Advanced Health Assessment Exam
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1. A 59 year old patients tells the nurse practitioner that A) JM is a 59 year old male
he thinks he must have ulcerative colitis. He has been here for having "black
having "black stools" for the last 24 hours. How would stools" for the past 24
the nurse practitioner best document THE FACTS for hours.
his reason for seeking care?
A) JM is a 59 year old male here for having "black Chief Complaint(s) The
stools" for the past 24 hours. one or more symptoms or
B) JM came into the clinic complaining of black stools concerns causing the pa-
for the past 24 hours. tient to seek care. Make
C) JM is a 59 year old male here for "ulcerative colitis." every effort to quote the
D) JM, a 59 year old male, states he has ulcerative patient's own words.
colitis and wants it checked.
2. A patient tells the nurse practitioner that she has had D) "Can you point to
abdominal pain for the past week. What would be the where it hurts?"
best response by the nurse practitioner?
A) We'll talk more about that later in the interview." Each principle symptom
B) "Have you ever had any children?" should be well-character-
C) "What have you had to eat in the last 4 hours?" ized, with descriptions of
D) "Can you point to where it hurts?" location; along with the
other seven attributes. Lo-
cation: Ask the patient to
point to the pain because
lay terms may not be spe-
cific enough to localize the
site of origin.
3. A 29-year-old woman tells the nurse that she has "ex- D) "How would you say the
cruciating pain" in her back. Which of the following pain affects your ability to
would be an appropriate response by the nurse to her do your daily activities?"
statement?
A) "How does your family react to your pain?" Inquire about the ef-
, Advanced Health Assessment Exam
Study online at https://quizlet.com/_7nsv1b
B) "That must be terrible. You probably pinched a fects of pain on the
nerve." patient's daily activities,
C) "I've had back pain myself and it can be excruciat- mood, sleep, work, and
ing." sexual activity.
D) "How would you say the pain affects your ability to
do your daily activities?"
4. In recording the childhood illnesses of a patient who D) Patient denies measles,
denies having had any, which of the following notes mumps, rubella, chicken-
by the nurse would be most accurate? pox, pertussis, rheumatic
A) Patient denies usual childhood illnesses. fever, and polio.
B) Patient states he was a "very healthy" child.
C) Patient states sister had measles, but he didn't. Childhood illnesses in-
D) Patient denies measles, mumps, rubella, chicken- clude measles, rubella,
pox, pertussis, rheumatic fever, and polio. mumps, whooping cough,
rheumatic fever, scarlet
fever, and polio. They are
included in the past histo-
ry.
5. A patient tells the nurse that he is allergic to penicillin. D) "Please describe what
What would be the nurse's best response to this infor- happens to you when you
mation? take penicillin."
A) "Are you allergic to any other drugs?"
B) "How often have you received penicillin?" Allergies, including specif-
C) "I'll write your allergy on your chart so you won't ic reactions to each med-
receive any." ication, such as rash or
D) "Please describe what happens to you when you nausea, must be record-
take penicillin." ed.
6. The nurse is taking a family history. Important dis- C) mental illness.
eases or problems to ask the patient about include:
A) emphysema. Specifically ask for any
, Advanced Health Assessment Exam
Study online at https://quizlet.com/_7nsv1b
B) head trauma. family history of heart dis-
C) mental illness. ease, high blood pres-
D) fractured bones. sure, stroke, diabetes,
obesity, blood disorders,
ovarian cancer, colon can-
cer, sickle cell anemia,
arthritis, allergies, alcohol
or drug addiction, men-
tal illness, suicide, seizure
disorder, kidney disease,
and tuberculosis. The oth-
er answers are acquired.
7. The following information is recorded in the health D) Review of systems
history: "Patient denies chest pain, palpitations, or-
thopnea, and paroxysmal nocturnal dyspnea." Which Most review of systems
category does it belong to? questions pertain to sys-
A) Chief complaint tems. You may also draw
B) Present illness on Review of Systems
C) Personal and social history questions related to the
D) Review of systems Chief Complaint to estab-
lish positives and nega-
tives that help clarify the
diagnosis.
