heart attack last month. Now she complains of
shortness of breath and not being able to sleep in a flat position (orthopnea). On examination
you note increased jugular venous pressure, an S3 gallop, crackles low in the lung fields, and
swollen ankles (edema). This is an example of a:
A) Pathophysiologic problem
B) Psychopathologic problem - CORRECT ANSWER=> A) pathophysiologic problem"
2|Page
,"On the way to see your next patient, you glance at the calendar and make a mental note to buy
a Mother's Day card. Your patient is Ms. Hernandez, a 76-year-old widow who lost her husband
in May, two years ago. She comes in today with a headaches, abdominal pain, and general
malaise. This happened once before, about a year ago, according to your detailed office notes.
You have done a thorough evaluation but are unable to arrive at a consistent picture to tie these
symptoms together. This is an example of a:
A) Pathophysiologic problem
B) Psychopathologic problem - CORRECT ANSWER=> B) psychopathologic problem"
"Mr. Larson is a 42-year-old widowed father of two children, ages 4 and 11. He works in a sales
office to support his family. Recently he has injured his back and you are thinking he would
benefit from physical therapy, three times a week, for an hour per session. What would be your
next step?
A) Write the physical therapy prescription.
B) Have your office staff explain directions to the physical therapy center.
C) Discuss the plan with Mr. Larson.
D) Tell Mr. Larson that he will be going to physical therapy three times a week. - CORRECT
ANSWER=> C) discuss the plan with Mr. Larson"
"You are seeing an elderly man with multiple complaints. He has chronic arthritis, pain from an
old war injury, and headaches. Today he complains of these pains, as well as dull chest pain
under his sternum. What would the order of priority be for your problem list?
A) Arthritis, war injury pain, headaches, chest pain
B) War injury pain, arthritis, headaches, chest pain
C) Headaches, arthritis, war injury pain, chest pain
D) Chest pain, headaches, arthritis, war injury pain - CORRECT ANSWER=> D) CP, HA, arthritis, war
injury pain"
"You are excited about a positive test finding you have just noticed on physical examination of
your patient. You go on to do more examination, laboratory work, and diagnostic tests, only to
find that there is no sign of the disease you thought would correlate with the finding. This same
experience happens several times. What should you conclude?
A) Consider not doing this test routinely.
B) Use this test when you have a higher suspicion for a certain correlating condition.
C) Continue using the test, perhaps doing less laboratory work and diagnostics.
D) Omit this test from future examinations. - CORRECT ANSWER=> C) continue using the test,
perhaps doing less laboratory work and diagnostics"
3|Page
, "You are growing fatigued of performing a maneuver on examination because you have never
found a positive and are usually pressed for time. How should you next approach this
maneuver?
A) Use this test when you have a higher suspicion for a certain correlating condition.
B) Omit this test from future examinations.
C) Continue doing the test, but rely more heavily on laboratory work and diagnostics.
D) Continue performing it on all future examinations. - CORRECT ANSWER=> A) use this test when
you have a higher suspicion for a certain correlating condition"
"You have recently returned from a medical missions trip to sub-Saharan Africa, where you
learned a great deal about malaria. You decide to use some of the same questions and
maneuvers in your "routine" when examining patients in the midwestern United States. You are
disappointed to find that despite getting some positive answers and findings, on further
workup, none of your patients has malaria except one, who recently emigrated from Ghana.
How should you next approach these questions and maneuvers?
A) Continue asking these questions in a more selective way.
B) Stop asking these questions, because they are low yield.
C) Question the validity of the questions.
D) Ask these questions of all your patients. - CORRECT ANSWER=> A) continue asking these
questions in a more selective way"
"You are running late after your quarterly quality improvement meeting at the hospital and have
just gotten paged from the nurses' station because a family member of one of your patients
wants to talk with you about that patient's care. You have clinic this afternoon and are double-
booked for the first appointment time; three other patients also have arrived and are sitting in
the waiting room. Which of the following demeanors is a behavior consistent with skilled
interviewing when you walk into the examination room to speak with your first clinic patient?
