NUR631 Midterm Exam Prep Test Bank 2 Latest
2026-2027/ NUR 631 Advanced Health
Assessment Newest Midterm Exam Prep Test
Bank with 200 Questions and Correct Answers
All of the following are a common or concerning symptom in a health history for a
respiratory assessment EXCEPT?
A) palpitations
B) blood-streaked sputum
C) chest pain
D) snoring - ANSWER-A) palpitations
Chest pain, blood-streaked sputum, and snoring are all common or concerning
symptoms in a health history for respiratory assessment.
A 29-year-old physical therapist presents for evaluation of an eyelid problem. On
observation, the right eyeball appears to be protruding forward. Based on this
description, what is the most likely diagnosis?
A) Epicanthus
B) Ptosis
C) Exophthalmos
D) Ectropion - ANSWER-C) Exophthalmos
Eye protrusion (proptosis or exophthalmos)
1
,The nurse practitioner is performing an eye examination using the
ophthalmoscope. Which component is NOT part of the ophthalmoscope?
A) lens disc
B) aperature
C) indicator of diopters
D) speculum - ANSWER-D) speculum
See picture of ophthalmoscope (Bates p 238)
A 15-year-old high school sophomore presents to the emergency room with his
mother for evaluation of an area of blood in the left eye. He denies trauma or injury
but has been coughing forcefully with a recent cold. He denies visual disturbances,
eye pain, or discharge from the eye. On physical examination, the pupils are equal,
round, and reactive to light, with a visual acuity of 20/20 in each eye and 20/20
bilaterally. There is a homogeneous, sharply demarcated area at the lateral aspect
of the base of the left eye. The cornea is clear. Based on this description, what is
the most likely diagnosis?
A) Conjunctivitis
B) Acute iritis
C) Corneal abrasion
D) Subconjunctival hemorrhage - ANSWER-D) Subconjunctival hemorrhage
Leakage of blood outside of the vessels, producing a homogenous, sharply
demarcated, red area. The pupil is not affected, vision is not affected and the
cornea is clear. May result from trauma, bleeding disorders, or sudden increase in
venous pressure, as from a cough.
The nurse practitioner is reviewing for a class in age-related changes in the eye.
Which of these physiological changes is responsible for presbyopia?
2
,A) degeneration of the cornea
B) decreased adaptation to darkness
C) decreased distance vision abilities
D) loss of lens elasticity - ANSWER-D) loss of lens elasticity
The lens gradually loses its elasticity, and the eye grows progressively less able to
accommodate and focus on nearby objects. Ensuing presbyopia usually becomes
noticeable during the fifth decade. (Bates, p 959, 991)
Mr. Q. is a 45-year-old salesman who comes to your office for evaluation of
fatigue. He has come to the office many times in the past with a variety of injuries,
and you suspect that he has a problem with alcohol. Which one of the following
questions will be most helpful in diagnosing this problem?
A) You are an alcoholic, aren't you?
B) When was your last drink?
C) Do you drink 2 to 3 beers every weekend?
D) Do you drink alcohol when you are supposed to be working? - ANSWER-B)
When was your last drink?
Positive answers to two additional questions are highly suspicious for problem
drinking: "Have you every had a drinking problem?" and "When was your last
drink?" especially if the night before (Bates, p 96-97)
A patient's vision is recorded as 20/30 when the Snellen eye chart is used. The
nurse interprets these results to indicate that:
A) the patient can read at 20 feet what a person with normal vision can read at 30
feet.
B) at 30 feet the patient can read the entire chart.
3
, C) the patient can read the chart from 20 feet in the left eye and 30 feet in the right
eye,
D) the patient can read from 30 feet what a person with normal vision can read
from 20 feet. - ANSWER-A) the patient can read at 20 feet what a person with
normal vision can read at 30 feet.
Visual acuity is expressed as 2 numbers (e.g. 20/30): the first indicates the distance
of the patient from the chart, and the second the distance at which a normal eye can
read the line of letters (Bates, p 231).
Which of the following enables optimal examination of the adult's tympanic
membrane?
A) Grasp the auricle firmly and pull it downward, backward, and pressed close to
the head.
B) Grasp the auricle firmly but gently and pull it upward, backward, and slightly
away from the head.
C) Pull the ear lobe toward the chin and keep the auricle pulled away from the
head.
D) Grasp the auricle keeping it in normal position and pressed close to the head. -
ANSWER-B) Grasp the auricle firmly but gently and pull it upward, backward,
and slightly away from the head.
To straighten the ear canal, grasp the auricle firmly but gently and pull it upward,
backward, and slightly away from the head (Bates, p 245).
In using the ophthalmoscope to assess a patient's eyes, the nurse notices a red glow
in the patient's pupils. On the basis of this finding, the nurse would:
A) check the light source of the ophthalmoscope to verify that it is functioning.
B) consider this a normal reflection of the ophthalmoscope light off the inner
retina.