8. Which of the following statements represents sub- C) Denies color change
jective data obtained from the patient regarding his
skin? Remember that the histo-
A) Skin appears dry. ry (from the chief com-
B) No obvious lesions plaint through review of
C) Denies color change systems) should be limit-
D) Lesion noted lateral aspect right arm ed to patient statements
, Advanced Health Assessment Exam
Study online at https://quizlet.com/_7nsv1b
or subjective data—fac-
tors that the person says
were or were not present.
Subjective data is what the
patient tells you.
9. The following information is best placed in which cat- B) Surgical
egory? "The patient had a stent placed in the left an-
terior descending artery (LAD) in 1999." Provide information rel-
A) Medical ative to Adult Illnesses
B) Surgical in each of four areas:
C) Obstetrics/gynecology Medical, Surgical, Obstet-
D) Psychiatric ric/Gynecologic, and Psy-
chiatric.
10. During the aging process, the hair can look gray or A) pigmentation
white and begin to feel thin and fine. The nurse prac-
titioner knows that this occurs because of a decrease Hair undergoes a series
in: of changes. Scalp hair los-
A) pigmentation es its pigment (function-
B) thyroid stimulating hormone ing of melanocytes) so the
C) phagocytes hair looks gray or white
D) fungacytes and feels thin and fine.
The other options are not
correct.
11. You are speaking to an 8th grade class about health B) A = asymmetry; B = ir-
prevention and are preparing to discuss the ABCDEs regular borders; C = color
of melanoma. Which of the following descriptions cor- changes, especially blue;
rectly defines the ABCDEs? D = diameter >6 mm; E =
A) A = actinic; B = basal cell; C = color changes, espe- evolution
cially blue; D = diameter >6 mm; E = evolution
B) A = asymmetry; B = irregular borders; C = color
Study online at https://quizlet.com/_7nsv1b
1. A 59 year old patients tells the nurse practitioner that A) JM is a 59 year old male
he thinks he must have ulcerative colitis. He has been here for having "black
having "black stools" for the last 24 hours. How would stools" for the past 24
the nurse practitioner best document THE FACTS for hours.
his reason for seeking care?
A) JM is a 59 year old male here for having "black Chief Complaint(s) The
stools" for the past 24 hours. one or more symptoms or
B) JM came into the clinic complaining of black stools concerns causing the pa-
for the past 24 hours. tient to seek care. Make
C) JM is a 59 year old male here for "ulcerative colitis." every effort to quote the
D) JM, a 59 year old male, states he has ulcerative patient's own words.
colitis and wants it checked.
2. A patient tells the nurse practitioner that she has had D) "Can you point to
abdominal pain for the past week. What would be the where it hurts?"
best response by the nurse practitioner?
A) We'll talk more about that later in the interview." Each principle symptom
B) "Have you ever had any children?" should be well-character-
C) "What have you had to eat in the last 4 hours?" ized, with descriptions of
D) "Can you point to where it hurts?" location; along with the
other seven attributes. Lo-
cation: Ask the patient to
point to the pain because
lay terms may not be spe-
cific enough to localize the
site of origin.
3. A 29-year-old woman tells the nurse that she has "ex- D) "How would you say the
cruciating pain" in her back. Which of the following pain affects your ability to
would be an appropriate response by the nurse to her do your daily activities?"
statement?
A) "How does your family react to your pain?" Inquire about the ef-
, Advanced Health Assessment Exam
Study online at https://quizlet.com/_7nsv1b
B) "That must be terrible. You probably pinched a fects of pain on the
nerve." patient's daily activities,
C) "I've had back pain myself and it can be excruciat- mood, sleep, work, and
ing." sexual activity.
D) "How would you say the pain affects your ability to
do your daily activities?"
