1
NUR 643E ADVANCED HEALTH ASSESSMENT
FINAL EXAM Actual Exam 2026/2027 2 Versions A
and B Complete Questions and Verified Answers
Already Graded A+ Pass Guaranteed - A+ Graded
VERSION A
VERSION A - SECTION 1: HEALTH HISTORY AND INTERVIEWING (Questions 1-10)
Q1 (Version A): A 68-year-old female presents with abdominal pain. Using the OLDCARTS
mnemonic, which question best addresses the "Timing" component?
A. "When did the pain first start?"
B. "Is the pain constant or does it come and go?" [CORRECT]
C. "What makes the pain worse?"
D. "How severe is the pain on a scale of 1-10?"
Correct Answer: B
Rationale: Timing (T) in OLDCARTS refers to when the symptom occurs, its pattern (constant
vs. intermittent), and frequency (B). Onset (A) is addressed by "O." Aggravating factors (C) are
addressed by "A." Severity (D) is addressed by "S."
Q2 (Version A): During a health history, a patient states, "I've been feeling really down lately."
Which communication technique demonstrates active listening?
A. Immediately asking about suicidal ideation
B. Responding, "You mentioned feeling down. Can you tell me more about that?" [CORRECT]
C. Changing the subject to avoid discomfort
D. Advising the patient to see a mental health specialist immediately
Correct Answer: B
Rationale: Active listening involves attending to the patient's words, using facilitation to
encourage elaboration, and demonstrating understanding (B). Immediate suicide questioning (A)
without context may seem abrupt. Changing the subject (C) ignores the patient's concern.
Immediate referral (D) without assessment is premature.
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Q3 (Version A): When obtaining a family history, which approach is most appropriate for
identifying heritable conditions?
A. Ask only about conditions the patient believes are relevant
B. Use a genogram to document at least three generations [CORRECT]
C. Focus exclusively on the patient's parents
D. Document only positive findings, not negative ones
Correct Answer: B
Rationale: A genogram provides a visual representation of family relationships and health history
across three generations, helping identify patterns of heritable conditions (B). Asking only about
perceived relevance (A) may miss important information. Focusing only on parents (C) is
insufficient. Documenting negative findings (D) is also important for ruling out conditions.
Q4 (Version A): A patient with limited English proficiency is accompanied by their 12-year-old
child. The most appropriate action is:
A. Use the child as an interpreter to save time
B. Use a professional medical interpreter [CORRECT]
C. Speak loudly and use simple English
D. Skip the detailed history and focus only on the physical exam
Correct Answer: B
Rationale: Professional medical interpreters ensure accurate, confidential communication and
prevent errors from misinterpretation (B). Using children (A) is inappropriate due to emotional
burden and potential inaccuracies. Speaking loudly (C) is ineffective. Skipping history (D)
compromises patient safety.
Q5 (Version A): Which question best exemplifies an open-ended question during a social history
interview?
A. "Do you smoke cigarettes?"
B. "How many alcoholic drinks do you consume daily?"
C. "Tell me about your typical day and activities." [CORRECT]
D. "Have you ever used illegal drugs?"
Correct Answer: C
,3
Rationale: Open-ended questions encourage narrative responses and provide comprehensive
information (C). Questions A, B, and D are closed-ended, yielding limited yes/no or specific
numerical answers without context.
Q6 (Version A): During the review of systems, a patient mentions occasional headaches. Which
follow-up question demonstrates the technique of clarification?
A. "When you say 'occasional,' do you mean once a week, once a month, or less frequently?"
[CORRECT]
B. "Everyone gets headaches sometimes."
C. "Have you had a CT scan?"
D. "You should take more breaks from screens."
Correct Answer: A
Rationale: Clarification seeks to understand the patient's meaning when terms are vague or
ambiguous (A). Minimizing concerns (B) is dismissive. Ordering tests (C) without full
assessment is premature. Giving advice (D) without full information is inappropriate.
Q7 (Version A): A patient becomes tearful when discussing a recent death in the family. The most
appropriate response is:
A. Immediately hand the patient tissues and change the subject
B. Offer a brief pause, maintain presence, and say, "I can see this is difficult for you."
[CORRECT]
C. Continue with the next question to maintain efficiency
D. Suggest they reschedule when they're feeling better
Correct Answer: B
Rationale: Empathic responses acknowledge emotions, provide support, and allow the patient to
express feelings (B). Changing the subject (A) or continuing rapidly (C) dismisses emotions.
