Western Governors University D443
OA Objective Assessment Exam
Latest 2026 Health Assessment |Version 1
50 Questions
Question 1: A nurse examines a fair-skinned patient who presents with yellowish discoloration of the
skin and sclera) The patient reports fatigue, dark urine, and right upper quadrant discomfort. Based
on these findings, which condition should the nurse suspect as the most likely cause of this color
change?
Central cyanosis
Carotenemia
Jaundice
Erythema
Question 2: A home health nurse visits an elderly patient with chronic obstructive pulmonary disease.
The nurse notices a bluish tint around the lips and on the fingertips. The patient is short of breath and
using accessory muscles. Which immediate nursing intervention is most appropriate for this
presentation?
Administer supplemental oxygen therapy
Apply warm compresses to extremities
Assess for liver enzyme elevations
Encourage increased dietary iron intake
Question 3: A nurse is assessing a dark-skinned patient and suspects poor peripheral circulation.
Standard skin color inspection is challenging due to the patient's natural pigmentation. Which
alternative assessment technique should the nurse prioritize to accurately evaluate for color changes
indicating compromised circulation in this patient?
, Press on the nail beds firmly
Observe the anterior chest wall closely
Inspect the outer forearm surface carefully
Examine oral mucosa and conjunctiva
Question 4: A clinic nurse notices that a twenty-five-year-old female patient appears unusually pale.
The patient reports heavy menstrual periods lasting eight days, chronic fatigue, and occasional
dizziness upon standing. Which assessment finding would best support the nurse's suspicion of
anemia-related pallor in this patient?
Warm and flushed facial skin
Pale conjunctiva and pale nail beds
Yellowish tint on the nasolabial folds
Scattered petechiae on both lower legs
Question 5: A school nurse evaluates a ten-year-old child who has a red, warm, and slightly swollen
area on the left forearm after falling on the playground. The child reports pain at the injury site but
has no fever or systemic symptoms. Which treatment approach is most appropriate as an initial
intervention?
Apply ice and elevate the extremity
Begin oral antibiotic therapy immediately
Order a complete blood count stat
Administer epinephrine for the swelling
Question 6: A twenty-eight-year-old woman visits her primary care provider concerned about coarse
dark hair growing on her chin, upper lip, and chest over the past year. She also reports irregular
menstrual cycles and recent weight gain. Which underlying condition should the provider investigate
first based on this clinical presentation?
Iron-deficiency anemia
, Hypothyroidism
Cushing syndrome
Polycystic ovary syndrome
Question 7: A forty-year-old male patient presents with smooth, round patches of complete hair loss
on his scalp without any visible scarring, scaling, or inflammation. He reports the patches appeared
suddenly over two weeks. His thyroid function tests and iron levels are within normal limits. Which
type of alopecia does this presentation most likely represent?
Androgenic alopecia
Alopecia areata
Traction alopecia
Scarring alopecia
Question 8: A nurse is educating a thirty-five-year-old female patient newly diagnosed with
androgenic alopecia about treatment options. The patient asks what medication is commonly
recommended to help slow hair loss and potentially regrow hair. Which topical medication should the
nurse discuss as the standard first-line therapy?
Topical corticosteroid cream
Oral spironolactone tablets
Topical minoxidil solution
Antifungal ketoconazole shampoo
Question 9: A nurse practitioner examines a patient complaining of diffuse hair thinning. During the
scalp assessment, the practitioner notes dry, flaky skin with areas of scaling and mild erythema across
the scalp. The patient also reports cold intolerance, fatigue, and constipation. Which systemic
condition is most likely contributing to both the hair and scalp changes?
Hypothyroidism
Iron-deficiency anemia
OA Objective Assessment Exam
Latest 2026 Health Assessment |Version 1
50 Questions
Question 1: A nurse examines a fair-skinned patient who presents with yellowish discoloration of the
skin and sclera) The patient reports fatigue, dark urine, and right upper quadrant discomfort. Based
on these findings, which condition should the nurse suspect as the most likely cause of this color
change?
Central cyanosis
Carotenemia
Jaundice
Erythema
Question 2: A home health nurse visits an elderly patient with chronic obstructive pulmonary disease.
The nurse notices a bluish tint around the lips and on the fingertips. The patient is short of breath and
using accessory muscles. Which immediate nursing intervention is most appropriate for this
presentation?
Administer supplemental oxygen therapy
Apply warm compresses to extremities
Assess for liver enzyme elevations
Encourage increased dietary iron intake
Question 3: A nurse is assessing a dark-skinned patient and suspects poor peripheral circulation.
Standard skin color inspection is challenging due to the patient's natural pigmentation. Which
alternative assessment technique should the nurse prioritize to accurately evaluate for color changes
indicating compromised circulation in this patient?
, Press on the nail beds firmly
Observe the anterior chest wall closely
Inspect the outer forearm surface carefully
Examine oral mucosa and conjunctiva
Question 4: A clinic nurse notices that a twenty-five-year-old female patient appears unusually pale.
The patient reports heavy menstrual periods lasting eight days, chronic fatigue, and occasional
dizziness upon standing. Which assessment finding would best support the nurse's suspicion of
anemia-related pallor in this patient?
Warm and flushed facial skin
Pale conjunctiva and pale nail beds
Yellowish tint on the nasolabial folds
Scattered petechiae on both lower legs
Question 5: A school nurse evaluates a ten-year-old child who has a red, warm, and slightly swollen
area on the left forearm after falling on the playground. The child reports pain at the injury site but
has no fever or systemic symptoms. Which treatment approach is most appropriate as an initial
intervention?
Apply ice and elevate the extremity
Begin oral antibiotic therapy immediately
Order a complete blood count stat
Administer epinephrine for the swelling
Question 6: A twenty-eight-year-old woman visits her primary care provider concerned about coarse
dark hair growing on her chin, upper lip, and chest over the past year. She also reports irregular
menstrual cycles and recent weight gain. Which underlying condition should the provider investigate
first based on this clinical presentation?
Iron-deficiency anemia
, Hypothyroidism
Cushing syndrome
Polycystic ovary syndrome
Question 7: A forty-year-old male patient presents with smooth, round patches of complete hair loss
on his scalp without any visible scarring, scaling, or inflammation. He reports the patches appeared
suddenly over two weeks. His thyroid function tests and iron levels are within normal limits. Which
type of alopecia does this presentation most likely represent?
Androgenic alopecia
Alopecia areata
Traction alopecia
Scarring alopecia
Question 8: A nurse is educating a thirty-five-year-old female patient newly diagnosed with
androgenic alopecia about treatment options. The patient asks what medication is commonly
recommended to help slow hair loss and potentially regrow hair. Which topical medication should the
nurse discuss as the standard first-line therapy?
Topical corticosteroid cream
Oral spironolactone tablets
Topical minoxidil solution
Antifungal ketoconazole shampoo
Question 9: A nurse practitioner examines a patient complaining of diffuse hair thinning. During the
scalp assessment, the practitioner notes dry, flaky skin with areas of scaling and mild erythema across
the scalp. The patient also reports cold intolerance, fatigue, and constipation. Which systemic
condition is most likely contributing to both the hair and scalp changes?
Hypothyroidism
Iron-deficiency anemia
