NURSING C350 Harvey Hoya Comprehensive
Health Assessment iHuman Exam Actual Exam
2026/2027 – Complete Virtual Patient Simulation
Questions with Detailed Rationales | 100%
Verified | Pass Guaranteed – A+ Graded
SECTION A: Harvey Hoya Case Overview & Patient Demographics (8
Questions)
Q1: Harvey Hoya is a 57-year-old Hispanic male who presents to an outpatient clinic. His
height is 5'9" (175 cm) and weight is 195 lbs (88.6 kg). What is his BMI classification?
A. Normal weight
B. Overweight [CORRECT]
C. Obese Class I
D. Underweight
Correct Answer: B
Rationale: BMI = 88.6 kg / (1.75 m)² = 28.9 kg/m², which falls within the overweight
range (25.0–29.9). Obese Class I begins at 30.0. This is a significant hypertension risk
factor for Mr. Hoya.
,Q2: Mr. Hoya reports that his blood pressure was elevated at a community health fair,
prompting today's visit. Which statement best describes his reason for encounter?
A. Emergency department referral for chest pain
B. Outpatient evaluation for elevated blood pressure readings [CORRECT]
C. Annual wellness examination with no concerns
D. Follow-up for previously diagnosed and treated hypertension
Correct Answer: B
Rationale: Mr. Hoya's reason for encounter is evaluation of elevated blood pressure
detected at a community health fair. He has never sought treatment for hypertension
before, so this is not a follow-up for treated HTN, and he denies chest pain.
Q3: Mr. Hoya describes his headaches as dull, non-pulsating, and non-radiating, rated
3–4/10, occurring upon awakening and lasting approximately 2 hours. Which
characteristic is most consistent with hypertension-related headache?
A. Throbbing, unilateral pain with photophobia
B. Dull morning headache that improves throughout the day [CORRECT]
C. Sudden, severe "thunderclap" pain
D. Band-like pressure with associated nausea
Correct Answer: B
Rationale: Hypertension-related headaches are often dull, occipital or generalized, and
worse in the morning due to nocturnal blood pressure patterns. Throbbing unilateral
, pain suggests migraine; thunderclap pain suggests subarachnoid hemorrhage; band-like
pressure suggests tension headache.
Q4: According to the 2020 International Society of Hypertension Global Hypertension
Practice Guidelines, Mr. Hoya's blood pressure of 168/102 mmHg is classified as:
A. Grade 1 hypertension
B. Grade 2 hypertension [CORRECT]
C. Grade 3 hypertension
D. Normal blood pressure
Correct Answer: B
Rationale: Grade 2 hypertension is defined as systolic BP 160–179 mmHg and/or
diastolic BP 100–109 mmHg. Mr. Hoya's reading of 168/102 mmHg meets Grade 2
criteria. Grade 1 is 140–159/90–99; Grade 3 is ≥180/≥110.
Q5: Which of the following is NOT a demonstrated risk factor in Mr. Hoya's history?
A. Smoking history
B. Hispanic ethnicity
C. Advanced age (>65 years) [CORRECT]
D. Overweight status
Correct Answer: C
Health Assessment iHuman Exam Actual Exam
2026/2027 – Complete Virtual Patient Simulation
Questions with Detailed Rationales | 100%
Verified | Pass Guaranteed – A+ Graded
SECTION A: Harvey Hoya Case Overview & Patient Demographics (8
Questions)
Q1: Harvey Hoya is a 57-year-old Hispanic male who presents to an outpatient clinic. His
height is 5'9" (175 cm) and weight is 195 lbs (88.6 kg). What is his BMI classification?
A. Normal weight
B. Overweight [CORRECT]
C. Obese Class I
D. Underweight
Correct Answer: B
Rationale: BMI = 88.6 kg / (1.75 m)² = 28.9 kg/m², which falls within the overweight
range (25.0–29.9). Obese Class I begins at 30.0. This is a significant hypertension risk
factor for Mr. Hoya.
,Q2: Mr. Hoya reports that his blood pressure was elevated at a community health fair,
prompting today's visit. Which statement best describes his reason for encounter?
A. Emergency department referral for chest pain
B. Outpatient evaluation for elevated blood pressure readings [CORRECT]
C. Annual wellness examination with no concerns
D. Follow-up for previously diagnosed and treated hypertension
Correct Answer: B
Rationale: Mr. Hoya's reason for encounter is evaluation of elevated blood pressure
detected at a community health fair. He has never sought treatment for hypertension
before, so this is not a follow-up for treated HTN, and he denies chest pain.
Q3: Mr. Hoya describes his headaches as dull, non-pulsating, and non-radiating, rated
3–4/10, occurring upon awakening and lasting approximately 2 hours. Which
characteristic is most consistent with hypertension-related headache?
A. Throbbing, unilateral pain with photophobia
B. Dull morning headache that improves throughout the day [CORRECT]
C. Sudden, severe "thunderclap" pain
D. Band-like pressure with associated nausea
Correct Answer: B
Rationale: Hypertension-related headaches are often dull, occipital or generalized, and
worse in the morning due to nocturnal blood pressure patterns. Throbbing unilateral
, pain suggests migraine; thunderclap pain suggests subarachnoid hemorrhage; band-like
pressure suggests tension headache.
Q4: According to the 2020 International Society of Hypertension Global Hypertension
Practice Guidelines, Mr. Hoya's blood pressure of 168/102 mmHg is classified as:
A. Grade 1 hypertension
B. Grade 2 hypertension [CORRECT]
C. Grade 3 hypertension
D. Normal blood pressure
Correct Answer: B
Rationale: Grade 2 hypertension is defined as systolic BP 160–179 mmHg and/or
diastolic BP 100–109 mmHg. Mr. Hoya's reading of 168/102 mmHg meets Grade 2
criteria. Grade 1 is 140–159/90–99; Grade 3 is ≥180/≥110.
Q5: Which of the following is NOT a demonstrated risk factor in Mr. Hoya's history?
A. Smoking history
B. Hispanic ethnicity
C. Advanced age (>65 years) [CORRECT]
D. Overweight status
Correct Answer: C