Rescheduling (D) is unnecessary unless the patient requests it.
Q8 (Version A): When documenting allergies in the health history, which information is
essential?
A. Only drug allergies
B. The allergen, type of reaction, and severity [CORRECT]
C. Only severe allergies
D. The allergen name only
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Correct Answer: B
Rationale: Comprehensive allergy documentation includes the specific allergen, the nature of the
reaction (rash, anaphylaxis), and severity to guide future treatment decisions (B). Documenting
only drugs (A) or severe reactions (C) misses important information. Names alone (D) are
insufficient without reaction details.
Q9 (Version A): A 45-year-old male minimizes his alcohol use, stating, "I just have a few drinks
to relax." Which technique helps obtain accurate information?
A. Confront the patient about lying
B. Ask about specific quantities and frequency using a non-judgmental approach [CORRECT]
C. Accept the answer and move on
D. Threaten to check with family members
Correct Answer: B
Rationale: Non-judgmental, specific questioning about quantity and frequency (e.g., "How many
drinks is 'a few'? How many days per week?") yields more accurate data (B). Confrontation (A)
damages rapport. Acceptance (C) may miss substance use disorders. Threats (D) destroy trust.
Q10 (Version A): Which component of the comprehensive health history provides information
about the patient's baseline functional status?
A. Chief complaint
B. Past medical history
C. Social history [CORRECT]
D. History of present illness
Correct Answer: C
Rationale: The social history includes occupation, living situation, activities of daily living,
exercise, and functional status, providing baseline information (C). Chief complaint (A) is the
primary reason for visit. Past medical history (B) documents illnesses. HPI (D) details current
symptoms.
VERSION A - SECTION 2: GENERAL SURVEY AND VITAL SIGNS (Questions 11-15)
Q11 (Version A): A 72-year-old patient appears cachectic with temporal wasting and loose-fitting
clothes. This finding suggests:
A. Acute illness
B. Chronic malnutrition or wasting disease [CORRECT]
NUR 643E ADVANCED HEALTH ASSESSMENT
FINAL EXAM Actual Exam 2026/2027 2 Versions A
and B Complete Questions and Verified Answers
Already Graded A+ Pass Guaranteed - A+ Graded
VERSION A
VERSION A - SECTION 1: HEALTH HISTORY AND INTERVIEWING (Questions 1-10)
Q1 (Version A): A 68-year-old female presents with abdominal pain. Using the OLDCARTS
mnemonic, which question best addresses the "Timing" component?
A. "When did the pain first start?"
B. "Is the pain constant or does it come and go?" [CORRECT]
C. "What makes the pain worse?"
D. "How severe is the pain on a scale of 1-10?"
Correct Answer: B
Rationale: Timing (T) in OLDCARTS refers to when the symptom occurs, its pattern (constant
vs. intermittent), and frequency (B). Onset (A) is addressed by "O." Aggravating factors (C) are
addressed by "A." Severity (D) is addressed by "S."
Q2 (Version A): During a health history, a patient states, "I've been feeling really down lately."
Which communication technique demonstrates active listening?
A. Immediately asking about suicidal ideation
B. Responding, "You mentioned feeling down. Can you tell me more about that?" [CORRECT]
C. Changing the subject to avoid discomfort
D. Advising the patient to see a mental health specialist immediately
Correct Answer: B
Rationale: Active listening involves attending to the patient's words, using facilitation to
encourage elaboration, and demonstrating understanding (B). Immediate suicide questioning (A)
without context may seem abrupt. Changing the subject (C) ignores the patient's concern.
Immediate referral (D) without assessment is premature.
,2
Q3 (Version A): When obtaining a family history, which approach is most appropriate for
identifying heritable conditions?
A. Ask only about conditions the patient believes are relevant
B. Use a genogram to document at least three generations [CORRECT]
C. Focus exclusively on the patient's parents
D. Document only positive findings, not negative ones
Correct Answer: B
Rationale: A genogram provides a visual representation of family relationships and health history
across three generations, helping identify patterns of heritable conditions (B). Asking only about
perceived relevance (A) may miss important information. Focusing only on parents (C) is
insufficient. Documenting negative findings (D) is also important for ruling out conditions.
