Advanced Health Assessment Final Exam 2025–
2026 Accurate Real Exam Questions and
Verified Correct Answers JUST RELEASED
As an APN, you believe strongly in anticipatory guidance and prevention education. You explain
this to your patient that the development of screening and prevention guidelines is based on: -
answer>>>increased in average life expectancy
ted who is 15 yo just moved into the community and is staying in a foster home temporality
without any record of immunizations. Which immunizations does he need? - answer>>>-
meningococcal
-mmr
-tdap
-all of the above***
the client tells you that he takes aspirin daily. What question should you ask next? -
answer>>>Why do you take aspirin daily?
Mr. Bill presents to your office for a physical. You note that his BMI is 27. You inform him that this
is considered - answer>>>overweight
You are evaluating an elderly man who was brought by his distraught daughter. You explain that
many physical changes occur as we age that affect nutrition. Including all of the following except?
- answer>>>total caloric needs increase
Mr P complains of a "pain in his stomach". In your note you document that he is c/o pain in the
LLQ, radiating with worsening intensity towards the umbilicus. Pain is 6/10. Denies n/v/d. HPI
should include- - answer>>>When did it begin?
During a routine physical exam of a 44 yo woman you note she has an inverted left nipple. You
decide to investigate because: - answer>>>The inversion may be a recent change
,A 30 yo F is in the office c/o palpiations and some lightheadedness for the past ?, random
episodes, no detectable pattern. NP notes a mid systolic click with a late systolic murmur heard
best in the apical area. You suspect - answer>>>Mitral valve prolapse (MVP)
All of the following tests require the patient's voice to perform correctly except: - answer>>>-
egophany
-tactile fremitus
-whispered pectoriloquy
*auscultation*
59 yo M with history of COPD presents with worsening dyspnea. Patient is afebrile, breath sounds
are decreased bilaterally, noted to have JVD and pitting edema of lower extremities. What is the
most likely cause of his dyspnea? - answer>>>CHF
James Jones 55 yo M smoker presents with thick sputum producing cough. Exam: +tactile
fremitus, resonant percussion, and normal voice transmission. You suspect: -
answer>>>bronchitis
During the breast exam of a 30 year old nulliparous female. The NP palpates several rubbery
areas of the breast tissue. They are slightly tender to palpation and present in both breasts.
Expecting menses in 5 days. Which intervention is best? - answer>>>Tell her to recheck 1 week
after her menses
All of the following symptoms associated with chest pain are likely to represent CAD except? -
answer>>>pain with inspiration
60 yo landscaper presents to your office to establish care, history of CHF controlled with
medications. Denies cp, edema. Early diastolic ? with opening snap ___. You suspect? -
answer>>>Mitral stenosis
When performing a H&P on a pediatric patient. Which important factor affects the outcome the
most: - answer>>>Child's developmental level
, The most important question to ask as you build your HPI is - answer>>>Have you ever had this
before?
Which of the following patients is least likely to become an alcohol abuser? - answer>>>50 yo
construction worker who drinks 1 beer nightly
You are describing a lesion noted on Mr Smith a 55 yo M. It is flat, nonpalpable, <1cm. You
describe this as a - answer>>>macule
A patient states that she has had a rash on her breast for about 2 weeks. In order to determine if
it is pagets disease you would expect to have all of the following on physical exam EXCEPT -
answer>>>inverted nipple
You notice a medium-pitched harsh systolic murmur during a routine exam or R upper border of
the sternum. Which of the following is most likely? - answer>>>Aortic stenosis
Which of the following statements in NOT typical of the murmur it is describing? -
answer>>>Grade II/Grade VI murmur is associated with a thrill?
you realize that as an APN you must ask sensitive questions, the most important thing is to be: -
answer>>>nonjudgemental
cultural competence is best enhanced when the healthcare provider - answer>>>uses self
awareness and reflection
you are assessing Jenna's broken arm in the ER and you suspect she may be a victim of violence.