A) Irritability
B) Impatience
C) Boredom
D) Calm - CORRECT ANSWER=> D) calm"
"Suzanne, a 25 year old, comes to your clinic to establish care. You are the student preparing to
go into the examination room to interview her. Which of the following is the most logical
sequence for the patient-provider interview?
A) Establish the agenda, negotiate a plan, establish rapport, and invite the patient's story.
B) Invite the patient's story, negotiate a plan, establish the agenda, and establish rapport.
4|Page
NUR631 EXAM QUESTIONS WITH
DETAILED VERIFIED SOLUTIONS
GUARANTEED PASS!
"A 15-year-old high school sophomore comes to the clinic for evaluation of a 3-week history of
sneezing; itchy, watery eyes; clear nasal discharge; ear pain; and nonproductive cough. Which is
the most likely pathologic process?
A) Infection
B) Inflammation
C) Allergic
D) Vascular - CORRECT ANSWER=> C) allergic
*consistent with allergic rhinitis*"
"A 19-year old-college student presents to the emergency room with fever, headache, and neck
pain/stiffness. She is concerned about the possibility of meningococcal meningitis. Several of
her dorm mates have been vaccinated, but she hasn't been. Which of the following physical
examination descriptions is most consistent with meningitis?
A) Head is normocephalic and atraumatic, fundi with sharp discs, neck supple with full range of
motion
B) Head is normocephalic and atraumatic, fundi with sharp discs, neck with paraspinous muscle
spasm and limited range of motion to the right
C) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck tender to
palpation, unable to perform range of motion
D) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck supple with full
range of motion - CORRECT ANSWER=> C)"
"A 37-year-old nurse comes for evaluation of colicky right upper quadrant abdominal pain. The
pain is associated with nausea and vomiting and occurs 1 to 2 hours after eating greasy foods.
Which one of the following physical examination descriptions would be most consistent with
the diagnosis of cholecystitis?
1|Page
,A) Abdomen is soft, nontender, and nondistended, without hepatosplenomegaly or masses.
B) Abdomen is soft and tender to palpation in the right lower quadrant, without rebound or
guarding.
C) Abdomen is soft and tender to palpation in the right upper quadrant with inspiration, to the
point of stopping inspiration, and there is no rebound or guarding.
D) Abdomen is soft and tender to palpation in the mid-epigastric area, without rebound or
guarding. - CORRECT ANSWER=> C) tender to palpation in RUQ"
"A 55-year-old data entry operator comes to the clinic to establish care. She has the following
symptoms: headache, neck pain, sinus congestion, sore throat, ringing in ears, sharp brief chest
pains at rest, burning abdominal pain with spicy foods, constipation, urinary frequency that is
worse with coughing and sneezing, and swelling in legs. This cluster of symptoms is explained
by:
A) One disease process
B) More than one disease process - CORRECT ANSWER=> B) more than one disease process"
"A 62-year-old teacher presents to the clinic for evaluation of the following symptoms: fever,
headache, sinus congestion, sore throat, green nasal discharge, and cough. This cluster of
symptoms is best explained by:
A) One disease process
B) More than one disease process - CORRECT ANSWER=> A) one disease process"
"Steve has just seen a 5-year-old girl who wheezes when exposed to cats. The patient's family
history is positive for asthma. You think the child most likely has asthma. What have you just
accomplished?
A) You have tested your hypothesis.
B) You have developed a plan.
C) You have established a working diagnosis.
D) You have created a hypothesis. - CORRECT ANSWER=> D) created a hypothesis
its too early to establish a working diagnosis"
"Ms. Washington is a 67-year-old who had a heart attack last month. Now she complains of
shortness of breath and not being able to sleep in a flat position (orthopnea). On examination
you note increased jugular venous pressure, an S3 gallop, crackles low in the lung fields, and
swollen ankles (edema). This is an example of a:
A) Pathophysiologic problem
B) Psychopathologic problem - CORRECT ANSWER=> A) pathophysiologic problem"
2|Page
,"On the way to see your next patient, you glance at the calendar and make a mental note to buy
a Mother's Day card. Your patient is Ms. Hernandez, a 76-year-old widow who lost her husband
in May, two years ago. She comes in today with a headaches, abdominal pain, and general
malaise. This happened once before, about a year ago, according to your detailed office notes.
