Nurs 5220 Advanced Health Assessment Exam With Verified Questions And Answers|| Already Graded A+

NURS 5220 ADVANCED HEALTH ASSESSMENT
EXAM WITH VERIFIED QUESTIONS AND
ANSWERS|| ALREADY GRADED A+




SECTION 1: FOUNDATIONS OF HEALTH ASSESSMENT (Questions 1-
40)
Health History & Interviewing Techniques (1-20)
Q1. The comprehensive health history begins with which of the following
components?
 A) Past medical history
 B) Chief complaint
 C) Biographical data
 D) Review of systems
Answer: C) Biographical data. The comprehensive health history begins with
biographical data, which includes the patient's name, age, gender, race,
occupation, and referral source.


Q2. A 55-year-old male presents with chest pain. The nurse practitioner
uses the PQRST mnemonic to assess the pain. Which of the following
correctly represents the "R" in PQRST?
 A) Radiation—does the pain radiate to other areas?
 B) Relief—what relieves the pain?
 C) Rating—rate the pain on a 0-10 scale
 D) Rhythm—is the pain rhythmic?
Answer: A) Radiation. PQRST stands for Provocation/Palliation,
Quality/Quantity, Region/Radiation, Severity Scale, and Timing.

,Q3. A 72-year-old patient tells you, "I have a touch of sugar and a little bit
of high blood." What is the best response by the nurse practitioner?
 A) "So you have diabetes mellitus and hypertension?"
 B) "Please use the correct medical terms for your conditions."
 C) "Tell me more about what you call 'sugar' and 'high blood.'"
 D) "When were you diagnosed with these conditions?"
Answer: C) "Tell me more about what you call 'sugar' and 'high
blood.'" The NP should use the patient's own words to explore symptoms and
avoid making assumptions.


Q4. Which element of the health history is considered subjective data?
 A) Blood pressure 140/90 mmHg
 B) Liver span 10 cm by percussion
 C) Patient reports dizziness when standing
 D) Pupils equal, round, reactive to light
Answer: C) Patient reports dizziness when standing. Subjective data is what
the patient tells you (symptoms, feelings, perceptions). Objective data is what
you observe or measure.


Q5. A 59-year-old patient tells the NP that he thinks he must have
ulcerative colitis. He has been having "black stools" for the last 24 hours.
How should the NP best document the 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

,Answer: A) JM is a 59-year-old male here for having "black stools" for the
past 24 hours. The chief complaint should be documented in the patient's own
words.


Q6. When documenting childhood illnesses, which of the following notes
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
Answer: D) Patient denies measles, mumps, rubella, chickenpox, pertussis,
rheumatic fever, and polio. Documentation should be specific rather than
vague.


Q7. What is the correct order of techniques for the abdominal
examination?
 A) Palpation → Percussion → Auscultation → Inspection
 B) Inspection → Palpation → Percussion → Auscultation
 C) Inspection → Auscultation → Percussion → Palpation
 D) Auscultation → Inspection → Palpation → Percussion
Answer: C) Inspection → Auscultation → Percussion →
Palpation. Auscultation is performed before palpation and percussion to avoid
altering bowel sounds.


Q8. What is the purpose of the CAGE questionnaire?
 A) Assess for depression
 B) Screen for alcohol use disorder
 C) Evaluate cognitive impairment
 D) Assess for anxiety

, Answer: B) Screen for alcohol use disorder. CAGE stands for Cut down,
Annoyed, Guilty, and Eye-opener.


Q9. Which mnemonic is most appropriate for assessing a patient's chest
pain?
 A) SAMPLE
 B) HEADSS
 C) PQRST
 D) COLDSPA
Answer: C) PQRST. PQRST is specifically designed for a deep dive into a
chief complaint like pain.


Q10. What does the "S" in SOAP note stand for?
 A) Subjective
 B) Symptoms
 C) Summary
 D) Systems
Answer: A) Subjective. SOAP stands for Subjective, Objective, Assessment,
and Plan.


Q11. The nurse is preparing to conduct a health history. Which statement
best describes the purpose of a health history?
 A) To establish a therapeutic relationship
 B) To document vital signs
 C) To collect subjective data about the patient's health status
 D) To perform a physical examination
Answer: C) To collect subjective data about the patient's health status.