Assessment 09/01/2026
Exam
NUR 6001 Exams 1–3 – Advanced Health
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P 1
, • Advanced Health
Assessment 09/01/2026
Exam
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?
Infectious
Inflammatory
Hematologic
Traumatic –
Correct Answer :Inflammatory
The description is most consistent with an inflammatory process, although all the other etiologies should be
considered. Lyme disease is an infection which commonly causes arthritis, hemophilia is a hematologic condition
which can cause bleeding in the joints, and trauma can obviously cause joint pain. Your clinical reasoning skills are
important for sorting through all of the data to arrive at the most likely conclusion.
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 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?
P 2
, • Advanced Health
Assessment 09/01/2026
Exam
Infectious
Neoplastic
Degenerative
Traumatic –
Correct Answer :Degenerative
The description is most consistent with degenerative arthritis in the neck. The patient has had intermittent
symptoms and the questions asked to elicit pertinent negative and positive findings are negative for infectious,
traumatic, or neoplastic disease.
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?
Infection
Inflammation
Allergic
Vascular –
P 3
, • Advanced Health
Assessment 09/01/2026
Exam
Correct Answer :Allergic
This description is most consistent with allergic rhinitis.
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?
Head is normocephalic and atraumatic, fundi with sharp discs, neck supple with full range of motion
Head is normocephalic and atraumatic, fundi with sharp discs, neck with paraspinous muscle spasm and limited
range of motion to the right
Head is normocephalic and atraumatic, fundi with blurred disc margins, neck tender to palpation, unable to
perform range of motion
Head is normocephalic and atraumatic, fundi with blurred disc margins, neck supple with full range of motion –
Correct Answer :Head is normocephalic and atraumatic, fundi with blurred disc margins, neck tender to
palpation, unable to perform range of motion
Blurred disc margins are consistent with papilledema, and neck tenderness and lack of range of motion are
consistent with neck stiffness, which in this scenario is likely to be caused by meningeal inflammation. Later, you
will learn about Kernig's and Brudzinski's signs, which are helpful in testing for meningeal irritation on
examination.
P 4