NURS6512 AdvANced HeAltH ASSeSSmeNt midteRm Review
2026 ActUAl QUeStioNS ANd veRified ANSweRS (lAteSt
UpdAte) A+ GRAde 100% GUARANtee veRified
By expeRtS
1. A 19-year-old man comes to your clinic with a red, irritated right eye for 24-48 hours. He notes
that when he woke up, his eyelids were "stuck together". Physical exam findings: sclera is
injected, vision is normal, and EOM are intact, purulent discharge is noted. What is the most likely
diagnosis?
A. Chemical exposure
B. Bacterial Conjunctivitis
C. Erythema nodosa
D. Trauma - ANSweR-B. Bacterial Conjunctivitis
2. An 18-year-old female presents to the ER with 1-day history of severe sore throat, malaise, and
headache. The patient reports no history of cough or rhinitis. V.S.: T 101F, P98, R22, BP 124/60. On
skin inspection, the NP notices a fine sandpaper rash on the chest. The throat examination
reveals an inflamed uvula, pharynx, and tonsils with gray-white exudate on the right tonsil. Neck
examination reveals tender cervical lymphadenopathy. The most likely diagnosis is:
A. Hand-foot-and-mouth disease
B. Acute herpetic pharyngitis
C. Group A beta-hemolytic streptococcal infection
D. Acute diphtherial infection - ANSweR-C. Group A beta-hemolytic streptococcal infection
3. The purpose of the health history is to:
A. Gather subjective data about the patient
B. Obtain a genetic history to determine susceptibility to disease
C. Gather past and current objective and subjective data about the patient
D. Obtain a genealogic record of familial diseases - ANSweR-A. Gather subjective data about the
patient
4. A 67-year-old man with a 40 pack-year smoking history complains of shortness of breath for the
past 6 months and swelling in his legs. He often wakes up at night gasping for breath and feels
most comfortable sleeping on 3 pillows. He has no past medical history of COPD or CHF, but he
has diabetes and hypertension. What is the most likely diagnosis?
,A. Congestive heart failure
B. Chronic obstructive pulmonary disease
C. Asthma
D. Lung cancer - ANSweR-A. Congestive heart failure
5. A 50-year-old woman comes to your office with a history of 2 episodes of coughing blood. The
quantity is estimated to be 2 to 3 tablespoons of bright blood on each occasion. She has mild
shortness of breath, but she feels comfortable at rest. She has never smoked, denies weight loss
or fever, and has no other medical problems. What would be the next step in her management?
A. Referral to a pulmonologist for bronchoscopy
B. Return to your clinic in the next several weeks to monitor her symptoms
C. Chest x-ray with an admission to the hospital for additional testing
D. Complete vital signs and physical examination - ANSweR-D. Complete vital signs and physical
examination
6. During the central nervous system exam, the NP evaluates the patient's gait and determines the
patient is unable to perform a heel-walk. The differential diagnosis the NP is most concerned
about is damage to the:
A. Corticospinal tract
B. Spinocerebellar tract
C. Spinothalamic tract
D. Dorsal column-medial lemniscus tract - ANSweR-A. Corticospinal tract
7. What is the best way to begin asking about the past medical history?
A. Have you had measles, mumps, rubella, chicken pox, scarlet fever, or rheumatic fever?
B. Did you get all your shots growing up?
C. Were you hospitalized as a child?
D. How was your health as a child? - ANSweR-D. How was your health as a child?
8. The NP is conducting an ophthalmoscopic examination. Which statement by the NP to the
preceptor indicates correct understanding regarding ophthalmoscopic examination:
A. I will look for the yellow tint in the patient's pupil to examine the fundus
, B. I will look for the orange glow in the patient's pupil to examine the fundus
C. I will look for the light reflex in the patient's pupil to examine the fundus
D. I will look for the pink reflex in the patient's pupil to examine the fundus - ANSweR-B. I will look
for the orange glow in the patient's pupil to examine the fundus
9. You are evaluating a 20-year-old male with 1-day history of left ear pain. On otoscopic exam, the
tympanic membrane appears reddened, bulging, and no observable landmarks. The most likely
diagnosis is:
A. Cholesteatoma
B. Otitis media
C. Otitis externa
D. Cerumen impaction - ANSweR-B. Otitis media
10. The NP is conducting a cardiovascular examination. The NP knows to use the bell of the
stethoscope to auscultate for all the following except:
A. Pericardial friction rub
B. S3 gallop
C. S4 gallop
D. Murmur of mitral stenosis - ANSweR-A. Pericardial friction rub
11. When a patient gives an incomplete or one-word answer to a sensitive question, the
interviewer should:
A. Pause until the patient provides a more detailed answer
B. Assume that the issue is not important to the patient and move on
C. Gently ask the question in a different way
D. Demand to know why the patient is withholding information - ANSweR-C. Gently ask the
question in a different way
12. A 65-year-old woman comes to your clinic with a history of coughing up 1 to 2 tablespoons of
bright blood on 2 occasions. She has smoked heavily for the past 30 years and reports recent
weight loss of 25 to 30 lbs. Her past medical history includes diabetes, hypertension, and
rheumatoid arthritis. Her medications include insulin, atenolol, and lisinopril. What is/are the
alarm features present in this patient?
