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Exam (elaborations)

Advanced Health Assessment Final Exam 2025–2026 –Pediatric and Adolescent Care Verified Clinical Questions and Correct Answers

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This comprehensive final exam document for Advanced Health Assessment (2025–2026) contains accurately verified clinical questions covering pediatric, adolescent, and family-centered care. Key topics include developmental assessments, abuse identification, gastrointestinal and neurologic examinations, mental health screening, musculoskeletal and orthopedic findings, and cranial nerve function. Each question is scenario-based and linked to diagnostic rationale, supporting preparation for advanced nursing practice exams and clinical competency evaluations.

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Uploaded on
June 2, 2025
Number of pages
26
Written in
2024/2025
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Advanced Health Assessment Final Exam
2025–2026 Accurate Real Exam Questions and
Verified Correct Answers JUST RELEASED
A mental health assessment is being conducted on 16-year-old Melissa. Which of the following
statements should not be kept confidential?
a. "I have been sexually active with three boys."
b. "I sometimes smoke pot."
c. "I sometimes drink wine from my parent's alcohol cabinet."
d. "Sometimes I feel like ending my life." - answer>>>d. "Sometimes I feel like ending my life."


Which of the following somatic complaints often accompanies anxiety disorders in children?
a. Headache
b. Somnolence
c. Bradycardia
d. Seizures - answer>>>a. Headache


Which of the following assessment findings is indicative of anxiety that is outside normal limits?
a. a 15-month-old who cries intensely when she sees her mother gather her car keys and purse
b. A 4-year-old who is afraid to take a bath because he is afraid of being sucked down the drain
c. An 8-year-old who wakes up every night, seeking parental reassurance regarding fears and concerns
about what will happen the next day
d. An adolescent who is worried and preoccupied about social acceptance and social competence at
school - answer>>>c. An 8-year-old who wakes up every night, seeking parental reassurance regarding
fears and concerns about what will happen the next day


During a health maintenance visit, the mother of an 8-year-old boy says that he has received several
warnings at school regarding his behavior. His teacher and the school social worker have documented
that he loses his temper easily, repeatedly defies the teacher and school rules, argues with adults at
school, and deliberately annoys his classmates. The healthcare provider should do a full screening for:
a. Social phobias
b. Depression
c. Attention deficit hyperactivity disorder

,d. Oppositional defiant disorder - answer>>>d. Oppositional defiant disorder


Signs of nonsuicidal self-injury may include all of the following except:
a. Emaciated appearance
b. Wearing long-sleeved clothing in warm weather
c. Overt suicidal ideation
d. Scarring on visible skin - answer>>>c. Overt suicidal ideation


Common fears among school-aged children include:
a. Loud noises
b. Separation
c. Peer rejection
d. Physical well-being - answer>>>c. Peer rejection


Somatic indicators of anxiety in children may include:
a. Nightmares
b. Abdominal complaints
c. Irritability
d. Shaking - answer>>>b. Abdominal complaints


The mother of an 11-year-old boy is concerned because he has recently begun refusing to go to school,
his teachers state that he seems extremely nervous when asked to speak in class, and he refuses
invitations to school events or parties. Based on this information, the healthcare provider suspects:
a. Social phobia
b. Panic disorder
c. Selective mutism
d. Conduct disorder - answer>>>a. Social phobia


Which of the following signs in a 13-year-old girl raises suspicion for bulimia nervosa?
a. Lanugo
b. Dull hair
c. Hypertension

, d. Enlarged parotid glands - answer>>>d. Enlarged parotid glands


The hallmark of obsessive-compulsive disorder is:
a. Fear
b. Worry
c. Impulsivity
d. Repetition - answer>>>d. Repetition


When conducting an overall screening for cognitive, emotional, and behavioral disorders in children
aged 11 years and older, a suggested screening tool is:
a. SAD PERSONS Scale
b. Modified Checklist for Autism in Toddlers (M-CHAT)
c. DSM-5 based diagnostic criteria
d. Pediatric Symptom Checklist - answer>>>d. Pediatric Symptom Checklist


Signs of anorexia nervosa may include:
a. Amenorrhea
b. Hypertension
c. Tachycardia
d. 90% of expected weight - answer>>>a. Amenorrhea


The parents of a 6-year-old child bring him to the clinic with concerns about his behavior The parents
have received numerous notes from the teacher and school social worker regarding his inability to stay
in his seat during class, his failure to pay attention to the teacher, frequent class interruptions, and
forgetting to bring completed assignments to class. The child has no cognitive delays, nor has he
demonstrated any oppositional behavior. The provider should screen this child for:
a. Anxiety disorder
b. Autistic spectrum disorders
c. Attention deficit hyperactivity disorder
d. Oppositional defiant disorder - answer>>>c. Attention deficit hyperactivity disorder


Which of the following events in a 6-year-old child's life would prompt screening for posttraumatic
stress disorder (PTSD)?

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