NUR 631 ADVANCED HEALTH ASSESSMENT
EXAM 2026 WITH QUESTIONS AND ANSWERS||
GUARANTEED PASS
An 18-year-old college freshman presents to the clinic for evaluation of
gastroenteritis. You measure the patient's temperature and it is 104 degrees
Fahrenheit. What type of pulse would you expect to feel during his initial
examination?
A) Large amplitude, forceful
B) Small amplitude, weak
C) Normal
D) Bigeminal - ANSWER-A) large amplitude, forceful
fever results in increased stroke volume
A 25-year-old type 1 diabetic clerk presents to the emergency room with
shortness of breath and states that his blood sugar was 605 at home. You
diagnose the patient with diabetic ketoacidosis. What is the expected pattern of
breathing?
A) Normal
B) Rapid and shallow
C) Rapid and deep
D) Slow - ANSWER-C) rapid and deep
characteristic of DKA
,Mrs. Lenzo weighs herself every day with a very accurate balance-type scale.
She has noticed that over the past 2 days she has gained 4 pounds. How would
you best explain this?
A) Attribute this to some overeating at the holidays.
B) Attribute this to wearing different clothing.
C) Attribute this to body fluid.
D) Attribute this to instrument inaccuracy. - ANSWER-C) attribute this to body
fluid
Mr. Curtiss has a history of obesity, diabetes, osteoarthritis of the knees, HTN,
and obstructive sleep apnea. His BMI is 43 and he has been discouraged by his
difficulty in losing weight. He is also discouraged that his goal weight is 158
pounds away. What would you tell him?
A) "When you get down to your goal weight, you will feel so much better."
B) "Some people seem to be able to lose weight and others just can't, no matter
how hard they try."
C) "We are coming up with new medicines and methods to treat your conditions
every day."
D) "Even a weight loss of 10% can make a noticeable improvement in the
problems you mention." - ANSWER-D) even a weight loss of 10% can make a
noticeable improvement in the problems you mention
benefits often come with even a 10% weight loss
When using an interpreter to facilitate an interview, where should the interpreter
be positioned?
A) Behind you, the examiner, so that the lips of the patient and the patient's
nonverbal cues can be seen
B) Next to the patient, so the examiner can maintain eye contact and observe the
nonverbal cues of the patient
C) Between you and the patient so all parties can make the necessary
observations
,D) In a corner of the room so as to provide minimal distraction to the interview
- ANSWER-B) next to the patient , so that the examiner can maintain eye
contact and observe non verbal cues of the patient
A 15-year-old high school sophomore and her mother come to your clinic
because the mother is concerned about her daughter's weight. You measure her
daughter's height and weight and obtain a BMI of 19.5 kg/m2. Based on this
information, which of the following is appropriate?
A) Refer the patient to a nutritionist and a psychologist because the patient is
anorexic.
B) Reassure the mother that this is a normal body weight.
C) Give the patient information about exercise because the patient is obese.
D) Give the patient information concerning reduction of fat and cholesterol in
her diet because she is obese. - ANSWER-B) reassure the mother that this is a
normal body weight
normal BMI is 18.5-24.9
A 25-year-old radio announcer comes to the clinic for an annual examination.
His BMI is 26.0 kg/m2. He is concerned about his weight. Based on this
information, what is appropriate counsel for the patient during the visit?
A) Refer the patient to a nutritionist because he is anorexic.
B) Reassure the patient that he has a normal body weight.
C) Give the patient information about reduction of fat, cholesterol, and calories
because he is overweight.
D) Give the patient information about reduction of fat and cholesterol because
he is obese. - ANSWER-C) give the patient information about reduction of fat,
cholesterol, and calories because he is overweight
overweight BMI is 25-29.9
, A 30-year-old sales clerk comes to your office wanting to lose weight; her BMI
is 30.0 kg/m2. What is the most appropriate amount for a weekly weight
reduction goal?
A) .5 to 1 pound per week
B) 1 to 2.5 pounds per week
C) 2.5 to 3.5 pounds per week
D) 3.5 to 4.5 pounds per week - ANSWER-A) .5-1 pound per week
A 67-year-old retired janitor comes to the clinic with his wife. She brought him
in because she is concerned about his weight loss. He has a history of smoking 3
packs of cigarettes a day for 30 years, for a total of 90 pack-years. He has
noticed a daily cough for the past several years, which he states is productive of
sputum. He came into the clinic approximately 1 year ago, and at that time his
weight was 140 pounds. Today, his weight is 110 pounds.
Which one of the following questions would be the most important to ask if you
suspect that he has lung cancer?
A) Have you tried to force yourself to vomit after eating a meal?
B) Do you have heartburn/indigestion and diarrhea?
C) Do you have enough food to eat?
D) Have you tried to lose weight? - ANSWER-D) have you tried to lose
weight?
