NUR 631 ADVANCED HEALTH ASSESSMENT EXAM 4
PRACTICE TEST WITH 250 QUESTIONS AND CORRECT
VERIFIED ANSWERS LATEST 2025/ NUR631 EXAM 1 LATEST
2025 (BRAND NEW)
A 55-year-old data entry operator comes to the clinic to establish care. She has the following
symptoms: headache, neck pain, sinus congestion, sore throat, ringing in ears, sharp brief chest pains
at rest, burning abdominal pain with spicy foods, constipation, urinary frequency that is worse with
coughing and sneezing, and swelling in legs. This cluster of symptoms is explained by:
A) One disease process
B) More than one disease process - answer-B) more than one disease process
A 62-year-old teacher presents to the clinic for evaluation of the following symptoms: fever,
headache, sinus congestion, sore throat, green nasal discharge, and cough. This cluster of symptoms
is best explained by:
A) One disease process
B) More than one disease process - answer-A) one disease process
Steve has just seen a 5-year-old girl who wheezes when exposed to cats. The patient's family history
is positive for asthma. You think the child most likely has asthma. What have you just accomplished?
A) You have tested your hypothesis.
B) You have developed a plan.
C) You have established a working diagnosis.
D) You have created a hypothesis. - answer-D) created a hypothesis
its too early to establish a working diagnosis
Ms. Washington is a 67-year-old who had a heart attack last month. Now she complains of shortness
of breath and not being able to sleep in a flat position (orthopnea). On examination you note
increased jugular venous pressure, an S3 gallop, crackles low in the lung fields, and swollen ankles
(edema). This is an example of a:
A) Pathophysiologic problem
B) Psychopathologic problem - answer-A) pathophysiologic problem
,On the way to see your next patient, you glance at the calendar and make a mental note to buy a
Mother's Day card. Your patient is Ms. Hernandez, a 76-year-old widow who lost her husband in May,
two years ago. She comes in today with a headaches, abdominal pain, and general malaise. This
happened once before, about a year ago, according to your detailed office notes. You have done a
thorough evaluation but are unable to arrive at a consistent picture to tie these symptoms together.
This is an example of a:
A) Pathophysiologic problem
B) Psychopathologic problem - answer-B) psychopathologic problem
Mr. Larson is a 42-year-old widowed father of two children, ages 4 and 11. He works in a sales office
to support his family. Recently he has injured his back and you are thinking he would benefit from
physical therapy, three times a week, for an hour per session. What would be your next step?
A) Write the physical therapy prescription.
B) Have your office staff explain directions to the physical therapy center.
C) Discuss the plan with Mr. Larson.
D) Tell Mr. Larson that he will be going to physical therapy three times a week. - answer-C) discuss
the plan with Mr. Larson
You are seeing an elderly man with multiple complaints. He has chronic arthritis, pain from an old
war injury, and headaches. Today he complains of these pains, as well as dull chest pain under his
sternum. What would the order of priority be for your problem list?
A) Arthritis, war injury pain, headaches, chest pain
B) War injury pain, arthritis, headaches, chest pain
C) Headaches, arthritis, war injury pain, chest pain
D) Chest pain, headaches, arthritis, war injury pain - answer-D) CP, HA, arthritis, war injury pain
You are excited about a positive test finding you have just noticed on physical examination of your
patient. You go on to do more examination, laboratory work, and diagnostic tests, only to find that
there is no sign of the disease you thought would correlate with the finding. This same experience
happens several times. What should you conclude?
A) Consider not doing this test routinely.
B) Use this test when you have a higher suspicion for a certain correlating condition.
C) Continue using the test, perhaps doing less laboratory work and diagnostics.
D) Omit this test from future examinations. - answer-C) continue using the test, perhaps doing less
laboratory work and diagnostics
,You are growing fatigued of performing a maneuver on examination because you have never found a
positive and are usually pressed for time. How should you next approach this maneuver?
A) Use this test when you have a higher suspicion for a certain correlating condition.
B) Omit this test from future examinations.
C) Continue doing the test, but rely more heavily on laboratory work and diagnostics.
D) Continue performing it on all future examinations. - answer-A) use this test when you have a
higher suspicion for a certain correlating condition
You have recently returned from a medical missions trip to sub-Saharan Africa, where you learned a
great deal about malaria. You decide to use some of the same questions and maneuvers in your
"routine" when examining patients in the midwestern United States. You are disappointed to find
that despite getting some positive answers and findings, on further workup, none of your patients
has malaria except one, who recently emigrated from Ghana. How should you next approach these
questions and maneuvers?
A) Continue asking these questions in a more selective way.
B) Stop asking these questions, because they are low yield.
C) Question the validity of the questions.
