NUR631-Advanced Health Assessment
Test 1 with answers provided
100%verified.
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. - ANSWERS 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 - ANSWERS 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? - ANSWERS 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 - ANSWERS 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 - ANSWERS 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. - ANSWERS A) blood pressure cuff is tightly fitted
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?
A) Infectious
B) Neoplastic
C) Degenerative
D) Traumatic - ANSWERS C) degenerative
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?
A) Infection
B) Inflammation
C) Allergic
D) Vascular - ANSWERS C) allergic
, *consistent with allergic rhinitis*
A 19-year old-college student presents to the emergency room with fever, headache,
and neck pain/stiffness. She is concerned about the possibility of meningococcal
meningitis. Several of her dorm mates have been vaccinated, but she hasn't been.
Which of the following physical examination descriptions is most consistent with
meningitis?
A) Head is normocephalic and atraumatic, fundi with sharp discs, neck supple with full
range of motion
B) Head is normocephalic and atraumatic, fundi with sharp discs, neck with paraspinous
muscle spasm and limited range of motion to the right
C) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck tender
to palpation, unable to perform range of motion
D) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck supple
with full range of motion - ANSWERS C)
A 37-year-old nurse comes for evaluation of colicky right upper quadrant abdominal
pain. The pain is associated with nausea and vomiting and occurs 1 to 2 hours after
eating greasy foods. Which one of the following physical examination descriptions
would be most consistent with the diagnosis of cholecystitis?
A) Abdomen is soft, nontender, and nondistended, without hepatosplenomegaly or
masses.
B) Abdomen is soft and tender to palpation in the right lower quadrant, without rebound
or guarding.
C) Abdomen is soft and tender to palpation in the right upper quadrant with inspiration,
to the point of stopping inspiration, and there is no rebound or guarding.
D) Abdomen is soft and tender to palpation in the mid-epigastric area, without rebound
or guarding. - ANSWERS C) tender to palpation in RUQ
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 - ANSWERS 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 - ANSWERS A) one disease process
Test 1 with answers provided
100%verified.
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. - ANSWERS 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 - ANSWERS 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? - ANSWERS 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 - ANSWERS 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 - ANSWERS 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. - ANSWERS A) blood pressure cuff is tightly fitted
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?
A) Infectious
B) Neoplastic
C) Degenerative
D) Traumatic - ANSWERS C) degenerative
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?
A) Infection
B) Inflammation
C) Allergic
D) Vascular - ANSWERS C) allergic
, *consistent with allergic rhinitis*
A 19-year old-college student presents to the emergency room with fever, headache,
and neck pain/stiffness. She is concerned about the possibility of meningococcal
meningitis. Several of her dorm mates have been vaccinated, but she hasn't been.
Which of the following physical examination descriptions is most consistent with
meningitis?
A) Head is normocephalic and atraumatic, fundi with sharp discs, neck supple with full
range of motion
B) Head is normocephalic and atraumatic, fundi with sharp discs, neck with paraspinous
muscle spasm and limited range of motion to the right
C) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck tender
to palpation, unable to perform range of motion
D) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck supple
with full range of motion - ANSWERS C)
A 37-year-old nurse comes for evaluation of colicky right upper quadrant abdominal
pain. The pain is associated with nausea and vomiting and occurs 1 to 2 hours after
eating greasy foods. Which one of the following physical examination descriptions
would be most consistent with the diagnosis of cholecystitis?
A) Abdomen is soft, nontender, and nondistended, without hepatosplenomegaly or
masses.
B) Abdomen is soft and tender to palpation in the right lower quadrant, without rebound
or guarding.
C) Abdomen is soft and tender to palpation in the right upper quadrant with inspiration,
to the point of stopping inspiration, and there is no rebound or guarding.
D) Abdomen is soft and tender to palpation in the mid-epigastric area, without rebound
or guarding. - ANSWERS C) tender to palpation in RUQ
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 - ANSWERS 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 - ANSWERS A) one disease process
