St. Thomas University
Advanced Health Assessment
NUR 504: Advanced Health Assessment Final Exam
Pages Total Marks Section Questions
41
Section 1 Multiple Choice 25 questions 50 total marks
Section 2 Long Answer 6 questions 30 total marks
Section 3 Short Answer 10 questions 20 total marks
Name Student ID
Date Signature
How to use this exam
1 Set a timer. Practice under real exam conditions! No notes, no AI assistance.
2 When finished, scan the QR code on the last page to submit and see the correct answers
with detailed explanations.
3 Review your mistakes carefully and note down areas that need improvement. Use Studocu
AI to create targeted study materials like quizzes, summaries, and study guides.
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,Section 50 total marks
Multiple Choice
Select the single best answer for each clinical scenario.
Question 1 8 total marks
Tina Jones is a 28-year-old female who presents for a comprehensive health assessment. She has a
documented history of Type 2 Diabetes Mellitus and Asthma. During the interview, she reports palpita-
tions occurring after consuming energy drinks and mentions she recently stopped her Metformin due
to gastrointestinal upset. Her asthma is currently managed with Albuterol PRN, but she reports waking
up twice a week with coughing and chest tightness. Physical examination reveals a pale, boggy nasal
mucosa and occasional expiratory wheezing in the lower lobes.
A When establishing reliability as a historian for Tina Jones, which observation from the initial
interview is most indicative of her being a reliable source?
A The patient defers all specific questions to a family member.
B The patient uses complex medical terminology to describe her diabetes.
C The patient maintains eye contact and provides a clear, consistent chronology of symptoms.
D The patient provides conflicting dates for her last hospitalization.
B During the HEENT assessment of Tina Jones, which appearance of the nasal mucosa was found
that characteristically indicates allergic rhinitis?
A Pink and moist with no visible turbinates
B Bright red and inflamed with purulent discharge
C Dry, crusty, and bleeding from the septum
D Pale, boggy, and bluish with clear discharge
C Tina reports episodes of palpitations after consuming energy drinks. Which initial diagnostic step
is most appropriate for assessing these palpitations in the primary care setting?
A Electrocardiogram (EKG)
B Chest X-ray to evaluate heart size
C Immediate referral for cardiac catheterization
D Prescribing a sedative for anxiety
D Tina is currently experiencing an asthma exacerbation with wheezing. Which medication class is
the treatment of choice to provide immediate relief?
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, A Inhaled corticosteroids (ICS)
B Short-acting beta agonists (SABA)
C Long-acting beta agonists (LABA)
D Oral leukotriene modifiers
Question 2 30 total marks
The following questions pertain to general principles of advanced health assessment, physical exami-
nation techniques, and medical-legal documentation standards in clinical practice.
A In the PQRST mnemonic used for symptom assessment, what does the 'S' represent?
A Site of the primary injury
B Source of the anxiety
C Sensitivity to light
D Severity of the symptom on a scale (e.g., 0-10)
B If a patient is started on Lisinopril for hypertension and develops a dry, hacking cough, what is
the most appropriate patient education?
A The cough is a known side effect that usually resolves after stopping the medication.
B This is a normal finding and the medication should be continued indefinitely.
C The cough is a sign of worsening heart failure and requires a higher dose.
D The patient should take the medication with a potassium supplement to stop the cough.
C Which clinical finding is characteristic of a primary syphilis infection during a genital examination?
A Widespread maculopapular rash on the palms and soles
B A painful cluster of vesicles on the shaft of the penis
C A painless, indurated ulcer called a chancre
D Purulent discharge from the urethra
D When performing the Rinne test to evaluate hearing in a healthy adult, what is the expected
normal finding?
A Sound is heard only in the ear with the tuning fork on the mastoid.
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Advanced Health Assessment
NUR 504: Advanced Health Assessment Final Exam
Pages Total Marks Section Questions
41
Section 1 Multiple Choice 25 questions 50 total marks
Section 2 Long Answer 6 questions 30 total marks
Section 3 Short Answer 10 questions 20 total marks
Name Student ID
Date Signature
How to use this exam
1 Set a timer. Practice under real exam conditions! No notes, no AI assistance.
2 When finished, scan the QR code on the last page to submit and see the correct answers
with detailed explanations.
3 Review your mistakes carefully and note down areas that need improvement. Use Studocu
AI to create targeted study materials like quizzes, summaries, and study guides.
Downloaded by Great Mind ()
,Section 50 total marks
Multiple Choice
Select the single best answer for each clinical scenario.
Question 1 8 total marks
Tina Jones is a 28-year-old female who presents for a comprehensive health assessment. She has a
documented history of Type 2 Diabetes Mellitus and Asthma. During the interview, she reports palpita-
tions occurring after consuming energy drinks and mentions she recently stopped her Metformin due
to gastrointestinal upset. Her asthma is currently managed with Albuterol PRN, but she reports waking
up twice a week with coughing and chest tightness. Physical examination reveals a pale, boggy nasal
mucosa and occasional expiratory wheezing in the lower lobes.
A When establishing reliability as a historian for Tina Jones, which observation from the initial
interview is most indicative of her being a reliable source?
A The patient defers all specific questions to a family member.
B The patient uses complex medical terminology to describe her diabetes.
C The patient maintains eye contact and provides a clear, consistent chronology of symptoms.
D The patient provides conflicting dates for her last hospitalization.
B During the HEENT assessment of Tina Jones, which appearance of the nasal mucosa was found
that characteristically indicates allergic rhinitis?
A Pink and moist with no visible turbinates
B Bright red and inflamed with purulent discharge
C Dry, crusty, and bleeding from the septum
D Pale, boggy, and bluish with clear discharge
C Tina reports episodes of palpitations after consuming energy drinks. Which initial diagnostic step
is most appropriate for assessing these palpitations in the primary care setting?
A Electrocardiogram (EKG)
B Chest X-ray to evaluate heart size
C Immediate referral for cardiac catheterization
D Prescribing a sedative for anxiety
D Tina is currently experiencing an asthma exacerbation with wheezing. Which medication class is
the treatment of choice to provide immediate relief?
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, A Inhaled corticosteroids (ICS)
B Short-acting beta agonists (SABA)
C Long-acting beta agonists (LABA)
D Oral leukotriene modifiers
Question 2 30 total marks
The following questions pertain to general principles of advanced health assessment, physical exami-
nation techniques, and medical-legal documentation standards in clinical practice.
A In the PQRST mnemonic used for symptom assessment, what does the 'S' represent?
A Site of the primary injury
B Source of the anxiety
C Sensitivity to light
D Severity of the symptom on a scale (e.g., 0-10)
B If a patient is started on Lisinopril for hypertension and develops a dry, hacking cough, what is
the most appropriate patient education?
A The cough is a known side effect that usually resolves after stopping the medication.
B This is a normal finding and the medication should be continued indefinitely.
C The cough is a sign of worsening heart failure and requires a higher dose.
D The patient should take the medication with a potassium supplement to stop the cough.
C Which clinical finding is characteristic of a primary syphilis infection during a genital examination?
A Widespread maculopapular rash on the palms and soles
B A painful cluster of vesicles on the shaft of the penis
C A painless, indurated ulcer called a chancre
D Purulent discharge from the urethra
D When performing the Rinne test to evaluate hearing in a healthy adult, what is the expected
normal finding?
A Sound is heard only in the ear with the tuning fork on the mastoid.
Downloaded by Great Mind ()
