NURS 5220: ADVANCED HEALTH
ASSESSMENT COMPREHENSIVE
QUESTIONS AND ANSWERS
1. A patient presents with a ‘stabbing pain’ in the right lower quadrant. In which section of
the SOAP note should this be documented?
A. Assessment
B. Plan
C. Objective
D. Subjective
Answer: D
Conceptual Explanation: Subjective data includes information provided by the patient,
such as their symptoms, feelings, and perceptions (HPI, ROS, and CC).
2. Which of the following describes ‘System 1’ thinking in the dual-process theory of
diagnostic reasoning?
A. Slow, analytical, and effortful reasoning
B. Hypothetico-deductive reasoning used by novices
,C. Strictly evidence-based mathematical modeling
D. Fast, intuitive, and pattern-recognition based
Answer: D
Conceptual Explanation: System 1 is intuitive, fast, and relies on heuristics or pattern
recognition, often used by expert clinicians.
3. While examining a patient, the nurse practitioner notes a 2cm mobile, non-tender lymph
node in the left supraclavicular area. This finding is most likely associated with:
A. Thoracic or abdominal malignancy (Virchow’s node)
B. A common viral upper respiratory infection
C. Normal anatomy in an adult
D. Chronic tension headache
Answer: A
Conceptual Explanation: A palpable supraclavicular node (especially on the left) is highly
suspicious for malignancy draining from the thorax or abdomen, known as Virchow’s node.
4. A 65-year-old male presents with a pearly, translucent papule on his nose that has a
depressed center and telangiectasia. This is most likely:
A. Malignant Melanoma
B. Squamous Cell Carcinoma
C. Basal Cell Carcinoma
, D. Actinic Keratosis
Answer: C
Conceptual Explanation: Basal cell carcinoma typically presents as a pearly, waxy papule
with telangiectasia and central ulceration.
5. In the ABCDE criteria for assessing melanoma, what does the ‘E’ stand for?
A. Evolving
B. Elevation
C. Erythema
D. Exudate
Answer: A
Conceptual Explanation: E stands for Evolving, referring to changes in size, shape, color,
or symptoms like itching or bleeding over time.
6. Which cranial nerve is primarily responsible for the muscles of facial expression?
A. CN VII (Facial)
B. CN V (Trigeminal)
C. CN XI (Spinal Accessory)
D. CN XII (Hypoglossal)
Answer: A
ASSESSMENT COMPREHENSIVE
QUESTIONS AND ANSWERS
1. A patient presents with a ‘stabbing pain’ in the right lower quadrant. In which section of
the SOAP note should this be documented?
A. Assessment
B. Plan
C. Objective
D. Subjective
Answer: D
Conceptual Explanation: Subjective data includes information provided by the patient,
such as their symptoms, feelings, and perceptions (HPI, ROS, and CC).
2. Which of the following describes ‘System 1’ thinking in the dual-process theory of
diagnostic reasoning?
A. Slow, analytical, and effortful reasoning
B. Hypothetico-deductive reasoning used by novices
,C. Strictly evidence-based mathematical modeling
D. Fast, intuitive, and pattern-recognition based
Answer: D
Conceptual Explanation: System 1 is intuitive, fast, and relies on heuristics or pattern
recognition, often used by expert clinicians.
3. While examining a patient, the nurse practitioner notes a 2cm mobile, non-tender lymph
node in the left supraclavicular area. This finding is most likely associated with:
A. Thoracic or abdominal malignancy (Virchow’s node)
B. A common viral upper respiratory infection
C. Normal anatomy in an adult
D. Chronic tension headache
Answer: A
Conceptual Explanation: A palpable supraclavicular node (especially on the left) is highly
suspicious for malignancy draining from the thorax or abdomen, known as Virchow’s node.
4. A 65-year-old male presents with a pearly, translucent papule on his nose that has a
depressed center and telangiectasia. This is most likely:
A. Malignant Melanoma
B. Squamous Cell Carcinoma
C. Basal Cell Carcinoma
, D. Actinic Keratosis
Answer: C
Conceptual Explanation: Basal cell carcinoma typically presents as a pearly, waxy papule
with telangiectasia and central ulceration.
5. In the ABCDE criteria for assessing melanoma, what does the ‘E’ stand for?
A. Evolving
B. Elevation
C. Erythema
D. Exudate
Answer: A
Conceptual Explanation: E stands for Evolving, referring to changes in size, shape, color,
or symptoms like itching or bleeding over time.
6. Which cranial nerve is primarily responsible for the muscles of facial expression?
A. CN VII (Facial)
B. CN V (Trigeminal)
C. CN XI (Spinal Accessory)
D. CN XII (Hypoglossal)
Answer: A
