Examl 2:l NU650/l NUl 650l (NEWl 2025/l
2026l Update)l Advancedl Healthl
Assessmentl Nursingl Review|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Regis
QUESTION
signsl andl symptomsl ofl PAD
Answer:
intermittentl claudication,l sharpl painl worsel atl nightl (whenl legsl arel elevated,l evenl lessl
blood)l
weakl orl eventl absentl pulsesl
pallorl andl coolness
hairless,l dry,l scaly,l thinl skin
roundl woundsl thatl mayl developl gangrene,l duel tol lackl ofl oxygenl supply.
QUESTION
signsl andl symptomsl ofl chronicl venousl insufficiency
Answer:
Poolingl ofl bloodl inl extremities
painl (notl asl intensel asl PAD)l dull-l achel
goodl pulses,l mayl bel difficultl tol palpatel duel tol EDEMAl (thinkl ofl bloodl poolingl inl leg)
Warml legsl
Stasisl dermatitisl -l browning/yellowl discoloration.l
Woundsl arel irregularlyl shapedl andl shallow.l
elevatingl legsl helpsl returnl bloodl tol heart**
QUESTION
thoracic/respiratoryl changesl inl olderl adults
,Answer:
Thoraxl isl lessl mobile,l respiratoryl musclel strengthl decreasesl
Therel isl al decreasel inl elasticl propertiesl ofl thel lungs
Thel agingl lungl isl rigidl andl harderl tol inflate
QUESTION
Whol canl receivel thel flul vaccine?l Whenl isl itl contraindicated?
Answer:
Annuall vaccinel recommendedl forl alll peoplel 6l monthsl andl olderl whol don'tl havel
contraindicationl
ideallyl offeredl duringl September/Octoberl
vaccinationl whilel pregnantl isl recommended
highl dosel recommendedl forl adultsl 65l andl older
Peoplel withl eggl allergyl SHOULDl receivel thel vaccinel
contraindications:
youngerl thanl 6l months,l life-threateningl allergiel tol anyl ingredientl inl thel vaccinel otherl
thanl egg,l peoplel whol hadl al severel reactionl (guillain-barre)l shouldl talkl tol theirl doctorl
aboutl thel flul vaccine.l peoplel withl thel flul shouldl notl getl thel vaccinel untill theyl arel
better
QUESTION
Risks,l S/S,l andl diagnosisl ofl COPD
Answer:
History/Risks:l Historyl ofl smoking,l historyl ofl childhoodl respiratoryl infections,l
secondhandl smoke,l peoplel withl asthma,l underdevelopedl lungs
symptoms:l chronicl progressivel dyspnea,l DOE,l persistentl cough,l minimall sputum,l easyl
fatigue
Signs:l rapid/shallowl respirations,l reddishl complexion,l increasedl APl diameter,l usel ofl
accessoryl muscle,l pursed-lipl breathing,l decreasedl tactilel fremitus,l hyperresonantl lungs,l
prolongedl expiration,l occasionall wheezing,l tachycardia,l muffledl heartl sounds
Diagnostics:l chestl radiograph,l spirometry,l exercisel tests,l ABGs
QUESTION
Signs,l symptoms,l diagnosticsl forl pneumonia?
,Answer:
Symptoms:l dyspnea,l peluriticl chestl pain,l coughl withl greenishl orl rust-coloredl sputum,l
fever/chills.l
Signs:l fever,l tachycardia,l tachypnea,l inspiratoryl crackles,l asynchronusl breathing,l
increasedl tactilel fremitus,l dulll percussionl soundl overl consolidation,l bronchophonyl
Diagnostics:l Chestl XR,l sputuml cultures
QUESTION
Risks,l signs,l symptoms,l diagnosticsl forl pneumothorax?
Answer:
Risks:l previousl pneumo,l smoking,l bluntl chestl traumal (MVA/fall),l cysticl fibrosisl
(spontaneous),l talll andl thinl boysl betweenl agel 15-30
Symptoms:l acutel onsetl ofl dyspnea,l sharpl &l tearingl chestl painl thatl canl radiatel tol
shoulder
Signs:l tachycardia,l diminishedl breathl sounds,l decreasedl tactilel fremitus,l hyperresonancel
ofl lungl inl affectedl area,l possiblel HTN,l possiblel tracheall shift
Diagnostics:l chestl radiograph,l ABGs
QUESTION
Risks,l S/S,l andl diagnosticsl forl tuberculosis?
Answer:
Risks:l geographyl (europe,l asia,l africa,l centall andl latinl america),l healthcarel workers,l
immune-suppressed,l crowdedl livingl situationsl (prison),l poverty,l malnutritionl
S/S:l cough,l hemoptysis,l weightl loss,l low-gradel fever,l nightl sweatsl
Diagnostics:l Tuberculinl skinl testingl -l PPD.l Interferonl releasel assaysl (IGRA).l Confirmedl
withl CXR,l culture.
