ADVANCED HEALTH ASSESSMENT FINAL EXAM
AND PRACTICE EXAM NEWEST 2024-2025 ACTUAL
EXAM COMPLETE 250 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES(VERIFIED
ANSWERS) |ALREADY GRADED A+
ADVANCED HEALTH ASSESSMENT FINAL EXAM
You are interviewing an elderly woman in the ambulatory
setting and trying to get more information about her urinary
symptoms. Which of the following techniques is NOT a
component of guided questioning?
A) Reassuring the patient that the urinary symptoms are benign
and that she doesn't need to worry about it being a sign of
cancer.
B) Offering the patient multiple choices in order to clarify the
character of the urinary symptoms she is experiencing.
C) Asking her to tell you what she means when she states that
she has a urinary tract infection.
D) Directed questioning starting with the general and proceeding
to the specific in a manner that does not make the patient give a
yes/no answer. - CORRECT ANSWER-A) Reassuring the
patient that the urinary symptoms are benign and that she doesn't
need to worry about it being a sign of cancer.
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Mrs. T. comes for her regular visit to the clinic. She is on your
schedule because her regular provider is on vacation and she
wanted to be seen. You have heard about her many times from
your colleague and are aware that she is a very talkative person.
Which of the following is a helpful technique to improve the
quality of the interview for both the provider and the patient?
A) Allow the patient to speak uninterrupted for the duration of
the appointment.
B) Briefly summarize what you heard from the patient in the
first 5 minutes and then try to have her focus on one aspect of
what she told you.
C) Set the time limit at the beginning of the interview and stick
with it, no matter what occurs in the course of the interview.
D) Allow your impatience to show so that the patient picks up
on your nonverbal cue that the appointment needs to end. -
CORRECT ANSWER-B) Briefly summarize what you heard
from the patient in the first 5 minutes and then try to have her
focus on one aspect of what she told you.
Rationale; Give the patient free rein for the first 5-10
minutes, listening closely to the conversation. Focus on what
seems most important to the patient. Learn to set limits
when needed. A brief summary may help you change the
subject yet validate any concerns. Do no show your
impatience.
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Which of the following will help to optimize success from a
pediatric examination?
A) Doing the examination out of order if necessary to take
advantage of quiet periods for auscultation, etc.
B) Being very orderly, so as not to miss a portion of the
examination.
C) Using firmness throughout your examination, letting the
child know you are in charge.
D) Making sure to place the infant on the table during the
examination while Mom watches close by. - CORRECT
ANSWER-A) Doing the examination out of order if necessary
to take advantage of quiet periods for auscultation, etc.
Rationale; With certain exceptions, physical examination does
not require use of the examining table, or with the child in a
parent's lap. Plan the examination to start with the least
distressing procedures and end with the most distressing, usually
involving the throat and ears. Patience, distraction, play
flexibility in the order of the examination, and caring but firm
approach are all key to successfully examining the young child.
A patient has come in for an examination and states, "I have this
spot in front of my ear lobe here on my cheek that seems to be
getting bigger and is tender. What do you think it is?" The NP
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notes swelling above the angle of the jaw and suspects it could
be an inflammation of his:
A) occipital node
B) thyroid gland
C) parotid gland
D) none of the above - CORRECT ANSWER-C) parotid gland
Rationale; The swelling of the parotid gland is seen anterior to
the ear lobes and above the angles of the jaw.
All of the following are a common or concerning symptom in a
health history for a respiratory assessment EXCEPT?
A) palpitations
B) blood-streaked sputum
C) chest pain
D) snoring - CORRECT ANSWER-A) palpitations
Rationale; Chest pain, blood-streaked sputum, and snoring are
all common or concerning symptoms in a health history for
respiratory assessment.
A 29-year-old physical therapist presents for evaluation of an
eyelid problem. On observation, the right eyeball appears to be