NUR-631 Advanced Health Assessment Exam LATEST 2024/2025 D'Youville University GRADED A (QUESTION AND ANSWERS WITH RATIONALES)

NUR-631 Advanced Health Assessment Exam LATEST 2024/2025 D'Youville University GRADED A (QUESTION AND ANSWERS WITH RATIONALES) 1. For which of the following patients would a comprehensive health history be appropriate? A) A new patient with the chief complaint of "I sprained my ankle" B) An established patient with the chief complaint of "I have an upper respiratory infection" C) A new patient with the chief complaint of "I am here to establish care" D) A new patient with the chief complaint of "I cut my hand" - Correct Answer-c) a new patient with the CC of "I am here to establish care" the patient is new to the provider so a comprehensive health history is needed Which of the following questions is part of the screening for physical disability? A) Are you able to go shopping for groceries or clothes? B) Are you able to walk one block? C) Are you able to pass the driver's license test? D) Are you able to perform light dusting and pick up after yourself around the house? - Correct Answer-A) Are you able to go shopping for groceries or clothes? Blood pressure abnormalities found more commonly in Western elderly include which of the following? A) Isolated elevation of the diastolic BP B) Narrow pulse pressure C) Elevation of the systolic BP D) Elevation of the BP with standing - Correct Answer-C) BP elevation of the systolic Mr. Chin is an 82-year-old man who comes to your office for a routine check. On examination, you notice a somewhat high-pitched murmur in the second right intercostal space during systole. It does not radiate and the rest of his examination is normal for his age. Which is true of the most likely cause of this murmur? A) It often decreases carotid upstroke. B) It carries with it increased risk for cardiovascular disease. C) It is usually accompanied by an S3 gallop. D) It is found in 10% of otherwise normal elderly patients. - Correct Answer-B) It carries with it increased risk for cardiovascular disease. caused by calcification of the valve 2 | P a g e Mrs. Glynn is 90 years old and lives alone. She is able to bathe, dress, prepare her food, and transfer from bed to chair independently. She has children in the area who help her with her medications and transportation needs. Which of the following is considered an instrumental activity of daily living? A) Bathing B) Dressing C) Preparing food D) Transferring from bed to chair - Correct Answer-C) Preparing food Claire's daughter brings her in today after Claire fell at her home. Which assessments are indicated at this time? A) Orthostatic vital signs B) Review of her medications C) Assessment of gait and balance D) All of the above - Correct Answer-D) All of the above Orthostatic (postural) hypotension is defined as an excessive decrease in blood pressure with position, usually greater than ------- systolic and ------- diastolic a. 10,5 b. 15, 7 c. 20, 10 d. 30,15 - Correct Answer-c. 20, 10 systolic decreases by 20 diastolic decreases by 10 In assessing a person with or at risk for orthostatic hypotension, the BP should be measured after 5 minutes in the supine position and then ---- and ---- minutes after standing a. 1,3 b. 2,4 c. 3,5 d. 5,10 - Correct Answer-a. 1,3 2. The components of the health history include all of the following except which one? A) Review of systems B) Thorax and lungs C) Present illness D) Personal and social items - Correct Answer-B) thorax and lungs 3 | P a g e these are part of the physical examination 3. Is the following information subjective or objective? Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity and relieved by rest. A) Subjective B) Objective - Correct Answer-A) subjective this is information given by the patient 4. Is the following information subjective or objective? Mr. M. has a respiratory rate of 32 and a pulse rate of 120. A) Subjective B) Objective - Correct Answer-B) objective this is information obtained by the examiner 5. The following information is recorded in the health history: "The patient has had abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9 on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in the mid-epigastric area." Which of these categories does it belong to? A) Chief complaint B) Present illness C) Personal and social history D) Review of systems - Correct Answer-B) Present illness HPI 6. The following information is recorded in the health history: "The patient completed 8th grade. He currently lives with his wife and two children. He works on old cars on the weekend. He works in a glass factory during the week." Which category does it belong to? A) Chief complaint B) Present illness C) Personal and social history D) Review of systems - Correct Answer-C) personal and social history