NUR 631 Advanced Health Assessment Exams Questions and Answers and Rationale

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NUR 631 Advanced Health Assessment
Exams Questions and Answers and Rationale
1. Mrs. Glynn is 90 years old and lives alone. She is able to bathe, dress, prepare
her food, and transfer from bed to chair independently. She has children in the area
who help her with her medications and transportation needs. Which of the
following is considered an instrumental activity of daily living?
A) Bathing
B) Dressing
C) Preparing food
D) Transferring from bed to chair - ANSWER C) Preparing food

2. Claire's daughter brings her in today after Claire fell at her home. Which
assessments are indicated at this time?
A) Orthostatic vital signs
B) Review of her medications
C) Assessment of gait and balance
D) All of the above - ANSWER D) All of the above

3. Orthostatic (postural) hypotension is defined as an excessive decrease in blood
pressure with position, usually greater than ------- systolic and ------- diastolic

a. 10,5
b. 15, 7
c. 20, 10
d. 30,15 - ANSWER c. 20, 10

systolic decreases by 20
diastolic decreases by 10

4. In assessing a person with or at risk for orthostatic hypotension, the BP should
be measured after 5 minutes in the supine position and then ---- and ---- minutes
after standing

a. 1,3
b. 2,4
c. 3,5
d. 5,10 - ANSWER a. 1,3

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5. 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

6. 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

7. 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

8. 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

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9. 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

10. 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
C) Personal and social history
D) Review of systems - ANSWER C) personal and social history

11. 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

12. 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

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13. 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

14. 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*

15. 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

16. 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

17. A patient comes to the emergency room for evaluation of shortness of breath.
To which anatomic region would you assign the symptom?
A) Reproductive
B) Urinary
C) Cardiac
D) Hematologic - ANSWER C)cardiac