HERZING UNIVERSITY ADVANCED HEALTH ASSESSMENT
(NU 609) EXAM 2025 WITH ACCURATE QUESTIONS AND
ANSWERS
1. Patient complaining about sharp pain in RLQ with nausea and vomiting most
likely:
Intestinal torsion
Appendicitis
Cholecysitis
Sigmoid diverticulitis
2. To rule out a middle lobe pneumonia, you must make sure to auscultate:
Under the left axilla
Under the right axilla
Beneath the right breast
Beneath the left breast
3. In order to be determined a new patient, a returning patient has not
received any services from the provider within the past ________________ .
18 months
three years
two years
five years
,4. In a scenario where a patient presents with multiple symptoms, how should
the chief complaint be documented for CPT coding purposes?
All symptoms should be listed equally as the chief complaint.
, The chief complaint should be the least severe symptom.
The chief complaint should reflect the most significant symptom
that prompted the patient's visit.
The chief complaint should be omitted if multiple symptoms are
present.
5. Describe the significance of the three components: history, exam, and
decision making, in the context of medical billing.
Billing is determined solely by the diagnosis provided.
The components are irrelevant to billing and focus only on patient
outcomes.
The components of history, exam, and decision making are
essential for accurately determining the level of billing based on
the complexity and comprehensiveness of patient care.
Only the exam is necessary for billing purposes.
6. What is the minimum percentage of a visit that must be documented for
education to qualify for higher reimbursement?
60%
55%
70%
50%
7. Describe how a change in testosterone levels can contribute to the
development of gynecomastia in older men.
A decrease in testosterone can lead to an imbalance between
testosterone and estrogen levels, resulting in gynecomastia.
, Gynecomastia is caused solely by an increase in testosterone levels
in older men.
Gynecomastia occurs due to a lack of physical activity in older men.
An increase in estrogen can directly cause gynecomastia regardless
of testosterone levels.
8. A 14-year-old adolescent female comes to the clinic for a yearly
examination and voices confidential concern that her breasts seem unequal
in size. The NP should inform the adolescent that:
Asymmetrical breast development is not uncommon during
puberty but usually resolves.
Asymmetrical breast development requires a mammogram for
evaluation
This is not a concern so don't worry about it
Breast masses that are painless typically do not require further
evaluation.
9. Describe the significance of a positive bruit in the context of thyroid
examination and its relation to thyroid function.
A positive bruit indicates a lack of blood flow, suggesting
hypothyroidism.
A positive bruit suggests increased blood flow, which is often
associated with hyperthyroidism.
A positive bruit is unrelated to thyroid function.
A positive bruit indicates the presence of thyroid cancer.
10. SCOFF screening questionare is useful to dx
(NU 609) EXAM 2025 WITH ACCURATE QUESTIONS AND
ANSWERS
1. Patient complaining about sharp pain in RLQ with nausea and vomiting most
likely:
Intestinal torsion
Appendicitis
Cholecysitis
Sigmoid diverticulitis
2. To rule out a middle lobe pneumonia, you must make sure to auscultate:
Under the left axilla
Under the right axilla
Beneath the right breast
Beneath the left breast
3. In order to be determined a new patient, a returning patient has not
received any services from the provider within the past ________________ .
18 months
three years
two years
five years
,4. In a scenario where a patient presents with multiple symptoms, how should
the chief complaint be documented for CPT coding purposes?
All symptoms should be listed equally as the chief complaint.
, The chief complaint should be the least severe symptom.
The chief complaint should reflect the most significant symptom
that prompted the patient's visit.
The chief complaint should be omitted if multiple symptoms are
present.
5. Describe the significance of the three components: history, exam, and
decision making, in the context of medical billing.
Billing is determined solely by the diagnosis provided.
The components are irrelevant to billing and focus only on patient
outcomes.
The components of history, exam, and decision making are
essential for accurately determining the level of billing based on
the complexity and comprehensiveness of patient care.
Only the exam is necessary for billing purposes.
6. What is the minimum percentage of a visit that must be documented for
education to qualify for higher reimbursement?
60%
55%
70%
50%
7. Describe how a change in testosterone levels can contribute to the
development of gynecomastia in older men.
A decrease in testosterone can lead to an imbalance between
testosterone and estrogen levels, resulting in gynecomastia.
, Gynecomastia is caused solely by an increase in testosterone levels
in older men.
Gynecomastia occurs due to a lack of physical activity in older men.
An increase in estrogen can directly cause gynecomastia regardless
of testosterone levels.
8. A 14-year-old adolescent female comes to the clinic for a yearly
examination and voices confidential concern that her breasts seem unequal
in size. The NP should inform the adolescent that:
Asymmetrical breast development is not uncommon during
puberty but usually resolves.
Asymmetrical breast development requires a mammogram for
evaluation
This is not a concern so don't worry about it
Breast masses that are painless typically do not require further
evaluation.
9. Describe the significance of a positive bruit in the context of thyroid
examination and its relation to thyroid function.
A positive bruit indicates a lack of blood flow, suggesting
hypothyroidism.
A positive bruit suggests increased blood flow, which is often
associated with hyperthyroidism.
A positive bruit is unrelated to thyroid function.
A positive bruit indicates the presence of thyroid cancer.
10. SCOFF screening questionare is useful to dx
