NSG 6020 ADVANCED HEALTH ASSESSMENT
ACTUAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED||
||BRANDNEW!!!||2026||||2027!!!!!!!
An elderly patient is admitted to the hospital. While performing a skin assessment, the
nurse discovers bruises in various stages of healing all over the patient's body. Why is it
important for the nurse to promptly document and report these findings?
a. The patient may have been abused.
b. The patient is elderly.
c. The patient may have peripheral vascular disease.
d. The patient may have a cognitive deficit.
Correct Answer: a. The patient may have been abused
Expert Rationale:
Bruises in various stages of healing, especially when found in multiple locations, are a potential
indicator of physical abuse or neglect. Prompt documentation and reporting are essential to
ensure patient safety, initiate further assessment, and comply with mandatory reporting laws.
Elderly patients are considered a vulnerable population, and unexplained injuries must always
raise concern for possible mistreatment.
Option B is incorrect because advanced age alone does not explain patterned or multiple bruises.
Option C is incorrect because peripheral vascular disease does not typically cause bruising in
different stages of healing across multiple body areas. Option D is incorrect because cognitive
deficits may increase vulnerability but do not explain the physical findings.
NCLEX Focus: Recognition and reporting of suspected abuse in vulnerable populations.
DIF: Application
REF: Health Assessment / Abuse and Neglect
OBJ: Identify signs requiring reporting of suspected abuse
TOP: Safe and Effective Care Environment
,When the nurse observes the patient for general characteristics including age, gender, and
level of alertness, what aspect of assessment are you performing?
a. Inspecting
b. Interviewing
c. Palpating
d. Auscultating
Correct Answer: a. Inspecting
Expert Rationale:
Inspection is the visual examination of the patient to assess general appearance, behavior, and
physical characteristics such as age, gender, level of consciousness, and grooming. It is the first
and most fundamental step of the physical assessment process.
Option B is incorrect because interviewing involves verbal data collection. Option C is incorrect
because palpation involves using touch to assess body structures. Option D is incorrect because
auscultation involves listening to internal body sounds.
NCLEX Focus: Basic physical assessment techniques.
DIF: Knowledge
REF: Health Assessment / Physical Examination Techniques
OBJ: Identify components of inspection
TOP: Health Assessment
The four areas to consider during the general survey include:
a. Dress, medical history, nonverbal behavior, and mobility.
b. Ethnicity, gender, age, and socioeconomic status.
c. Physical appearance, gender, ethnicity, and medical history.
d. Physical appearance, body structure, mobility, and behavior.
Correct Answer: d. Physical appearance, body structure, mobility, and behavior.
Expert Rationale:
The general survey focuses on observable characteristics that provide an overall impression of
the patient’s health status. These include physical appearance (such as age and hygiene), body
structure (such as stature and symmetry), mobility (such as gait and posture), and behavior (such
as mood and responsiveness).
Option A is incorrect because medical history is not part of the general survey. Option B is
incorrect because ethnicity and socioeconomic status are not primary components of the physical
,general survey. Option C is incorrect because medical history is not assessed visually during the
general survey.
NCLEX Focus: Components of the general survey in physical assessment.
DIF: Knowledge
REF: Health Assessment / General Survey
OBJ: Identify elements of the general survey
TOP: Health Assessment
When reading the patient's medical record, the nurse sees the following notation: Patient
states, "I have had a cold for about a week, and I am having difficulty breathing." This is
an example of:
a. A past health history.
b. A review of systems.
c. A functioning assessment.
d. A chief complaint.
Correct Answer: d. A chief complaint.
Expert Rationale:
The chief complaint is the primary reason the patient seeks care, expressed in the patient’s own
words. It often includes symptoms or concerns that prompted the healthcare visit, such as
difficulty breathing in this case.
Option A is incorrect because past health history refers to previous illnesses or medical
conditions. Option B is incorrect because a review of systems is a structured assessment of body
systems. Option C is incorrect because functioning assessment is not a standard classification for
presenting symptoms.
