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NUR 643E ADVANCED HEALTH ASSESSMENT FINAL EXAM
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NUR 643E ADVANCED HEALTH ASSESSMENT FINAL EXAM
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NUR 643E ADVANCED HEALTH ASSESSMENTFINAL EXAM
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" - 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
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 - ANSWER 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.
A) Subjective
B) Objective - ANSWER 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 - ANSWER 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 - ANSWER 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 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
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 - ANSWER 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 - ANSWER D) review of systems
9. 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
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 - ANSWER 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 - ANSWER 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 - ANSWER A)musculoskeletal
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
A patient presents for evaluation of a cough. Which of the following anatomic regions
can be responsible for a cough?
A) Ophthalmologic
B) Auditory
C) Cardiac
D) Endocrine - ANSWER C) cardiac
A 22-year-old advertising copywriter presents for 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 - ANSWER B) inflammatory
A 47-year-old contractor presents for evaluation of neck 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
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