ADVANCED HEALTH ASSESSMENT
DOMINATOR – A+ GUIDE TO CARDIAC
MURMURS, NEURO EXAMS & MORE
(2026–2027)
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. - THE CORRECT ANSWER-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." - THE CORRECT ANSWER-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.
B) head trauma.
C) mental illness.
D) fractured bones. - THE CORRECT ANSWER-C) mental illness.
Specifically ask for any family history of heart disease, high
blood pressure, stroke, diabetes, obesity, blood disorders,
ovarian cancer, colon cancer, sickle cell anemia, arthritis,
allergies, alcohol or drug addiction, mental illness, suicide,
seizure disorder, kidney disease, and tuberculosis. The other
answers are acquired.
The following information is recorded in the health history:
"Patient denies chest pain, palpitations, orthopnea, and
paroxysmal nocturnal dyspnea." Which category does it belong
to?
A) Chief complaint
,B) Present illness
C) Personal and social history
D) Review of systems - THE CORRECT ANSWER-D) Review of systems
Most review of systems questions pertain to systems. You may
also draw on Review of Systems questions related to the Chief
Complaint to establish positives and negatives that help clarify
the diagnosis.
Which of the following statements represents subjective data
obtained from the patient regarding his skin?
A) Skin appears dry.
B) No obvious lesions
C) Denies color change
D) Lesion noted lateral aspect right arm - THE CORRECT ANSWER-C)
Denies color change
Remember that the history (from the chief complaint through
review of systems) should be limited to patient statements or
subjective data—factors that the person says were or were not
present.
Subjective data is what the patient tells you.
The following information is best placed in which category?
"The patient had a stent placed in the left anterior descending
artery (LAD) in 1999."
A) Medical
B) Surgical
, C) Obstetrics/gynecology
D) Psychiatric - THE CORRECT ANSWER-B) Surgical
Provide information relative to Adult Illnesses in each of four
areas: Medical, Surgical, Obstetric/Gynecologic, and
Psychiatric.
During the aging process, the hair can look gray or white and
begin to feel thin and fine. The nurse practitioner knows that
this occurs because of a decrease in:
A) pigmentation
B) thyroid stimulating hormone
C) phagocytes
D) fungacytes - THE CORRECT ANSWER-A) pigmentation
Hair undergoes a series of changes. Scalp hair loses its pigment
(functioning of melanocytes) so the hair looks gray or white and
feels thin and fine. The other options are not correct.
You are speaking to an 8th grade class about health prevention
and are preparing to discuss the ABCDEs of melanoma. Which
of the following descriptions correctly defines the ABCDEs?
A) A = actinic; B = basal cell; C = color changes, especially blue;
D = diameter >6 mm; E = evolution
B) A = asymmetry; B = irregular borders; C = color changes,
especially blue; D = diameter >6 mm; E = evolution
C) A = actinic; B = irregular borders; C = keratoses; D =
dystrophic nails; E = evolution
DOMINATOR – A+ GUIDE TO CARDIAC
MURMURS, NEURO EXAMS & MORE
(2026–2027)
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. - THE CORRECT ANSWER-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." - THE CORRECT ANSWER-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.
B) head trauma.
C) mental illness.
D) fractured bones. - THE CORRECT ANSWER-C) mental illness.
Specifically ask for any family history of heart disease, high
blood pressure, stroke, diabetes, obesity, blood disorders,
ovarian cancer, colon cancer, sickle cell anemia, arthritis,
allergies, alcohol or drug addiction, mental illness, suicide,
seizure disorder, kidney disease, and tuberculosis. The other
answers are acquired.
The following information is recorded in the health history:
"Patient denies chest pain, palpitations, orthopnea, and
paroxysmal nocturnal dyspnea." Which category does it belong
to?
A) Chief complaint
,B) Present illness
C) Personal and social history
D) Review of systems - THE CORRECT ANSWER-D) Review of systems
Most review of systems questions pertain to systems. You may
also draw on Review of Systems questions related to the Chief
Complaint to establish positives and negatives that help clarify
the diagnosis.
Which of the following statements represents subjective data
obtained from the patient regarding his skin?
A) Skin appears dry.
B) No obvious lesions
C) Denies color change
D) Lesion noted lateral aspect right arm - THE CORRECT ANSWER-C)
Denies color change
Remember that the history (from the chief complaint through
review of systems) should be limited to patient statements or
subjective data—factors that the person says were or were not
present.
Subjective data is what the patient tells you.
The following information is best placed in which category?
"The patient had a stent placed in the left anterior descending
artery (LAD) in 1999."
A) Medical
B) Surgical
, C) Obstetrics/gynecology
D) Psychiatric - THE CORRECT ANSWER-B) Surgical
Provide information relative to Adult Illnesses in each of four
areas: Medical, Surgical, Obstetric/Gynecologic, and
Psychiatric.
During the aging process, the hair can look gray or white and
begin to feel thin and fine. The nurse practitioner knows that
this occurs because of a decrease in:
A) pigmentation
B) thyroid stimulating hormone
C) phagocytes
D) fungacytes - THE CORRECT ANSWER-A) pigmentation
Hair undergoes a series of changes. Scalp hair loses its pigment
(functioning of melanocytes) so the hair looks gray or white and
feels thin and fine. The other options are not correct.
You are speaking to an 8th grade class about health prevention
and are preparing to discuss the ABCDEs of melanoma. Which
of the following descriptions correctly defines the ABCDEs?
A) A = actinic; B = basal cell; C = color changes, especially blue;
D = diameter >6 mm; E = evolution
B) A = asymmetry; B = irregular borders; C = color changes,
especially blue; D = diameter >6 mm; E = evolution
C) A = actinic; B = irregular borders; C = keratoses; D =
dystrophic nails; E = evolution
