NUR631 Advanced Health Assessment Test
1 Questions and Correct Answers updated.
Question 1
Despite having high BP readings in the office, Mr. Kelly tells you that his readings at
home are much lower. He checks them twice a day at the same time of day and has
kept a log. How do you respond?
A) You diagnose "white coat hypertension."
B) You assume he is quite nervous when he comes to your office.
C) You question the accuracy of his measurements.
D) You question the accuracy of your measurements.
Correct Answer
C) you question the accuracy of his measurement
presuming that this is white coat HTN can be dangerous because it's not treated.
assume staff is well trained to take readings.
Question 2
Mrs. T. comes for her regular visit to the clinic. She is on your schedule because her
regular provider is on vacation and she wanted to be seen. You have heard about her
many times from your colleague and are aware that she is a very talkative person.
Which of the following is a helpful technique to improve the quality of the interview
for both the provider and the patient?
A) Allow the patient to speak uninterrupted for the duration of the appointment.
B) Briefly summarize what you heard from the patient in the first 5 minutes and then
try to have her focus on one aspect of what she told you.
C) Set the time limit at the beginning of the interview and stick with it, no matter what
occurs in the course of the interview.
D) Allow your impatience to show so that the patient picks up on your nonverbal cue
that the appointment needs to end.
Correct Answer
B) briefly summarize what you heard from the patient in the first 5 minutes and then
try to have her focus on one aspect of what she told you
Page 1 of 49
,Question 3
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
Correct Answer
A) adult illnesses
a stent is a major procedure but does not involve a surgeon
Question 4
Ms. Whiting is a 68 year old who comes in for her usual follow-up visit. You notice a
few flat red and purple lesions, about 6 centimeters in diameter, on the ulnar aspect
of her forearms but nowhere else. She doesn't mention them. They are tender when
you examine them. What should you do?
A) Conclude that these are lesions she has had for a long time.
B) Wait for her to mention them before asking further questions.
C) Ask how she acquired them.
D) Conduct the visit as usual for the patient.
Correct Answer
C) ask how she acquired them
abuse??
Page 2 of 49
,Question 5
You have recently returned from a medical missions trip to sub-Saharan Africa, where
you learned a great deal about malaria. You decide to use some of the same
questions and maneuvers in your "routine" when examining patients in the
midwestern United States. You are disappointed to find that despite getting some
positive answers and findings, on further workup, none of your patients has malaria
except one, who recently emigrated from Ghana. How should you next approach
these questions and maneuvers?
A) Continue asking these questions in a more selective way.
B) Stop asking these questions, because they are low yield.
C) Question the validity of the questions.
D) Ask these questions of all your patients.
Correct Answer
A) continue asking these questions in a more selective way
Question 6
A 25-year-old type 1 diabetic clerk presents to the emergency room with shortness of
breath and states that his blood sugar was 605 at home. You diagnose the patient
with diabetic ketoacidosis. What is the expected pattern of breathing?
A) Normal
B) Rapid and shallow
C) Rapid and deep
D) Slow
Correct Answer
C) rapid and deep
characteristic of DKA
Page 3 of 49
, Question 7
which of the following best describes seborrheic dermatitis lesions?
a. flaking lesions in the AC and popliteal spaces
b. greasy, scaling lesions in the nasolabial folds
c. intensely itchy lesions in the groin folds
d. silvery lesions on the elbows and knees
Correct Answer
b. greasy, scaling lesions in the nasolabia folds
think sebaceous glands so greasy, oily
Question 8
a 78 year old resident of a long term care facility complains of generalized itchiness at
night that disturbs her sleep. Her examination is consistent with scabies. Which of the
following do you expect to find on examination?
a. excoriated papule on the interdigital area
b. annular lesions over the buttocks
c. vesicular lesions in a linear pattern
d. honey-colored crusted lesions that began as vesicles
Correct Answer
a. excoriated (from itching) papule on the interdigital area
Page 4 of 49
1 Questions and Correct Answers updated.
Question 1
Despite having high BP readings in the office, Mr. Kelly tells you that his readings at
home are much lower. He checks them twice a day at the same time of day and has
kept a log. How do you respond?
