ADVANCED HEALTH ASSESSMENT FINAL
EXAM 2024 NEWEST EXAM 2 VERSIONS
(VERSION A AND B) 450 QUESTIONS
WITH DETAILED VERIFIED ANSWERS
(100%
1. An 82 year-old alcoholic complains of nausea, non-bloody vomiting and severe epigastric and
right upper quadrant pain that radiates to the back. Palpation reveals epigastric tenderness
without peritoneal signs. What working diagnosis should be considered most likely? ...Answer
Is...Acute pancreatitis
2. A 24 year-old female presents with lower right quadrant abdominal pain. Her skin is hot to the
touch and she exhibits a Psoa Sign. She complains of nausea and vomiting for 2 days. What
diagnosis is suspected? ...Answer Is...Appendicitis
3. A 24 year-old has completed a triathlon on a hot, humid day. The athlete complains of a severe
headache, muscle cramps and abdominal pain. As the patient history is obtained, the athlete
becomes lethargic. What underlying electrolyte disturbance should the healthcare provider
most likely suspect? ...Answer Is...Hyponatremia
4. A 28 year-old female is being evaluated for an acute onset of an alteration in mentation. She
complained of a stiff neck and persistent headache. Vital signs are P 112, R22 and regular, BP
144/88, SpO2 95% and T 102.3 F. The healthcare provider should observe for which
complication? ...Answer Is...seizure
5. A 42 year-old patient with a history of rheumatoid arthritis is taking glucocorticoids. Over the
past two weeks, she complains of chronic fatigue, weakness, and loss of appetite with weight
loss. Lab results indicate hyponatremia and hyperkalemia. What underlying diagnosis is
suspected? ...Answer Is...Adrenal insufficiency
6. A 45 year-old patient is found supine on the floor of the Triage area. Healthcare providers note
pinpoint pupils, shallow respirations and vomitus in and around the mouth. What course of
action should be implemented next? ...Answer Is...Supplemental oxygen and suction
, 7. A known chronic alcoholic complains of the constant, severe mid-epigastric pain, nausea and
blood-streaked emesis. The patient has a temperature of 101.9F and severe abdominal
tenderness. What underlying diagnosis should be suspected? ...Answer Is...pancreatitis
8. A lethargic patient presents with dilated pupils and vital signs of P122, R26, and BP 130/80. He
admits to excessive ingestion of diphenhydramine. What response is the cause for the
presenting signs and symptoms? ...Answer Is...Anticholinergic
9. A 23 year-old male complains of a productive cough, fever, chills and pleuritic chest pain that
has worsened over 3 days. A physical exam reveals unilateral wheezing with shallow
respirations. Vitals are P 128, R 26, BP 144/88, SpO2 90%, and T 102 F. What treatment should
be performed? ...Answer Is...Supplemental oxygen and immediate transport
10. A patient describes an "aching" sensation in his chest. It occurred suddenly while resting and
radiates to the jaw. He self-administered 1 nitroglycerin tablet without relief and the 12-lead
reveals a normal sinus rhythm with ST elevation in leads II, III, and aVF. What working diagnosis
is most likely? ...Answer Is...inferior wall myocardial injury
11. A patient experiences unilateral facial weakness and droop, garbled speech, altered sense of
taste and no extremity weakness. The patient has a history of Lyme's disease. What condition is
the patient likely experiencing? ...Answer Is...Bell's palsy
12. A patient has attempted suicide by ingesting ethylene glycol about 20 hours prior to arriving for
treatment. Lung sounds reveal bilateral crackles and respirations of 30 with symptoms of
pulmonary edema and cyanosis of the lips. The ECG reveals ventricular tachycardia. Which stage
of ethylene glycol poisoning has occurred? ...Answer Is...2
13. A patient presents with mildly decreased mental status, slow respirations, bradycardia,
hypotension, has a blood sugar 42 mg/dl. This is most likely caused from excessive ingestion
of: ...Answer Is...beta blockers
14. A patient with a history of Grave's disease presents with anxiety, profuse sweating and a
palpable goiter. Vitals are P151, R35 and labored, BP 84/42. Which working diagnosis is most
likely? ...Answer Is...Thyrotoxicosis
