NUR 631 ADVANCED HEALTH ASSESSMENT
FINAL EXAM ACTUAL EXAM QUESTIONS &
VERIFIED ANSWERS
In recording the childhood illnesses of a patient who denies having had
any, which of the following notes by the nurse would be most
accurate?
A) Patient denies usual childhood illnesses.
B) Patient states he was a "very healthy" child.
C) Patient states sister had measles, but he didn't.
D) Patient denies measles, mumps, rubella, chickenpox, pertussis,
rheumatic fever, and polio. - ✔✔✔ Correct Answer > D) Patient denies
measles, mumps, rubella, chickenpox, pertussis, rheumatic fever, and
polio.
,A 45-year-old man is in the clinic for a routine physical. During history
the patient states he has been having difficulty sleeping. "I'll be sleeping
great and then I wake up and feel like I can't catch my breath." His
symptoms indicates sleep related symptoms of a certain type of
disease, so which question would the NP want to ask?
A) Have you had a recent sinus infection or URI?
B) Do you have any history of problems with your heart?
C) Do you think it is because it's been so hot at night?
D) When was your last electroencephalogram? - ✔✔✔ Correct Answer
> B) Do you have any history of problems with your heart?
Paroxysmal nocturnal dyspnea occurs with heart failure. Lying down
increases volume of intrathoracic blood, and the weakened heart
cannot accommodate the increased load. Classically, the person
,awakens after 2 hours of sleep, arises, and flings open a window with
the perception of needing fresh air. (Bates, p357)
The nurse is taking a family history. Important diseases or problems to
ask the patient about include:
A) emphysema.
B) head trauma.
C) mental illness.
D) fractured bones. - ✔✔✔ Correct Answer > C) mental illness.
Specifically ask for any family history of heart disease, high blood
pressure, stroke, diabetes, obesity, blood disorders, ovarian cancer,
colon cancer, sickle cell anemia, arthritis, allergies, alcohol or drug
addiction, mental illness, suicide, seizure disorder, kidney disease, and
tuberculosis. The other answers are acquired.
, Childhood illnesses include measles, rubella, mumps, whooping
cough, rheumatic fever, scarlet fever, and polio. They are included in
the past history.
A patient tells the nurse that he is allergic to penicillin. What would be
the nurse's best response to this information?
A) "Are you allergic to any other drugs?"
B) "How often have you received penicillin?"
C) "I'll write your allergy on your chart so you won't receive any."
FINAL EXAM ACTUAL EXAM QUESTIONS &
VERIFIED ANSWERS
In recording the childhood illnesses of a patient who denies having had
any, which of the following notes by the nurse would be most
accurate?
A) Patient denies usual childhood illnesses.
B) Patient states he was a "very healthy" child.
C) Patient states sister had measles, but he didn't.
D) Patient denies measles, mumps, rubella, chickenpox, pertussis,
rheumatic fever, and polio. - ✔✔✔ Correct Answer > D) Patient denies
measles, mumps, rubella, chickenpox, pertussis, rheumatic fever, and
polio.
,A 45-year-old man is in the clinic for a routine physical. During history
the patient states he has been having difficulty sleeping. "I'll be sleeping
great and then I wake up and feel like I can't catch my breath." His
symptoms indicates sleep related symptoms of a certain type of
disease, so which question would the NP want to ask?
A) Have you had a recent sinus infection or URI?
B) Do you have any history of problems with your heart?
C) Do you think it is because it's been so hot at night?
D) When was your last electroencephalogram? - ✔✔✔ Correct Answer
> B) Do you have any history of problems with your heart?
Paroxysmal nocturnal dyspnea occurs with heart failure. Lying down
increases volume of intrathoracic blood, and the weakened heart
cannot accommodate the increased load. Classically, the person
,awakens after 2 hours of sleep, arises, and flings open a window with
the perception of needing fresh air. (Bates, p357)
The nurse is taking a family history. Important diseases or problems to
ask the patient about include:
A) emphysema.
B) head trauma.
C) mental illness.
D) fractured bones. - ✔✔✔ Correct Answer > C) mental illness.
Specifically ask for any family history of heart disease, high blood
pressure, stroke, diabetes, obesity, blood disorders, ovarian cancer,
colon cancer, sickle cell anemia, arthritis, allergies, alcohol or drug
addiction, mental illness, suicide, seizure disorder, kidney disease, and
tuberculosis. The other answers are acquired.
, Childhood illnesses include measles, rubella, mumps, whooping
cough, rheumatic fever, scarlet fever, and polio. They are included in
the past history.
A patient tells the nurse that he is allergic to penicillin. What would be
the nurse's best response to this information?
A) "Are you allergic to any other drugs?"
B) "How often have you received penicillin?"
C) "I'll write your allergy on your chart so you won't receive any."
