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Advanced Health Assessment Final Exam Review | Study Guide, Comprehensive Physical Assessment Notes & Practice Questions

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This Advanced Health Assessment Final Exam Review study guide is designed to help nursing students prepare for their final exam in advanced health assessment courses. The document includes detailed review notes, key physical assessment concepts, and exam preparation material covering important topics commonly tested in advanced nursing health assessment courses. This resource supports students in mastering comprehensive patient assessment, diagnostic reasoning, and systematic physical examination techniques. It is ideal for students enrolled in advanced practice nursing or graduate nursing programs who are preparing for final exams, clinical evaluations, and advanced health assessment coursework.

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BMI Classifications Underweight: <18.5
Normal: 18.5-24.9
Overweight: 25.0-29.9
Obesity class
• I: 30.0-34.9
• II: 35.0-39.9
• III: at or over 40


How do you calculate BMI?




Stages of HTN Normal: under 120/80
Prehypertension: 120-139/80-89
Stage 1: 140-159/90-99
Stage 2: over 160/100
If diabetes or renal disease: goal is under 130/80

,Waist Circumference Risk if over 35in for women
Risk if over 40in for men


Cranial Nerves 1. Olfactory: Sensory
2. Optic: Sensory
3. Occulomotor: Motor
4. Trochlear: Motor
5. Trigeminal: Both
6. Abducens: Motor
7. Facial: Both
8. Acoustic: Sensory
9. Glossopharyngeal: Both
10. Vagus: Both
11. Spinal Accessory: Motor
12. Hypoglossal: Motor

,Romberg Test Stand with hands to the sides and eyes closed, observe swaying




Pronator Drift Stand with arms out, eyes closed, and hands supine -- watch for hands pronating.




Graphesthesia The inability to recognize numbers written on the hand. Suggests a lesion in the
sensory cortex.

, Astereognosis: Inability to recognize objects placed in the hand




Kernig Flex patient's leg at hip and knee, then straighten the knee. Discomfort behind the
knee during full extension should not cause pain.




Brudzinski Pt supine, your hands behind pt's head and flex the neck forward, until chin
touches the chest if possible. Neck stiffness with resistance and flexion of hips and
knees is a positive sign. May be a sign of acute bacterial meningitis or
subarachnoid hemorrhage

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