NUR 601 ADVANCED HEALTH ASSESSEMENT AMERICAN PUBLIC UNIVERSITY
NURS 601 ADVANCED HEALTH ASSESSEMENT
FINAL EXAM 2024/2025 QUESTIONS AND
ANSWERS
Which of the following statements represents subjective data obtained from the patient regarding his
skin?
A) Skin appears dry.
B) No obvious lesions
C) Denies color change
D) Lesion noted lateral aspect right arm
C) Denies color change
Remember that the history (from the chief complaint through review of systems) should be limited to
patient statements or subjective data—factors that the person says were or were not present.
Subjective data is what the patient tells you.
The following information is best placed in which category? "The patient had a stent placed in the left
anterior descending artery (LAD) in 1999."
A) Medical
B) Surgical
,NUR 601 ADVANCED HEALTH ASSESSEMENT AMERICAN PUBLIC UNIVERSITY
C) Obstetrics/gynecology
D) Psychiatric
B) Surgical
Provide information relative to Adult Illnesses in each of four areas: Medical, Surgical,
Obstetric/Gynecologic, and Psychiatric.
During the aging process, the hair can look gray or white and 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) pigmentation
Hair undergoes a series of changes. Scalp hair loses its pigment (functioning of melanocytes) so the hair
looks gray or white and feels thin and fine. The other options are not correct.
You are speaking to an 8th grade class about health prevention and are preparing to discuss the ABCDEs
of melanoma. Which of the following descriptions correctly defines the ABCDEs?
A) A = actinic; B = basal cell; C = color changes, especially blue; D = diameter >6 mm; E = evolution
B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E =
evolution
C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E = evolution
D) A = asymmetry; B = regular borders; C = color changes, especially orange; D = diameter >6 mm; E =
evolution
,NUR 601 ADVANCED HEALTH ASSESSEMENT AMERICAN PUBLIC UNIVERSITY
B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E =
evolution
You are examining the skin on a 22 year old female when you notice a circumscribed superficial lesion
that is elevated approximately 0.5cm in diameter, filled with serous fluid. What type of lesion is this?
A) macule
B) papule
C) vesicle
D) spider angioma
C) vesicle
Vesicle - up to 1.0 cm filled with serous fluid
A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after being in the hospital for 6
weeks. She was treated for sepsis and respiratory failure and had to be on a ventilator for 3 weeks. The
nurse is completing an initial assessment and evaluating the client's skin condition. On her sacrum there
is full-thickness skin loss that is 5 cm in diameter with damage to the subcutaneous tissue. The
underlying muscle is not affected. What is the stage of this pressure ulcer?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4
C) Stage 3
, NUR 601 ADVANCED HEALTH ASSESSEMENT AMERICAN PUBLIC UNIVERSITY
A 59 year old patients tells the 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.
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 patient's own words.
A patient tells the nurse practitioner that she has had 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?"
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. Location: Ask the patient to point to the pain because lay terms may not be specific
enough to localize the site of origin.
A 29-year-old woman tells the nurse that she has "excruciating pain" in her back. Which of the following
would be an appropriate response by the nurse to her statement?
NURS 601 ADVANCED HEALTH ASSESSEMENT
FINAL EXAM 2024/2025 QUESTIONS AND
ANSWERS
Which of the following statements represents subjective data obtained from the patient regarding his
skin?
A) Skin appears dry.
B) No obvious lesions
C) Denies color change
D) Lesion noted lateral aspect right arm
C) Denies color change
Remember that the history (from the chief complaint through review of systems) should be limited to
patient statements or subjective data—factors that the person says were or were not present.
Subjective data is what the patient tells you.
The following information is best placed in which category? "The patient had a stent placed in the left
anterior descending artery (LAD) in 1999."
A) Medical
B) Surgical
,NUR 601 ADVANCED HEALTH ASSESSEMENT AMERICAN PUBLIC UNIVERSITY
C) Obstetrics/gynecology
D) Psychiatric
B) Surgical
Provide information relative to Adult Illnesses in each of four areas: Medical, Surgical,
Obstetric/Gynecologic, and Psychiatric.
During the aging process, the hair can look gray or white and 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) pigmentation
Hair undergoes a series of changes. Scalp hair loses its pigment (functioning of melanocytes) so the hair
looks gray or white and feels thin and fine. The other options are not correct.
You are speaking to an 8th grade class about health prevention and are preparing to discuss the ABCDEs
of melanoma. Which of the following descriptions correctly defines the ABCDEs?
A) A = actinic; B = basal cell; C = color changes, especially blue; D = diameter >6 mm; E = evolution
B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E =
evolution
C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E = evolution
D) A = asymmetry; B = regular borders; C = color changes, especially orange; D = diameter >6 mm; E =
evolution
,NUR 601 ADVANCED HEALTH ASSESSEMENT AMERICAN PUBLIC UNIVERSITY
B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E =
evolution
You are examining the skin on a 22 year old female when you notice a circumscribed superficial lesion
that is elevated approximately 0.5cm in diameter, filled with serous fluid. What type of lesion is this?
A) macule
B) papule
C) vesicle
D) spider angioma
C) vesicle
Vesicle - up to 1.0 cm filled with serous fluid
A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after being in the hospital for 6
weeks. She was treated for sepsis and respiratory failure and had to be on a ventilator for 3 weeks. The
nurse is completing an initial assessment and evaluating the client's skin condition. On her sacrum there
is full-thickness skin loss that is 5 cm in diameter with damage to the subcutaneous tissue. The
underlying muscle is not affected. What is the stage of this pressure ulcer?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4
C) Stage 3
, NUR 601 ADVANCED HEALTH ASSESSEMENT AMERICAN PUBLIC UNIVERSITY
A 59 year old patients tells the 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.
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 patient's own words.
A patient tells the nurse practitioner that she has had 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?"
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. Location: Ask the patient to point to the pain because lay terms may not be specific
enough to localize the site of origin.
A 29-year-old woman tells the nurse that she has "excruciating pain" in her back. Which of the following
would be an appropriate response by the nurse to her statement?
