Advanced Health Assessment Quizzes 1-4
When writing a SOAP note, the nurse practitioner is aware that "A" represents - ANSThe
diagnosis
When reading a healthcare record you see the following notation: Patient states "I have had a
runny nose and a cough for 1 week now" This is an example of: - ANSChief complaint
Which of the following is an appropriate recording of the subjective information provided by a
patient? - ANS"grabbing" chest pain for 2 hours
You receive results from the laboratory, a metabolic panel and a CBC. Where should that
information appear in the SOAP note? - ANSObjective
The nurse asks "Mr. S. tell me what you do when your headaches occur," with this question you
are seeking information about: - ANSAggravating and relieving factors
What is the best terminology to describe significant symptoms associated with each area of the
patient's body? - ANSReview of systems
Mrs. Ellis is being seen for a routine physical examination. She is a college graduate and
president of a research firm. She attends the local Methodist church weekly. She has adequate
health insurance. Most of this information belongs in her: - ANSPersonal and social history
Mr. S complains of a headache. During the history, he mentions his use of alcohol and street
drugs. Where is the most appropriate place for this information? - ANSSocial history
You are a nurse practitioner in a busy primary care practice, when should you ask your patient
about substance use?
A) when prescribing medication
B) At an episodic visit
C) At the patient's annual health assessment
D) All of the above - ANSAll of the above
It is important to ask your patient about their sexual history. Why? Select all that apply. - ANS1.
To assess their risk for potential pregnancy in females of childbearing age
2. It is important to know their sexual preferences
3. So that you can provide patient centered sex education
4. To learn their potential risk for sexually transmitted infection
Documentation of the general survey includes - ANSPosture, gait, motor activity and personal
hygiene
, The normal appearance of the tympanic membrane is - ANSPearly grey with a visible cone of
light shining downward & forward from center
While undergoing the Rinne test for air conduction (AC) and bone conduction (BC), normal
findings would reveal that - ANSAC is greater than BC
Which of the following describes a normal thyroid examination finding? Select all that apply. -
ANS1. nonpalpable
2. Slightly palpable, smooth, symmetrical
Macule - ANSFlat, non-palpable <1cm lesion
Common mole (nevi) - ANSHyperpigmented papule 0.75 cm
Patch - ANSflat >1cm lesion
Bullae - ANSfluid-filled, well circumscribed lesion >1com
Fissure - ANSnarrow linear crack into epidermis, exposing dermis
Vesicle - ANSfluid-filled, well circumscribed lesion <5mm
The most lethal skin cancer is - ANSmelanoma
A 4 by 3 cm, well circumscribed, rough, elevated area of skin is an example of a - ANSplaque
The mental status exam consists of assessment of a patient's appearance and behavior, speech
and language, mood, thoughts and perceptions and cognitive function. By questioning
orientation to time, person, and place, recent and remote memory, you are assessing -
ANSCognitive function
You are seeing a 37 year old female that you suspect is suffering from depression and you are
concerned about her risk of suicide. Which of the following findings is of greatest concern that
would cause you to recommend immediate hospitalization or referral to the emergency room or
crisis for further evaluation - ANSHistory of previous suicide attempt with current intent and
means
What is responsible for the inspiratory splitting of S2 - ANSClosure of the aortic, then pulmonic
valves
When recording results of heart murmurs, it is important to include - ANSquality, pitch, location,
grade
When writing a SOAP note, the nurse practitioner is aware that "A" represents - ANSThe
diagnosis
When reading a healthcare record you see the following notation: Patient states "I have had a
runny nose and a cough for 1 week now" This is an example of: - ANSChief complaint
Which of the following is an appropriate recording of the subjective information provided by a
patient? - ANS"grabbing" chest pain for 2 hours
You receive results from the laboratory, a metabolic panel and a CBC. Where should that
information appear in the SOAP note? - ANSObjective
The nurse asks "Mr. S. tell me what you do when your headaches occur," with this question you
are seeking information about: - ANSAggravating and relieving factors
What is the best terminology to describe significant symptoms associated with each area of the
patient's body? - ANSReview of systems
Mrs. Ellis is being seen for a routine physical examination. She is a college graduate and
president of a research firm. She attends the local Methodist church weekly. She has adequate
health insurance. Most of this information belongs in her: - ANSPersonal and social history
Mr. S complains of a headache. During the history, he mentions his use of alcohol and street
drugs. Where is the most appropriate place for this information? - ANSSocial history
You are a nurse practitioner in a busy primary care practice, when should you ask your patient
about substance use?
A) when prescribing medication
B) At an episodic visit
C) At the patient's annual health assessment
D) All of the above - ANSAll of the above
It is important to ask your patient about their sexual history. Why? Select all that apply. - ANS1.
To assess their risk for potential pregnancy in females of childbearing age
2. It is important to know their sexual preferences
3. So that you can provide patient centered sex education
4. To learn their potential risk for sexually transmitted infection
Documentation of the general survey includes - ANSPosture, gait, motor activity and personal
hygiene
, The normal appearance of the tympanic membrane is - ANSPearly grey with a visible cone of
light shining downward & forward from center
While undergoing the Rinne test for air conduction (AC) and bone conduction (BC), normal
findings would reveal that - ANSAC is greater than BC
Which of the following describes a normal thyroid examination finding? Select all that apply. -
ANS1. nonpalpable
2. Slightly palpable, smooth, symmetrical
Macule - ANSFlat, non-palpable <1cm lesion
Common mole (nevi) - ANSHyperpigmented papule 0.75 cm
Patch - ANSflat >1cm lesion
Bullae - ANSfluid-filled, well circumscribed lesion >1com
Fissure - ANSnarrow linear crack into epidermis, exposing dermis
Vesicle - ANSfluid-filled, well circumscribed lesion <5mm
The most lethal skin cancer is - ANSmelanoma
A 4 by 3 cm, well circumscribed, rough, elevated area of skin is an example of a - ANSplaque
The mental status exam consists of assessment of a patient's appearance and behavior, speech
and language, mood, thoughts and perceptions and cognitive function. By questioning
orientation to time, person, and place, recent and remote memory, you are assessing -
ANSCognitive function
You are seeing a 37 year old female that you suspect is suffering from depression and you are
concerned about her risk of suicide. Which of the following findings is of greatest concern that
would cause you to recommend immediate hospitalization or referral to the emergency room or
crisis for further evaluation - ANSHistory of previous suicide attempt with current intent and
means
What is responsible for the inspiratory splitting of S2 - ANSClosure of the aortic, then pulmonic
valves
When recording results of heart murmurs, it is important to include - ANSquality, pitch, location,
grade
