NUR631-Advanced Health
Assessment Test with Correct
Answers graded A+ 2025
1. A 67-year-old retired janitor comes to the clinic with his wife. She brought him in
because she is concerned about his weight loss. He has a history of smoking 3 packs of
cigarettes a day for 30 years, for a total of 90 pack-years. He has noticed a daily cough for
the past several years, which he states is productive of sputum. He came into the clinic
approximately 1 year ago, and at that time his weight was 140 pounds. Today, his weight
is 110 pounds.
Which one of the following questions would be the most important to ask if you suspect
that he has lung cancer?
A) Have you tried to force yourself to vomit after eating a meal?
B) Do you have heartburn/indigestion and diarrhea?
C) Do you have enough food to eat?
D) Have you tried to lose weight?
D) have you tried to lose weight?
2. Common or concerning symptoms to inquire about in the General Survey and vital signs
include all of the following except:
A) Changes in weight
B) Fatigue and weakness
C) Cough
D) Fever and chills
C) cough
done in the respiratory ROS
,3. You are beginning the examination of a patient. All of the following areas are important
to observe as part of the General Survey except:
A) Level of consciousness
B) Signs of distress
C) Dress, grooming, and personal hygiene
D) Blood pressure
D) blood pressure
BP is a vital sign
4. A 55-year-old bookkeeper comes to your office for a routine visit. You note that on a
previous visit for treatment of contact dermatitis, her blood pressure was elevated. She
does not have prior elevated readings and her family history is negative for
hypertension. You measure her blood pressure in your office today. Which of the
following factors can result in a false high reading?
A) Blood pressure cuff is tightly fitted.
B) Patient is seated quietly for 10 minutes prior to measurement.
C) Blood pressure is measured on a bare arm.
D) Patient's arm is resting, supported by your arm at her mid-chest level as you stand to
measure the blood pressure.
a. blood pressure cuff is tightly fitted
5. A 49-year-old truck driver comes to the emergency room for shortness of breath and
swelling in his ankles. He is diagnosed with congestive heart failure and admitted to the
hospital. You are the student assigned to do the patient's complete history and physical
examination. When you palpate the pulse, what do you expect to feel?
A) Large amplitude, forceful
B) Small amplitude, weak
C) Normal
D) Bigeminal
, B) small amplitude, weak
CHF has decreased stroke volume
6. An 18-year-old college freshman presents to the clinic for evaluation of gastroenteritis.
You measure the patient's temperature and it is 104 degrees Fahrenheit. What type of
pulse would you expect to feel during his initial examination?
A) Large amplitude, forceful
B) Small amplitude, weak
C) Normal
D) Bigeminal
a. large amplitude, forceful
fever results in increased stroke volume
7. 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
C) rapid and deep
characteristic of DKA
8. Mrs. Lenzo weighs herself every day with a very accurate balance-type scale. She has
noticed that over the past 2 days she has gained 4 pounds. How would you best explain
this?
A) Attribute this to some overeating at the holidays.
B) Attribute this to wearing different clothing.
, C) Attribute this to body fluid.
D) Attribute this to instrument inaccuracy.
C) attribute this to body fluid
9. Mr. Curtiss has a history of obesity, diabetes, osteoarthritis of the knees, HTN, and
obstructive sleep apnea. His BMI is 43 and he has been discouraged by his difficulty in
losing weight. He is also discouraged that his goal weight is 158 pounds away. What
would you tell him?
A) "When you get down to your goal weight, you will feel so much better."
B) "Some people seem to be able to lose weight and others just can't, no matter how
hard they try."
C) "We are coming up with new medicines and methods to treat your conditions every
day."
D) "Even a weight loss of 10% can make a noticeable improvement in the problems you
mention."
D) even a weight loss of 10% can make a noticeable improvement in the problems you
mention
benefits often come with even a 10% weight loss
10. Jenny is one of your favorite patients who usually shares a joke with you and is nattily
dressed. Today she is dressed in old jeans, lacks makeup, and avoids eye contact. To
what do you attribute these changes?
A) She is lacking sleep.
B) She is fatigued from work.
C) She is running into financial difficulty.
D) She is depressed.
