NUR631-Advanced Health Assessment Test 1
Questions and Answers
1. 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"
Ans: 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
2. 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
Ans: B) thorax and lungs
these are part of the physical examination
3. 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.
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A) Subjective
B) Objective
Ans: A) subjective
this is information given by the patient
4. 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
Ans: B) objective
this is information obtained by the examiner
5. 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
Ans: B) Present illness
HPI
6. The following information is recorded in the health history:
"The patient completed 8th grade. He currently lives with his wife
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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
Ans: C) personal and social history
7. 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
Ans: A) chief complaint
pt's own words
8. 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
Ans: D) review of systems
9. The following information is best placed in which category?
"The patient has had three cesarean sections."
A) Adult illnesses
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B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: B) surgeries
10. 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
Ans: A) adult illnesses
*a stent is a major procedure but does not involve a surgeon*
11. 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
Ans: A) adult illnesses
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
Ans: A)musculoskeletal
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