NU 518 Advanced Nursing Assessment: Exam 1
50 questions
1. The history of present illness (HPI) is best described as:
A. A chronological, detailed description of the chief complaint
B. A list of past surgeries
C. A family health tree
D. The physical exam findings
Correct Answer: A. A chronological, detailed description of the chief complaint
Rationale: The HPI explores the current problem in depth.
2. Which is an example of subjective data?
A. Heart rate 110
B. Crackles at the bases
C. 'My chest feels heavy.'
D. Blood pressure 150/90
Correct Answer: C. 'My chest feels heavy.'
Rationale: Subjective data are what the patient reports.
3. A comprehensive health assessment is most appropriate for:
A. A patient with a splinter
B. A new patient establishing primary care
C. A recheck of a sprained ankle
D. A suture removal visit
Correct Answer: B. A new patient establishing primary care
Rationale: It provides a complete baseline.
4. A differential diagnosis is:
A. The final confirmed diagnosis
B. A treatment plan
C. A list of possible conditions that could explain the patient's findings
D. A list of medications
Correct Answer: C. A list of possible conditions that could explain the patient's findings
Rationale: It is refined as data are gathered.
5. Which element of a social history is most relevant to occupational lung disease?
A. Favorite foods
B. Number of siblings
C. Work exposures such as dust, chemicals or asbestos
D. Hobbies unrelated to exposures
Correct Answer: C. Work exposures such as dust, chemicals or asbestos
Rationale: Occupational history identifies environmental risks.
6. The four basic physical examination techniques are:
A. Interview, history, diagnosis, treatment
B. Inspection, palpation, percussion, auscultation
C. Observation, testing, imaging, labs
D. Vision, hearing, touch, smell only
Correct Answer: B. Inspection, palpation, percussion, auscultation
Rationale: These are used across body systems.
, 7. Dullness on percussion is normally heard over the:
A. Liver
B. Healthy lung
C. Stomach
D. Intestines filled with gas
Correct Answer: A. Liver
Rationale: Solid organs produce dullness.
8. A normal adult BP is:
A. Below 140/90
B. Below 120/80
C. Below 130/85
D. Below 150/95
Correct Answer: B. Below 120/80
Rationale: ACC/AHA 2017 categories.
9. BMI is calculated as:
A. Weight in kg divided by height in meters squared
B. Height divided by weight
C. Weight in pounds divided by age
D. Waist divided by hip circumference
Correct Answer: A. Weight in kg divided by height in meters squared
Rationale: BMI screens weight category.
10. A BMI of 31 is classified as:
A. Obese
B. Overweight
C. Normal
D. Underweight
Correct Answer: A. Obese
Rationale: 30 or more is obese.
11. A wheal is best described as:
A. A transient, raised, edematous lesion such as hives
B. A pus-filled lesion
C. A flat brown spot
D. A deep ulcer
Correct Answer: A. A transient, raised, edematous lesion such as hives
Rationale: Wheals come and go quickly.
12. Which is a secondary skin lesion?
A. Macule
B. Papule
C. Ulcer
D. Vesicle
Correct Answer: C. Ulcer
Rationale: Secondary lesions develop from primary lesions or trauma.
50 questions
1. The history of present illness (HPI) is best described as:
A. A chronological, detailed description of the chief complaint
B. A list of past surgeries
C. A family health tree
D. The physical exam findings
Correct Answer: A. A chronological, detailed description of the chief complaint
Rationale: The HPI explores the current problem in depth.
2. Which is an example of subjective data?
A. Heart rate 110
B. Crackles at the bases
C. 'My chest feels heavy.'
D. Blood pressure 150/90
Correct Answer: C. 'My chest feels heavy.'
Rationale: Subjective data are what the patient reports.
3. A comprehensive health assessment is most appropriate for:
A. A patient with a splinter
B. A new patient establishing primary care
C. A recheck of a sprained ankle
D. A suture removal visit
Correct Answer: B. A new patient establishing primary care
Rationale: It provides a complete baseline.
4. A differential diagnosis is:
A. The final confirmed diagnosis
B. A treatment plan
C. A list of possible conditions that could explain the patient's findings
D. A list of medications
Correct Answer: C. A list of possible conditions that could explain the patient's findings
Rationale: It is refined as data are gathered.
5. Which element of a social history is most relevant to occupational lung disease?
A. Favorite foods
B. Number of siblings
C. Work exposures such as dust, chemicals or asbestos
D. Hobbies unrelated to exposures
Correct Answer: C. Work exposures such as dust, chemicals or asbestos
Rationale: Occupational history identifies environmental risks.
6. The four basic physical examination techniques are:
A. Interview, history, diagnosis, treatment
B. Inspection, palpation, percussion, auscultation
C. Observation, testing, imaging, labs
D. Vision, hearing, touch, smell only
Correct Answer: B. Inspection, palpation, percussion, auscultation
Rationale: These are used across body systems.
, 7. Dullness on percussion is normally heard over the:
A. Liver
B. Healthy lung
C. Stomach
D. Intestines filled with gas
Correct Answer: A. Liver
Rationale: Solid organs produce dullness.
8. A normal adult BP is:
A. Below 140/90
B. Below 120/80
C. Below 130/85
D. Below 150/95
Correct Answer: B. Below 120/80
Rationale: ACC/AHA 2017 categories.
9. BMI is calculated as:
A. Weight in kg divided by height in meters squared
B. Height divided by weight
C. Weight in pounds divided by age
D. Waist divided by hip circumference
Correct Answer: A. Weight in kg divided by height in meters squared
Rationale: BMI screens weight category.
10. A BMI of 31 is classified as:
A. Obese
B. Overweight
C. Normal
D. Underweight
Correct Answer: A. Obese
Rationale: 30 or more is obese.
11. A wheal is best described as:
A. A transient, raised, edematous lesion such as hives
B. A pus-filled lesion
C. A flat brown spot
D. A deep ulcer
Correct Answer: A. A transient, raised, edematous lesion such as hives
Rationale: Wheals come and go quickly.
12. Which is a secondary skin lesion?
A. Macule
B. Papule
C. Ulcer
D. Vesicle
Correct Answer: C. Ulcer
Rationale: Secondary lesions develop from primary lesions or trauma.
