Advanced Health Assessment Exam questions with answers

Advanced Health Assessment |\ |\ |\




Exam questions with answers |\ |\ |\




A 59 year old patients tells the nurse practitioner that he
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thinks he must have ulcerative colitis. He has been
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having "black stools" for the last 24 hours. How would the
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nurse practitioner best document THE FACTS for his
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reason for seeking care? |\ |\ |\




A) JM is a 59 year old male here for having "black stools"
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for the past 24 hours.
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B) JM came into the clinic complaining of black stools for
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the past 24 hours. |\ |\ |\




C) JM is a 59 year old male here for "ulcerative colitis."
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D) JM, a 59 year old male, states he has ulcerative colitis
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and wants it checked. - CORRECT ANSWERS ✔✔A) JM is a
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59 year old male here for having "black stools" for the
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past 24 hours. |\ |\




Chief Complaint(s) The one or more symptoms or
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concerns causing the patient to seek care. Make every |\ |\ |\ |\ |\ |\ |\ |\ |\



effort to quote the patient's own words.
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,A patient tells the nurse practitioner that she has had
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abdominal pain for the past week. What would be the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



best response by the nurse practitioner?
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A) We'll talk more about that later in the interview."
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B) "Have you ever had any children?"
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C) "What have you had to eat in the last 4 hours?"
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D) "Can you point to where it hurts?" - CORRECT
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ANSWERS ✔✔D) "Can you point to where it hurts?" |\ |\ |\ |\ |\ |\ |\ |\




Each principle symptom should be well-characterized,
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with descriptions of location; along with the other seven
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attributes. Location: Ask the patient to point to the pain |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



because lay terms may not be specific enough to localize
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the site of origin.
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A 29-year-old woman tells the nurse that she has
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"excruciating pain" in her back. Which of the following
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would be an appropriate response by the nurse to her
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statement?
A) "How does your family react to your pain?"
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B) "That must be terrible. You probably pinched a nerve."
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C) "I've had back pain myself and it can be excruciating."
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D) "How would you say the pain affects your ability to do
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your daily activities?" - CORRECT ANSWERS ✔✔D) "How
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,would you say the pain affects your ability to do your
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daily activities?" |\




Inquire about the effects of pain on the patient's daily
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activities, mood, sleep, work, and sexual activity.|\ |\ |\ |\ |\ |\




In recording the childhood illnesses of a patient who
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denies having had any, which of the following notes by
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the nurse would be most accurate?
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A) Patient denies usual childhood illnesses.
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B) Patient states he was a "very healthy" child.
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C) Patient states sister had measles, but he didn't.
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D) Patient denies measles, mumps, rubella, chickenpox,
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pertussis, rheumatic fever, and polio. - CORRECT |\ |\ |\ |\ |\ |\ |\



ANSWERS ✔✔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.
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A patient tells the nurse that he is allergic to penicillin.
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What would be the nurse's best response to this
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information?
A) "Are you allergic to any other drugs?"
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, B) "How often have you received penicillin?"
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C) "I'll write your allergy on your chart so you won't
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receive any." |\




D) "Please describe what happens to you when you take
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penicillin." - CORRECT ANSWERS ✔✔D) "Please describe |\ |\ |\ |\ |\ |\ |\



what happens to you when you take penicillin."
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Allergies, including specific reactions to each medication,
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such as rash or nausea, must be recorded.
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The nurse is taking a family history. Important diseases or
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problems to ask the patient about include:
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A) emphysema.
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B) head trauma.
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C) mental illness.
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D) fractured bones. - CORRECT ANSWERS ✔✔C) mental
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illness.


Specifically ask for any family history of heart disease, |\ |\ |\ |\ |\ |\ |\ |\ |\



high blood pressure, stroke, diabetes, obesity, blood
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disorders, ovarian cancer, colon cancer, sickle cell
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anemia, arthritis, allergies, alcohol or drug addiction,
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mental illness, suicide, seizure disorder, kidney disease,
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and tuberculosis. The other answers are acquired.
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