A. Quantity of hemoptysis
B. Advanced age, weight loss, and history of smoking
2026 ActUAl QUeStioNS ANd veRified ANSweRS (lAteSt
UpdAte) A+ GRAde 100% GUARANtee veRified
By expeRtS
1. A 19-year-old man comes to your clinic with a red, irritated right eye for 24-48 hours. He notes
that when he woke up, his eyelids were "stuck together". Physical exam findings: sclera is
injected, vision is normal, and EOM are intact, purulent discharge is noted. What is the most likely
diagnosis?
A. Chemical exposure
B. Bacterial Conjunctivitis
C. Erythema nodosa
D. Trauma - ANSweR-B. Bacterial Conjunctivitis
2. An 18-year-old female presents to the ER with 1-day history of severe sore throat, malaise, and
headache. The patient reports no history of cough or rhinitis. V.S.: T 101F, P98, R22, BP 124/60. On
skin inspection, the NP notices a fine sandpaper rash on the chest. The throat examination
reveals an inflamed uvula, pharynx, and tonsils with gray-white exudate on the right tonsil. Neck
examination reveals tender cervical lymphadenopathy. The most likely diagnosis is:
A. Hand-foot-and-mouth disease
B. Acute herpetic pharyngitis
C. Group A beta-hemolytic streptococcal infection
D. Acute diphtherial infection - ANSweR-C. Group A beta-hemolytic streptococcal infection
3. The purpose of the health history is to:
A. Gather subjective data about the patient
B. Obtain a genetic history to determine susceptibility to disease
C. Gather past and current objective and subjective data about the patient
D. Obtain a genealogic record of familial diseases - ANSweR-A. Gather subjective data about the
patient
4. A 67-year-old man with a 40 pack-year smoking history complains of shortness of breath for the
past 6 months and swelling in his legs. He often wakes up at night gasping for breath and feels
most comfortable sleeping on 3 pillows. He has no past medical history of COPD or CHF, but he
has diabetes and hypertension. What is the most likely diagnosis?
,A. Congestive heart failure
B. Chronic obstructive pulmonary disease
C. Asthma
D. Lung cancer - ANSweR-A. Congestive heart failure
5. A 50-year-old woman comes to your office with a history of 2 episodes of coughing blood. The
quantity is estimated to be 2 to 3 tablespoons of bright blood on each occasion. She has mild
shortness of breath, but she feels comfortable at rest. She has never smoked, denies weight loss
or fever, and has no other medical problems. What would be the next step in her management?
A. Referral to a pulmonologist for bronchoscopy
B. Return to your clinic in the next several weeks to monitor her symptoms
C. Chest x-ray with an admission to the hospital for additional testing
D. Complete vital signs and physical examination - ANSweR-D. Complete vital signs and physical
examination
6. During the central nervous system exam, the NP evaluates the patient's gait and determines the
patient is unable to perform a heel-walk. The differential diagnosis the NP is most concerned
about is damage to the:
A. Corticospinal tract
B. Spinocerebellar tract
C. Spinothalamic tract
D. Dorsal column-medial lemniscus tract - ANSweR-A. Corticospinal tract
7. What is the best way to begin asking about the past medical history?
A. Have you had measles, mumps, rubella, chicken pox, scarlet fever, or rheumatic fever?
B. Did you get all your shots growing up?
C. Were you hospitalized as a child?
D. How was your health as a child? - ANSweR-D. How was your health as a child?
8. The NP is conducting an ophthalmoscopic examination. Which statement by the NP to the
preceptor indicates correct understanding regarding ophthalmoscopic examination:
A. I will look for the yellow tint in the patient's pupil to examine the fundus
, B. I will look for the orange glow in the patient's pupil to examine the fundus
C. I will look for the light reflex in the patient's pupil to examine the fundus
D. I will look for the pink reflex in the patient's pupil to examine the fundus - ANSweR-B. I will look
for the orange glow in the patient's pupil to examine the fundus
9. You are evaluating a 20-year-old male with 1-day history of left ear pain. On otoscopic exam, the
tympanic membrane appears reddened, bulging, and no observable landmarks. The most likely
diagnosis is:
A. Cholesteatoma
B. Otitis media
C. Otitis externa
D. Cerumen impaction - ANSweR-B. Otitis media
10. The NP is conducting a cardiovascular examination. The NP knows to use the bell of the
stethoscope to auscultate for all the following except:
A. Pericardial friction rub
B. S3 gallop
C. S4 gallop
D. Murmur of mitral stenosis - ANSweR-A. Pericardial friction rub
11. When a patient gives an incomplete or one-word answer to a sensitive question, the
interviewer should:
A. Pause until the patient provides a more detailed answer
B. Assume that the issue is not important to the patient and move on
C. Gently ask the question in a different way
D. Demand to know why the patient is withholding information - ANSweR-C. Gently ask the
question in a different way
12. A 65-year-old woman comes to your clinic with a history of coughing up 1 to 2 tablespoons of
bright blood on 2 occasions. She has smoked heavily for the past 30 years and reports recent
weight loss of 25 to 30 lbs. Her past medical history includes diabetes, hypertension, and
rheumatoid arthritis. Her medications include insulin, atenolol, and lisinopril. What is/are the
alarm features present in this patient?
A. Quantity of hemoptysis
B. Advanced age, weight loss, and history of smoking
