1
ADVANCED HEALTH ASSESSMENT FINAL
EXAM 2 NEWEST VERSION 2025 WITH
COMPLETE 350 VERIFIED QUESTIONS AND
ANSWERS WITH DETAILED RATIONALES
GRADED A+ GUARANTEED PASS SOLUTION
100% TEST BANK
A 65-year-old cis male (he/him) presents to the clinic with an LT sided neck mass. He tells you
the mass has been there for 5-months and feels it is growing in size. He denies difficulty
swallowing, cough, fever, chills, hemoptysis, weight changes, abdominal pain, URI symptoms.
Endorses smoking cigarettes, 1 ppd x 45-years. As the APRN caring for this patient, what is
your priority assessment?
a) auscultating his lungs
b)assessing the size, shape, mobility, and location of the mass
c) completing a mini mental status exam
d) completing a thorough ear assessment
b
A 14-year-old cis male (he/him) comes to your office with complaints of sore throat, difficulty
swallowing food, and fever of 102*F x 2 days. Upon the oropharynx exam you notice his
tonsils are enlarged and touching. You would grade these tonsils as:
1+
2+
4+
3+
4+
A 6-year-old (he/him) who comes to your office with complaints of right ear pain. His mom
states they just came back from vacation at the Jersey shore where he was swimming daily,
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watching fireworks, and playing with family. He endorses pain with touching his ear, laying on
his right ear at night, and a headache. Denies dizziness, sore throat, and nasal congestion. His
vital signs are unremarkable. Based on this information, what physical exam finding would you
most likely see?
a) Shoddy, tender anterior cervical and posterior cervical lymph nodes bilaterally
b)Injected right tympanic membrane (TM)
c)Tender right tragus to palpation with an erythematous canal
d)Tender right scalp with occipital lymphadenopathy
c) tender right tragus answer
A 50-year-old machine operator (they/them) presents to your clinic with complaints of hearing
loss over the past 2-years. They endorse decreased hearing loss bilaterally but feel hearing in
the left ear is worse than the right ear. They endorse intermittent use of noise-blocking
headphones at work, + listens to loud music in the car, and uses q-tips daily after showering.
As part of your PE, you assess the Weber test and suspect conductive hearing loss. A positive
Weber test is when Charlie tells you:
a) "I cannot hear the sound at all."
b)"I can hear the sound equally in both ears."
c)"My right ear is ringing, and I sort of feel lightheaded."
d)"I hear the sound better in my left ear."
d
is a useful, quick, and simple screening test for evaluating hearing loss. The test can detect
unilateral conductive and sensorineural hearing loss. The outer and middle ear mediate
conductive hearing. The inner ear mediates sensorineural hearing.
Weber test
with sensorineural hearing loss, what ear will you hear the sound better in?
the unaffected ear
if the patient during a Weber test hears better in the affected ear, what type of hearing loss is
this?
conductive
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An adult patient presents to the office with frontal pressure, headache, malaise, and purulent
rhinorrhea. The patient developed a "cold" about two weeks ago, felt better for a few days,
and then saw an increase in headache and rhinorrhea. On exam, the patient's frontal sinus
was tender on palpation and the maxillary sinuses could not be transilluminated. Which
diagnosis is most likely?
a) allergic rhinitis
b) acute otitis media
c) migraine HA
d) acute rhinosinusitis
-acute rhinosinusitis
A cis-female (she/her) comes to your office with complaints of left eye pain. As part of your
exam, you ask her to focus on an object on the wall behind your left shoulder. She occludes
her left eye with a small piece of paper for a few seconds. When she removes the piece of
paper, you notice her left eye has deviated laterally. The APRN understands that this test is
also called the
a) EOM test
b) Hirschberg test
c) fields of gaze test
d) cover-uncover test
d
Two fathers bring their 2-year-old boy to your office due to nasal congestion. They state he
woke up this morning in his usual state of health (USOH), without cold symptoms, and
dropped him off at day-care for the day. It is now 5PM and they noticed a thick, purulent
mucoid discharge from his right nostril. He is without a cough, ear pain, fever, or other upper
respiratory sx. As the provider, you are most suspicious for:
a) sinusitis
b) allergic rhinitis
c) vestibulitis
d) foreign body
d) foreign body
The nurse practitioner understands that the presence of ____________ lymphadenopathy is
always pathologic and warrants a thorough medical/oncologic work-up.
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-tonsillar
-posterior cervical
-inguinal
-supraclavicular
supraclavicular
what should be the speculum size (otoscope) for a child?
2.75 mm
what should be the speculum (otoscope) size for an adult?
4.5 mm
if a child/infant has increased RR, how long should you count their RR?
one whole minute
Is and irregular rate and brief apnea normal in a child or infant?
yes, up to 15 seconds is normal
If a child or teen has a cough, what should you always consider?
asthma
What is common in COPD?
clubbing
what patient population often has increased AP diameter?
geriatric and the chest can appear rounded
A 30-year-old patient presents to your clinic with a history of productive cough and fever for
one week. You obtain a chest x-ray which indicates right middle lobe (RML) consolidation
(pneumonia). During your physical exam, you note discontinuous high-pitched explosive
sounds in the RML. These sounds are interpreted as __________.
a) wheezes
b) pleural rubs
c) crackles
d) rhonchi
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ADVANCED HEALTH ASSESSMENT FINAL
EXAM 2 NEWEST VERSION 2025 WITH
COMPLETE 350 VERIFIED QUESTIONS AND
ANSWERS WITH DETAILED RATIONALES
GRADED A+ GUARANTEED PASS SOLUTION
100% TEST BANK
A 65-year-old cis male (he/him) presents to the clinic with an LT sided neck mass. He tells you
the mass has been there for 5-months and feels it is growing in size. He denies difficulty
swallowing, cough, fever, chills, hemoptysis, weight changes, abdominal pain, URI symptoms.