D) Ask these questions of all your patients. - answer-A) continue asking these questions in a more
selective way
You are running late after your quarterly quality improvement meeting at the hospital and have just
gotten paged from the nurses' station because a family member of one of your patients wants to talk
with you about that patient's care. You have clinic this afternoon and are double-booked for the first
appointment time; three other patients also have arrived and are sitting in the waiting room. Which
of the following demeanors is a behavior consistent with skilled interviewing when you walk into the
examination room to speak with your first clinic patient?
A) Irritability
B) Impatience
C) Boredom
D) Calm - answer-D) calm
Suzanne, a 25 year old, comes to your clinic to establish care. You are the student preparing to go
into the examination room to interview her. Which of the following is the most logical sequence for
the patient-provider interview?
A) Establish the agenda, negotiate a plan, establish rapport, and invite the patient's story.
, B) Invite the patient's story, negotiate a plan, establish the agenda, and establish rapport.
C) Greet the patient, establish rapport, invite the patient's story, establish the agenda, expand and
clarify the patient's story, and negotiate a plan.
D) Negotiate a plan, establish an agenda, invite the patient's story, and establish rapport. - answer-
C) greet the patient, establish rapport, invite the patients story, establish agenda, expand and clarify
the story, negotiate the plan
Alexandra is a 28-year-old editor who presents to the clinic with abdominal pain. The pain is a dull
ache, located in the right upper quadrant, that she rates as a 3 at the least and an 8 at the worst. The
pain started a few weeks ago, it lasts for 2 to 3 hours at a time, it comes and goes, and it seems to be
worse a couple of hours after eating. She has noticed that it starts after eating greasy foods, so she
has cut down on these as much as she can. Initially it occurred once a week, but now it is occurring
every other day. Nothing makes it better. From this description, which of the seven attributes of a
symptom has been omitted?
A) Setting in which the symptom occurs
B) Associated manifestations
C) Quality
D) Timing - answer-B) associated manifestations
is pain accompanied by N/V?
Jason is a 41-year-old electrician who presents to the clinic for evaluation of shortness of breath. The
shortness of breath occurs with exertion and improves with rest. It has been going on for several
months and initially occurred only a couple of times a day with strenuous exertion; however, it has
started to occur with minimal exertion and is happening more than a dozen times per day. The
shortness of breath lasts for less than 5 minutes at a time. He has no cough, chest pressure, chest
pain, swelling in his feet, palpitations, orthopnea, or paroxysmal nocturnal dyspnea.
Which of the following symptom attributes was not addressed in this description?
A) Severity
B) Setting in which the symptom occurs
C) Timing
D) Associated manifestations - answer-A) severity
should've asked pain on 0-10 scale
PRACTICE TEST WITH 250 QUESTIONS AND CORRECT
VERIFIED ANSWERS LATEST 2025/ NUR631 EXAM 1 LATEST
2025 (BRAND NEW)
A 55-year-old data entry operator comes to the clinic to establish care. She has the following
symptoms: headache, neck pain, sinus congestion, sore throat, ringing in ears, sharp brief chest pains
at rest, burning abdominal pain with spicy foods, constipation, urinary frequency that is worse with
coughing and sneezing, and swelling in legs. This cluster of symptoms is explained by:
A) One disease process
B) More than one disease process - answer-B) more than one disease process
A 62-year-old teacher presents to the clinic for evaluation of the following symptoms: fever,
headache, sinus congestion, sore throat, green nasal discharge, and cough. This cluster of symptoms
is best explained by:
A) One disease process
B) More than one disease process - answer-A) one disease process
Steve has just seen a 5-year-old girl who wheezes when exposed to cats. The patient's family history
is positive for asthma. You think the child most likely has asthma. What have you just accomplished?
A) You have tested your hypothesis.
B) You have developed a plan.
C) You have established a working diagnosis.
D) You have created a hypothesis. - answer-D) created a hypothesis
its too early to establish a working diagnosis
Ms. Washington is a 67-year-old who had a heart attack last month. Now she complains of shortness
of breath and not being able to sleep in a flat position (orthopnea). On examination you note
increased jugular venous pressure, an S3 gallop, crackles low in the lung fields, and swollen ankles
(edema). This is an example of a:
A) Pathophysiologic problem
B) Psychopathologic problem - answer-A) pathophysiologic problem
,On the way to see your next patient, you glance at the calendar and make a mental note to buy a
Mother's Day card. Your patient is Ms. Hernandez, a 76-year-old widow who lost her husband in May,
two years ago. She comes in today with a headaches, abdominal pain, and general malaise. This
happened once before, about a year ago, according to your detailed office notes. You have done a
thorough evaluation but are unable to arrive at a consistent picture to tie these symptoms together.
This is an example of a:
A) Pathophysiologic problem
B) Psychopathologic problem - answer-B) psychopathologic problem
Mr. Larson is a 42-year-old widowed father of two children, ages 4 and 11. He works in a sales office
to support his family. Recently he has injured his back and you are thinking he would benefit from
physical therapy, three times a week, for an hour per session. What would be your next step?
