NUR631-ADVANCED HEALTH
ASSESSMENT TEST 1 LATEST
UPDATE QUESTIONS AND
ANSWERS
Ms. Wright comes to your office, complaining of palpitations. While checking
her pulse you notice an irregular rhythm. When you listen to her heart, every
fourth beat sounds different. It sounds like a triplet rather than the usual "lub
dup." How would you document your examination?
A) Regular rate and rhythm
B) Irregularly irregular rhythm
C) Regularly irregular rhythm
D) Bradycardia - C) regularly irregular rhythm
A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona)
for a regular skin check-up. She has just returned from her annual dig site in
Greece. She has fair skin and reddish-blonde hair. She has a family history of
,melanoma. She has many freckles scattered across her skin. From this
description, which of the following is not a risk factor for melanoma in this
patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure - A) age
melanoma risk increases at age 50
You are speaking to an 8th grade class about health prevention and are
preparing to discuss the ABCDEs of melanoma. Which of the following
descriptions correctly defines the ABCDEs?
A) A = actinic; B = basal cell; C = color changes, especially blue; D = diameter
>6 mm; E = evolution
B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D
= diameter >6 mm; E = evolution
C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E =
evolution
D) A = asymmetry; B = regular borders; C = color changes, especially orange;
D = diameter >6 mm; E = evolution - B) ABCDE
You are beginning the examination of the skin on a 25-year-old teacher. You
have previously elicited that she came to the office for evaluation of fatigue,
weight gain, and hair loss. You strongly suspect that she has hypothyroidism.
What is the expected moisture and texture of the skin of a patient with
hypothyroidism?
A) Moist and smooth
B) Moist and rough
,C) Dry and smooth
D) Dry and rough - D) dry and rough
A 28-year-old patient comes to the office for evaluation of a rash. At first there
was only one large patch, but then more lesions erupted suddenly on the back
and torso; the lesions itch. On physical examination, you note that the pattern of
eruption is like a Christmas tree and that there are a variety of erythematous
papules and macules on the cleavage lines of the back. Based on this
description, what is the most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema - a) pityriasis rosea
one large patch that erupted into many lesions
"Christmas tree pattern"
A 19-year-old construction worker presents for evaluation of a rash. He notes
that it started on his back with a multitude of spots and is also on his arms,
chest, and neck. It itches a lot. He does sweat more than before because being
outdoors is part of his job. On physical examination, you note dark tan patches
with a reddish cast that has sharp borders and fine scales, scattered more
prominently around the upper back, chest, neck, and upper arms as well as
under the arms. Based on this description, what is your most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema - B) tinea versicolor
, fungal infection so sweating and increased moisture led to this
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" - 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
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 - B) thorax and lungs
these are part of the physical examination
Is the following information subjective or objective?
ASSESSMENT TEST 1 LATEST
UPDATE QUESTIONS AND
ANSWERS
Ms. Wright comes to your office, complaining of palpitations. While checking
her pulse you notice an irregular rhythm. When you listen to her heart, every
fourth beat sounds different. It sounds like a triplet rather than the usual "lub
dup." How would you document your examination?
A) Regular rate and rhythm
B) Irregularly irregular rhythm
C) Regularly irregular rhythm
D) Bradycardia - C) regularly irregular rhythm
A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona)
for a regular skin check-up. She has just returned from her annual dig site in
Greece. She has fair skin and reddish-blonde hair. She has a family history of
,melanoma. She has many freckles scattered across her skin. From this
description, which of the following is not a risk factor for melanoma in this
patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure - A) age
melanoma risk increases at age 50
You are speaking to an 8th grade class about health prevention and are
preparing to discuss the ABCDEs of melanoma. Which of the following
descriptions correctly defines the ABCDEs?
A) A = actinic; B = basal cell; C = color changes, especially blue; D = diameter
>6 mm; E = evolution
B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D
= diameter >6 mm; E = evolution
C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E =
evolution
D) A = asymmetry; B = regular borders; C = color changes, especially orange;
D = diameter >6 mm; E = evolution - B) ABCDE
You are beginning the examination of the skin on a 25-year-old teacher. You
have previously elicited that she came to the office for evaluation of fatigue,
weight gain, and hair loss. You strongly suspect that she has hypothyroidism.
What is the expected moisture and texture of the skin of a patient with
hypothyroidism?
A) Moist and smooth
B) Moist and rough
,C) Dry and smooth
D) Dry and rough - D) dry and rough
A 28-year-old patient comes to the office for evaluation of a rash. At first there
was only one large patch, but then more lesions erupted suddenly on the back
and torso; the lesions itch. On physical examination, you note that the pattern of
eruption is like a Christmas tree and that there are a variety of erythematous
papules and macules on the cleavage lines of the back. Based on this
description, what is the most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema - a) pityriasis rosea
one large patch that erupted into many lesions
"Christmas tree pattern"
A 19-year-old construction worker presents for evaluation of a rash. He notes
that it started on his back with a multitude of spots and is also on his arms,
chest, and neck. It itches a lot. He does sweat more than before because being
outdoors is part of his job. On physical examination, you note dark tan patches
with a reddish cast that has sharp borders and fine scales, scattered more
prominently around the upper back, chest, neck, and upper arms as well as
under the arms. Based on this description, what is your most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema - B) tinea versicolor
, fungal infection so sweating and increased moisture led to this
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" - 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
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 - B) thorax and lungs
these are part of the physical examination
Is the following information subjective or objective?
