Advanced Health Assessment
Midterm Review
1. A 19-yr-old man comes for your health center with a crimson, angry proper eye for
24-forty eight hours. He notes that after he wakened, his eyelids were "caught collectively".
Physical examination findings: sclera is injected, imaginative and prescient is ordinary, and
EOM are intact, purulent discharge is mentioned. What is the most probable diagnosis?
A. Chemical publicity
B. Bacterial Conjunctivitis
C. Erythema nodosa
D. Trauma - ANS-B. Bacterial Conjunctivitis
10. The NP is conducting a cardiovascular examination. The NP is aware of to apply the bell
of the stethoscope to auscultate for all the following except:
A. Pericardial friction rub
B. S3 gallop
C. S4 gallop
D. Murmur of mitral stenosis - ANS-A. Pericardial friction rub
11. When a patient gives an incomplete or one-word solution to a touchy question, the
interviewer ought to:
A. Pause till the affected person gives a more particular answer
B. Assume that the problem is not crucial to the patient and move on
C. Gently ask the question in a one of a kind manner
D. Demand to recognize why the affected person is withholding records - ANS-C. Gently ask
the query in a distinct manner
12. A sixty five-year-old female comes to your medical institution with a records of coughing
up 1 to 2 tablespoons of brilliant blood on 2 events. She has smoked heavily for the beyond
30 years and reports latest weight reduction of 25 to 30 lbs. Her past clinical history includes
diabetes, hypertension, and rheumatoid arthritis. Her medicines encompass insulin, atenolol,
and lisinopril. What is/are the alarm functions found in this patient?
A. Quantity of hemoptysis
B. Advanced age, weight loss, and records of smoking
C. History of diabetes, high blood pressure. And rheumatoid arthritis
D. Current medicines - ANS-B. Advanced age, weight reduction, and history of smoking
thirteen. During the neurological examination, the affected person does now not feel
vibration when the NP applies a vibrating tuning fork to the affected person's proper big toe.
A differential diagnosis the NP should recall is:
A. Hyperthyroidism
B. Diabetes
C. Dermatitis
D. Lupus erythematosus - ANS-B. Diabetes
,14. Tobacco use is recorded in % years. How can we calculate p.C. Years?
A. # packs in line with week x 12
B. # packs in line with day x12
C. # packs in line with day x years a person has smoked
D. # packs per week x the variety of years a person has smoked - ANS-C. # packs
consistent with day x years someone has smoked
15. The NP is called to assess a patient. The nursing personnel grew concerned due to the
fact the patient seems agitated and insists he hears voices telling him humans are going to
kill him. The NP knows that auditory hallucinations can occur in all of the following except:
A. Schizophrenia
B. Alcohol withdrawal
C. Drug toxicity
D. Anxiety - ANS-D. Anxiety
16. The NP is evaluating a 75-year-vintage patient in the workplace for blood stress (BP)
follow-up. The average of BP readings taken on two separate events is 132/eighty four. The
NP classifies this BP analyzing as:
A. Elevated blood strain
B. Stage 1 hypertension
C. Normal blood stress
D. Stage 2 high blood pressure - ANS-B. Stage 1 high blood pressure
17. The NP could count on to auscultate expiratory wheezes in all the following EXCEPT:
A. Acute bronchial asthma
B. Chronic bronchitis
C. Pleural effusion
D. COPD exacerbation - ANS-C. Pleural effusion
18. Your patient, a 22-yr-antique female with a presumptive diagnosis of migraine
complications, comes to see you for a ordinary periodic health examination. Which of the
following locations of head pain could be most consistent with the diagnosis of migraine?