Common or concerning symptoms to inquire about in the General Survey and
vital signs include all of the following except:
A) Changes in weight
B) Fatigue and weakness
C) Cough
D) Fever and chills - ANSWER-C) cough
*done in the respiratory ROS*
EXAM 2026 WITH QUESTIONS AND ANSWERS||
GUARANTEED PASS
An 18-year-old college freshman presents to the clinic for evaluation of
gastroenteritis. You measure the patient's temperature and it is 104 degrees
Fahrenheit. What type of pulse would you expect to feel during his initial
examination?
A) Large amplitude, forceful
B) Small amplitude, weak
C) Normal
D) Bigeminal - ANSWER-A) large amplitude, forceful
fever results in increased stroke volume
A 25-year-old type 1 diabetic clerk presents to the emergency room with
shortness of breath and states that his blood sugar was 605 at home. You
diagnose the patient with diabetic ketoacidosis. What is the expected pattern of
breathing?
A) Normal
B) Rapid and shallow
C) Rapid and deep
D) Slow - ANSWER-C) rapid and deep
characteristic of DKA
,Mrs. Lenzo weighs herself every day with a very accurate balance-type scale.
She has noticed that over the past 2 days she has gained 4 pounds. How would
you best explain this?
A) Attribute this to some overeating at the holidays.
B) Attribute this to wearing different clothing.
C) Attribute this to body fluid.
D) Attribute this to instrument inaccuracy. - ANSWER-C) attribute this to body
fluid
Mr. Curtiss has a history of obesity, diabetes, osteoarthritis of the knees, HTN,
and obstructive sleep apnea. His BMI is 43 and he has been discouraged by his
difficulty in losing weight. He is also discouraged that his goal weight is 158
pounds away. What would you tell him?
A) "When you get down to your goal weight, you will feel so much better."
B) "Some people seem to be able to lose weight and others just can't, no matter
how hard they try."
C) "We are coming up with new medicines and methods to treat your conditions
every day."
D) "Even a weight loss of 10% can make a noticeable improvement in the
problems you mention." - ANSWER-D) even a weight loss of 10% can make a
noticeable improvement in the problems you mention
benefits often come with even a 10% weight loss
When using an interpreter to facilitate an interview, where should the interpreter
be positioned?
A) Behind you, the examiner, so that the lips of the patient and the patient's
nonverbal cues can be seen
B) Next to the patient, so the examiner can maintain eye contact and observe the
nonverbal cues of the patient
C) Between you and the patient so all parties can make the necessary
observations
,D) In a corner of the room so as to provide minimal distraction to the interview
- ANSWER-B) next to the patient , so that the examiner can maintain eye
contact and observe non verbal cues of the patient
A 15-year-old high school sophomore and her mother come to your clinic
because the mother is concerned about her daughter's weight. You measure her
daughter's height and weight and obtain a BMI of 19.5 kg/m2. Based on this
information, which of the following is appropriate?
A) Refer the patient to a nutritionist and a psychologist because the patient is
anorexic.
B) Reassure the mother that this is a normal body weight.
C) Give the patient information about exercise because the patient is obese.
D) Give the patient information concerning reduction of fat and cholesterol in
her diet because she is obese. - ANSWER-B) reassure the mother that this is a
normal body weight
normal BMI is 18.5-24.9
A 25-year-old radio announcer comes to the clinic for an annual examination.
His BMI is 26.0 kg/m2. He is concerned about his weight. Based on this
information, what is appropriate counsel for the patient during the visit?
A) Refer the patient to a nutritionist because he is anorexic.
B) Reassure the patient that he has a normal body weight.
C) Give the patient information about reduction of fat, cholesterol, and calories
because he is overweight.
D) Give the patient information about reduction of fat and cholesterol because
he is obese. - ANSWER-C) give the patient information about reduction of fat,
cholesterol, and calories because he is overweight
overweight BMI is 25-29.9
, A 30-year-old sales clerk comes to your office wanting to lose weight; her BMI
is 30.0 kg/m2. What is the most appropriate amount for a weekly weight
reduction goal?
A) .5 to 1 pound per week
B) 1 to 2.5 pounds per week
C) 2.5 to 3.5 pounds per week
D) 3.5 to 4.5 pounds per week - ANSWER-A) .5-1 pound per week
A 67-year-old retired janitor comes to the clinic with his wife. She brought him
in because she is concerned about his weight loss. He has a history of smoking 3
packs of cigarettes a day for 30 years, for a total of 90 pack-years. He has
noticed a daily cough for the past several years, which he states is productive of
sputum. He came into the clinic approximately 1 year ago, and at that time his
weight was 140 pounds. Today, his weight is 110 pounds.
Which one of the following questions would be the most important to ask if you
suspect that he has lung cancer?
A) Have you tried to force yourself to vomit after eating a meal?
B) Do you have heartburn/indigestion and diarrhea?
C) Do you have enough food to eat?
D) Have you tried to lose weight? - ANSWER-D) have you tried to lose
weight?
Common or concerning symptoms to inquire about in the General Survey and
vital signs include all of the following except:
A) Changes in weight
B) Fatigue and weakness
C) Cough
D) Fever and chills - ANSWER-C) cough
*done in the respiratory ROS*