A) You diagnose "white coat hypertension."
B) You assume he is quite nervous when he comes to your office.
C) You question the accuracy of his measurements.
D) You question the accuracy of your measurements.
Correct Answer
C) you question the accuracy of his measurement
presuming that this is white coat HTN can be dangerous because it's not treated.
assume staff is well trained to take readings.
Question 2
Mrs. T. comes for her regular visit to the clinic. She is on your schedule because her
regular provider is on vacation and she wanted to be seen. You have heard about her
many times from your colleague and are aware that she is a very talkative person.
Which of the following is a helpful technique to improve the quality of the interview
for both the provider and the patient?
A) Allow the patient to speak uninterrupted for the duration of the appointment.
B) Briefly summarize what you heard from the patient in the first 5 minutes and then
try to have her focus on one aspect of what she told you.
C) Set the time limit at the beginning of the interview and stick with it, no matter what
occurs in the course of the interview.
D) Allow your impatience to show so that the patient picks up on your nonverbal cue
that the appointment needs to end.
Correct Answer
B) briefly summarize what you heard from the patient in the first 5 minutes and then
try to have her focus on one aspect of what she told you
Page 1 of 49
,Question 3
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
Correct Answer
A) adult illnesses
a stent is a major procedure but does not involve a surgeon
Question 4
Ms. Whiting is a 68 year old who comes in for her usual follow-up visit. You notice a
few flat red and purple lesions, about 6 centimeters in diameter, on the ulnar aspect
of her forearms but nowhere else. She doesn't mention them. They are tender when
you examine them. What should you do?
A) Conclude that these are lesions she has had for a long time.
B) Wait for her to mention them before asking further questions.
C) Ask how she acquired them.
D) Conduct the visit as usual for the patient.
Correct Answer
C) ask how she acquired them
abuse??
Page 2 of 49
,Question 5
You have recently returned from a medical missions trip to sub-Saharan Africa, where
you learned a great deal about malaria. You decide to use some of the same
questions and maneuvers in your "routine" when examining patients in the
midwestern United States. You are disappointed to find that despite getting some
positive answers and findings, on further workup, none of your patients has malaria
except one, who recently emigrated from Ghana. How should you next approach
these questions and maneuvers?
A) Continue asking these questions in a more selective way.
B) Stop asking these questions, because they are low yield.
C) Question the validity of the questions.
D) Ask these questions of all your patients.
Correct Answer
A) continue asking these questions in a more selective way
Question 6
A 25-year-old type 1 diabetic clerk presents to the emergency room with shortness of
breath and states that his blood sugar was 605 at home. You diagnose the patient
with diabetic ketoacidosis. What is the expected pattern of breathing?
A) Normal
B) Rapid and shallow
C) Rapid and deep
D) Slow
Correct Answer
C) rapid and deep
characteristic of DKA
Page 3 of 49
, Question 7
which of the following best describes seborrheic dermatitis lesions?
a. flaking lesions in the AC and popliteal spaces
b. greasy, scaling lesions in the nasolabial folds
c. intensely itchy lesions in the groin folds
d. silvery lesions on the elbows and knees
Correct Answer
b. greasy, scaling lesions in the nasolabia folds
think sebaceous glands so greasy, oily
Question 8
a 78 year old resident of a long term care facility complains of generalized itchiness at
night that disturbs her sleep. Her examination is consistent with scabies. Which of the
following do you expect to find on examination?
a. excoriated papule on the interdigital area
b. annular lesions over the buttocks
c. vesicular lesions in a linear pattern
d. honey-colored crusted lesions that began as vesicles
Correct Answer
a. excoriated (from itching) papule on the interdigital area
Page 4 of 49