A. Occipital
B. Frontal
C. Temporal
D. Periorbital - ANS-C. Temporal
19. Diagnosis of acute bacterial sinusitis is supported by using all of the following EXCEPT:
A. Pale nasal mucosa
B. Purulent nasal discharge
C. Unilateral sinus pain
D. Frontal headache - ANS-A. Pale nasal mucosa
, 2. An 18-year-antique female provides to the ER with 1-day history of intense sore throat,
malaise, and headache. The patient reviews no records of cough or rhinitis. V.S.: T 101F,
P98, R22, BP 124/60. On pores and skin inspection, the NP notices a excellent sandpaper
rash at the chest. The throat exam famous an inflamed uvula, pharynx, and tonsils with
grey-white exudate on the proper tonsil. Neck exam well-knownshows smooth cervical
lymphadenopathy. The maximum probable diagnosis is:
A. Hand-foot-and-mouth disorder
B. Acute herpetic pharyngitis
C. Group A beta-hemolytic streptococcal contamination
D. Acute diphtherial infection - ANS-C. Group A beta-hemolytic streptococcal infection
20. You are the NP running in an pressing care health facility and compare a 36-year-old
affected person getting better from a recent viral contamination, with leader complaint of
sharp, knife-like substernal chest ache radiating to the tip of the left shoulder. The patient
quotes the ache 9/10 in severity, reports the ache worsens with deep thought and coughing,
and is relieved by sitting ahead. On physical examination, you auscultate coarse grating S1
and S2 coronary heart sounds in all cardiac auscultatory locations. Based on this data, the
analysis is maximum possibly:
A. Acute MI
B. Pericarditis
C. Costochondritis
D. Pancreatitis - ANS-B. Pericarditis
21. A fifty six-year-old Caucasian girl presents to the NP's office with leader criticism of a
non-recovery lesion to her left arm. The affected person reviews this lesion has been present
for nearly 3 months and hasn't gone away in spite of making use of diverse pores and skin
lotions. On inspection, the NP sees a pink-colored plaque with a scaly floor measuring 1 cm
in diameter. The NP is aware of a prognosis can be showed with the aid of:
A. Incision and drainage
B. Punch biopsy
C. Patch take a look at
D. Allergy testing - ANS-B. Punch biopsy
22. A fifty seven-yr-old male with a 35 percent-yr history cease cigarette smoking 2 years in
the past gives for his annual bodily exam. He asks about his lung most cancers dangers and
also you advise him that the USPSTF hints for lung most cancers screening are:
A. Chest Xray annually for cutting-edge smokers over the age of 60, who smoke more than 2
packs-in line with-day
B. Pulmonary Function testing over age 55, if >25 percent-year records and presently
smoking
C. Low dose CT scan annually if > 55 years vintage, with a 30 p.C.-yr history and <15 years
since quitting
D. Reassurance that because he quit smoking, his risk is very low. Applaud efforts and
encourage him to continue as a non-smoker - ANS-C. Low dose CT scan annually if > fifty
five years old, with a 30 %-12 months history and <15 years since quitting
Midterm Review
1. A 19-yr-old man comes for your health center with a crimson, angry proper eye for
24-forty eight hours. He notes that after he wakened, his eyelids were "caught collectively".
Physical examination findings: sclera is injected, imaginative and prescient is ordinary, and
EOM are intact, purulent discharge is mentioned. What is the most probable diagnosis?
A. Chemical publicity
B. Bacterial Conjunctivitis
C. Erythema nodosa
D. Trauma - ANS-B. Bacterial Conjunctivitis
10. The NP is conducting a cardiovascular examination. The NP is aware of to apply the bell
of the stethoscope to auscultate for all the following except:
A. Pericardial friction rub
B. S3 gallop
C. S4 gallop
D. Murmur of mitral stenosis - ANS-A. Pericardial friction rub
11. When a patient gives an incomplete or one-word solution to a touchy question, the
interviewer ought to:
A. Pause till the affected person gives a more particular answer
B. Assume that the problem is not crucial to the patient and move on
C. Gently ask the question in a one of a kind manner
D. Demand to recognize why the affected person is withholding records - ANS-C. Gently ask
the query in a distinct manner
12. A sixty five-year-old female comes to your medical institution with a records of coughing
up 1 to 2 tablespoons of brilliant blood on 2 events. She has smoked heavily for the beyond
30 years and reports latest weight reduction of 25 to 30 lbs. Her past clinical history includes
diabetes, hypertension, and rheumatoid arthritis. Her medicines encompass insulin, atenolol,
and lisinopril. What is/are the alarm functions found in this patient?
A. Quantity of hemoptysis
B. Advanced age, weight loss, and records of smoking
C. History of diabetes, high blood pressure. And rheumatoid arthritis
D. Current medicines - ANS-B. Advanced age, weight reduction, and history of smoking
thirteen. During the neurological examination, the affected person does now not feel
vibration when the NP applies a vibrating tuning fork to the affected person's proper big toe.
A differential diagnosis the NP should recall is:
A. Hyperthyroidism
B. Diabetes
C. Dermatitis
D. Lupus erythematosus - ANS-B. Diabetes
,14. Tobacco use is recorded in % years. How can we calculate p.C. Years?
