NUR631-Advanced Health Assessment Test 1
1. For which of the following patients would a c) a new patient with the CC of "I am here to establish care"
comprehensive health history be appropriate?
the patient is new to the provider so a comprehensive health history is needed
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"
2. The components of the health history include all of the B) thorax and lungs
following except which one?
these are part of the physical examination
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items
3. Is the following information subjective or objective? A) subjective
Mr. M. has shortness of breath that has persisted for the
past 10 days; it is worse with activity and relieved by rest. this is information given by the patient
A) Subjective
B) Objective
4. Is the following information subjective or objective? B) objective
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
this is information obtained by the examiner
A) Subjective
B) Objective
5. The following information is recorded in the health B) Present illness
history: "The patient has had abdominal pain for 1 week.
The pain lasts for 30 minutes at a time; it comes and goes. HPI
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
6. The following information is recorded in the health C) personal and social history
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
7. The following information is recorded in the health A) chief complaint
history: "I feel really tired."
Which category does it belong to? pt's own words
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
, NUR631-Advanced Health Assessment Test 1
8. The following information is recorded in the health D) review of systems
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
9. The following information is best placed in which B) surgeries
category?
"The patient has had three cesarean sections."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
10. The following information is best placed in which A) adult illnesses
category?
"The patient had a stent placed in the left anterior a stent is a major procedure but does not involve a surgeon
descending artery (LAD) in 1999."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
11. The following information is best placed in which A) adult illnesses
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
A patient presents for evaluation of a sharp, aching chest A)musculoskeletal
pain which increases with breathing. Which anatomic area
would you localize the symptom to?
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine
A patient comes to the emergency room for evaluation of C)cardiac
shortness of breath. To which anatomic region would you
assign the symptom?
A) Reproductive
B) Urinary
C) Cardiac
D) Hematologic
A patient presents for evaluation of a cough. Which of the C) cardiac
following anatomic regions can be responsible for a
cough?
A) Ophthalmologic
B) Auditory
C) Cardiac
D) Endocrine
, NUR631-Advanced Health Assessment Test 1
A 22-year-old advertising copywriter presents for B) inflammatory
evaluation of joint pain. The pain is new, located in the
wrists and fingers bilaterally, with some subjective fever.
The patient denies a rash; she also denies recent travel or
camping activities. She has a family history significant for
rheumatoid arthritis. Based on this information, which of
the following pathologic processes would be the most
correct?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic
A 47-year-old contractor presents for evaluation of neck C) degenerative
pain, which has been intermittent for several years. He
normally takes over-the-counter medications to ease the
pain, but this time they haven't worked as well and he still
has discomfort. He recently wallpapered the entire second
floor in his house, which caused him great discomfort. The
pain resolved with rest. He denies fever, chills, rash, upper
respiratory symptoms, trauma, or injury to the neck. Based
on this description, what is the most likely pathologic
process?
A) Infectious
B) Neoplastic
C) Degenerative
D) Traumatic
A 15-year-old high school sophomore comes to the clinic C) allergic
for evaluation of a 3-week history of sneezing; itchy, watery
eyes; clear nasal discharge; ear pain; and nonproductive consistent with allergic rhinitis
cough. Which is the most likely pathologic process?
A) Infection
B) Inflammation
C) Allergic
D) Vascular
A 19-year old-college student presents to the emergency C)
room with fever, headache, and neck pain/stiffness. She is
concerned about the possibility of meningococcal
meningitis. Several of her dorm mates have been
vaccinated, but she hasn't been. Which of the following
physical examination descriptions is most consistent with
meningitis?
A) Head is normocephalic and atraumatic, fundi with sharp
discs, neck supple with full range of motion
B) Head is normocephalic and atraumatic, fundi with sharp
discs, neck with paraspinous muscle spasm and limited
range of motion to the right
C) Head is normocephalic and atraumatic, fundi with
blurred disc margins, neck tender to palpation, unable to
perform range of motion
D) Head is normocephalic and atraumatic, fundi with
blurred disc margins, neck supple with full range of motion
A 37-year-old nurse comes for evaluation of colicky right C) tender to palpation in RUQ
upper quadrant abdominal pain. The pain is associated
with nausea and vomiting and occurs 1 to 2 hours after
eating greasy foods. Which one of the following physical
examination descriptions would be most consistent with
the diagnosis of cholecystitis?
A) Abdomen is soft, nontender, and nondistended, without
hepatosplenomegaly or masses.
B) Abdomen is soft and tender to palpation in the right
lower quadrant, without rebound or guarding.
C) Abdomen is soft and tender to palpation in the right
upper quadrant with inspiration, to the point of stopping
inspiration, and there is no rebound or guarding.
D) Abdomen is soft and tender to palpation in the mid-
epigastric area, without rebound or guarding.