What statement triggered your concern? - answer>>>I hurt it about 4 days ago
You organize a BP screening for a fair at the mall. You are involved in which type of prevention? -
answer>>>secondary prevention
2026 Accurate Real Exam Questions and
Verified Correct Answers JUST RELEASED
As an APN, you believe strongly in anticipatory guidance and prevention education. You explain
this to your patient that the development of screening and prevention guidelines is based on: -
answer>>>increased in average life expectancy
ted who is 15 yo just moved into the community and is staying in a foster home temporality
without any record of immunizations. Which immunizations does he need? - answer>>>-
meningococcal
-mmr
-tdap
-all of the above***
the client tells you that he takes aspirin daily. What question should you ask next? -
answer>>>Why do you take aspirin daily?
Mr. Bill presents to your office for a physical. You note that his BMI is 27. You inform him that this
is considered - answer>>>overweight
You are evaluating an elderly man who was brought by his distraught daughter. You explain that
many physical changes occur as we age that affect nutrition. Including all of the following except?
- answer>>>total caloric needs increase
Mr P complains of a "pain in his stomach". In your note you document that he is c/o pain in the
LLQ, radiating with worsening intensity towards the umbilicus. Pain is 6/10. Denies n/v/d. HPI
should include- - answer>>>When did it begin?
During a routine physical exam of a 44 yo woman you note she has an inverted left nipple. You
decide to investigate because: - answer>>>The inversion may be a recent change
,A 30 yo F is in the office c/o palpiations and some lightheadedness for the past ?, random
episodes, no detectable pattern. NP notes a mid systolic click with a late systolic murmur heard
best in the apical area. You suspect - answer>>>Mitral valve prolapse (MVP)
All of the following tests require the patient's voice to perform correctly except: - answer>>>-
egophany
-tactile fremitus
-whispered pectoriloquy
*auscultation*
59 yo M with history of COPD presents with worsening dyspnea. Patient is afebrile, breath sounds
are decreased bilaterally, noted to have JVD and pitting edema of lower extremities. What is the
most likely cause of his dyspnea? - answer>>>CHF
James Jones 55 yo M smoker presents with thick sputum producing cough. Exam: +tactile
fremitus, resonant percussion, and normal voice transmission. You suspect: -
answer>>>bronchitis
During the breast exam of a 30 year old nulliparous female. The NP palpates several rubbery
areas of the breast tissue. They are slightly tender to palpation and present in both breasts.
Expecting menses in 5 days. Which intervention is best? - answer>>>Tell her to recheck 1 week
after her menses
All of the following symptoms associated with chest pain are likely to represent CAD except? -
answer>>>pain with inspiration
60 yo landscaper presents to your office to establish care, history of CHF controlled with
medications. Denies cp, edema. Early diastolic ? with opening snap ___. You suspect? -
answer>>>Mitral stenosis
When performing a H&P on a pediatric patient. Which important factor affects the outcome the
most: - answer>>>Child's developmental level
, The most important question to ask as you build your HPI is - answer>>>Have you ever had this
before?
Which of the following patients is least likely to become an alcohol abuser? - answer>>>50 yo
construction worker who drinks 1 beer nightly
You are describing a lesion noted on Mr Smith a 55 yo M. It is flat, nonpalpable, <1cm. You
describe this as a - answer>>>macule
A patient states that she has had a rash on her breast for about 2 weeks. In order to determine if
it is pagets disease you would expect to have all of the following on physical exam EXCEPT -
answer>>>inverted nipple
You notice a medium-pitched harsh systolic murmur during a routine exam or R upper border of
the sternum. Which of the following is most likely? - answer>>>Aortic stenosis
Which of the following statements in NOT typical of the murmur it is describing? -
answer>>>Grade II/Grade VI murmur is associated with a thrill?
you realize that as an APN you must ask sensitive questions, the most important thing is to be: -
answer>>>nonjudgemental
cultural competence is best enhanced when the healthcare provider - answer>>>uses self
awareness and reflection
you are assessing Jenna's broken arm in the ER and you suspect she may be a victim of violence.
What statement triggered your concern? - answer>>>I hurt it about 4 days ago
You organize a BP screening for a fair at the mall. You are involved in which type of prevention? -
answer>>>secondary prevention
