NURS 5220 ADVANCED HEALTH ASSESSMENT TEST 1 LATEST
2026/2027 UTA TESTBANK PREP QUESTIONS AND STUDY GUIDE
APPROVED EXAM COMPLETE ACCURATE QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH DETAILED RATIONALES
1. A 52-year-old patient presents to an advanced practice clinic for the first
time and reports several chronic health concerns. The nurse practitioner
wants to establish a comprehensive database while maintaining a patient-
centered approach. Which sequence best represents an appropriate
comprehensive health history?
A. Chief complaint, review of systems, family history, biographic data, past
history, psychosocial history
B. Past medical history, family history, review of systems, chief complaint,
social history, biographic data
C. Biographic information, source and reliability, chief complaint, history of
present illness, past health history, family history, personal and psychosocial
history, and review of systems
D. Review of systems, psychosocial history, chief complaint, family history,
past health history, and history of present illness
Answer: C
2. A patient tells the nurse practitioner, “I have been having this terrible pain
in my stomach lately, but I don't really know what is causing it.” Which
response best demonstrates the use of an open-ended interviewing
technique?
A. “Can you tell me more about what you have been experiencing?”
B. “Is the pain located in your right lower quadrant?”
C. “Does the pain occur after eating?”
D. “Would you describe the pain as sharp?”
Answer: A
pg. 1
, 3. During an advanced health history, a patient reports experiencing
intermittent chest discomfort for approximately three weeks. The clinician
wants to determine when the symptom began, what makes it better or
worse, how it feels, and whether it radiates. Which assessment framework
is most appropriate?
A. CAGE
B. HEADSS
C. SAMPLE
D. OLDCARTS
Answer: D
4. A patient reports that headaches began two months ago, initially occurring
once weekly but now occurring every morning. When determining the
clinical significance of this symptom, which aspect of the history is
particularly important to clarify?
A. The patient's favorite foods
B. The temporal pattern and progression of the headaches
C. The patient's marital status only
D. The patient's childhood vaccination history
Answer: B
5. A 48-year-old patient reports severe abdominal discomfort. Before asking
focused questions about the location, severity, and character of the pain,
which approach should the advanced practice nurse use?
A. Immediately ask the patient to rate the pain from 0 to 10
B. Ask whether the pain is sharp or dull
C. Allow the patient to describe the concern in their own words
D. Ask whether the patient has taken an analgesic
Answer: C
6. During an interview, the patient repeatedly looks toward a family member
before answering questions about substance use. The clinician suspects
that the patient may not be answering freely. Which action is most
pg. 2
, appropriate?
A. Ask sensitive questions in a private setting when possible
B. Direct all questions to the family member
C. Assume that the patient's answers are inaccurate
D. End the interview immediately
Answer: A
7. An advanced practice nurse is interviewing a patient whose cultural
background differs from the nurse's own. The patient explains that certain
symptoms are interpreted within a traditional healing framework. Which
response best demonstrates culturally responsive assessment?
A. “Traditional beliefs should not influence medical decisions.”
B. “You need to follow the medical explanation instead.”
C. “Your beliefs are not relevant to the assessment.”
D. “Can you explain what you believe is causing the symptoms and what
treatments you have used?”
Answer: D
8. A patient with limited English proficiency arrives for a comprehensive
health assessment. A bilingual adult child offers to interpret. Which
approach is preferred when accurate communication is important?
A. Use the child because family members always provide the most accurate
translation
B. Use a qualified medical interpreter
C. Avoid discussing sensitive information
D. Ask the patient to communicate only through gestures
Answer: B
9. A patient states, “I have been feeling tired.” Which follow-up question
would best help distinguish a nonspecific complaint from a clinically useful
history?
A. “Are you sure you are tired?”
B. “You probably aren't sleeping enough, right?”
pg. 3
, C. “Tell me more about what you mean by feeling tired and how it affects
your daily activities.”
D. “Have you tried drinking more coffee?”
Answer: C
10. A patient reports taking several prescription medications but cannot
remember the names or doses. Which intervention is most appropriate for
medication reconciliation?
A. Ask the patient to bring medication bottles or an updated medication list
B. Document that the patient takes “multiple medications”
C. Assume the medications based on the patient's diagnoses
D. Tell the patient to discontinue medications until the names are known
Answer: A
11. During a health history, a patient reports an allergy to penicillin but cannot
remember the reaction. Which follow-up question is most important?
A. “Did the medication taste unpleasant?”
B. “Did you dislike taking the medication?”
C. “Did the medication make you sleepy?”
D. “What happened when you took penicillin?”
Answer: D
12. A patient reports “allergy” to aspirin but describes only mild stomach
discomfort after taking it. How should the clinician document the history?