NCLEX Focus: Documentation and interpretation of patient history.
DIF: Knowledge
REF: Health Assessment / History Taking
OBJ: Identify components of patient history documentation
TOP: Health Assessment
Normal cervical lymph nodes are:
a. Smaller than 1 cm
b. Warm and red
c. Fixed
d. Firm
, Correct Answer: a. Smaller than 1 cm
Expert Rationale:
Normal cervical lymph nodes are typically small (less than 1 cm), soft, mobile, and non-tender.
Enlarged, fixed, or firm lymph nodes may indicate infection, inflammation, or malignancy and
require further evaluation.
Option B is incorrect because warmth and redness suggest infection or inflammation. Option C is
incorrect because fixed nodes may indicate malignancy. Option D is incorrect because firm
nodes may be abnormal depending on context.
NCLEX Focus: Normal vs abnormal physical assessment findings.
DIF: Knowledge
REF: Head and Neck Assessment / Lymph Nodes
OBJ: Identify normal lymph node characteristics
TOP: Health Assessment
The first step to cultural competency by a nurse is to:
a. Identify the meaning of health to the patient.
b. Understand their own heritage and its basis in cultural values.
c. Develop a frame of reference to traditional health care practices.
d. Understand how a health care delivery system works.
Correct Answer: b. Understand their own heritage and its basis in cultural values.
Expert Rationale:
Cultural competency begins with self-awareness. Nurses must first understand their own cultural
background, beliefs, and biases to provide unbiased and respectful care to patients from diverse
backgrounds.
Option A is important but comes after self-awareness. Option C is incorrect because it focuses on
patient practices without self-reflection. Option D is unrelated to cultural competency
development.
NCLEX Focus: Cultural awareness and culturally competent care.
DIF: Knowledge
REF: Cultural Nursing Care
OBJ: Identify first step in developing cultural competence
TOP: Psychosocial Integrity
ACTUAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED||
||BRANDNEW!!!||2026||||2027!!!!!!!
An elderly patient is admitted to the hospital. While performing a skin assessment, the
nurse discovers bruises in various stages of healing all over the patient's body. Why is it
important for the nurse to promptly document and report these findings?
a. The patient may have been abused.
b. The patient is elderly.
c. The patient may have peripheral vascular disease.
d. The patient may have a cognitive deficit.
Correct Answer: a. The patient may have been abused
Expert Rationale:
Bruises in various stages of healing, especially when found in multiple locations, are a potential
indicator of physical abuse or neglect. Prompt documentation and reporting are essential to
ensure patient safety, initiate further assessment, and comply with mandatory reporting laws.
Elderly patients are considered a vulnerable population, and unexplained injuries must always
raise concern for possible mistreatment.
Option B is incorrect because advanced age alone does not explain patterned or multiple bruises.
Option C is incorrect because peripheral vascular disease does not typically cause bruising in
different stages of healing across multiple body areas. Option D is incorrect because cognitive
deficits may increase vulnerability but do not explain the physical findings.
NCLEX Focus: Recognition and reporting of suspected abuse in vulnerable populations.
DIF: Application
REF: Health Assessment / Abuse and Neglect
OBJ: Identify signs requiring reporting of suspected abuse
TOP: Safe and Effective Care Environment
,When the nurse observes the patient for general characteristics including age, gender, and
level of alertness, what aspect of assessment are you performing?
a. Inspecting
b. Interviewing
c. Palpating
d. Auscultating
Correct Answer: a. Inspecting
Expert Rationale:
Inspection is the visual examination of the patient to assess general appearance, behavior, and
physical characteristics such as age, gender, level of consciousness, and grooming. It is the first
and most fundamental step of the physical assessment process.
Option B is incorrect because interviewing involves verbal data collection. Option C is incorrect
because palpation involves using touch to assess body structures. Option D is incorrect because
auscultation involves listening to internal body sounds.
