509 ADVANCED HEALTH ASSESSMENT
EXAM | PRACTICE QUESTIONS &
ANSWERS, STUDY GUIDE, EXAM PREP &
COMPREHENSIVE REVIEW
| GRADED A+ | GUARANTEED SUCCESS
Updated Questions and Answers
100% Verified Exam Prep
,A 59 year old patients tells the nurse practitioner that he thinks A) JM is a 59 year old male here for having "black stools" for the past 24 hours.
he must have ulcerative colitis. He has been having "black
stools" for the last 24 hours. How would the nurse practitioner Chief Complaint(s) The one or more symptoms or concerns causing the patient to seek
best document THE FACTS for his reason for seeking care? care. Make every effort to quote the patient's own words.
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.
A patient tells the nurse practitioner that she has had D) "Can you point to where it hurts?"
abdominal pain for the past week. What would be the best
response by the nurse practitioner? Each principle symptom should be well-characterized, with descriptions of location;
A) We'll talk more about that later in the interview." along with the other seven attributes. Location: Ask the patient to point to the pain
B) "Have you ever had any children?" because lay terms may not be specific enough to localize the site of origin.
C) "What have you had to eat in the last 4 hours?"
D) "Can you point to where it hurts?"
A 29-year-old woman tells the nurse that she has "excruciating D) "How would you say the pain affects your ability to do your daily activities?"
pain" in her back. Which of the following would be an
appropriate response by the nurse to her statement? Inquire about the effects of pain on the patient's daily activities, mood, sleep, work, and
A) "How does your family react to your pain?" sexual activity.
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?"
In recording the childhood illnesses of a patient who denies D) Patient denies measles, mumps, rubella, chickenpox, pertussis, rheumatic fever, and
having had any, which of the following notes by the nurse polio.
would be most accurate?
A) Patient denies usual childhood illnesses. Childhood illnesses include measles, rubella, mumps, whooping cough, rheumatic fever,
B) Patient states he was a "very healthy" child. scarlet fever, and polio. They are included in the past history.
C) Patient states sister had measles, but he didn't.
D) Patient denies measles, mumps, rubella, chickenpox,
pertussis, rheumatic fever, and polio.
, A patient tells the nurse that he is allergic to penicillin. What D) "Please describe what happens to you when you take penicillin."
would be the nurse's best response to this information?
A) "Are you allergic to any other drugs?" Allergies, including specific reactions to each medication, such as rash or nausea, must
B) "How often have you received penicillin?" be recorded.
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."
The nurse is taking a family history. Important diseases or C) mental illness.
problems to ask the patient about include:
A) emphysema. Specifically ask for any family history of heart disease, high blood pressure, stroke,
B) head trauma. diabetes, obesity, blood disorders, ovarian cancer, colon cancer, sickle cell anemia,
C) mental illness. arthritis, allergies, alcohol or drug addiction, mental illness, suicide, seizure disorder,
D) fractured bones. kidney disease, and tuberculosis. The other answers are acquired.
The following information is recorded in the health history: D) Review of systems
"Patient denies chest pain, palpitations, orthopnea, and
paroxysmal nocturnal dyspnea." Which category does it Most review of systems questions pertain to systems. You may also draw on Review of
belong to? Systems questions related to the Chief Complaint to establish positives and negatives
A) Chief complaint that help clarify the diagnosis.
B) Present illness
C) Personal and social history
D) Review of systems
Which of the following statements represents subjective data C) Denies color change
obtained from the patient regarding his skin?
A) Skin appears dry. Remember that the history (from the chief complaint through review of systems) should
B) No obvious lesions be limited to patient statements or subjective data—factors that the person says were or
C) Denies color change were not present.
D) Lesion noted lateral aspect right arm Subjective data is what the patient tells you.
The following information is best placed in which category? B) Surgical
"The patient had a stent placed in the left anterior descending
artery (LAD) in 1999." Provide information relative to Adult Illnesses in each of four areas: Medical, Surgical,
A) Medical Obstetric/Gynecologic, and Psychiatric.
B) Surgical
C) Obstetrics/gynecology
D) Psychiatric