4. In recording the childhood illnesses of a patient who D) Patient denies measles,
denies having had any, which of the following notes mumps, rubella, chicken-
by the nurse would be most accurate? pox, pertussis, rheumatic
A) Patient denies usual childhood illnesses. fever, and polio.
B) Patient states he was a "very healthy" child.
C) Patient states sister had measles, but he didn't. Childhood illnesses in-
D) Patient denies measles, mumps, rubella, chicken- clude measles, rubella,
pox, pertussis, rheumatic fever, and polio. mumps, whooping cough,
rheumatic fever, scarlet
fever, and polio. They are
included in the past histo-
ry.
5. A patient tells the nurse that he is allergic to penicillin. D) "Please describe what
What would be the nurse's best response to this infor- happens to you when you
mation? take penicillin."
A) "Are you allergic to any other drugs?"
B) "How often have you received penicillin?" Allergies, including specif-
C) "I'll write your allergy on your chart so you won't ic reactions to each med-
receive any." ication, such as rash or
D) "Please describe what happens to you when you nausea, must be record-
take penicillin." ed.
6. The nurse is taking a family history. Important dis- C) mental illness.
eases or problems to ask the patient about include:
A) emphysema. Specifically ask for any
, Advanced Health Assessment Exam
Study online at https://quizlet.com/_7nsv1b
B) head trauma. family history of heart dis-
C) mental illness. ease, high blood pres-
D) fractured bones. sure, stroke, diabetes,
obesity, blood disorders,
ovarian cancer, colon can-
cer, sickle cell anemia,
arthritis, allergies, alcohol
or drug addiction, men-
tal illness, suicide, seizure
disorder, kidney disease,
and tuberculosis. The oth-
er answers are acquired.
7. The following information is recorded in the health D) Review of systems
history: "Patient denies chest pain, palpitations, or-
thopnea, and paroxysmal nocturnal dyspnea." Which Most review of systems
category does it belong to? questions pertain to sys-
A) Chief complaint tems. You may also draw
B) Present illness on Review of Systems
C) Personal and social history questions related to the
D) Review of systems Chief Complaint to estab-
lish positives and nega-
tives that help clarify the
diagnosis.
8. Which of the following statements represents sub- C) Denies color change
jective data obtained from the patient regarding his
skin? Remember that the histo-
A) Skin appears dry. ry (from the chief com-
B) No obvious lesions plaint through review of
C) Denies color change systems) should be limit-
D) Lesion noted lateral aspect right arm ed to patient statements
, Advanced Health Assessment Exam
Study online at https://quizlet.com/_7nsv1b
or subjective data—fac-
tors that the person says
were or were not present.
Subjective data is what the
patient tells you.
9. The following information is best placed in which cat- B) Surgical
egory? "The patient had a stent placed in the left an-
terior descending artery (LAD) in 1999." Provide information rel-
A) Medical ative to Adult Illnesses
B) Surgical in each of four areas:
C) Obstetrics/gynecology Medical, Surgical, Obstet-
D) Psychiatric ric/Gynecologic, and Psy-
chiatric.
10. During the aging process, the hair can look gray or A) pigmentation
white and begin to feel thin and fine. The nurse prac-
titioner knows that this occurs because of a decrease Hair undergoes a series
in: of changes. Scalp hair los-
A) pigmentation es its pigment (function-
B) thyroid stimulating hormone ing of melanocytes) so the
C) phagocytes hair looks gray or white
D) fungacytes and feels thin and fine.
The other options are not
correct.
11. You are speaking to an 8th grade class about health B) A = asymmetry; B = ir-
prevention and are preparing to discuss the ABCDEs regular borders; C = color
of melanoma. Which of the following descriptions cor- changes, especially blue;
rectly defines the ABCDEs? D = diameter >6 mm; E =
A) A = actinic; B = basal cell; C = color changes, espe- evolution
cially blue; D = diameter >6 mm; E = evolution
B) A = asymmetry; B = irregular borders; C = color
