Midterm/lFinallExam:lNUR643E/lNURl643El
(LatestlUpdate)lAdvancedlHealthlAssessmentl
QuizlBank|lQsl&lAs|l100%lCorrect|lGradelAl
(VerifiedlAnswers)
Q:lAlpatientlpresentslforlevaluationloflalcough.lWhichloflthelfollowinglanatomiclregionslcanlbelrespons
iblelforlalcough?
A)lOphthalmologic
B)lAuditory
C)lCardiac
D)lEndocrine
Answer:
C)lcardiac
Q:lAl22-year-
oldladvertisinglcopywriterlpresentslforlevaluationlofljointlpain.lThelpainlislnew,llocatedlinlthelwristslandlf
ingerslbilaterally,lwithlsomelsubjectivelfever.lThelpatientldenieslalrash;lshelalsoldenieslrecentltravellorlca
mpinglactivities.lShelhaslalfamilylhistorylsignificantlforlrheumatoidlarthritis.lBasedlonlthislinformation,lw
hichloflthelfollowinglpathologiclprocesseslwouldlbelthelmostlcorrect?
A)lInfectious
B)lInflammatory
C)lHematologic
D)lTraumatic
Answer:
B)linflammatory
Q:lAl47-year-
oldlcontractorlpresentslforlevaluationloflnecklpain,lwhichlhaslbeenlintermittentlforlseverallyears.lHelnorm
allyltakeslover-the-
counterlmedicationsltoleaselthelpain,lbutlthisltimeltheylhaven'tlworkedlaslwelllandlhelstilllhasldiscomfort.
lHelrecentlylwallpaperedlthelentirelsecondlfloorlinlhislhouse,lwhichlcausedlhimlgreatldiscomfort.lThelpai
,nlresolvedlwithlrest.lHeldenieslfever,lchills,lrash,lupperlrespiratorylsymptoms,ltrauma,lorlinjuryltolthelnec
k.lBasedlonlthisldescription,lwhatlislthelmostllikelylpathologiclprocess?
A)lInfectious
B)lNeoplastic
C)lDegenerative
D)lTraumatic
Answer:
C)ldegenerative
Q:lAl15-year-oldlhighlschoollsophomorelcomesltolthelcliniclforlevaluationloflal3-
weeklhistoryloflsneezing;litchy,lwateryleyes;lclearlnasalldischarge;learlpain;landlnonproductivelcough.lW
hichlislthelmostllikelylpathologiclprocess?
A)lInfection
B)lInflammation
C)lAllergic
D)lVascular
Answer:
C)lallergicl
*consistentlwithlallergiclrhinitis*
Q:lAl19-yearlold-
collegelstudentlpresentsltolthelemergencylroomlwithlfever,lheadache,landlnecklpain/stiffness.lShelislconce
rnedlaboutlthelpossibilityloflmeningococcallmeningitis.lSeveralloflherldormlmateslhavelbeenlvaccinated,l
butlshelhasn'tlbeen.lWhichloflthelfollowinglphysicallexaminationldescriptionslislmostlconsistentlwithlmen
ingitis?
A)lHeadlislnormocephaliclandlatraumatic,lfundilwithlsharpldiscs,lnecklsupplelwithlfulllrangeloflmotion
B)lHeadlislnormocephaliclandlatraumatic,lfundilwithlsharpldiscs,lnecklwithlparaspinouslmusclelspasmlan
dllimitedlrangeloflmotionltolthelright
C)lHeadlislnormocephaliclandlatraumatic,lfundilwithlblurredldisclmargins,lneckltenderltolpalpation,lunabl
eltolperformlrangeloflmotion
D)lHeadlislnormocephaliclandlatraumatic,lfundilwithlblurredldisclmargins,lnecklsupplelwithlfulllrangelofl
motion
Answer:
C)
,Q:lAl37-year-
oldlnurselcomeslforlevaluationloflcolickylrightlupperlquadrantlabdominallpain.lThelpainlislassociatedlwit
hlnausealandlvomitinglandloccursl1ltol2lhourslafterleatinglgreasylfoods.lWhichloneloflthelfollowinglphys
icallexaminationldescriptionslwouldlbelmostlconsistentlwithltheldiagnosisloflcholecystitis?
A)lAbdomenlislsoft,lnontender,landlnondistended,lwithoutlhepatosplenomegalylorlmasses.