Endorses smoking cigarettes, 1 ppd x 45-years. As the APRN caring for this patient, what is
your priority assessment?
a) auscultating his lungs
b)assessing the size, shape, mobility, and location of the mass
c) completing a mini mental status exam
d) completing a thorough ear assessment
b
A 14-year-old cis male (he/him) comes to your office with complaints of sore throat, difficulty
swallowing food, and fever of 102*F x 2 days. Upon the oropharynx exam you notice his
tonsils are enlarged and touching. You would grade these tonsils as:
1+
2+
4+
3+
4+
A 6-year-old (he/him) who comes to your office with complaints of right ear pain. His mom
states they just came back from vacation at the Jersey shore where he was swimming daily,
1|Page
, 2
watching fireworks, and playing with family. He endorses pain with touching his ear, laying on
his right ear at night, and a headache. Denies dizziness, sore throat, and nasal congestion. His
vital signs are unremarkable. Based on this information, what physical exam finding would you
most likely see?
a) Shoddy, tender anterior cervical and posterior cervical lymph nodes bilaterally
b)Injected right tympanic membrane (TM)
c)Tender right tragus to palpation with an erythematous canal
d)Tender right scalp with occipital lymphadenopathy
c) tender right tragus answer
A 50-year-old machine operator (they/them) presents to your clinic with complaints of hearing
loss over the past 2-years. They endorse decreased hearing loss bilaterally but feel hearing in
the left ear is worse than the right ear. They endorse intermittent use of noise-blocking
headphones at work, + listens to loud music in the car, and uses q-tips daily after showering.
As part of your PE, you assess the Weber test and suspect conductive hearing loss. A positive
Weber test is when Charlie tells you:
a) "I cannot hear the sound at all."
b)"I can hear the sound equally in both ears."
c)"My right ear is ringing, and I sort of feel lightheaded."
d)"I hear the sound better in my left ear."
d
is a useful, quick, and simple screening test for evaluating hearing loss. The test can detect
unilateral conductive and sensorineural hearing loss. The outer and middle ear mediate
conductive hearing. The inner ear mediates sensorineural hearing.
Weber test
with sensorineural hearing loss, what ear will you hear the sound better in?
the unaffected ear
if the patient during a Weber test hears better in the affected ear, what type of hearing loss is
this?
conductive
2|Page
, 3
An adult patient presents to the office with frontal pressure, headache, malaise, and purulent
rhinorrhea. The patient developed a "cold" about two weeks ago, felt better for a few days,
and then saw an increase in headache and rhinorrhea. On exam, the patient's frontal sinus
was tender on palpation and the maxillary sinuses could not be transilluminated. Which
diagnosis is most likely?
a) allergic rhinitis
b) acute otitis media
c) migraine HA
d) acute rhinosinusitis
-acute rhinosinusitis
A cis-female (she/her) comes to your office with complaints of left eye pain. As part of your
exam, you ask her to focus on an object on the wall behind your left shoulder. She occludes
her left eye with a small piece of paper for a few seconds. When she removes the piece of
paper, you notice her left eye has deviated laterally. The APRN understands that this test is
also called the
a) EOM test
b) Hirschberg test
c) fields of gaze test
d) cover-uncover test
d
Two fathers bring their 2-year-old boy to your office due to nasal congestion. They state he
woke up this morning in his usual state of health (USOH), without cold symptoms, and
dropped him off at day-care for the day. It is now 5PM and they noticed a thick, purulent
mucoid discharge from his right nostril. He is without a cough, ear pain, fever, or other upper
respiratory sx. As the provider, you are most suspicious for:
a) sinusitis
b) allergic rhinitis
c) vestibulitis
d) foreign body
d) foreign body
The nurse practitioner understands that the presence of ____________ lymphadenopathy is
always pathologic and warrants a thorough medical/oncologic work-up.
3|Page
, 4
-tonsillar
-posterior cervical
-inguinal
-supraclavicular
supraclavicular
what should be the speculum size (otoscope) for a child?
2.75 mm
what should be the speculum (otoscope) size for an adult?
4.5 mm
if a child/infant has increased RR, how long should you count their RR?
one whole minute
Is and irregular rate and brief apnea normal in a child or infant?
yes, up to 15 seconds is normal
If a child or teen has a cough, what should you always consider?
asthma
What is common in COPD?
clubbing
what patient population often has increased AP diameter?
geriatric and the chest can appear rounded
A 30-year-old patient presents to your clinic with a history of productive cough and fever for
one week. You obtain a chest x-ray which indicates right middle lobe (RML) consolidation
(pneumonia). During your physical exam, you note discontinuous high-pitched explosive
sounds in the RML. These sounds are interpreted as __________.
a) wheezes
b) pleural rubs
c) crackles
d) rhonchi
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