NUR-631 Advanced Health Assessment
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 -pdf
INSTRUCTIONS :read the questions carefully
,personally handpicked from Bates
A 75-year old patient tells the nurse, "I just do not enjoy eating as much as I used to because the
food does not have much taste or smell." Which statement by the nurse is most appropriate?
a. "You should make an appointment with your health care provider."
b. "Try eating small, frequent meals."
c. "The senses of smell and taste decrease as we age."
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
, NUR-631 Advanced Health Assessment
TEST BANK
d. "Maybe you should use saline drops in your nose." - ANS :ANS: C
Feedback
A This action is not warranted in this case; these changes are expected with aging.
B This is practical advice, but will not alter the change in smell and taste.
C A decreased sense of smell is caused by a decrease in the number of sensory cells in the nasal
lining. Taste perception may also diminish due to gradual atrophy of the tongue and a decrease
in the number of papillae and taste buds.
D This is practical advice, but will not alter the change in smell and taste.
Skin cool to touch
Diminished hair on the legs and skin that is cool to touch are symptoms of decreased arterial
blood flow. The other options are not indicators for impaired peripheral circulation
The registered nurse (RN) is caring for a client who has taken atenolol for 2 years. The
healthcare provider recently changed the medication to enalapril to manage the client's blood
pressure. Which instruction should the RN provide the client regarding the new medication?
Take the medication at bedtime.
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
, NUR-631 Advanced Health Assessment
TEST BANK
Report presence of increased bruising.
Check pulse before taking medication.
Rise slowly when getting out of bed or chair. - ANS :Rise slowly when getting out of bed or chair.
The client's new medication is an angiotensin-converting enzyme (ACE) inhibitor, which has the
side effect oforthostatic hypotension. Instructing the client to rise slowly from a sitting or lying
down position is important to teach the client to avoid dizziness and potentially falling.
1. A 19-year-old man comes to your clinic with a red, irritated right eye for 24-48 hours. He
notes that when he woke up, his eyelids were "stuck together". Physical exam findings: sclera is
injected, vision is normal, and EOM are intact, purulent discharge is noted. What is the most
likely diagnosis?
A. Chemical exposure
B. Bacterial Conjunctivitis
C. Erythema nodosa
D. Trauma - ANS :B. Bacterial Conjunctivitis
2. An 18-year-old female presents to the ER with 1-day history of severe sore throat, malaise,
and headache. The patient reports no history of cough or rhinitis. V.S.: T 101F, P98, R22, BP
124/60. On skin inspection, the NP notices a fine sandpaper rash on the chest. The throat
examination reveals an inflamed uvula, pharynx, and tonsils with gray-white exudate on the
right tonsil. Neck examination reveals tender cervical lymphadenopathy. The most likely
diagnosis is:
A. Hand-foot-and-mouth disease
B. Acute herpetic pharyngitis
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
, NUR-631 Advanced Health Assessment
TEST BANK
C. Group A beta-hemolytic streptococcal infection
D. Acute diphtherial infection - ANS :C. Group A beta-hemolytic streptococcal infection
3. The purpose of the health history is to:
A. Gather subjective data about the patient
B. Obtain a genetic history to determine susceptibility to disease
C. Gather past and current objective and subjective data about the patient
D. Obtain a genealogic record of familial diseases - ANS :A. Gather subjective data about the
patient
4. A 67-year-old man with a 40 pack-year smoking history complains of shortness of breath for
the past 6 months and swelling in his legs. He often wakes up at night gasping for breath and
feels most comfortable sleeping on 3 pillows. He has no past medical history of COPD or CHF,
but he has diabetes and hypertension. What is the most likely diagnosis?
A. Congestive heart failure
B. Chronic obstructive pulmonary disease
C. Asthma
D. Lung cancer - ANS :A. Congestive heart failure
5. A 50-year-old woman comes to your office with a history of 2 episodes of coughing blood.
The quantity is estimated to be 2 to 3 tablespoons of bright blood on each occasion. She has
mild shortness of breath, but she feels comfortable at rest. She has never smoked, denies
weight loss or fever, and has no other medical problems. What would be the next step in her
management?
