TEST BANK
NUR-631 Advanced Health Assessment
TEST BANK Exam LATEST 2024/2025
D'Youville University GRADED A +
GUARANTEED PASS (QUESTIONS AND
ANSWERS WITH detailed RATIONALES)
ACE YOUR EXAM predictor 1 -pdf
INSTRUCTIONS :read the questions carefully
,personally handpicked from Bates
A patient comes to the emergency room for evaluation of shortness of breath. To which anatomic region would you
assign the symptom?
Reproductive
Urinary
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Cardiac
Hematologic - ANS :Cardiac
Cardiac disorders such as congestive heart failure are the most likely on this list to result in shortness of breath.
There are cases within the other categories which may also result in shortness of breath, such as anemia in the
hematologic category, pregnancy in the reproductive category, or sepsis with UTI in the urinary category. This
demonstrates the tension in clinical reasoning between making sure all possibilities are covered, while still being
able to pick the most likely cause.
A patient presents for evaluation of a cough. Which of the following anatomic regions can be responsible for a
cough?
Ophthalmologic
Auditory
Cardiac
Endocrine - ANS :Cardiac
The cardiac system can cause a cough if the patient has congestive heart failure. This results in fluid buildup in the
lungs, which in turn can cause a cough that produces pink, frothy sputum. A foreign body in the ear may also cause
a cough by stimulating Arnold's branch of the vagus nerve, but this is less likely to be seen clinically than heart
failure.
A 22-year-old advertising copywriter presents for evaluation of joint pain. The pain is new, located in the wrists and
fingers bilaterally, with some subjective fever. The patient denies a rash; she also denies recent travel or camping
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activities. She has a family history significant for rheumatoid arthritis. Based on this information, which of the
following pathologic processes would be the most correct?
Infectious
Inflammatory
Hematologic
Traumatic - ANS :Inflammatory
The description is most consistent with an inflammatory process, although all the other etiologies should be
considered. Lyme disease is an infection which commonly causes arthritis, hemophilia is a hematologic condition
which can cause bleeding in the joints, and trauma can obviously cause joint pain. Your clinical reasoning skills are
important for sorting through all of the data to arrive at the most likely conclusion.
A 47-year-old contractor presents for evaluation of neck pain, which has been intermittent for several years. He
normally takes over-the-counter medications to ease the pain, but this time they haven't worked as well and he still
has discomfort. He recently wallpapered the entire second floor in his house, which caused him great discomfort.
The pain resolved with rest. He denies fever, chills, rash, upper respiratory symptoms, trauma, or injury to the neck.
Based on this description, what is the most likely pathologic process?
Infectious
Neoplastic
Degenerative
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Traumatic - ANS :Degenerative
The description is most consistent with degenerative arthritis in the neck. The patient has had intermittent
symptoms and the questions asked to elicit pertinent negative and positive findings are negative for infectious,
traumatic, or neoplastic disease.
A 15-year-old high school sophomore comes to the clinic for evaluation of a 3-week history of sneezing; itchy,
watery eyes; clear nasal discharge; ear pain; and nonproductive cough. Which is the most likely pathologic process?
Infection
Inflammation
Allergic
Vascular - ANS :Allergic
This description is most consistent with allergic rhinitis.
Acute inflammation of the brain and spinal cord, involving the meninges often due to a virus such as herpes
simplex virus?
A. Multiple sclerosis (MS)
B. Meningitis
C. Encephalitis
D. Guillain-Barre Syndrome - ANS :C. Encephalitis
MS - progressive autoimmune disorder characterized by a combination of inflammation and degeneration of the
myelin of the brain's white matter leading to decreased brain mass and obstructed transmission of nerve impulses.
Meningitis - an inflammatory process in the meninges, the membrane around the brain and spinal cord
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