NUR-631 Advanced Health Assessment Exam — Clinical Evaluation and Diagnostic
Reasoning for Advanced Practice Nurses
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
3. Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity and
relieved by rest.
A) Subjective
B) Objective - (ANSWER)A) subjective
this is information given by the patient
,NUR-631 Advanced Health Assessment Exam — Clinical Evaluation and Diagnostic
Reasoning for Advanced Practice Nurses
4. Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
A) Subjective
B) Objective - (ANSWER)B) objective
this is information obtained by the examiner
5. The following information is recorded in the health history: "The patient has had abdominal pain for 1
week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9 on a scale of 1 to
10. It is accompanied by nausea and vomiting. It is located in the mid-epigastric area."
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - (ANSWER)B) Present illness
HPI
6. The following information is recorded in the health history: "The patient completed 8th grade. He
currently lives with his wife and two children. He works on old cars on the weekend. He works in a glass
factory during the week."
Which category does it belong to?
A) Chief complaint
B) Present illness
,NUR-631 Advanced Health Assessment Exam — Clinical Evaluation and Diagnostic
Reasoning for Advanced Practice Nurses
C) Personal and social history
D) Review of systems - (ANSWER)C) personal and social history
7. The following information is recorded in the health history: "I feel really tired."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - (ANSWER)A) chief complaint
pt's own words
8. The following information is recorded in the health history: "Patient denies chest pain, palpitations,
orthopnea, and paroxysmal nocturnal dyspnea."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - (ANSWER)D) review of systems
9. The following information is best placed in which category?
"The patient has had three cesarean sections."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - (ANSWER)B) surgeries
, NUR-631 Advanced Health Assessment Exam — Clinical Evaluation and Diagnostic
Reasoning for Advanced Practice Nurses
10. The following information is best placed in which category?
"The patient had a stent placed in the left anterior descending artery (LAD) in 1999."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - (ANSWER)A) adult illnesses
*a stent is a major procedure but does not involve a surgeon*
11. The following information is best placed in which category?
"The patient was treated for an asthma exacerbation in the hospital last year; the patient has never
been intubated."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - (ANSWER)A) adult illnesses
A patient presents for evaluation of a sharp, aching chest pain which increases with breathing. Which
anatomic area would you localize the symptom to?
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine - (ANSWER)A)musculoskeletal
A patient comes to the emergency room for evaluation of shortness of breath. To which anatomic region
would you assign the symptom?
A) Reproductive
Reasoning for Advanced Practice Nurses
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
3. Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity and
relieved by rest.
A) Subjective
B) Objective - (ANSWER)A) subjective
this is information given by the patient
,NUR-631 Advanced Health Assessment Exam — Clinical Evaluation and Diagnostic
Reasoning for Advanced Practice Nurses
4. Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
A) Subjective
B) Objective - (ANSWER)B) objective
this is information obtained by the examiner
5. The following information is recorded in the health history: "The patient has had abdominal pain for 1
week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9 on a scale of 1 to
10. It is accompanied by nausea and vomiting. It is located in the mid-epigastric area."
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - (ANSWER)B) Present illness
HPI
6. The following information is recorded in the health history: "The patient completed 8th grade. He
currently lives with his wife and two children. He works on old cars on the weekend. He works in a glass
factory during the week."
Which category does it belong to?
A) Chief complaint
B) Present illness
,NUR-631 Advanced Health Assessment Exam — Clinical Evaluation and Diagnostic
Reasoning for Advanced Practice Nurses
C) Personal and social history
D) Review of systems - (ANSWER)C) personal and social history
7. The following information is recorded in the health history: "I feel really tired."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - (ANSWER)A) chief complaint
pt's own words
8. The following information is recorded in the health history: "Patient denies chest pain, palpitations,
orthopnea, and paroxysmal nocturnal dyspnea."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - (ANSWER)D) review of systems
9. The following information is best placed in which category?
"The patient has had three cesarean sections."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - (ANSWER)B) surgeries
, NUR-631 Advanced Health Assessment Exam — Clinical Evaluation and Diagnostic
Reasoning for Advanced Practice Nurses
10. The following information is best placed in which category?
"The patient had a stent placed in the left anterior descending artery (LAD) in 1999."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - (ANSWER)A) adult illnesses
*a stent is a major procedure but does not involve a surgeon*
11. The following information is best placed in which category?
"The patient was treated for an asthma exacerbation in the hospital last year; the patient has never
been intubated."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - (ANSWER)A) adult illnesses
A patient presents for evaluation of a sharp, aching chest pain which increases with breathing. Which
anatomic area would you localize the symptom to?
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine - (ANSWER)A)musculoskeletal
A patient comes to the emergency room for evaluation of shortness of breath. To which anatomic region
would you assign the symptom?
A) Reproductive
