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NUR 631 FINAL EXAM LATEST UPDATE
2026-2027 QUESTIONS AND DETAILED
SOLUTIONS
Question: 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
Question: 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
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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
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*
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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?
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)
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"
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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 LATEST UPDATE
2026-2027 QUESTIONS AND DETAILED
SOLUTIONS
Question: 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
Question: 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
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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
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*
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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?
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)
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"
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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?
