ADVANCED HEALTH ASSESSMENT EXAM
STUDY GUIDE 2026 COMPLETE TEST BANK
WITH ANSWERS
◉ All of the following are true of the nasal inspection EXCEPT:
A) Tilt the patient's head back a bit and insert the speculum gently
into the vestibule of each nostril. Avoid contact with the nasal
septum. You should inspect the inferior and middle turbinates, the
nasal septum, and the narrow passage between them.
B) In viral rhinitis, the mucosa is usually reddened and swollen, and
in allergic rhinitis the mucosa is often pale, bluish, or red.
C) Examine the inside of the nose without a speculum on the
otoscope keeping the otoscope 6-10 inches away from the tip of the
patient's nose are you look at each nostril.
D) Use the largest available ear speculum on the otoscope during
inspection.
Answer: C) Examine the inside of the nose without a speculum on
the otoscope keeping the otoscope 6-10 inches away from the tip of
the patient's nose are you look at each nostril.
Tilt the patient's head back a bit and insert the speculum gently into
the vestibule of each nostril. Avoid contact with the nasal septum.
Use the largest available speculum. In viral rhinitis, the mucosa is
,usually reddened and swollen, and in allergic rhinitis the mucosa is
often pale, bluish, or red.
◉ A 46 year old female patient is in the clinic with a chief complaint
of chest pain. You are wanting to best understand the patient's
perception of the chest pain. Which fo the following questions would
you ask first?
A) How do you rate your pain on a scale of 0-10?
B) Is the pain related to exertion?
C) Tell me about your chest discomfort.
D) Are you taking all of your medications?
Answer: C) Tell me about your chest discomfort.
Move from open ended to focused questions to allow for the flow of
ideas and thoughts from the patient.
◉ The nurse practitioner is doing an assessment on a 21 year old
patient and notices that his nasal mucosa appears pale and bluish.
What would be the most appropriate question to ask the patient?
A) Have you had any symptoms of a cold?
B) Don't ask any questions. This is a normal finding.
C) Are you aware of having any allergies?
D) Have you been having frequent nosebleeds?
Answer: C) Are you aware of having any allergies?
, With chronic allergy, mucosa looks swollen, boggy, pale, and gray.
Colds and nosebleeds do not cause these mucosal changes.
◉ A 10-year-old is at the clinic for "a sore throat lasting 6 days." The
nurse is aware that which of these findings would be consistent with
an acute infection?
A) Tonsils 3+/1-4+ with large white spots
B) Tonsils 1+/1-4+ with pale coloring
C) Tonsils 1+/1-4+ and pink, same color as oral mucosa
D) Tonsils 2+/1-4+ and pink with white particles inside deep crypts
Answer: A) Tonsils 3+/1-4+ with large white spots
With an acute infection, tonsils are bright red and swollen and may
have exudate or large white spots. Tonsils are enlarged to 2+, 3+, or
4+ with an acute infection.
◉ The nurse practitioner is reviewing the immunization history of a
new 24 year old female patient. Which is the best to ask the patient
to obtain the needed information for your records?
A) Do you need vaccines today?
B) When was your last flu shot, tetanus shot?
C) Have you received these vaccines in your lifetime? When did you
receive them? Tetanus, pertussis, diphtheria, polio, measles, mumps,
STUDY GUIDE 2026 COMPLETE TEST BANK
WITH ANSWERS
◉ All of the following are true of the nasal inspection EXCEPT:
A) Tilt the patient's head back a bit and insert the speculum gently
into the vestibule of each nostril. Avoid contact with the nasal
septum. You should inspect the inferior and middle turbinates, the
nasal septum, and the narrow passage between them.
B) In viral rhinitis, the mucosa is usually reddened and swollen, and
in allergic rhinitis the mucosa is often pale, bluish, or red.
C) Examine the inside of the nose without a speculum on the
otoscope keeping the otoscope 6-10 inches away from the tip of the
patient's nose are you look at each nostril.
D) Use the largest available ear speculum on the otoscope during
inspection.
Answer: C) Examine the inside of the nose without a speculum on
the otoscope keeping the otoscope 6-10 inches away from the tip of
the patient's nose are you look at each nostril.
Tilt the patient's head back a bit and insert the speculum gently into
the vestibule of each nostril. Avoid contact with the nasal septum.
Use the largest available speculum. In viral rhinitis, the mucosa is
,usually reddened and swollen, and in allergic rhinitis the mucosa is
often pale, bluish, or red.
◉ A 46 year old female patient is in the clinic with a chief complaint
of chest pain. You are wanting to best understand the patient's
perception of the chest pain. Which fo the following questions would
you ask first?
A) How do you rate your pain on a scale of 0-10?
B) Is the pain related to exertion?
C) Tell me about your chest discomfort.
D) Are you taking all of your medications?
Answer: C) Tell me about your chest discomfort.
Move from open ended to focused questions to allow for the flow of
ideas and thoughts from the patient.
◉ The nurse practitioner is doing an assessment on a 21 year old
patient and notices that his nasal mucosa appears pale and bluish.
What would be the most appropriate question to ask the patient?
A) Have you had any symptoms of a cold?
B) Don't ask any questions. This is a normal finding.
C) Are you aware of having any allergies?
D) Have you been having frequent nosebleeds?
Answer: C) Are you aware of having any allergies?
, With chronic allergy, mucosa looks swollen, boggy, pale, and gray.
Colds and nosebleeds do not cause these mucosal changes.
◉ A 10-year-old is at the clinic for "a sore throat lasting 6 days." The
nurse is aware that which of these findings would be consistent with
an acute infection?
A) Tonsils 3+/1-4+ with large white spots
B) Tonsils 1+/1-4+ with pale coloring
C) Tonsils 1+/1-4+ and pink, same color as oral mucosa
D) Tonsils 2+/1-4+ and pink with white particles inside deep crypts
Answer: A) Tonsils 3+/1-4+ with large white spots
With an acute infection, tonsils are bright red and swollen and may
have exudate or large white spots. Tonsils are enlarged to 2+, 3+, or
4+ with an acute infection.
◉ The nurse practitioner is reviewing the immunization history of a
new 24 year old female patient. Which is the best to ask the patient
to obtain the needed information for your records?
A) Do you need vaccines today?
B) When was your last flu shot, tetanus shot?
C) Have you received these vaccines in your lifetime? When did you
receive them? Tetanus, pertussis, diphtheria, polio, measles, mumps,