4
2026-2027/ NUR 631 Advanced Health
Assessment Newest Midterm Exam Prep Test
Bank with 200 Questions and Correct Answers
All of the following are a common or concerning symptom in a health history for a
respiratory assessment EXCEPT?
A) palpitations
B) blood-streaked sputum
C) chest pain
D) snoring - ANSWER-A) palpitations
Chest pain, blood-streaked sputum, and snoring are all common or concerning
symptoms in a health history for respiratory assessment.
A 29-year-old physical therapist presents for evaluation of an eyelid problem. On
observation, the right eyeball appears to be protruding forward. Based on this
description, what is the most likely diagnosis?
A) Epicanthus
B) Ptosis
C) Exophthalmos
D) Ectropion - ANSWER-C) Exophthalmos
Eye protrusion (proptosis or exophthalmos)
1
,The nurse practitioner is performing an eye examination using the
ophthalmoscope. Which component is NOT part of the ophthalmoscope?
A) lens disc
B) aperature
C) indicator of diopters
D) speculum - ANSWER-D) speculum
See picture of ophthalmoscope (Bates p 238)
A 15-year-old high school sophomore presents to the emergency room with his
mother for evaluation of an area of blood in the left eye. He denies trauma or injury
but has been coughing forcefully with a recent cold. He denies visual disturbances,
eye pain, or discharge from the eye. On physical examination, the pupils are equal,
round, and reactive to light, with a visual acuity of 20/20 in each eye and 20/20
bilaterally. There is a homogeneous, sharply demarcated area at the lateral aspect
of the base of the left eye. The cornea is clear. Based on this description, what is
the most likely diagnosis?
A) Conjunctivitis
B) Acute iritis
C) Corneal abrasion
D) Subconjunctival hemorrhage - ANSWER-D) Subconjunctival hemorrhage
Leakage of blood outside of the vessels, producing a homogenous, sharply
demarcated, red area. The pupil is not affected, vision is not affected and the
cornea is clear. May result from trauma, bleeding disorders, or sudden increase in
venous pressure, as from a cough.
The nurse practitioner is reviewing for a class in age-related changes in the eye.
Which of these physiological changes is responsible for presbyopia?
2
,A) degeneration of the cornea
B) decreased adaptation to darkness
C) decreased distance vision abilities
D) loss of lens elasticity - ANSWER-D) loss of lens elasticity
The lens gradually loses its elasticity, and the eye grows progressively less able to
accommodate and focus on nearby objects. Ensuing presbyopia usually becomes
noticeable during the fifth decade. (Bates, p 959, 991)
Mr. Q. is a 45-year-old salesman who comes to your office for evaluation of
fatigue. He has come to the office many times in the past with a variety of injuries,
and you suspect that he has a problem with alcohol. Which one of the following
questions will be most helpful in diagnosing this problem?
A) You are an alcoholic, aren't you?
B) When was your last drink?
C) Do you drink 2 to 3 beers every weekend?
D) Do you drink alcohol when you are supposed to be working? - ANSWER-B)
When was your last drink?
Positive answers to two additional questions are highly suspicious for problem
drinking: "Have you every had a drinking problem?" and "When was your last
drink?" especially if the night before (Bates, p 96-97)
A patient's vision is recorded as 20/30 when the Snellen eye chart is used. The
nurse interprets these results to indicate that:
A) the patient can read at 20 feet what a person with normal vision can read at 30
feet.
B) at 30 feet the patient can read the entire chart.
3
, C) the patient can read the chart from 20 feet in the left eye and 30 feet in the right
eye,
D) the patient can read from 30 feet what a person with normal vision can read
from 20 feet. - ANSWER-A) the patient can read at 20 feet what a person with
normal vision can read at 30 feet.
Visual acuity is expressed as 2 numbers (e.g. 20/30): the first indicates the distance
of the patient from the chart, and the second the distance at which a normal eye can
read the line of letters (Bates, p 231).
Which of the following enables optimal examination of the adult's tympanic
membrane?
A) Grasp the auricle firmly and pull it downward, backward, and pressed close to
the head.
B) Grasp the auricle firmly but gently and pull it upward, backward, and slightly
away from the head.
C) Pull the ear lobe toward the chin and keep the auricle pulled away from the
head.
D) Grasp the auricle keeping it in normal position and pressed close to the head. -
ANSWER-B) Grasp the auricle firmly but gently and pull it upward, backward,
and slightly away from the head.
To straighten the ear canal, grasp the auricle firmly but gently and pull it upward,
backward, and slightly away from the head (Bates, p 245).
In using the ophthalmoscope to assess a patient's eyes, the nurse notices a red glow
in the patient's pupils. On the basis of this finding, the nurse would:
A) check the light source of the ophthalmoscope to verify that it is functioning.
B) consider this a normal reflection of the ophthalmoscope light off the inner
retina.
4
