NSG 300 ADVANCED HEALTH
ASSESSMENT - EXAM 1 QUESTIONS
AND ANSWERS
1. A 45-year-old patient presents for an annual physical exam. The nurse practitioner
emphasizes the importance of a mammogram. This is an example of which level of
prevention?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Quaternary prevention
Answer: A
Conceptual Explanation: Secondary prevention focuses on early detection and screening
to identify diseases in the earliest stages, such as mammograms or pap smears.
2. When conducting a patient interview, the nurse practitioner uses the ‘OLDCART’
mnemonic. What does the ‘C’ represent in this tool?
A. Character
,B. Chronology
C. Causation
D. Complications
Answer: A
Conceptual Explanation: In the OLDCART mnemonic (Onset, Location, Duration,
Character, Aggravating/Alleviating factors, Radiation, Timing), ‘C’ stands for Character,
describing the quality of the symptom.
3. During a functional assessment of an elderly patient, which of the following is considered
an Instrumental Activity of Daily Living (IADL)?
A. Toileting
B. Managing finances
C. Feeding oneself
D. Dressing
Answer: B
Conceptual Explanation: IADLs involve more complex tasks necessary for independent
living in the community, such as managing money, shopping, or using a telephone, whereas
ADLs are basic self-care tasks.
, 4. The nurse practitioner is assessing a patient’s abdomen. Which is the correct sequence of
physical examination techniques?
A. Inspection, Palpation, Percussion, Auscultation
B. Percussion, Inspection, Auscultation, Palpation
C. Auscultation, Inspection, Palpation, Percussion
D. Inspection, Auscultation, Percussion, Palpation
Answer: D
Conceptual Explanation: For abdominal exams, auscultation is performed before
percussion and palpation to avoid altering bowel sounds.
5. Which type of history is most appropriate for a patient presenting to an urgent care clinic
with a localized skin rash?
A. Focused or problem-oriented history
B. Follow-up history
C. Comprehensive health history
D. Emergency history
Answer: A
Conceptual Explanation: A focused or problem-oriented history is used for established
patients or when the patient presents with a specific, limited concern.
ASSESSMENT - EXAM 1 QUESTIONS
AND ANSWERS
1. A 45-year-old patient presents for an annual physical exam. The nurse practitioner
emphasizes the importance of a mammogram. This is an example of which level of
prevention?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Quaternary prevention
Answer: A
Conceptual Explanation: Secondary prevention focuses on early detection and screening
to identify diseases in the earliest stages, such as mammograms or pap smears.
2. When conducting a patient interview, the nurse practitioner uses the ‘OLDCART’
mnemonic. What does the ‘C’ represent in this tool?
A. Character
,B. Chronology
C. Causation
D. Complications
Answer: A
Conceptual Explanation: In the OLDCART mnemonic (Onset, Location, Duration,
Character, Aggravating/Alleviating factors, Radiation, Timing), ‘C’ stands for Character,
describing the quality of the symptom.
3. During a functional assessment of an elderly patient, which of the following is considered
an Instrumental Activity of Daily Living (IADL)?
A. Toileting
B. Managing finances
C. Feeding oneself
D. Dressing
Answer: B
Conceptual Explanation: IADLs involve more complex tasks necessary for independent
living in the community, such as managing money, shopping, or using a telephone, whereas
ADLs are basic self-care tasks.
, 4. The nurse practitioner is assessing a patient’s abdomen. Which is the correct sequence of
physical examination techniques?
A. Inspection, Palpation, Percussion, Auscultation
B. Percussion, Inspection, Auscultation, Palpation
C. Auscultation, Inspection, Palpation, Percussion
D. Inspection, Auscultation, Percussion, Palpation
Answer: D
Conceptual Explanation: For abdominal exams, auscultation is performed before
percussion and palpation to avoid altering bowel sounds.
5. Which type of history is most appropriate for a patient presenting to an urgent care clinic
with a localized skin rash?
A. Focused or problem-oriented history
B. Follow-up history
C. Comprehensive health history
D. Emergency history
Answer: A
Conceptual Explanation: A focused or problem-oriented history is used for established
patients or when the patient presents with a specific, limited concern.
