NUR 631 ADVANCED HEALTH ASSESSMENT EXAM 1
PRACTICE TEST WITH 250 QUESTIONS AND CORRECT
VERIFIED ANSWERS LATEST 2025/ NUR631 EXAM 1 LATEST
2025 (BRAND NEW)
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" - 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
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 - answer-B) thorax and lungs
these are part of the physical examination
You are performing a young woman's first pelvic examination. You make sure to tell her verbally what
is coming next and what to expect. Then you carry out each maneuver of the examination. You let
her know at the outset that if she needs a break or wants to stop, this is possible. You ask several
times during the examination, "How are you doing, Brittney?" What are you accomplishing with
these techniques?
A) Increasing the patient's sense of control
B) Increasing the patient's trust in you as a caregiver
C) Decreasing her sense of vulnerability
D) All of the above - answer-D) all of the above
When using an interpreter to facilitate an interview, where should the interpreter be positioned?
,A) Behind you, the examiner, so that the lips of the patient and the patient's nonverbal cues can be
seen
B) Next to the patient, so the examiner can maintain eye contact and observe the nonverbal cues of
the patient
C) Between you and the patient so all parties can make the necessary observations
D) In a corner of the room so as to provide minimal distraction to the interview - answer-B) next to
the patient , so that the examiner can maintain eye contact and observe non verbal cues of the
patient
A 15-year-old high school sophomore and her mother come to your clinic because the mother is
concerned about her daughter's weight. You measure her daughter's height and weight and obtain a
BMI of 19.5 kg/m2. Based on this information, which of the following is appropriate?
A) Refer the patient to a nutritionist and a psychologist because the patient is anorexic.
B) Reassure the mother that this is a normal body weight.
C) Give the patient information about exercise because the patient is obese.
D) Give the patient information concerning reduction of fat and cholesterol in her diet because she is
obese. - answer-B) reassure the mother that this is a normal body weight
normal BMI is 18.5-24.9
A 25-year-old radio announcer comes to the clinic for an annual examination. His BMI is 26.0 kg/m2.
He is concerned about his weight. Based on this information, what is appropriate counsel for the
patient during the visit?
A) Refer the patient to a nutritionist because he is anorexic.
B) Reassure the patient that he has a normal body weight.
C) Give the patient information about reduction of fat, cholesterol, and calories because he is
overweight.
D) Give the patient information about reduction of fat and cholesterol because he is obese. -
answer-C) give the patient information about reduction of fat, cholesterol, and calories because he
is overweight
overweight BMI is 25-29.9
A 30-year-old sales clerk comes to your office wanting to lose weight; her BMI is 30.0 kg/m2. What is
the most appropriate amount for a weekly weight reduction goal?
,A) .5 to 1 pound per week
B) 1 to 2.5 pounds per week
C) 2.5 to 3.5 pounds per week
D) 3.5 to 4.5 pounds per week - answer-A) .5-1 pound per week
A 67-year-old retired janitor comes to the clinic with his wife. She brought him in because she is
concerned about his weight loss. He has a history of smoking 3 packs of cigarettes a day for 30 years,
for a total of 90 pack-years. He has noticed a daily cough for the past several years, which he states is
productive of sputum. He came into the clinic approximately 1 year ago, and at that time his weight
was 140 pounds. Today, his weight is 110 pounds.
Which one of the following questions would be the most important to ask if you suspect that he has
lung cancer?
A) Have you tried to force yourself to vomit after eating a meal?
B) Do you have heartburn/indigestion and diarrhea?
C) Do you have enough food to eat?
D) Have you tried to lose weight? - answer-D) have you tried to lose weight?
Common or concerning symptoms to inquire about in the General Survey and vital signs include all of
the following except:
A) Changes in weight
B) Fatigue and weakness
C) Cough
D) Fever and chills - answer-C) cough
*done in the respiratory ROS*
You are beginning the examination of a patient. All of the following areas are important to observe as
part of the General Survey except:
A) Level of consciousness
B) Signs of distress
C) Dress, grooming, and personal hygiene
D) Blood pressure - answer-D) blood pressure
, BP is a vital sign
A 55-year-old bookkeeper comes to your office for a routine visit. You note that on a previous visit for
treatment of contact dermatitis, her blood pressure was elevated. She does not have prior elevated
readings and her family history is negative for hypertension. You measure her blood pressure in your
office today. Which of the following factors can result in a false high reading?
A) Blood pressure cuff is tightly fitted.
B) Patient is seated quietly for 10 minutes prior to measurement.
C) Blood pressure is measured on a bare arm.
D) Patient's arm is resting, supported by your arm at her mid-chest level as you stand to measure the
blood pressure. - answer-A) blood pressure cuff is tightly fitted
A 49-year-old truck driver comes to the emergency room for shortness of breath and swelling in his
ankles. He is diagnosed with congestive heart failure and admitted to the hospital. You are the
student assigned to do the patient's complete history and physical examination. When you palpate
the pulse, what do you expect to feel?
A) Large amplitude, forceful
B) Small amplitude, weak
C) Normal
D) Bigeminal - answer-B) small amplitude, weak
CHF has decreased stroke volume
An 18-year-old college freshman presents to the clinic for evaluation of gastroenteritis. You measure
the patient's temperature and it is 104 degrees Fahrenheit. What type of pulse would you expect to
feel during his initial examination?
