NUR 504 ADVANCED HEALTH
ASSESSMENT FINAL EXAM 2025
QUESTIONS AND ANSWERS
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
A crater appears in the skin, with full-thickness skin loss and damage to or
necrosis of subcutaneous tissue that may extend to, but not through underlying
muscle.
Mrs. Anderson presents with an itchy rash which is raised and appears and
,disappears in various locations. Each lesion lasts for many minutes. What most
likely accounts for this rash?
A) Insect bites
B) Wheals, urticaria, or hives
C) Psoriasis
D) Purpura
B) Wheals, urticaria, or hives
Wheals/urticaria - a somewhat irregular, relatively transient, superficial area of
localized skin edema.
Ethel is a 68 year old Caucasian female who is new to your area. She shows
you multiple brown colored, flat lesions on her face, chest, and hands that have
been present for years. You respond that these are likely:
A) solar lentigos
B) melanomas
C) keloids
D) fissures
A) solar lentigos
solar lentigos are from sun damage, are more common on the face, shoulders,
and hands.
,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?
A) "How does your family react to your pain?"
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?"
D) "How would you say the pain affects your ability to do your daily
activities?"
Inquire about the effects of pain on the patient's daily activities, mood, sleep,
work, and sexual activity.
In recording the childhood illnesses of a patient who denies having had any,
which of the following notes by the nurse would be most accurate?
A) Patient denies usual childhood illnesses.
B) Patient states he was a "very healthy" child.
C) Patient states sister had measles, but he didn't.
D) Patient denies measles, mumps, rubella, chickenpox, pertussis, rheumatic
fever, and polio.
D) Patient denies measles, mumps, rubella, chickenpox, pertussis, rheumatic
fever, and polio.
Childhood illnesses include measles, rubella, mumps, whooping cough,
rheumatic fever, scarlet fever, and polio. They are included in the past
history.
ASSESSMENT FINAL EXAM 2025
QUESTIONS AND ANSWERS
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
A crater appears in the skin, with full-thickness skin loss and damage to or
necrosis of subcutaneous tissue that may extend to, but not through underlying
muscle.
Mrs. Anderson presents with an itchy rash which is raised and appears and
,disappears in various locations. Each lesion lasts for many minutes. What most
likely accounts for this rash?
A) Insect bites
B) Wheals, urticaria, or hives
C) Psoriasis
D) Purpura
B) Wheals, urticaria, or hives
Wheals/urticaria - a somewhat irregular, relatively transient, superficial area of
localized skin edema.
Ethel is a 68 year old Caucasian female who is new to your area. She shows
you multiple brown colored, flat lesions on her face, chest, and hands that have
been present for years. You respond that these are likely:
A) solar lentigos
B) melanomas
C) keloids
D) fissures
A) solar lentigos
solar lentigos are from sun damage, are more common on the face, shoulders,
and hands.
,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?
A) "How does your family react to your pain?"
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?"
D) "How would you say the pain affects your ability to do your daily
activities?"
Inquire about the effects of pain on the patient's daily activities, mood, sleep,
work, and sexual activity.
In recording the childhood illnesses of a patient who denies having had any,
which of the following notes by the nurse would be most accurate?
A) Patient denies usual childhood illnesses.
B) Patient states he was a "very healthy" child.
C) Patient states sister had measles, but he didn't.
D) Patient denies measles, mumps, rubella, chickenpox, pertussis, rheumatic
fever, and polio.
D) Patient denies measles, mumps, rubella, chickenpox, pertussis, rheumatic
fever, and polio.
Childhood illnesses include measles, rubella, mumps, whooping cough,
rheumatic fever, scarlet fever, and polio. They are included in the past
history.