A. Confirmed anaphylaxis
B. Intolerance or adverse effect, pending clarification
C. Severe immune-mediated allergy
D. Unknown reaction with no further assessment needed
Answer: B
13. A 60-year-old patient reports a new symptom of exertional shortness of
breath. Which component of the family history would be particularly
relevant?
pg. 4
2026/2027 UTA TESTBANK PREP QUESTIONS AND STUDY GUIDE
APPROVED EXAM COMPLETE ACCURATE QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH DETAILED RATIONALES
1. A 52-year-old patient presents to an advanced practice clinic for the first
time and reports several chronic health concerns. The nurse practitioner
wants to establish a comprehensive database while maintaining a patient-
centered approach. Which sequence best represents an appropriate
comprehensive health history?
A. Chief complaint, review of systems, family history, biographic data, past
history, psychosocial history
B. Past medical history, family history, review of systems, chief complaint,
social history, biographic data
C. Biographic information, source and reliability, chief complaint, history of
present illness, past health history, family history, personal and psychosocial
history, and review of systems
D. Review of systems, psychosocial history, chief complaint, family history,
past health history, and history of present illness
Answer: C
2. A patient tells the nurse practitioner, “I have been having this terrible pain
in my stomach lately, but I don't really know what is causing it.” Which
response best demonstrates the use of an open-ended interviewing
technique?
A. “Can you tell me more about what you have been experiencing?”
B. “Is the pain located in your right lower quadrant?”
C. “Does the pain occur after eating?”
D. “Would you describe the pain as sharp?”
Answer: A
pg. 1
, 3. During an advanced health history, a patient reports experiencing
intermittent chest discomfort for approximately three weeks. The clinician
wants to determine when the symptom began, what makes it better or
worse, how it feels, and whether it radiates. Which assessment framework
is most appropriate?
A. CAGE
B. HEADSS
C. SAMPLE
D. OLDCARTS
Answer: D
4. A patient reports that headaches began two months ago, initially occurring
once weekly but now occurring every morning. When determining the
clinical significance of this symptom, which aspect of the history is
particularly important to clarify?
A. The patient's favorite foods
B. The temporal pattern and progression of the headaches
C. The patient's marital status only
D. The patient's childhood vaccination history
Answer: B
5. A 48-year-old patient reports severe abdominal discomfort. Before asking
focused questions about the location, severity, and character of the pain,
which approach should the advanced practice nurse use?
A. Immediately ask the patient to rate the pain from 0 to 10
B. Ask whether the pain is sharp or dull
C. Allow the patient to describe the concern in their own words
D. Ask whether the patient has taken an analgesic
Answer: C
6. During an interview, the patient repeatedly looks toward a family member
before answering questions about substance use. The clinician suspects
that the patient may not be answering freely. Which action is most
pg. 2
, appropriate?
A. Ask sensitive questions in a private setting when possible
B. Direct all questions to the family member
C. Assume that the patient's answers are inaccurate
D. End the interview immediately
Answer: A
7. An advanced practice nurse is interviewing a patient whose cultural
background differs from the nurse's own. The patient explains that certain
symptoms are interpreted within a traditional healing framework. Which
response best demonstrates culturally responsive assessment?
A. “Traditional beliefs should not influence medical decisions.”
B. “You need to follow the medical explanation instead.”
C. “Your beliefs are not relevant to the assessment.”
D. “Can you explain what you believe is causing the symptoms and what
treatments you have used?”
Answer: D
8. A patient with limited English proficiency arrives for a comprehensive
health assessment. A bilingual adult child offers to interpret. Which
approach is preferred when accurate communication is important?
A. Use the child because family members always provide the most accurate
translation
B. Use a qualified medical interpreter
C. Avoid discussing sensitive information
D. Ask the patient to communicate only through gestures
Answer: B
9. A patient states, “I have been feeling tired.” Which follow-up question
would best help distinguish a nonspecific complaint from a clinically useful
history?
A. “Are you sure you are tired?”
B. “You probably aren't sleeping enough, right?”
pg. 3
, C. “Tell me more about what you mean by feeling tired and how it affects
your daily activities.”
D. “Have you tried drinking more coffee?”
Answer: C
10. A patient reports taking several prescription medications but cannot
remember the names or doses. Which intervention is most appropriate for
medication reconciliation?
A. Ask the patient to bring medication bottles or an updated medication list
B. Document that the patient takes “multiple medications”
C. Assume the medications based on the patient's diagnoses
D. Tell the patient to discontinue medications until the names are known
Answer: A
11. During a health history, a patient reports an allergy to penicillin but cannot
remember the reaction. Which follow-up question is most important?
A. “Did the medication taste unpleasant?”
B. “Did you dislike taking the medication?”
C. “Did the medication make you sleepy?”
D. “What happened when you took penicillin?”
Answer: D
12. A patient reports “allergy” to aspirin but describes only mild stomach
discomfort after taking it. How should the clinician document the history?
A. Confirmed anaphylaxis
B. Intolerance or adverse effect, pending clarification
C. Severe immune-mediated allergy
D. Unknown reaction with no further assessment needed
Answer: B
13. A 60-year-old patient reports a new symptom of exertional shortness of
breath. Which component of the family history would be particularly
relevant?
pg. 4
