Advanced Health Assessment Final Exam NUR 5354 Solutions
A) JM is a 59 year old male here for having "black stools" for the
past 24 hours.
Chief Complaint(s) The one or more symptoms or concerns
causing the patient to seek care. Make every effort to quote the
A 59 year old patients tells the patient's own words.
nurse practitioner that he thinks
he must have ulcerative colitis.
He has been having "black
stools" for the last 24 hours. How
would the nurse practitioner best
document THE FACTS for his
reason for seeking care?
A) JM is a 59 year old male here
for having "black stools" for the
past 24 hours.
B) JM came into the clinic
complaining of black stools for
the past 24 hours.
C) JM is a 59 year old male here
for "ulcerative colitis."
D) JM, a 59 year old male, states
he has ulcerative colitis and
wants it checked.
D) "Can you point to where it hurts?"
Each principle symptom should be well-characterized, with
descriptions of location; along with the other seven attributes.
A patient tells the nurse Location: Ask the patient to point to the pain because lay terms
practitioner that she has had may not be specific enough to localize the site of origin.
abdominal pain for the past week.
What would be the best response
by the nurse practitioner?
A) We'll talk more about that later
in the interview."
B) "Have you ever had any
children?"
C) "What have you had to eat in
the last 4 hours?"
D) "Can you point to where it
hurts?"
,Advanced Health Assessment Final Exam NUR 5354 Solutions
D) "How would you say the pain affects your ability to do your daily
activities?"
A 29-year-old woman tells the Inquire about the effects of pain on the patient's daily activities,
nurse that she has "excruciating mood, sleep, work, and sexual activity.
pain" in her back. Which of the
following would be an appropriate
response by the nurse to her
statement?
A) "How does your family react to
your pain?"
B) "That must be terrible. You
probably pinched a nerve."
C) "I've had back pain myself and
it can be excruciating."
D) "How would you say the pain
affects your ability to do your
daily activities?"
D) Patient denies measles, mumps, rubella, chickenpox, pertussis,
rheumatic fever, and polio.
In recording the childhood Childhood illnesses include measles, rubella, mumps, whooping
illnesses of a patient who denies cough, rheumatic fever, scarlet fever, and polio. They are included
having had any, which of the in the past history.
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.
,Advanced Health Assessment Final Exam NUR 5354 Solutions
D) "Please describe what happens to you when you take
penicillin."
A patient tells the nurse that he is Allergies, including specific reactions to each medication, such as
allergic to penicillin. What would rash or nausea, must be recorded.
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."
C) mental illness.
The nurse is taking a family Specifically ask for any family history of heart disease, high blood
history. Important diseases or pressure, stroke, diabetes, obesity, blood disorders, ovarian
problems to ask the patient about cancer, colon cancer, sickle cell anemia, arthritis, allergies, alcohol
include: or drug addiction, mental illness, suicide, seizure disorder, kidney
A) emphysema. disease, and tuberculosis. The other answers are acquired.
B) head trauma.
C) mental illness.
D) fractured bones.
D) Review of systems
Most review of systems questions pertain to systems. You may
The following information is
recorded in the health history: also draw on Review of Systems questions related to the Chief
Complaint to establish positives and negatives that help clarify the
"Patient denies chest pain,
palpitations, orthopnea, and diagnosis.
paroxysmal nocturnal dyspnea."
Which category does it belong
to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
, Advanced Health Assessment Final Exam NUR 5354 Solutions
C) Denies color change
Which of the following statements Remember that the history (from the chief complaint through
represents subjective data review of systems) should be limited to patient statements or
obtained from the patient subjective data—factors that the person says were or were not
regarding his skin? present.
A) Skin appears dry. Subjective data is what the patient tells you.
B) No obvious lesions
C) Denies color change
D) Lesion noted lateral aspect
right arm
B) Surgical
The following information is best Provide information relative to Adult Illnesses in each of four areas:
placed in which category? "The Medical, Surgical, Obstetric/Gynecologic, and Psychiatric.
patient had a stent placed in the
left anterior descending artery
(LAD) in 1999."
A) Medical
B) Surgical
C) Obstetrics/gynecology
D) Psychiatric
A) pigmentation
Hair undergoes a series of changes. Scalp hair loses its pigment
During the aging process, the (functioning of melanocytes) so the hair looks gray or white and
hair can look gray or white and feels thin and fine. The other options are not correct.