1. For which of the following patients would a c) a new patient with the CC of "I am here to establish care"
comprehensive health history be appropriate?
the patient is new to the provider so a comprehensive health history is needed
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"
2. The components of the health history include all of the B) thorax and lungs
following except which one?
these are part of the physical examination
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items
3. Is the following information subjective or objective? A) subjective
Mr. M. has shortness of breath that has persisted for the
past 10 days; it is worse with activity and relieved by rest. this is information given by the patient
A) Subjective
B) Objective
4. Is the following information subjective or objective? B) objective
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
this is information obtained by the examiner
A) Subjective
B) Objective
5. The following information is recorded in the health B) Present illness
history: "The patient has had abdominal pain for 1 week.
The pain lasts for 30 minutes at a time; it comes and goes. HPI
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
6. The following information is recorded in the health C) personal and social history
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
7. The following information is recorded in the health A) chief complaint
history: "I feel really tired."
Which category does it belong to? pt's own words
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
, NUR631-Advanced Health Assessment Test 1
8. The following information is recorded in the health D) review of systems
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
9. The following information is best placed in which B) surgeries
category?
"The patient has had three cesarean sections."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
10. The following information is best placed in which A) adult illnesses
category?
"The patient had a stent placed in the left anterior a stent is a major procedure but does not involve a surgeon
descending artery (LAD) in 1999."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
11. The following information is best placed in which A) adult illnesses
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
A patient presents for evaluation of a sharp, aching chest A)musculoskeletal
pain which increases with breathing. Which anatomic area
would you localize the symptom to?
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine
A patient comes to the emergency room for evaluation of C)cardiac
shortness of breath. To which anatomic region would you
assign the symptom?
A) Reproductive
B) Urinary
C) Cardiac
D) Hematologic
A patient presents for evaluation of a cough. Which of the C) cardiac
following anatomic regions can be responsible for a
cough?
A) Ophthalmologic
B) Auditory
C) Cardiac
D) Endocrine
, NUR631-Advanced Health Assessment Test 1
A 22-year-old advertising copywriter presents for B) inflammatory
evaluation of joint pain. The pain is new, located in the
wrists and fingers bilaterally, with some subjective fever.
The patient denies a rash; she also denies recent travel or
camping activities. She has a family history significant for
rheumatoid arthritis. Based on this information, which of
the following pathologic processes would be the most
correct?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic
A 47-year-old contractor presents for evaluation of neck C) degenerative
pain, which has been intermittent for several years. He
normally takes over-the-counter medications to ease the
pain, but this time they haven't worked as well and he still
has discomfort. He recently wallpapered the entire second
floor in his house, which caused him great discomfort. The
pain resolved with rest. He denies fever, chills, rash, upper
respiratory symptoms, trauma, or injury to the neck. Based
on this description, what is the most likely pathologic
process?
A) Infectious
B) Neoplastic
C) Degenerative
D) Traumatic
A 15-year-old high school sophomore comes to the clinic C) allergic
for evaluation of a 3-week history of sneezing; itchy, watery
eyes; clear nasal discharge; ear pain; and nonproductive consistent with allergic rhinitis
cough. Which is the most likely pathologic process?
A) Infection
B) Inflammation
C) Allergic
D) Vascular
A 19-year old-college student presents to the emergency C)
room with fever, headache, and neck pain/stiffness. She is
concerned about the possibility of meningococcal
meningitis. Several of her dorm mates have been
vaccinated, but she hasn't been. Which of the following
physical examination descriptions is most consistent with
meningitis?
A) Head is normocephalic and atraumatic, fundi with sharp
discs, neck supple with full range of motion
B) Head is normocephalic and atraumatic, fundi with sharp
discs, neck with paraspinous muscle spasm and limited
range of motion to the right
C) Head is normocephalic and atraumatic, fundi with
blurred disc margins, neck tender to palpation, unable to
perform range of motion
D) Head is normocephalic and atraumatic, fundi with
blurred disc margins, neck supple with full range of motion
A 37-year-old nurse comes for evaluation of colicky right C) tender to palpation in RUQ
upper quadrant abdominal pain. The pain is associated
with nausea and vomiting and occurs 1 to 2 hours after
eating greasy foods. Which one of the following physical
examination descriptions would be most consistent with
the diagnosis of cholecystitis?
A) Abdomen is soft, nontender, and nondistended, without
hepatosplenomegaly or masses.
B) Abdomen is soft and tender to palpation in the right
lower quadrant, without rebound or guarding.
C) Abdomen is soft and tender to palpation in the right
upper quadrant with inspiration, to the point of stopping
inspiration, and there is no rebound or guarding.
D) Abdomen is soft and tender to palpation in the mid-
epigastric area, without rebound or guarding.