EXAM 2024 NEWEST EXAM 2 VERSIONS
(VERSION A AND B) 450 QUESTIONS
WITH DETAILED VERIFIED ANSWERS
(100%
1. An 82 year-old alcoholic complains of nausea, non-bloody vomiting and severe epigastric and
right upper quadrant pain that radiates to the back. Palpation reveals epigastric tenderness
without peritoneal signs. What working diagnosis should be considered most likely? ...Answer
Is...Acute pancreatitis
2. A 24 year-old female presents with lower right quadrant abdominal pain. Her skin is hot to the
touch and she exhibits a Psoa Sign. She complains of nausea and vomiting for 2 days. What
diagnosis is suspected? ...Answer Is...Appendicitis
3. A 24 year-old has completed a triathlon on a hot, humid day. The athlete complains of a severe
headache, muscle cramps and abdominal pain. As the patient history is obtained, the athlete
becomes lethargic. What underlying electrolyte disturbance should the healthcare provider
most likely suspect? ...Answer Is...Hyponatremia
4. A 28 year-old female is being evaluated for an acute onset of an alteration in mentation. She
complained of a stiff neck and persistent headache. Vital signs are P 112, R22 and regular, BP
144/88, SpO2 95% and T 102.3 F. The healthcare provider should observe for which
complication? ...Answer Is...seizure
5. A 42 year-old patient with a history of rheumatoid arthritis is taking glucocorticoids. Over the
past two weeks, she complains of chronic fatigue, weakness, and loss of appetite with weight
loss. Lab results indicate hyponatremia and hyperkalemia. What underlying diagnosis is
suspected? ...Answer Is...Adrenal insufficiency
6. A 45 year-old patient is found supine on the floor of the Triage area. Healthcare providers note
pinpoint pupils, shallow respirations and vomitus in and around the mouth. What course of
action should be implemented next? ...Answer Is...Supplemental oxygen and suction
, 7. A known chronic alcoholic complains of the constant, severe mid-epigastric pain, nausea and
blood-streaked emesis. The patient has a temperature of 101.9F and severe abdominal
tenderness. What underlying diagnosis should be suspected? ...Answer Is...pancreatitis
8. A lethargic patient presents with dilated pupils and vital signs of P122, R26, and BP 130/80. He
admits to excessive ingestion of diphenhydramine. What response is the cause for the
presenting signs and symptoms? ...Answer Is...Anticholinergic
9. A 23 year-old male complains of a productive cough, fever, chills and pleuritic chest pain that
has worsened over 3 days. A physical exam reveals unilateral wheezing with shallow
respirations. Vitals are P 128, R 26, BP 144/88, SpO2 90%, and T 102 F. What treatment should
be performed? ...Answer Is...Supplemental oxygen and immediate transport
10. A patient describes an "aching" sensation in his chest. It occurred suddenly while resting and
radiates to the jaw. He self-administered 1 nitroglycerin tablet without relief and the 12-lead
reveals a normal sinus rhythm with ST elevation in leads II, III, and aVF. What working diagnosis
is most likely? ...Answer Is...inferior wall myocardial injury
11. A patient experiences unilateral facial weakness and droop, garbled speech, altered sense of
taste and no extremity weakness. The patient has a history of Lyme's disease. What condition is
the patient likely experiencing? ...Answer Is...Bell's palsy
12. A patient has attempted suicide by ingesting ethylene glycol about 20 hours prior to arriving for
treatment. Lung sounds reveal bilateral crackles and respirations of 30 with symptoms of
pulmonary edema and cyanosis of the lips. The ECG reveals ventricular tachycardia. Which stage
of ethylene glycol poisoning has occurred? ...Answer Is...2
13. A patient presents with mildly decreased mental status, slow respirations, bradycardia,
hypotension, has a blood sugar 42 mg/dl. This is most likely caused from excessive ingestion
of: ...Answer Is...beta blockers
14. A patient with a history of Grave's disease presents with anxiety, profuse sweating and a
palpable goiter. Vitals are P151, R35 and labored, BP 84/42. Which working diagnosis is most
likely? ...Answer Is...Thyrotoxicosis
