NURS 5220: ADVANCED HEALTH
ASSESSMENT COMPREHENSIVE
QUESTIONS AND ANSWERS
1. When documenting in the SOAP format, which of the following is considered ‘Subjective’
information?
A. The patient’s chief complaint of chest pain
B. Blood pressure reading of 140/90 mmHg
C. Presence of a Grade II systolic murmur
D. The patient’s laboratory results for HgbA1c
Answer: A
Conceptual Explanation: Subjective data includes information provided by the patient,
such as their symptoms, feelings, and chief complaint. Physical findings and lab data are
Objective.
2. In the diagnostic reasoning process, what is the primary purpose of ‘clumping’ data?
A. To reduce the number of diagnostic tests ordered
B. To categorize symptoms into physiological systems
,C. To identify patterns and relationships between findings
D. To ensure the electronic health record is organized
Answer: C
Conceptual Explanation: Data clumping involves grouping related information to help the
clinician identify patterns, which aids in forming a differential diagnosis.
3. Which part of the SOAP note includes the clinician’s differential diagnosis?
A. Subjective
B. Assessment
C. Objective
D. Plan
Answer: B
Conceptual Explanation: The Assessment section contains the clinician’s interpretation of
the data, including the diagnosis or differential diagnoses.
4. What is the most common reason for a provider to experience ‘anchoring bias’ during
diagnostic reasoning?
A. Over-ordering diagnostic imaging
B. Ignoring the patient’s cultural background
C. Relying too heavily on the first piece of information received
, D. Focusing only on the most recent laboratory data
Answer: C
Conceptual Explanation: Anchoring bias is the cognitive tendency to rely too heavily on
the first piece of information offered (the ‘anchor’) when making decisions.
5. According to the CDC, which BMI range is classified as ‘Overweight’ for an adult?
A. 18.5 – 24.9
B. 35.0 – 39.9
C. 30.0 – 34.9
D. 25.0 – 29.9
Answer: D
Conceptual Explanation: A BMI of 25.0 to 29.9 is classified as overweight. 18.5-24.9 is
healthy weight, and 30.0 or higher is obese.
6. When measuring the head circumference of an infant, where should the tape measure be
placed?
A. From the chin to the top of the crown
B. Across the forehead and around the mid-neck
C. Just above the eyebrows and around the occipital protuberance
D. Directly over the fontanels
ASSESSMENT COMPREHENSIVE
QUESTIONS AND ANSWERS
1. When documenting in the SOAP format, which of the following is considered ‘Subjective’
information?
A. The patient’s chief complaint of chest pain
B. Blood pressure reading of 140/90 mmHg
C. Presence of a Grade II systolic murmur
D. The patient’s laboratory results for HgbA1c
Answer: A
Conceptual Explanation: Subjective data includes information provided by the patient,
such as their symptoms, feelings, and chief complaint. Physical findings and lab data are
Objective.
2. In the diagnostic reasoning process, what is the primary purpose of ‘clumping’ data?
A. To reduce the number of diagnostic tests ordered
B. To categorize symptoms into physiological systems
,C. To identify patterns and relationships between findings
D. To ensure the electronic health record is organized
Answer: C
Conceptual Explanation: Data clumping involves grouping related information to help the
clinician identify patterns, which aids in forming a differential diagnosis.
3. Which part of the SOAP note includes the clinician’s differential diagnosis?
A. Subjective
B. Assessment
C. Objective
D. Plan
Answer: B
Conceptual Explanation: The Assessment section contains the clinician’s interpretation of
the data, including the diagnosis or differential diagnoses.
4. What is the most common reason for a provider to experience ‘anchoring bias’ during
diagnostic reasoning?
A. Over-ordering diagnostic imaging
B. Ignoring the patient’s cultural background
C. Relying too heavily on the first piece of information received
, D. Focusing only on the most recent laboratory data
Answer: C
Conceptual Explanation: Anchoring bias is the cognitive tendency to rely too heavily on
the first piece of information offered (the ‘anchor’) when making decisions.
5. According to the CDC, which BMI range is classified as ‘Overweight’ for an adult?
A. 18.5 – 24.9
B. 35.0 – 39.9
C. 30.0 – 34.9
D. 25.0 – 29.9
Answer: D
Conceptual Explanation: A BMI of 25.0 to 29.9 is classified as overweight. 18.5-24.9 is
healthy weight, and 30.0 or higher is obese.
6. When measuring the head circumference of an infant, where should the tape measure be
placed?
A. From the chin to the top of the crown
B. Across the forehead and around the mid-neck
C. Just above the eyebrows and around the occipital protuberance
D. Directly over the fontanels
