NUR 631 Quizzes 1–4 | Advanced Health
Assessment | Complete 75-Question Study
Set | 100% Correct Verified Answers
Exam Structure:
Subject: Advanced Health Assessment (Nursing)
Source: Exam/Quiz Preparation Materials NUR 631
Format: Multiple Choice & Select All That Apply Questions
1. When writing a SOAP note, the nurse practitioner is aware that "A"
represents:
A. The diagnosis
B. The assessment
C. The plan
D. The subjective data
Correct Answer: A. The diagnosis
Rationale:
1. In the SOAP note format, "A" stands for "Assessment," which includes
the diagnosis or diagnostic impression.
2. This section synthesizes objective and subjective findings to
formulate a clinical judgment.
3. It is distinct from "S" (Subjective), "O" (Objective), and "P" (Plan).
2. When reading a healthcare record you see the following notation:
Patient states "I have had a runny nose and a cough for 1 week now."
This is an example of:
A. Review of systems
B. Past medical history
C. Chief complaint
D. Social history
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Correct Answer: C. Chief complaint
Rationale:
1. The chief complaint is the primary reason for the patient’s visit,
stated in the patient’s own words.
2. It is typically recorded at the beginning of the clinical note.
3. This statement directly quotes the patient and describes the
presenting symptom(s).
3. Which of the following is an appropriate recording of the subjective
information provided by a patient?
A. Chest pain for 2 hours
B. "Grabbing" chest pain for 2 hours
C. Patient appears anxious
D. Blood pressure 150/90
Correct Answer: B. "Grabbing" chest pain for 2 hours
Rationale:
1. Subjective data should be recorded using the patient’s exact words
when possible.
2. Quoting the patient’s description ("grabbing") preserves the quality
and character of the symptom.
3. This enhances accuracy and avoids misinterpretation of the patient’s
experience.
4. You receive results from the laboratory, a metabolic panel and a
CBC. Where should that information appear in the SOAP note?
A. Subjective
B. Objective
C. Assessment
D. Plan
Correct Answer: B. Objective
Rationale:
1. Laboratory results are measurable, observable data obtained through
diagnostic testing.
2. Objective data belong in the "O" (Objective) section of a SOAP note.
3. This includes findings from physical exams, labs, and imaging.
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5. The nurse asks "Mr. S. tell me what you do when your headaches
occur," with this question you are seeking information about:
A. Location
B. Severity
C. Aggravating and relieving factors
D. Duration
Correct Answer: C. Aggravating and relieving factors
Rationale:
1. The question asks what the patient does when headaches occur,
which relates to self-management or behaviors that may worsen or
relieve symptoms.
2. Identifying aggravating and relieving factors is key to understanding
symptom patterns and triggers.
3. This information helps in diagnosis and developing a management
plan.
6. What is the best terminology to describe significant symptoms
associated with each area of the patient's body?
A. Chief complaint
B. Past medical history
C. Review of systems
D. Social history
Correct Answer: C. Review of systems
Rationale:
1. The Review of Systems (ROS) is a systematic inventory of symptoms
organized by body system.
2. It ensures a comprehensive assessment and helps identify associated
or unrelated symptoms.
3. This methodical approach prevents omissions in the clinical history.
7. Mrs. Ellis is being seen for a routine physical examination. She is a
college graduate and president of a research firm. She attends the
local Methodist church weekly. She has adequate health insurance.
Most of this information belongs in her:
A. Past medical history
B. Personal and social history