A. Referral to a pulmonologist for bronchoscopy
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
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 -pdf
INSTRUCTIONS :read the questions carefully
,personally handpicked from Bates
A 75-year old patient tells the nurse, "I just do not enjoy eating as much as I used to because the
food does not have much taste or smell." Which statement by the nurse is most appropriate?
a. "You should make an appointment with your health care provider."
b. "Try eating small, frequent meals."
c. "The senses of smell and taste decrease as we age."
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
, NUR-631 Advanced Health Assessment
TEST BANK
d. "Maybe you should use saline drops in your nose." - ANS :ANS: C
Feedback
A This action is not warranted in this case; these changes are expected with aging.
B This is practical advice, but will not alter the change in smell and taste.
C A decreased sense of smell is caused by a decrease in the number of sensory cells in the nasal
lining. Taste perception may also diminish due to gradual atrophy of the tongue and a decrease
in the number of papillae and taste buds.
D This is practical advice, but will not alter the change in smell and taste.
Skin cool to touch
Diminished hair on the legs and skin that is cool to touch are symptoms of decreased arterial
blood flow. The other options are not indicators for impaired peripheral circulation
The registered nurse (RN) is caring for a client who has taken atenolol for 2 years. The
healthcare provider recently changed the medication to enalapril to manage the client's blood
pressure. Which instruction should the RN provide the client regarding the new medication?
Take the medication at bedtime.
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
, NUR-631 Advanced Health Assessment
TEST BANK
Report presence of increased bruising.
Check pulse before taking medication.
Rise slowly when getting out of bed or chair. - ANS :Rise slowly when getting out of bed or chair.
The client's new medication is an angiotensin-converting enzyme (ACE) inhibitor, which has the
side effect oforthostatic hypotension. Instructing the client to rise slowly from a sitting or lying
down position is important to teach the client to avoid dizziness and potentially falling.
1. A 19-year-old man comes to your clinic with a red, irritated right eye for 24-48 hours. He
notes that when he woke up, his eyelids were "stuck together". Physical exam findings: sclera is
injected, vision is normal, and EOM are intact, purulent discharge is noted. What is the most
likely diagnosis?
A. Chemical exposure
B. Bacterial Conjunctivitis
C. Erythema nodosa
D. Trauma - ANS :B. Bacterial Conjunctivitis
2. An 18-year-old female presents to the ER with 1-day history of severe sore throat, malaise,
and headache. The patient reports no history of cough or rhinitis. V.S.: T 101F, P98, R22, BP
124/60. On skin inspection, the NP notices a fine sandpaper rash on the chest. The throat
examination reveals an inflamed uvula, pharynx, and tonsils with gray-white exudate on the
right tonsil. Neck examination reveals tender cervical lymphadenopathy. The most likely
diagnosis is:
A. Hand-foot-and-mouth disease
B. Acute herpetic pharyngitis
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
, NUR-631 Advanced Health Assessment
TEST BANK
C. Group A beta-hemolytic streptococcal infection
D. Acute diphtherial infection - ANS :C. Group A beta-hemolytic streptococcal infection
3. The purpose of the health history is to:
A. Gather subjective data about the patient
B. Obtain a genetic history to determine susceptibility to disease
C. Gather past and current objective and subjective data about the patient
D. Obtain a genealogic record of familial diseases - ANS :A. Gather subjective data about the
patient
4. A 67-year-old man with a 40 pack-year smoking history complains of shortness of breath for
the past 6 months and swelling in his legs. He often wakes up at night gasping for breath and
feels most comfortable sleeping on 3 pillows. He has no past medical history of COPD or CHF,
but he has diabetes and hypertension. What is the most likely diagnosis?
A. Congestive heart failure
B. Chronic obstructive pulmonary disease
C. Asthma
D. Lung cancer - ANS :A. Congestive heart failure
5. A 50-year-old woman comes to your office with a history of 2 episodes of coughing blood.
The quantity is estimated to be 2 to 3 tablespoons of bright blood on each occasion. She has
mild shortness of breath, but she feels comfortable at rest. She has never smoked, denies
weight loss or fever, and has no other medical problems. What would be the next step in her
management?
A. Referral to a pulmonologist for bronchoscopy
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