You have done a thorough evaluation but are unable to arrive at a consistent picture to tie these
symptoms together. This is an example of a:
A) Pathophysiologic problem
B) Psychopathologic problem - CORRECT ANSWER=> B) psychopathologic problem"
"Mr. Larson is a 42-year-old widowed father of two children, ages 4 and 11. He works in a sales
office to support his family. Recently he has injured his back and you are thinking he would
benefit from physical therapy, three times a week, for an hour per session. What would be your
next step?
A) Write the physical therapy prescription.
B) Have your office staff explain directions to the physical therapy center.
C) Discuss the plan with Mr. Larson.
D) Tell Mr. Larson that he will be going to physical therapy three times a week. - CORRECT
ANSWER=> C) discuss the plan with Mr. Larson"
"You are seeing an elderly man with multiple complaints. He has chronic arthritis, pain from an
old war injury, and headaches. Today he complains of these pains, as well as dull chest pain
under his sternum. What would the order of priority be for your problem list?
A) Arthritis, war injury pain, headaches, chest pain
B) War injury pain, arthritis, headaches, chest pain
C) Headaches, arthritis, war injury pain, chest pain
D) Chest pain, headaches, arthritis, war injury pain - CORRECT ANSWER=> D) CP, HA, arthritis, war
injury pain"
"You are excited about a positive test finding you have just noticed on physical examination of
your patient. You go on to do more examination, laboratory work, and diagnostic tests, only to
find that there is no sign of the disease you thought would correlate with the finding. This same
experience happens several times. What should you conclude?
A) Consider not doing this test routinely.
B) Use this test when you have a higher suspicion for a certain correlating condition.
C) Continue using the test, perhaps doing less laboratory work and diagnostics.
D) Omit this test from future examinations. - CORRECT ANSWER=> C) continue using the test,
perhaps doing less laboratory work and diagnostics"
3|Page
, "You are growing fatigued of performing a maneuver on examination because you have never
found a positive and are usually pressed for time. How should you next approach this
maneuver?
A) Use this test when you have a higher suspicion for a certain correlating condition.
B) Omit this test from future examinations.
C) Continue doing the test, but rely more heavily on laboratory work and diagnostics.
D) Continue performing it on all future examinations. - CORRECT ANSWER=> A) use this test when
you have a higher suspicion for a certain correlating condition"
"You have recently returned from a medical missions trip to sub-Saharan Africa, where you
learned a great deal about malaria. You decide to use some of the same questions and
maneuvers in your "routine" when examining patients in the midwestern United States. You are
disappointed to find that despite getting some positive answers and findings, on further
workup, none of your patients has malaria except one, who recently emigrated from Ghana.
How should you next approach these questions and maneuvers?
A) Continue asking these questions in a more selective way.
B) Stop asking these questions, because they are low yield.
C) Question the validity of the questions.
D) Ask these questions of all your patients. - CORRECT ANSWER=> A) continue asking these
questions in a more selective way"
"You are running late after your quarterly quality improvement meeting at the hospital and have
just gotten paged from the nurses' station because a family member of one of your patients
wants to talk with you about that patient's care. You have clinic this afternoon and are double-
booked for the first appointment time; three other patients also have arrived and are sitting in
the waiting room. Which of the following demeanors is a behavior consistent with skilled
interviewing when you walk into the examination room to speak with your first clinic patient?
A) Irritability
B) Impatience
C) Boredom
D) Calm - CORRECT ANSWER=> D) calm"
"Suzanne, a 25 year old, comes to your clinic to establish care. You are the student preparing to
go into the examination room to interview her. Which of the following is the most logical
sequence for the patient-provider interview?
A) Establish the agenda, negotiate a plan, establish rapport, and invite the patient's story.
B) Invite the patient's story, negotiate a plan, establish the agenda, and establish rapport.
4|Page
