NUR 504 ADVANCED HEALTH ASSESSMENT FINAL
EXAM 2025 DETAILED STUDY QUESTIONS AND
ANSWERS GRADED A+
A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after being in the hospital for 6
weeks. She was treated for sepsis and respiratory failure and had to be on a ventilator for 3 weeks. The
nurse is completing an initial assessment and evaluating the client's skin condition. On her sacrum there
is full-thickness skin loss that is 5 cm in diameter with damage to the subcutaneous tissue. The
underlying muscle is not affected. What is the stage of this pressure ulcer?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4
C) Stage 3
A crater appears in the skin, with full-thickness skin loss and damage to or necrosis of subcutaneous
tissue that may extend to, but not through underlying muscle.
Mrs. Anderson presents with an itchy rash which is raised and appears and disappears in various
locations. Each lesion lasts for many minutes. What most likely accounts for this rash?
A) Insect bites
B) Wheals, urticaria, or hives
C) Psoriasis
,D) Purpura
B) Wheals, urticaria, or hives
Wheals/urticaria - a somewhat irregular, relatively transient, superficial area of localized skin edema.
Ethel is a 68 year old Caucasian female who is new to your area. She shows you multiple brown colored,
flat lesions on her face, chest, and hands that have been present for years. You respond that these are
likely:
A) solar lentigos
B) melanomas
C) keloids
D) fissures
A) solar lentigos
solar lentigos are from sun damage, are more common on the face, shoulders, and hands.
A 59 year old patients tells the nurse practitioner that he thinks he must have ulcerative colitis. He has
been having "black stools" for the last 24 hours. How would the nurse practitioner best document THE
FACTS for his reason for seeking care?
A) JM is a 59 year old male here for having "black stools" for the past 24 hours.
B) JM came into the clinic complaining of black stools for the past 24 hours.
C) JM is a 59 year old male here for "ulcerative colitis."
D) JM, a 59 year old male, states he has ulcerative colitis and wants it checked.
A) JM is a 59 year old male here for having "black stools" for the past 24 hours.
,Chief Complaint(s) The one or more symptoms or concerns causing the patient to seek care. Make every
effort to quote the patient's own words.
A patient tells the nurse practitioner that she has had abdominal pain for the past week. What would be
the best response by the nurse practitioner?
A) We'll talk more about that later in the interview."
B) "Have you ever had any children?"
C) "What have you had to eat in the last 4 hours?"
D) "Can you point to where it hurts?"
D) "Can you point to where it hurts?"
Each principle symptom should be well-characterized, with descriptions of location; along with the other
seven attributes. Location: Ask the patient to point to the pain because lay terms may not be specific
enough to localize the site of origin.
A 29-year-old woman tells the nurse that she has "excruciating pain" in her back. Which of the following
would be an appropriate response by the nurse to her statement?
A) "How does your family react to your pain?"
B) "That must be terrible. You probably pinched a nerve."
C) "I've had back pain myself and it can be excruciating."
D) "How would you say the pain affects your ability to do your daily activities?"
D) "How would you say the pain affects your ability to do your daily activities?"
Inquire about the effects of pain on the patient's daily activities, mood, sleep, work, and sexual activity.
, In recording the childhood illnesses of a patient who denies having had any, which of the following notes
by the nurse would be most accurate?
A) Patient denies usual childhood illnesses.
B) Patient states he was a "very healthy" child.
C) Patient states sister had measles, but he didn't.
D) Patient denies measles, mumps, rubella, chickenpox, pertussis, rheumatic fever, and polio.
D) Patient denies measles, mumps, rubella, chickenpox, pertussis, rheumatic fever, and polio.
Childhood illnesses include measles, rubella, mumps, whooping cough, rheumatic fever, scarlet fever,
and polio. They are included in the past history.
A patient tells the nurse that he is allergic to penicillin. What would be the nurse's best response to this
information?
A) "Are you allergic to any other drugs?"
B) "How often have you received penicillin?"
C) "I'll write your allergy on your chart so you won't receive any."
D) "Please describe what happens to you when you take penicillin."
D) "Please describe what happens to you when you take penicillin."
Allergies, including specific reactions to each medication, such as rash or nausea, must be recorded.
The nurse is taking a family history. Important diseases or problems to ask the patient about include:
A) emphysema.
