Page 1 of 93
NUR 631 FINAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS LATEST UPDATED
VERSION THIS YEAR
Question: 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*
Question: 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?
, Page 2 of 93
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)
Question: 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?
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.
, Page 3 of 93
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
Question: 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
Q: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"
, Page 4 of 93
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
Question: 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
Question: 3. Is the following information subjective or objective?
NUR 631 FINAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS LATEST UPDATED
VERSION THIS YEAR
Question: 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*
Question: 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?
, Page 2 of 93
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)
Question: 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?
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.
, Page 3 of 93
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
Question: 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
Q: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"
, Page 4 of 93
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
Question: 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
Question: 3. Is the following information subjective or objective?