QUESTION
Risks,l Signs,l Symptoms,l andl diagnosticsl forl asthma?
Answer:
Risks:l historyl ofl allergiesl (atopicl dermatitis,l allergicl rhinitis),l familyl history,l virall URIs,l
occupationall exposurel (dust,l fumes),l smoking,l airl pollution,l obesity
Symptoms:l dyspnea,l paroxysmall cough,l audiblel wheeze
, Signs:l restlessness,l tachypnea,l usel ofl accessoryl muscle,l retraction,l decreasedl tactilel
fremitus,l decreasedl breathl sounds,l inspiratory/expiratoryl wheezes
Diagnostics:l spirometry,l mathacholinel challenge,l CXR,l ABGs
QUESTION
Whatl craniall nervesl arel assessedl duringl thel HEENTl exam?
Answer:
CNl Il (olfactory)l -l ablel tol describel odors
CNl IIl (optic)l -l abilityl tol readl chartl withl bothl eyes
CNl IIIl (oculomotor)l -l testsl pupillaryl reactionl tol direct/consensuall lightl &l
accommodationl
CNl IVl (trochlear)l -l alsol testsl sixl cardinall directions/fieldsl ofl gaze
CNl VIl (abducens)l -l testsl sixl cardinall directions/fieldsl ofl gaze
CNl VIIl (facial)l -l smile,l raisel eyebrows,l puffl cheeksl
CNl VIIIl (vestibulocochlear)l -l whisperl test
CNl IXl (glossopharyngeal)l -l "ah"l swallowl andl softl palatel rise
CNl XIIl (hypoglossal)l -l movel tonguel sidel tol side
QUESTION
Whatl subjectivel questionsl shouldl bel includedl inl thel HEENTl exam?
Answer:
History/patternl ofl headaches,l headl trauma,l headachesl associatedl withl nausea,l
photophobia,l dizziness.l
Assessl forl visuall difficulty/changes.l
Eyel pain,l swelling,l redness,l watering,l dryness,l discharge,l doublel vision
Lastl vision/glaucomal screenings?
Glasses/contactsl -l prescription,l howl oldl isl it?
Historyl ofl earl infections/surgery?
Discharge?
Hearingl loss?
Tinnitusl orl vertigo?
Self-carel habits/usel ofl Qtips?
Nasall discharge?
Frequentl colds,l sinusl pain,l nosel trauma,l nsoebleeds?
Environmentall allergies,l orl alteredl smell?
Mouthl sores,l lesions,l bleedingl gums?
Sorel throatl orl hoarseness?
2026l Update)l Advancedl Healthl
Assessmentl Nursingl Review|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Regis
QUESTION
signsl andl symptomsl ofl PAD
Answer:
intermittentl claudication,l sharpl painl worsel atl nightl (whenl legsl arel elevated,l evenl lessl
blood)l
weakl orl eventl absentl pulsesl
pallorl andl coolness
hairless,l dry,l scaly,l thinl skin
roundl woundsl thatl mayl developl gangrene,l duel tol lackl ofl oxygenl supply.
QUESTION
signsl andl symptomsl ofl chronicl venousl insufficiency
Answer:
Poolingl ofl bloodl inl extremities
painl (notl asl intensel asl PAD)l dull-l achel
goodl pulses,l mayl bel difficultl tol palpatel duel tol EDEMAl (thinkl ofl bloodl poolingl inl leg)
Warml legsl
Stasisl dermatitisl -l browning/yellowl discoloration.l
Woundsl arel irregularlyl shapedl andl shallow.l
elevatingl legsl helpsl returnl bloodl tol heart**
QUESTION
thoracic/respiratoryl changesl inl olderl adults
,Answer:
Thoraxl isl lessl mobile,l respiratoryl musclel strengthl decreasesl
Therel isl al decreasel inl elasticl propertiesl ofl thel lungs
Thel agingl lungl isl rigidl andl harderl tol inflate
QUESTION
Whol canl receivel thel flul vaccine?l Whenl isl itl contraindicated?
Answer:
Annuall vaccinel recommendedl forl alll peoplel 6l monthsl andl olderl whol don'tl havel
contraindicationl
ideallyl offeredl duringl September/Octoberl
vaccinationl whilel pregnantl isl recommended
highl dosel recommendedl forl adultsl 65l andl older
Peoplel withl eggl allergyl SHOULDl receivel thel vaccinel
contraindications:
youngerl thanl 6l months,l life-threateningl allergiel tol anyl ingredientl inl thel vaccinel otherl
thanl egg,l peoplel whol hadl al severel reactionl (guillain-barre)l shouldl talkl tol theirl doctorl
aboutl thel flul vaccine.l peoplel withl thel flul shouldl notl getl thel vaccinel untill theyl arel
better
QUESTION
Risks,l S/S,l andl diagnosisl ofl COPD
Answer:
History/Risks:l Historyl ofl smoking,l historyl ofl childhoodl respiratoryl infections,l
secondhandl smoke,l peoplel withl asthma,l underdevelopedl lungs
symptoms:l chronicl progressivel dyspnea,l DOE,l persistentl cough,l minimall sputum,l easyl
fatigue
Signs:l rapid/shallowl respirations,l reddishl complexion,l increasedl APl diameter,l usel ofl
accessoryl muscle,l pursed-lipl breathing,l decreasedl tactilel fremitus,l hyperresonantl lungs,l
prolongedl expiration,l occasionall wheezing,l tachycardia,l muffledl heartl sounds
Diagnostics:l chestl radiograph,l spirometry,l exercisel tests,l ABGs
QUESTION
Signs,l symptoms,l diagnosticsl forl pneumonia?