D) she is depressed
11. You are seeing an older patient who has not had medical care for many years. Her vital
signs taken by your office staff are: T 37.2, HR 78, BP 118/92, and RR 14, and she denies
pain. You notice that she has some hypertensive changes in her retinas and you find mild
Assessment Test with Correct
Answers graded A+ 2025
1. A 67-year-old retired janitor comes to the clinic with his wife. She brought him in
because she is concerned about his weight loss. He has a history of smoking 3 packs of
cigarettes a day for 30 years, for a total of 90 pack-years. He has noticed a daily cough for
the past several years, which he states is productive of sputum. He came into the clinic
approximately 1 year ago, and at that time his weight was 140 pounds. Today, his weight
is 110 pounds.
Which one of the following questions would be the most important to ask if you suspect
that he has lung cancer?
A) Have you tried to force yourself to vomit after eating a meal?
B) Do you have heartburn/indigestion and diarrhea?
C) Do you have enough food to eat?
D) Have you tried to lose weight?
D) have you tried to lose weight?
2. Common or concerning symptoms to inquire about in the General Survey and vital signs
include all of the following except:
A) Changes in weight
B) Fatigue and weakness
C) Cough
D) Fever and chills
C) cough
done in the respiratory ROS
,3. You are beginning the examination of a patient. All of the following areas are important
to observe as part of the General Survey except:
A) Level of consciousness
B) Signs of distress
C) Dress, grooming, and personal hygiene
D) Blood pressure
D) blood pressure
BP is a vital sign
4. A 55-year-old bookkeeper comes to your office for a routine visit. You note that on a
previous visit for treatment of contact dermatitis, her blood pressure was elevated. She
does not have prior elevated readings and her family history is negative for
hypertension. You measure her blood pressure in your office today. Which of the
following factors can result in a false high reading?
A) Blood pressure cuff is tightly fitted.
B) Patient is seated quietly for 10 minutes prior to measurement.
C) Blood pressure is measured on a bare arm.
D) Patient's arm is resting, supported by your arm at her mid-chest level as you stand to
measure the blood pressure.
a. blood pressure cuff is tightly fitted
5. A 49-year-old truck driver comes to the emergency room for shortness of breath and
swelling in his ankles. He is diagnosed with congestive heart failure and admitted to the
hospital. You are the student assigned to do the patient's complete history and physical
examination. When you palpate the pulse, what do you expect to feel?
A) Large amplitude, forceful
B) Small amplitude, weak
C) Normal
D) Bigeminal
, B) small amplitude, weak
CHF has decreased stroke volume
6. An 18-year-old college freshman presents to the clinic for evaluation of gastroenteritis.
You measure the patient's temperature and it is 104 degrees Fahrenheit. What type of
pulse would you expect to feel during his initial examination?
A) Large amplitude, forceful
B) Small amplitude, weak
C) Normal
D) Bigeminal
a. large amplitude, forceful
fever results in increased stroke volume
7. 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
C) rapid and deep
characteristic of DKA
8. Mrs. Lenzo weighs herself every day with a very accurate balance-type scale. She has
noticed that over the past 2 days she has gained 4 pounds. How would you best explain
this?
A) Attribute this to some overeating at the holidays.
B) Attribute this to wearing different clothing.
, C) Attribute this to body fluid.
D) Attribute this to instrument inaccuracy.
C) attribute this to body fluid
9. Mr. Curtiss has a history of obesity, diabetes, osteoarthritis of the knees, HTN, and
obstructive sleep apnea. His BMI is 43 and he has been discouraged by his difficulty in
losing weight. He is also discouraged that his goal weight is 158 pounds away. What
would you tell him?
A) "When you get down to your goal weight, you will feel so much better."
B) "Some people seem to be able to lose weight and others just can't, no matter how
hard they try."
C) "We are coming up with new medicines and methods to treat your conditions every
day."
D) "Even a weight loss of 10% can make a noticeable improvement in the problems you
mention."
D) even a weight loss of 10% can make a noticeable improvement in the problems you
mention
benefits often come with even a 10% weight loss
10. Jenny is one of your favorite patients who usually shares a joke with you and is nattily
dressed. Today she is dressed in old jeans, lacks makeup, and avoids eye contact. To
what do you attribute these changes?
A) She is lacking sleep.
B) She is fatigued from work.
C) She is running into financial difficulty.
D) She is depressed.
D) she is depressed
11. You are seeing an older patient who has not had medical care for many years. Her vital
signs taken by your office staff are: T 37.2, HR 78, BP 118/92, and RR 14, and she denies
pain. You notice that she has some hypertensive changes in her retinas and you find mild
