Advanced Health Assessment & Clinical Diagnosis in
Primary Care (7th Edition,) Joyce E. Dains| Newest
Version 2025 Already Graded A+
QUESTIONS
A 55-year-old post-menopausal woman with a history of hypertension complains of jaw pain
on heavy exertion. There were no complaints of chest pain. Her ECG indicates normal sinus
rhythm without ST segment abnormalities. Your plan may include:
b) Exercise stress test
The aging process causes what normal physiological changes in the heart?
a) The heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis
It is important to not dilate the eye if ____ is suspected
c) Acute closed-angle glaucoma
Your patient is a 78-year-old female with a smoking history of 120-pack years. She complains
of hoarseness that has developed over the last few months. It is important to exclude the
possibility of:
b) Laryngeal cancer
In examining the mouth of an older adult with a history of smoking, the nurse practitioner
finds a suspicious oral lesion. The patient has been referred for a biopsy to be sent for
pathology. Which is the most common oral precancerous lesion?
d) Leukoplakia
A 20-year-old engineering student complains of episodes of abdominal discomfort, bloating,
and episodes of diarrhea. The symptoms usually occur after eating, and pain is frequently
relieved with bowel movement. She is on a "celiac diet" and the episodic symptoms persist.
,Physical examination and diagnostic tests are negative. Colonoscopy is negative for any
abnormalities. This is a history and physical consistent with:
b) Irritable bowel syndrome
The most common cause of eye redness is
a) Conjunctivitis
In AR disorders, carriers have
D. One copy of a gene mutation but not the disease
According to the Genetic Information Nondiscrimination Act (GINA):
a) Nurse Practitioners (NPs) should keep all genetic information of patients confidential
b) NPs must obtain informed consent prior to genetic testing of all patients
c) Employers cannot inquire about an employee's genetic information
d) All of the above ***
Aortic regurgitation requires medical treatment for early signs of CHF with:
b) ACE inhibitors
Which of the following is the most common cause of heartburn-type epigastric pain?
d) Peptic ulcer disease
The best way to diagnose structural heart disease/dysfunction non-invasively is:
c) Echocardiogram
Essential parts of a health history include all of the following except:
c) Current vital signs
Men have faster and more efficient biotransformation of drugs and this is thought to be due
to:
b) Testosterone
, The main focus of treatment of patients with ACD is
c) Management of the underlying disorder
A 72-year-old woman and her husband are on a cross-country driving vacation. After a long
day of driving, they stop for dinner. Midway through the meal, the woman becomes very
short of breath, with chest pain and a feeling of panic. Which of the following problems is
most likely?
c) Pulmonary embolism
Your patient has been using chewing tobacco for 10 years. On physical examination, you
observe a white ulceration surrounded by erythematous base on the side of his tongue. The
clinician should recognize that very often this is
b) Squamous cell carcinoma
The first assessment to complete related to the eyes is:
b) Visual acuity
A 66-year-old patient presents to the clinic complaining of dyspnea and wheezing. The
patient reports a smoking history of 2 packs of cigarettes per day since age 16. This would be
recorded in the chart as
d) 100-pack history
Which disease process typically causes episodic right upper quadrant pain, epigastric pain or
chest pain that can last 4-6 hours or less, often radiates to the back (classically under the right
shoulder blade) and is often accompanied by nausea or vomiting and often follows a heavy,
fatty meal.
d) Cholecystitis
Which of the following conditions is the most common cause of nausea, vomiting, and
diarrhea?
a) Viral gastroenteritis
Primary Care (7th Edition,) Joyce E. Dains| Newest
Version 2025 Already Graded A+
QUESTIONS
A 55-year-old post-menopausal woman with a history of hypertension complains of jaw pain
on heavy exertion. There were no complaints of chest pain. Her ECG indicates normal sinus
rhythm without ST segment abnormalities. Your plan may include:
b) Exercise stress test
The aging process causes what normal physiological changes in the heart?
a) The heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis
It is important to not dilate the eye if ____ is suspected
c) Acute closed-angle glaucoma
Your patient is a 78-year-old female with a smoking history of 120-pack years. She complains
of hoarseness that has developed over the last few months. It is important to exclude the
possibility of:
b) Laryngeal cancer
In examining the mouth of an older adult with a history of smoking, the nurse practitioner
finds a suspicious oral lesion. The patient has been referred for a biopsy to be sent for
pathology. Which is the most common oral precancerous lesion?
d) Leukoplakia
A 20-year-old engineering student complains of episodes of abdominal discomfort, bloating,
and episodes of diarrhea. The symptoms usually occur after eating, and pain is frequently
relieved with bowel movement. She is on a "celiac diet" and the episodic symptoms persist.
,Physical examination and diagnostic tests are negative. Colonoscopy is negative for any
abnormalities. This is a history and physical consistent with:
b) Irritable bowel syndrome
The most common cause of eye redness is
a) Conjunctivitis
In AR disorders, carriers have
D. One copy of a gene mutation but not the disease
According to the Genetic Information Nondiscrimination Act (GINA):
a) Nurse Practitioners (NPs) should keep all genetic information of patients confidential
b) NPs must obtain informed consent prior to genetic testing of all patients
c) Employers cannot inquire about an employee's genetic information
d) All of the above ***
Aortic regurgitation requires medical treatment for early signs of CHF with:
b) ACE inhibitors
Which of the following is the most common cause of heartburn-type epigastric pain?
d) Peptic ulcer disease
The best way to diagnose structural heart disease/dysfunction non-invasively is:
c) Echocardiogram
Essential parts of a health history include all of the following except:
c) Current vital signs
Men have faster and more efficient biotransformation of drugs and this is thought to be due
to:
b) Testosterone
, The main focus of treatment of patients with ACD is
c) Management of the underlying disorder
A 72-year-old woman and her husband are on a cross-country driving vacation. After a long
day of driving, they stop for dinner. Midway through the meal, the woman becomes very
short of breath, with chest pain and a feeling of panic. Which of the following problems is
most likely?
c) Pulmonary embolism
Your patient has been using chewing tobacco for 10 years. On physical examination, you
observe a white ulceration surrounded by erythematous base on the side of his tongue. The
clinician should recognize that very often this is
b) Squamous cell carcinoma
The first assessment to complete related to the eyes is:
b) Visual acuity
A 66-year-old patient presents to the clinic complaining of dyspnea and wheezing. The
patient reports a smoking history of 2 packs of cigarettes per day since age 16. This would be
recorded in the chart as
d) 100-pack history
Which disease process typically causes episodic right upper quadrant pain, epigastric pain or
chest pain that can last 4-6 hours or less, often radiates to the back (classically under the right
shoulder blade) and is often accompanied by nausea or vomiting and often follows a heavy,
fatty meal.
d) Cholecystitis
Which of the following conditions is the most common cause of nausea, vomiting, and
diarrhea?
a) Viral gastroenteritis