A. # packs in line with week x 12
B. # packs in line with day x12
C. # packs in line with day x years a person has smoked
D. # packs per week x the variety of years a person has smoked - ANS-C. # packs
consistent with day x years someone has smoked
15. The NP is called to assess a patient. The nursing personnel grew concerned due to the
fact the patient seems agitated and insists he hears voices telling him humans are going to
kill him. The NP knows that auditory hallucinations can occur in all of the following except:
A. Schizophrenia
B. Alcohol withdrawal
C. Drug toxicity
D. Anxiety - ANS-D. Anxiety
16. The NP is evaluating a 75-year-vintage patient in the workplace for blood stress (BP)
follow-up. The average of BP readings taken on two separate events is 132/eighty four. The
NP classifies this BP analyzing as:
A. Elevated blood strain
B. Stage 1 hypertension
C. Normal blood stress
D. Stage 2 high blood pressure - ANS-B. Stage 1 high blood pressure
17. The NP could count on to auscultate expiratory wheezes in all the following EXCEPT:
A. Acute bronchial asthma
B. Chronic bronchitis
C. Pleural effusion
D. COPD exacerbation - ANS-C. Pleural effusion
18. Your patient, a 22-yr-antique female with a presumptive diagnosis of migraine
complications, comes to see you for a ordinary periodic health examination. Which of the
following locations of head pain could be most consistent with the diagnosis of migraine?
A. Occipital
B. Frontal
C. Temporal
D. Periorbital - ANS-C. Temporal
19. Diagnosis of acute bacterial sinusitis is supported by using all of the following EXCEPT:
A. Pale nasal mucosa
B. Purulent nasal discharge
C. Unilateral sinus pain
D. Frontal headache - ANS-A. Pale nasal mucosa
, 2. An 18-year-antique female provides to the ER with 1-day history of intense sore throat,
malaise, and headache. The patient reviews no records of cough or rhinitis. V.S.: T 101F,
P98, R22, BP 124/60. On pores and skin inspection, the NP notices a excellent sandpaper
rash at the chest. The throat exam famous an inflamed uvula, pharynx, and tonsils with
grey-white exudate on the proper tonsil. Neck exam well-knownshows smooth cervical
lymphadenopathy. The maximum probable diagnosis is:
A. Hand-foot-and-mouth disorder
B. Acute herpetic pharyngitis
C. Group A beta-hemolytic streptococcal contamination
D. Acute diphtherial infection - ANS-C. Group A beta-hemolytic streptococcal infection
20. You are the NP running in an pressing care health facility and compare a 36-year-old
affected person getting better from a recent viral contamination, with leader complaint of
sharp, knife-like substernal chest ache radiating to the tip of the left shoulder. The patient
quotes the ache 9/10 in severity, reports the ache worsens with deep thought and coughing,
and is relieved by sitting ahead. On physical examination, you auscultate coarse grating S1
and S2 coronary heart sounds in all cardiac auscultatory locations. Based on this data, the
analysis is maximum possibly:
A. Acute MI
B. Pericarditis
C. Costochondritis
D. Pancreatitis - ANS-B. Pericarditis
21. A fifty six-year-old Caucasian girl presents to the NP's office with leader criticism of a
non-recovery lesion to her left arm. The affected person reviews this lesion has been present
for nearly 3 months and hasn't gone away in spite of making use of diverse pores and skin
lotions. On inspection, the NP sees a pink-colored plaque with a scaly floor measuring 1 cm
in diameter. The NP is aware of a prognosis can be showed with the aid of:
A. Incision and drainage
B. Punch biopsy
C. Patch take a look at
D. Allergy testing - ANS-B. Punch biopsy
22. A fifty seven-yr-old male with a 35 percent-yr history cease cigarette smoking 2 years in
the past gives for his annual bodily exam. He asks about his lung most cancers dangers and
also you advise him that the USPSTF hints for lung most cancers screening are:
A. Chest Xray annually for cutting-edge smokers over the age of 60, who smoke more than 2
packs-in line with-day
B. Pulmonary Function testing over age 55, if >25 percent-year records and presently
smoking
C. Low dose CT scan annually if > 55 years vintage, with a 30 p.C.-yr history and <15 years
since quitting
D. Reassurance that because he quit smoking, his risk is very low. Applaud efforts and
encourage him to continue as a non-smoker - ANS-C. Low dose CT scan annually if > fifty
five years old, with a 30 %-12 months history and <15 years since quitting