A) Large amplitude, forceful
B) Small amplitude, weak
C) Normal
D) Bigeminal - answer-A) large amplitude, forceful
fever results in increased stroke volume
PRACTICE TEST WITH 250 QUESTIONS AND CORRECT
VERIFIED ANSWERS LATEST 2025/ NUR631 EXAM 1 LATEST
2025 (BRAND NEW)
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" - 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
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 - answer-B) thorax and lungs
these are part of the physical examination
You are performing a young woman's first pelvic examination. You make sure to tell her verbally what
is coming next and what to expect. Then you carry out each maneuver of the examination. You let
her know at the outset that if she needs a break or wants to stop, this is possible. You ask several
times during the examination, "How are you doing, Brittney?" What are you accomplishing with
these techniques?
A) Increasing the patient's sense of control
B) Increasing the patient's trust in you as a caregiver
C) Decreasing her sense of vulnerability
D) All of the above - answer-D) all of the above
When using an interpreter to facilitate an interview, where should the interpreter be positioned?
,A) Behind you, the examiner, so that the lips of the patient and the patient's nonverbal cues can be
seen
B) Next to the patient, so the examiner can maintain eye contact and observe the nonverbal cues of
the patient
C) Between you and the patient so all parties can make the necessary observations
D) In a corner of the room so as to provide minimal distraction to the interview - answer-B) next to
the patient , so that the examiner can maintain eye contact and observe non verbal cues of the
patient
A 15-year-old high school sophomore and her mother come to your clinic because the mother is
concerned about her daughter's weight. You measure her daughter's height and weight and obtain a
BMI of 19.5 kg/m2. Based on this information, which of the following is appropriate?
A) Refer the patient to a nutritionist and a psychologist because the patient is anorexic.
B) Reassure the mother that this is a normal body weight.
C) Give the patient information about exercise because the patient is obese.
D) Give the patient information concerning reduction of fat and cholesterol in her diet because she is
obese. - answer-B) reassure the mother that this is a normal body weight
normal BMI is 18.5-24.9
A 25-year-old radio announcer comes to the clinic for an annual examination. His BMI is 26.0 kg/m2.
He is concerned about his weight. Based on this information, what is appropriate counsel for the
patient during the visit?
A) Refer the patient to a nutritionist because he is anorexic.
B) Reassure the patient that he has a normal body weight.
C) Give the patient information about reduction of fat, cholesterol, and calories because he is
overweight.
D) Give the patient information about reduction of fat and cholesterol because he is obese. -
answer-C) give the patient information about reduction of fat, cholesterol, and calories because he
is overweight
overweight BMI is 25-29.9
A 30-year-old sales clerk comes to your office wanting to lose weight; her BMI is 30.0 kg/m2. What is
the most appropriate amount for a weekly weight reduction goal?
,A) .5 to 1 pound per week
B) 1 to 2.5 pounds per week
C) 2.5 to 3.5 pounds per week
D) 3.5 to 4.5 pounds per week - answer-A) .5-1 pound per week
A 67-year-old retired janitor comes to the clinic with his wife. She brought him in because she is
concerned about his weight loss. He has a history of smoking 3 packs of cigarettes a day for 30 years,
for a total of 90 pack-years. He has noticed a daily cough for the past several years, which he states is
productive of sputum. He came into the clinic approximately 1 year ago, and at that time his weight
was 140 pounds. Today, his weight is 110 pounds.
Which one of the following questions would be the most important to ask if you suspect that he has
lung cancer?
A) Have you tried to force yourself to vomit after eating a meal?
B) Do you have heartburn/indigestion and diarrhea?
C) Do you have enough food to eat?
D) Have you tried to lose weight? - answer-D) have you tried to lose weight?
Common or concerning symptoms to inquire about in the General Survey and vital signs include all of
the following except:
A) Changes in weight
B) Fatigue and weakness
C) Cough
D) Fever and chills - answer-C) cough
*done in the respiratory ROS*
You are beginning the examination of a patient. All of the following areas are important to observe as
part of the General Survey except:
A) Level of consciousness
B) Signs of distress
C) Dress, grooming, and personal hygiene
D) Blood pressure - answer-D) blood pressure
, BP is a vital sign
A 55-year-old bookkeeper comes to your office for a routine visit. You note that on a previous visit for
treatment of contact dermatitis, her blood pressure was elevated. She does not have prior elevated
readings and her family history is negative for hypertension. You measure her blood pressure in your
office today. Which of the following factors can result in a false high reading?
A) Blood pressure cuff is tightly fitted.
B) Patient is seated quietly for 10 minutes prior to measurement.
C) Blood pressure is measured on a bare arm.
D) Patient's arm is resting, supported by your arm at her mid-chest level as you stand to measure the
blood pressure. - answer-A) blood pressure cuff is tightly fitted
A 49-year-old truck driver comes to the emergency room for shortness of breath and swelling in his
ankles. He is diagnosed with congestive heart failure and admitted to the hospital. You are the
student assigned to do the patient's complete history and physical examination. When you palpate
the pulse, what do you expect to feel?
A) Large amplitude, forceful
B) Small amplitude, weak
C) Normal
D) Bigeminal - answer-B) small amplitude, weak
CHF has decreased stroke volume
An 18-year-old college freshman presents to the clinic for evaluation of gastroenteritis. You measure
the patient's temperature and it is 104 degrees Fahrenheit. What type of pulse would you expect to
feel during his initial examination?
A) Large amplitude, forceful
B) Small amplitude, weak
C) Normal
D) Bigeminal - answer-A) large amplitude, forceful
fever results in increased stroke volume
