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NUR631/ NUR 631 Exam 1: (Latest 2026/ 2027 Update) Advanced Health Assessment: History and Physical Examination Review| Comprehensive Test Bank Questions with Verified Answers and Detailed Rationales| Grade A| 100% Correct (Verified Solutions) – Chamberl

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INSTANT PDF DOWNLOAD — This comprehensive test bank for NUR 631 Exam 1 at Chamberlain University covers Advanced Health Assessment for the 2026/2027 academic year first examination. It features comprehensive test bank questions with verified answers and detailed rationales in multiple-choice, select-all-that-apply (SATA), ordered response, and clinical judgment formats aligned with graduate-level advanced practice nursing standards. COMPREHENSIVE HEALTH HISTORY (EXAM 1 FOCUS) Components of the Health History Question 1: History of Present Illness (HPI) A nurse practitioner is taking a history of present illness (HPI) from a patient with chest pain. Which question best addresses the "location" of the pain using the OLDCARTS mnemonic? A) "How severe is your pain on a scale of 0 to 10?" B) "Can you point to where the pain is located with one finger?" C) "What does the pain feel like – sharp, dull, or burning?" D) "What were you doing when the pain started?" Correct Answer: B Rationale: The OLDCARTS mnemonic for HPI includes: Onset (when did it start?), Location (where is the pain? Can you point to it?), Duration (how long does it last?), Character (what does it feel like?), Aggravating factors (what makes it worse?), Relieving factors (what makes it better?), Timing (when does it occur?), Severity (rate on 0-10 scale). Asking the patient to point to the location with one finger provides precise localization and is especially important for cardiac vs. musculoskeletal chest pain. Severity (A) is for severity; character (C) is for quality; onset (D) is for when it started. Question 2: Past Medical History (PMH) During the past medical history, a patient reports a history of rheumatic fever as a child. This information is significant because it increases the patient's risk for which condition? A) Coronary artery disease B) Valvular heart disease C) Peripheral vascular disease D) Deep vein thrombosis Correct Answer: B Rationale: Rheumatic fever is an inflammatory disease that can occur after untreated Group A streptococcal pharyngitis. It can cause rheumatic heart disease, characterized by valvular damage (most commonly mitral stenosis, but also aortic regurgitation). The valves become thickened and scarred, leading to

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NUR 631 Advanced Health Assessment Exam 1

2026/2027 Exam Practice Questions and Verified

Answers Complete Study review




Question 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 chief complaint of "I am here to

establish care"

Rationale:

1. The patient is new to the provider, so a comprehensive health history is

needed.

2. Established patients with acute problems (sprained ankle, URI, cut hand)

typically receive a focused history.

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3. A comprehensive history includes all components: identifying data, CC, HPI,

PMH, FH, SH, and ROS.

4. This is a standard health assessment question.



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

Rationale:

1. Thorax and lungs are part of the physical examination, not the health history.

2. The health history includes subjective data only.

3. Review of systems, present illness, and personal/social history are all

components of the health history.

4. This is a standard health assessment question.

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Question 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

Rationale:

1. This information is given by the patient.

2. Subjective data includes symptoms, feelings, and perceptions reported by the

patient.

3. Shortness of breath is a symptom, not a sign.

4. This is a standard health assessment terminology question.



Question 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

Rationale:

1. This information is obtained by the examiner (measured vital signs).

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2. Objective data are measurable, observable, and verifiable.

3. Respiratory rate and pulse rate are physical examination findings.

4. This is a standard health assessment terminology question.



Question 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)

Rationale:

1. The history of present illness (HPI) amplifies the chief complaint.

2. It describes the onset, location, duration, character, severity, and associated

symptoms.

3. This information includes all seven attributes of a symptom.

4. This is a standard health history question.

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