EXAM 2025 DETAILED STUDY QUESTIONS AND
ANSWERS GRADED A+
A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after being in the hospital for 6
weeks. She was treated for sepsis and respiratory failure and had to be on a ventilator for 3 weeks. The
nurse is completing an initial assessment and evaluating the client's skin condition. On her sacrum there
is full-thickness skin loss that is 5 cm in diameter with damage to the subcutaneous tissue. The
underlying muscle is not affected. What is the stage of this pressure ulcer?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4
C) Stage 3
A crater appears in the skin, with full-thickness skin loss and damage to or necrosis of subcutaneous
tissue that may extend to, but not through underlying muscle.
Mrs. Anderson presents with an itchy rash which is raised and appears and disappears in various
locations. Each lesion lasts for many minutes. What most likely accounts for this rash?
A) Insect bites
B) Wheals, urticaria, or hives
C) Psoriasis
,D) Purpura
B) Wheals, urticaria, or hives
Wheals/urticaria - a somewhat irregular, relatively transient, superficial area of localized skin edema.
Ethel is a 68 year old Caucasian female who is new to your area. She shows you multiple brown colored,
flat lesions on her face, chest, and hands that have been present for years. You respond that these are
likely:
A) solar lentigos
B) melanomas
C) keloids
D) fissures
A) solar lentigos
solar lentigos are from sun damage, are more common on the face, shoulders, and hands.
A 59 year old patients tells the nurse practitioner that he thinks he must have ulcerative colitis. He has
been having "black stools" for the last 24 hours. How would the nurse practitioner best document THE
FACTS for his reason for seeking care?
A) JM is a 59 year old male here for having "black stools" for the past 24 hours.
B) JM came into the clinic complaining of black stools for the past 24 hours.
C) JM is a 59 year old male here for "ulcerative colitis."
D) JM, a 59 year old male, states he has ulcerative colitis and wants it checked.
A) JM is a 59 year old male here for having "black stools" for the past 24 hours.
,Chief Complaint(s) The one or more symptoms or concerns causing the patient to seek care. Make every
effort to quote the patient's own words.
A patient tells the nurse practitioner that she has had abdominal pain for the past week. What would be
the best response by the nurse practitioner?
A) We'll talk more about that later in the interview."
B) "Have you ever had any children?"
C) "What have you had to eat in the last 4 hours?"
D) "Can you point to where it hurts?"
D) "Can you point to where it hurts?"
Each principle symptom should be well-characterized, with descriptions of location; along with the other
seven attributes. Location: Ask the patient to point to the pain because lay terms may not be specific
enough to localize the site of origin.
A 29-year-old woman tells the nurse that she has "excruciating pain" in her back. Which of the following
would be an appropriate response by the nurse to her statement?
A) "How does your family react to your pain?"
B) "That must be terrible. You probably pinched a nerve."
C) "I've had back pain myself and it can be excruciating."
D) "How would you say the pain affects your ability to do your daily activities?"
D) "How would you say the pain affects your ability to do your daily activities?"
Inquire about the effects of pain on the patient's daily activities, mood, sleep, work, and sexual activity.
, In recording the childhood illnesses of a patient who denies having had any, which of the following notes
by the nurse would be most accurate?
A) Patient denies usual childhood illnesses.
B) Patient states he was a "very healthy" child.
C) Patient states sister had measles, but he didn't.
D) Patient denies measles, mumps, rubella, chickenpox, pertussis, rheumatic fever, and polio.
D) Patient denies measles, mumps, rubella, chickenpox, pertussis, rheumatic fever, and polio.
Childhood illnesses include measles, rubella, mumps, whooping cough, rheumatic fever, scarlet fever,
and polio. They are included in the past history.
A patient tells the nurse that he is allergic to penicillin. What would be the nurse's best response to this
information?
A) "Are you allergic to any other drugs?"
B) "How often have you received penicillin?"
C) "I'll write your allergy on your chart so you won't receive any."
D) "Please describe what happens to you when you take penicillin."
D) "Please describe what happens to you when you take penicillin."
Allergies, including specific reactions to each medication, such as rash or nausea, must be recorded.
The nurse is taking a family history. Important diseases or problems to ask the patient about include:
A) emphysema.