A) Write the physical therapy prescription.
B) Have your office staff explain directions to the physical therapy center.
C) Discuss the plan with Mr. Larson.
D) Tell Mr. Larson that he will be going to physical therapy three times a week. - answer-C) discuss
the plan with Mr. Larson
You are seeing an elderly man with multiple complaints. He has chronic arthritis, pain from an old
war injury, and headaches. Today he complains of these pains, as well as dull chest pain under his
sternum. What would the order of priority be for your problem list?
A) Arthritis, war injury pain, headaches, chest pain
B) War injury pain, arthritis, headaches, chest pain
C) Headaches, arthritis, war injury pain, chest pain
D) Chest pain, headaches, arthritis, war injury pain - answer-D) CP, HA, arthritis, war injury pain
You are excited about a positive test finding you have just noticed on physical examination of your
patient. You go on to do more examination, laboratory work, and diagnostic tests, only to find that
there is no sign of the disease you thought would correlate with the finding. This same experience
happens several times. What should you conclude?
A) Consider not doing this test routinely.
B) Use this test when you have a higher suspicion for a certain correlating condition.
C) Continue using the test, perhaps doing less laboratory work and diagnostics.
D) Omit this test from future examinations. - answer-C) continue using the test, perhaps doing less
laboratory work and diagnostics
,You are growing fatigued of performing a maneuver on examination because you have never found a
positive and are usually pressed for time. How should you next approach this maneuver?
A) Use this test when you have a higher suspicion for a certain correlating condition.
B) Omit this test from future examinations.
C) Continue doing the test, but rely more heavily on laboratory work and diagnostics.
D) Continue performing it on all future examinations. - answer-A) use this test when you have a
higher suspicion for a certain correlating condition
You have recently returned from a medical missions trip to sub-Saharan Africa, where you learned a
great deal about malaria. You decide to use some of the same questions and maneuvers in your
"routine" when examining patients in the midwestern United States. You are disappointed to find
that despite getting some positive answers and findings, on further workup, none of your patients
has malaria except one, who recently emigrated from Ghana. How should you next approach these
questions and maneuvers?
A) Continue asking these questions in a more selective way.
B) Stop asking these questions, because they are low yield.
C) Question the validity of the questions.
D) Ask these questions of all your patients. - answer-A) continue asking these questions in a more
selective way
You are running late after your quarterly quality improvement meeting at the hospital and have just
gotten paged from the nurses' station because a family member of one of your patients wants to talk
with you about that patient's care. You have clinic this afternoon and are double-booked for the first
appointment time; three other patients also have arrived and are sitting in the waiting room. Which
of the following demeanors is a behavior consistent with skilled interviewing when you walk into the
examination room to speak with your first clinic patient?
A) Irritability
B) Impatience
C) Boredom
D) Calm - answer-D) calm
Suzanne, a 25 year old, comes to your clinic to establish care. You are the student preparing to go
into the examination room to interview her. Which of the following is the most logical sequence for
the patient-provider interview?
A) Establish the agenda, negotiate a plan, establish rapport, and invite the patient's story.
, B) Invite the patient's story, negotiate a plan, establish the agenda, and establish rapport.
C) Greet the patient, establish rapport, invite the patient's story, establish the agenda, expand and
clarify the patient's story, and negotiate a plan.
D) Negotiate a plan, establish an agenda, invite the patient's story, and establish rapport. - answer-
C) greet the patient, establish rapport, invite the patients story, establish agenda, expand and clarify
the story, negotiate the plan
Alexandra is a 28-year-old editor who presents to the clinic with abdominal pain. The pain is a dull
ache, located in the right upper quadrant, that she rates as a 3 at the least and an 8 at the worst. The
pain started a few weeks ago, it lasts for 2 to 3 hours at a time, it comes and goes, and it seems to be
worse a couple of hours after eating. She has noticed that it starts after eating greasy foods, so she
has cut down on these as much as she can. Initially it occurred once a week, but now it is occurring
every other day. Nothing makes it better. From this description, which of the seven attributes of a
symptom has been omitted?
A) Setting in which the symptom occurs
B) Associated manifestations
C) Quality
D) Timing - answer-B) associated manifestations
is pain accompanied by N/V?
Jason is a 41-year-old electrician who presents to the clinic for evaluation of shortness of breath. The
shortness of breath occurs with exertion and improves with rest. It has been going on for several
months and initially occurred only a couple of times a day with strenuous exertion; however, it has
started to occur with minimal exertion and is happening more than a dozen times per day. The
shortness of breath lasts for less than 5 minutes at a time. He has no cough, chest pressure, chest
pain, swelling in his feet, palpitations, orthopnea, or paroxysmal nocturnal dyspnea.
Which of the following symptom attributes was not addressed in this description?
A) Severity
B) Setting in which the symptom occurs
C) Timing
D) Associated manifestations - answer-A) severity
should've asked pain on 0-10 scale
