NUR 631 Advanced Health Assessment –
D’Youville University (Newest Exam
Review with Complete Questions and
Correct Answers)
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"
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
ANSWER: B) thorax and lungs
these are part of the physical examination
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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
ANSWER: B) Present illness
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
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?
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A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
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
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
ANSWER: B) surgeries
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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
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
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