Q4 (Version A): A patient with limited English proficiency is accompanied by their 12-year-old
child. The most appropriate action is:
A. Use the child as an interpreter to save time
B. Use a professional medical interpreter [CORRECT]
C. Speak loudly and use simple English
D. Skip the detailed history and focus only on the physical exam
Correct Answer: B
Rationale: Professional medical interpreters ensure accurate, confidential communication and
prevent errors from misinterpretation (B). Using children (A) is inappropriate due to emotional
burden and potential inaccuracies. Speaking loudly (C) is ineffective. Skipping history (D)
compromises patient safety.
Q5 (Version A): Which question best exemplifies an open-ended question during a social history
interview?
A. "Do you smoke cigarettes?"
B. "How many alcoholic drinks do you consume daily?"
C. "Tell me about your typical day and activities." [CORRECT]
D. "Have you ever used illegal drugs?"
Correct Answer: C
,3
Rationale: Open-ended questions encourage narrative responses and provide comprehensive
information (C). Questions A, B, and D are closed-ended, yielding limited yes/no or specific
numerical answers without context.
Q6 (Version A): During the review of systems, a patient mentions occasional headaches. Which
follow-up question demonstrates the technique of clarification?
A. "When you say 'occasional,' do you mean once a week, once a month, or less frequently?"
[CORRECT]
B. "Everyone gets headaches sometimes."
C. "Have you had a CT scan?"
D. "You should take more breaks from screens."
Correct Answer: A
Rationale: Clarification seeks to understand the patient's meaning when terms are vague or
ambiguous (A). Minimizing concerns (B) is dismissive. Ordering tests (C) without full
assessment is premature. Giving advice (D) without full information is inappropriate.
Q7 (Version A): A patient becomes tearful when discussing a recent death in the family. The most
appropriate response is:
A. Immediately hand the patient tissues and change the subject
B. Offer a brief pause, maintain presence, and say, "I can see this is difficult for you."
[CORRECT]
C. Continue with the next question to maintain efficiency
D. Suggest they reschedule when they're feeling better
Correct Answer: B
Rationale: Empathic responses acknowledge emotions, provide support, and allow the patient to
express feelings (B). Changing the subject (A) or continuing rapidly (C) dismisses emotions.
Rescheduling (D) is unnecessary unless the patient requests it.
Q8 (Version A): When documenting allergies in the health history, which information is
essential?
A. Only drug allergies
B. The allergen, type of reaction, and severity [CORRECT]
C. Only severe allergies
D. The allergen name only
, 4
Correct Answer: B
Rationale: Comprehensive allergy documentation includes the specific allergen, the nature of the
reaction (rash, anaphylaxis), and severity to guide future treatment decisions (B). Documenting
only drugs (A) or severe reactions (C) misses important information. Names alone (D) are
insufficient without reaction details.
Q9 (Version A): A 45-year-old male minimizes his alcohol use, stating, "I just have a few drinks
to relax." Which technique helps obtain accurate information?
A. Confront the patient about lying
B. Ask about specific quantities and frequency using a non-judgmental approach [CORRECT]
C. Accept the answer and move on
D. Threaten to check with family members
Correct Answer: B
Rationale: Non-judgmental, specific questioning about quantity and frequency (e.g., "How many
drinks is 'a few'? How many days per week?") yields more accurate data (B). Confrontation (A)
damages rapport. Acceptance (C) may miss substance use disorders. Threats (D) destroy trust.
Q10 (Version A): Which component of the comprehensive health history provides information
about the patient's baseline functional status?
A. Chief complaint
B. Past medical history
C. Social history [CORRECT]
D. History of present illness
Correct Answer: C
Rationale: The social history includes occupation, living situation, activities of daily living,
exercise, and functional status, providing baseline information (C). Chief complaint (A) is the
primary reason for visit. Past medical history (B) documents illnesses. HPI (D) details current
symptoms.
VERSION A - SECTION 2: GENERAL SURVEY AND VITAL SIGNS (Questions 11-15)
Q11 (Version A): A 72-year-old patient appears cachectic with temporal wasting and loose-fitting
clothes. This finding suggests:
A. Acute illness
B. Chronic malnutrition or wasting disease [CORRECT]
