NSG 500 Exams 1-3 Advanced Health
Assessment – (2026) Actual Questions
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1. A 23-Year-Old Physician Assistant (Pa) Student Found That She Felt Nervous When
Called Upon To Examine Men In Her Age Group. On One Occasion, She Encountered
A Young Male Patient Who Appeared Embarrassed To See Her Walk Into The Room.
What Should The Pa Do To Minimize Their Mutual Discomfort?
A. Explain That She Is A Pa Student
B. Explain How The Examination Will Proceed
C. Adjust Lighting So It Is Tangential To The Patients' Body
D. Provide Ongoing Interpretation Of Findings
E. Ask The Patient Where He Comes From
Explain How The Examination Will Proceed.
2. A 34-Year-Old Male With A History Of Complex Social And Medical Needs (Including
Current Substance Abuse) Presents To A Primary Care Teaching Clinic. The Patient
Has Experienced A Number Of Adversarial Relationships With Prior Clinicians,
Including Voluntarily Leaving Two Practices Within The Previous Year And Being Asked
To Leave Care At A Third Clinic Due To Misbehavior. The Attending Physician Desires
To Utilize The Approaches To This Patient That Are Most Likely To Lead To
Comprehensive Care And Patient Compliance. Which Of The Following Is The Most
Appropriate Interview Style For The Attending Physician To Use?
A. Focusing On The Need For Immediate Diagnostic Certainty Over Personal Connection
B. Following The Patient's Lead To Understand Their Thoughts, Ideas, Concerns And Requests
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C. Taking Charge Of The Interaction To Meet The Clinician's Desire To Acquire Diagnostic
Information
D. Taking A Symptom-Focused Approach To Reduce The Involvement Of The Patient's
Emotional Difficulties
E. Deferring Respect, Empathy, Humility, And Sensitivity In Favor Of The Acquisition Of
Concrete Details About The Patient's Condition
Following The Patient's Lead To Understand Their Thoughts, Ideas, Concerns And Requests
3. A 17-Year-Old Male Presents To A Sexually Transmitted Disease Clinic At The Behest
Of His Brother, Who Convinced The Patient To Attend The Clinic After He Disclosed
That He Prefers Homosexual Partners But Is Afraid His Last Partner May Have Given
Him An Infection. The Patient Expresses To The Intake Nurse That He Is Unashamed
Of His Sexual Orientation And Will Not Stay Through The Visit If He Feels That He Is
Dismissed Or Discriminated Against Because Of It. The Nurse Practitioner Receives
This Communication Prior To Entering The Examination Room And Decides To Employ
Active Listening To Best Connect With The Patient At This Critical Conjuncture In His
Care With The Clinic. Which Of The Following Is An Example Of An Active Listening
Technique?
A. Setting Aside The Patient's Emotional State To Focus On His Medical Needs
B. Considering A Differential Diagnosis While The Patient Is Speaking To Maximize The
Patient's Time With The Provider
C. Paring Down The Patients Concerns To Concrete Medical Needs
D. Ignoring The Visual Clues To Focus On The Patient's Exact Words
E. Using Nonverbal Communication To Encourage The Patient To Expand Their Narrative
Using Nonverbal Communication To Encourage The Patient To Expand Their Narrative
4. A 42-Year-Old Female Mathematician Presents For Follow Up Care Regarding A New
Diagnosis Of Systemic Lupus Erythematosus 6 Months Ago After A Lengthy Diagnostic
Process During Which She Was Debilitated With Fatigue And Joint Pain. Since Her
Diagnosis, She Has Been Minimally Compliant With Medications And Has Switched Her
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Rheumatology Provider Twice. She Continues To Feel Ill, And, In Explanation For Her
Lack Of Adherence To The Prescribed Treatment, She Simply Says, "I Don't Like It." At
This Initial Visit With Her Third Rheumatology Provider, The Clinician Elects To
Explore The Issues Behind Her Noncompliance Before Engaging In Diagnostics And
Treatment Using The Fife Model. Which Of The Following Best Describes The Elements
Of The Fife Model?
A. Feelings, Impression, Fantasy, And Emotion
B. Focus, Intensity, Function, And Evaluation
C. Facts, Intensity, Focus, And Evidence
D. Facts, Intelligence, Fortuity, And Eventuality
E, Feelings, Ideas, Function, And Expectations
Feelings, Ideas, Function, And Expectations
5. One Important Examination Technique Involves Using The Third Fingers Of Each Hand
To Determine The Health Of Internal Organs. What Is The Name Of This Technique?
A. Percussion
B. Inspection
C. Auscultation
D. Listening
E. Palpation
Percussion
6. A 59-Year-Old Unemployed Man Complains Of Almost Always Feeling Tired And
Hungry, Despite Getting Sufficient Rest And Having A Good Appetite And Access To
Sufficient Food. The Patient Is Obese And, Despite The Warm Weather Outside,
Wearing Thermal Socks With His Sandals. He Says This Is Because His Feet Are Always
Cold And "Feel Funny." With Which Body System Should The Clinician Begin The
Examination?
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A. Nervous System
B. Abdomen
C. Head And Neck
D. Posterior Thorax
E. Lower Extremeties
Head And Neck
7. A 65-Year-Old Retired Pilot Visits The Clinic Because Of Recurrent Headache. The
Patient Reports Dizziness Of Recent Onset (Previous 2 Weeks) And Occasional
Numbness On The Left Side. Which Of The Following Systems Or Regions Should Be
Examined In The Clinician's Focused Assessment?
A. Musculoskeletal
B. Nervous
C. Cardiovascular
D. Respiratory
E. Gastrointestinal
Nervous
8. A Physician Assistant (Pa) Has Had A Long Day And Has Seen Many Patients. The Last
Patient Of The Day Is An 80-Year-Old Woman Brought To The Office By Her 35-Year-
Old Granddaughter. This Is The Patient's First Visit To The Office. As Part Of The
Patient's Past History, The Pa Obtains Information About Childhood Illnesses And Adult
Illnesses And Then Moves On To Inquire About The Family History. Which Important
Area Of The Past History Has She Omitted?
A. Social History
B. Allergies
C. Chief Complaint
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