,Answer:
Symptoms:l dyspnea,l peluriticl chestl pain,l coughl withl greenishl orl rust-coloredl sputum,l
fever/chills.l
Signs:l fever,l tachycardia,l tachypnea,l inspiratoryl crackles,l asynchronusl breathing,l
increasedl tactilel fremitus,l dulll percussionl soundl overl consolidation,l bronchophonyl
Diagnostics:l Chestl XR,l sputuml cultures
QUESTION
Risks,l signs,l symptoms,l diagnosticsl forl pneumothorax?
Answer:
Risks:l previousl pneumo,l smoking,l bluntl chestl traumal (MVA/fall),l cysticl fibrosisl
(spontaneous),l talll andl thinl boysl betweenl agel 15-30
Symptoms:l acutel onsetl ofl dyspnea,l sharpl &l tearingl chestl painl thatl canl radiatel tol
shoulder
Signs:l tachycardia,l diminishedl breathl sounds,l decreasedl tactilel fremitus,l hyperresonancel
ofl lungl inl affectedl area,l possiblel HTN,l possiblel tracheall shift
Diagnostics:l chestl radiograph,l ABGs
QUESTION
Risks,l S/S,l andl diagnosticsl forl tuberculosis?
Answer:
Risks:l geographyl (europe,l asia,l africa,l centall andl latinl america),l healthcarel workers,l
immune-suppressed,l crowdedl livingl situationsl (prison),l poverty,l malnutritionl
S/S:l cough,l hemoptysis,l weightl loss,l low-gradel fever,l nightl sweatsl
Diagnostics:l Tuberculinl skinl testingl -l PPD.l Interferonl releasel assaysl (IGRA).l Confirmedl
withl CXR,l culture.
QUESTION
Risks,l Signs,l Symptoms,l andl diagnosticsl forl asthma?
Answer:
Risks:l historyl ofl allergiesl (atopicl dermatitis,l allergicl rhinitis),l familyl history,l virall URIs,l
occupationall exposurel (dust,l fumes),l smoking,l airl pollution,l obesity
Symptoms:l dyspnea,l paroxysmall cough,l audiblel wheeze
, Signs:l restlessness,l tachypnea,l usel ofl accessoryl muscle,l retraction,l decreasedl tactilel
fremitus,l decreasedl breathl sounds,l inspiratory/expiratoryl wheezes
Diagnostics:l spirometry,l mathacholinel challenge,l CXR,l ABGs
QUESTION
Whatl craniall nervesl arel assessedl duringl thel HEENTl exam?
Answer:
CNl Il (olfactory)l -l ablel tol describel odors
CNl IIl (optic)l -l abilityl tol readl chartl withl bothl eyes
CNl IIIl (oculomotor)l -l testsl pupillaryl reactionl tol direct/consensuall lightl &l
accommodationl
CNl IVl (trochlear)l -l alsol testsl sixl cardinall directions/fieldsl ofl gaze
CNl VIl (abducens)l -l testsl sixl cardinall directions/fieldsl ofl gaze
CNl VIIl (facial)l -l smile,l raisel eyebrows,l puffl cheeksl
CNl VIIIl (vestibulocochlear)l -l whisperl test
CNl IXl (glossopharyngeal)l -l "ah"l swallowl andl softl palatel rise
CNl XIIl (hypoglossal)l -l movel tonguel sidel tol side
QUESTION
Whatl subjectivel questionsl shouldl bel includedl inl thel HEENTl exam?
Answer:
History/patternl ofl headaches,l headl trauma,l headachesl associatedl withl nausea,l
photophobia,l dizziness.l
Assessl forl visuall difficulty/changes.l
Eyel pain,l swelling,l redness,l watering,l dryness,l discharge,l doublel vision
Lastl vision/glaucomal screenings?
Glasses/contactsl -l prescription,l howl oldl isl it?
Historyl ofl earl infections/surgery?
Discharge?
Hearingl loss?
Tinnitusl orl vertigo?
Self-carel habits/usel ofl Qtips?
Nasall discharge?
Frequentl colds,l sinusl pain,l nosel trauma,l nsoebleeds?
Environmentall allergies,l orl alteredl smell?
Mouthl sores,l lesions,l bleedingl gums?
Sorel throatl orl hoarseness?