B)lAbdomenlislsoftlandltenderltolpalpationlinlthelrightllowerlquadrant,lwithoutlreboundlorlguarding.
C)lAbdomenlislsoftlandltenderltolpalpationlinlthelrightlupperlquadrantlwithlinspiration,ltolthelpointloflsto
ppinglinspiration,landltherelislnolreboundlorlguarding.
D)lAbdomenlislsoftlandltenderltolpalpationlinlthelmid-epigastriclarea,lwithoutlreboundlorlguarding.
Answer:
C)ltenderltolpalpationlinlRUQ
Q:lAl55-year-
oldldatalentryloperatorlcomesltolthelclinicltolestablishlcare.lShelhaslthelfollowinglsymptoms:lheadache,ln
ecklpain,lsinuslcongestion,lsorelthroat,lringinglinlears,lsharplbrieflchestlpainslatlrest,lburninglabdominallp
ainlwithlspicylfoods,lconstipation,lurinarylfrequencylthatlislworselwithlcoughinglandlsneezing,landlswelli
nglinllegs.lThislclusterloflsymptomslislexplainedlby:
A)lOneldiseaselprocess
B)lMorelthanloneldiseaselprocess
Answer:
B)lmorelthanloneldiseaselprocess
Q:lAl62-year-
oldlteacherlpresentsltolthelcliniclforlevaluationloflthelfollowinglsymptoms:lfever,lheadache,lsinuslcongesti
on,lsorelthroat,lgreenlnasalldischarge,landlcough.lThislclusterloflsymptomslislbestlexplainedlby:
A)lOneldiseaselprocess
B)lMorelthanloneldiseaselprocess
Answer:
A)loneldiseaselprocess
Q:lStevelhasljustlseenlal5-year-
oldlgirllwholwheezeslwhenlexposedltolcats.lThelpatient'slfamilylhistorylislpositivelforlasthma.lYoulthinklt
helchildlmostllikelylhaslasthma.lWhatlhavelyouljustlaccomplished?
, A)lYoulhaveltestedlyourlhypothesis.
B)lYoulhaveldevelopedlalplan.
C)lYoulhavelestablishedlalworkingldiagnosis.
D)lYoulhavelcreatedlalhypothesis.
Answer:
D)lcreatedlalhypothesisl
itsltoolearlyltolestablishlalworkingldiagnosis
Q:lMs.lWashingtonlislal67-year-
oldlwholhadlalheartlattackllastlmonth.lNowlshelcomplainsloflshortnessloflbreathlandlnotlbeinglableltolsle
eplinlalflatlpositionl(orthopnea).lOnlexaminationlyoulnotelincreasedljugularlvenouslpressure,lanlS3lgallop
,lcracklesllowlinlthellunglfields,landlswollenlanklesl(edema).lThislislanlexamplelofla:
A)lPathophysiologiclproblem
B)lPsychopathologiclproblem
Answer:
A)lpathophysiologiclproblem
Q:lOnlthelwayltolseelyourlnextlpatient,lyoulglancelatlthelcalendarlandlmakelalmentallnoteltolbuylalMot
her'slDaylcard.lYourlpatientlislMs.lHernandez,lal76-year-
oldlwidowlwhollostlherlhusbandlinlMay,ltwolyearslago.lShelcomeslinltodaylwithlalheadaches,labdominall
pain,landlgenerallmalaise.lThislhappenedloncelbefore,laboutlalyearlago,laccordingltolyourldetailedlofficel
notes.lYoulhaveldonelalthoroughlevaluationlbutlarelunableltolarrivelatlalconsistentlpictureltoltieltheselsym
ptomsltogether.lThislislanlexamplelofla:
A)lPathophysiologiclproblem
B)lPsychopathologiclproblem
Answer:
B)lpsychopathologiclproblem
Q:lMr.lLarsonlislal42-year-
oldlwidowedlfatherlofltwolchildren,lagesl4landl11.lHelworkslinlalsaleslofficeltolsupportlhislfamily.lRecen
tlylhelhaslinjuredlhislbacklandlyoularelthinkinglhelwouldlbenefitlfromlphysicalltherapy,lthreeltimeslalwee
k,lforlanlhourlperlsession.lWhatlwouldlbelyourlnextlstep?
A)lWritelthelphysicalltherapylprescription.