NCLEX Focus: Basic physical assessment techniques.
DIF: Knowledge
REF: Health Assessment / Physical Examination Techniques
OBJ: Identify components of inspection
TOP: Health Assessment
The four areas to consider during the general survey include:
a. Dress, medical history, nonverbal behavior, and mobility.
b. Ethnicity, gender, age, and socioeconomic status.
c. Physical appearance, gender, ethnicity, and medical history.
d. Physical appearance, body structure, mobility, and behavior.
Correct Answer: d. Physical appearance, body structure, mobility, and behavior.
Expert Rationale:
The general survey focuses on observable characteristics that provide an overall impression of
the patient’s health status. These include physical appearance (such as age and hygiene), body
structure (such as stature and symmetry), mobility (such as gait and posture), and behavior (such
as mood and responsiveness).
Option A is incorrect because medical history is not part of the general survey. Option B is
incorrect because ethnicity and socioeconomic status are not primary components of the physical
,general survey. Option C is incorrect because medical history is not assessed visually during the
general survey.
NCLEX Focus: Components of the general survey in physical assessment.
DIF: Knowledge
REF: Health Assessment / General Survey
OBJ: Identify elements of the general survey
TOP: Health Assessment
When reading the patient's medical record, the nurse sees the following notation: Patient
states, "I have had a cold for about a week, and I am having difficulty breathing." This is
an example of:
a. A past health history.
b. A review of systems.
c. A functioning assessment.
d. A chief complaint.
Correct Answer: d. A chief complaint.
Expert Rationale:
The chief complaint is the primary reason the patient seeks care, expressed in the patient’s own
words. It often includes symptoms or concerns that prompted the healthcare visit, such as
difficulty breathing in this case.
Option A is incorrect because past health history refers to previous illnesses or medical
conditions. Option B is incorrect because a review of systems is a structured assessment of body
systems. Option C is incorrect because functioning assessment is not a standard classification for
presenting symptoms.
NCLEX Focus: Documentation and interpretation of patient history.
DIF: Knowledge
REF: Health Assessment / History Taking
OBJ: Identify components of patient history documentation
TOP: Health Assessment
Normal cervical lymph nodes are:
a. Smaller than 1 cm
b. Warm and red
c. Fixed
d. Firm
, Correct Answer: a. Smaller than 1 cm
Expert Rationale:
Normal cervical lymph nodes are typically small (less than 1 cm), soft, mobile, and non-tender.
Enlarged, fixed, or firm lymph nodes may indicate infection, inflammation, or malignancy and
require further evaluation.
Option B is incorrect because warmth and redness suggest infection or inflammation. Option C is
incorrect because fixed nodes may indicate malignancy. Option D is incorrect because firm
nodes may be abnormal depending on context.
NCLEX Focus: Normal vs abnormal physical assessment findings.
DIF: Knowledge
REF: Head and Neck Assessment / Lymph Nodes
OBJ: Identify normal lymph node characteristics
TOP: Health Assessment
The first step to cultural competency by a nurse is to:
a. Identify the meaning of health to the patient.
b. Understand their own heritage and its basis in cultural values.
c. Develop a frame of reference to traditional health care practices.
d. Understand how a health care delivery system works.
Correct Answer: b. Understand their own heritage and its basis in cultural values.
Expert Rationale:
Cultural competency begins with self-awareness. Nurses must first understand their own cultural
background, beliefs, and biases to provide unbiased and respectful care to patients from diverse
backgrounds.
Option A is important but comes after self-awareness. Option C is incorrect because it focuses on
patient practices without self-reflection. Option D is unrelated to cultural competency
development.
NCLEX Focus: Cultural awareness and culturally competent care.
DIF: Knowledge
REF: Cultural Nursing Care
OBJ: Identify first step in developing cultural competence
TOP: Psychosocial Integrity