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
A) JM is a 59 year old male here for having "black stools" for the
past 24 hours.
Chief Complaint(s) The one or more symptoms or concerns
causing the patient to seek care. Make every effort to quote the
A 59 year old patients tells the patient's own words.
nurse practitioner that he thinks
he must have ulcerative colitis.
He has been having "black
stools" for the last 24 hours. How
would the nurse practitioner best
document THE FACTS for his
reason for seeking care?
A) JM is a 59 year old male here
for having "black stools" for the
past 24 hours.
B) JM came into the clinic
complaining of black stools for
the past 24 hours.
C) JM is a 59 year old male here
for "ulcerative colitis."
D) JM, a 59 year old male, states
he has ulcerative colitis and
wants it checked.
D) "Can you point to where it hurts?"
Each principle symptom should be well-characterized, with
descriptions of location; along with the other seven attributes.
A patient tells the nurse Location: Ask the patient to point to the pain because lay terms
practitioner that she has had may not be specific enough to localize the site of origin.
abdominal pain for the past week.
What would be the best response
by the nurse practitioner?
A) We'll talk more about that later
in the interview."
B) "Have you ever had any
children?"
C) "What have you had to eat in
the last 4 hours?"
D) "Can you point to where it
hurts?"
,Advanced Health Assessment Final Exam NUR 5354 Solutions
D) "How would you say the pain affects your ability to do your daily
activities?"
A 29-year-old woman tells the Inquire about the effects of pain on the patient's daily activities,
nurse that she has "excruciating mood, sleep, work, and sexual activity.
pain" in her back. Which of the
following would be an appropriate
response by the nurse to her
statement?
A) "How does your family react to
your pain?"
B) "That must be terrible. You
probably pinched a nerve."
C) "I've had back pain myself and
it can be excruciating."
D) "How would you say the pain
affects your ability to do your
daily activities?"
D) Patient denies measles, mumps, rubella, chickenpox, pertussis,
rheumatic fever, and polio.
In recording the childhood Childhood illnesses include measles, rubella, mumps, whooping
illnesses of a patient who denies cough, rheumatic fever, scarlet fever, and polio. They are included
having had any, which of the in the past history.
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.
,Advanced Health Assessment Final Exam NUR 5354 Solutions
D) "Please describe what happens to you when you take
penicillin."
A patient tells the nurse that he is Allergies, including specific reactions to each medication, such as
allergic to penicillin. What would rash or nausea, must be recorded.
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."
C) mental illness.
The nurse is taking a family Specifically ask for any family history of heart disease, high blood
history. Important diseases or pressure, stroke, diabetes, obesity, blood disorders, ovarian
problems to ask the patient about cancer, colon cancer, sickle cell anemia, arthritis, allergies, alcohol
include: or drug addiction, mental illness, suicide, seizure disorder, kidney
A) emphysema. disease, and tuberculosis. The other answers are acquired.
B) head trauma.
C) mental illness.
D) fractured bones.
D) Review of systems
Most review of systems questions pertain to systems. You may
The following information is
recorded in the health history: also draw on Review of Systems questions related to the Chief
Complaint to establish positives and negatives that help clarify the
"Patient denies chest pain,
palpitations, orthopnea, and diagnosis.
paroxysmal nocturnal dyspnea."
Which category does it belong
to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
, Advanced Health Assessment Final Exam NUR 5354 Solutions
C) Denies color change
Which of the following statements Remember that the history (from the chief complaint through
represents subjective data review of systems) should be limited to patient statements or
obtained from the patient subjective data—factors that the person says were or were not
regarding his skin? present.
A) Skin appears dry. Subjective data is what the patient tells you.
B) No obvious lesions
C) Denies color change
D) Lesion noted lateral aspect
right arm
B) Surgical
The following information is best Provide information relative to Adult Illnesses in each of four areas:
placed in which category? "The Medical, Surgical, Obstetric/Gynecologic, and Psychiatric.
patient had a stent placed in the
left anterior descending artery
(LAD) in 1999."
A) Medical
B) Surgical
C) Obstetrics/gynecology
D) Psychiatric
A) pigmentation
Hair undergoes a series of changes. Scalp hair loses its pigment
During the aging process, the (functioning of melanocytes) so the hair looks gray or white and
hair can look gray or white and feels thin and fine. The other options are not correct.
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
