NSG 5140 WEEK 1 ADVANCED HEALTH
ASSESSMENT EXAM
1. During a comprehensive health history, a patient reports ‘crushing chest pain that radiates
to the left arm.’ In which section of the documentation should this specific detail be primarily
recorded?
A. Review of Systems
B. Past Medical History
C. History of Present Illness
D. Chief Complaint
Answer: C
Conceptual Explanation: While the Chief Complaint is the reason for the visit, the History
of Present Illness (HPI) is the chronological account of the patient’s symptoms, including
location, radiation, and quality.
2. When performing a physical examination, which sequence of assessment techniques is
generally considered standard for most body systems?
A. Auscultation, Palpation, Percussion, Inspection
,B. Inspection, Palpation, Percussion, Auscultation
C. Palpation, Inspection, Auscultation, Percussion
D. Inspection, Auscultation, Percussion, Palpation
Answer: B
Conceptual Explanation: The standard sequence is Inspection, Palpation, Percussion, and
Auscultation (IPPA). The abdomen is the exception to avoid altering bowel sounds.
3. Which part of the hand is most sensitive to vibrations and should be used when assessing
tactile fremitus?
A. Dorsal surface of the hand
B. Fingertips
C. Palmar surface of the hand
D. Ulnar surface of the hand
Answer: D
Conceptual Explanation: The ulnar surface or the metacarpophalangeal joints are most
sensitive to vibrations, whereas the fingertips are best for fine tactile discrimination.
4. A 65-year-old patient presents for an annual wellness exam. Which type of health history is
most appropriate for this visit?
A. Problem-oriented history
B. Follow-up history
, C. Comprehensive history
D. Emergency history
Answer: C
Conceptual Explanation: A comprehensive health history is appropriate for new patients
or annual wellness visits to establish a baseline and screen for various health issues.
5. Subjective data in a health assessment is best defined as:
A. Information reported by the patient’s family members
B. Physical exam findings observed by the clinician
C. Information provided by the patient about their feelings and perceptions
D. Laboratory results and diagnostic imaging findings
Answer: C
Conceptual Explanation: Subjective data includes the patient’s symptoms, feelings, and
perceptions that cannot be independently verified by the examiner.
6. When assessing an older adult, the nurse practitioner notices a decrease in skin turgor and
increased fragility. This is best explained by:
A. Acute dehydration
B. A sign of impending systemic infection
C. Chronic vitamin D deficiency
ASSESSMENT EXAM
1. During a comprehensive health history, a patient reports ‘crushing chest pain that radiates
to the left arm.’ In which section of the documentation should this specific detail be primarily
recorded?
A. Review of Systems
B. Past Medical History
C. History of Present Illness
D. Chief Complaint
Answer: C
Conceptual Explanation: While the Chief Complaint is the reason for the visit, the History
of Present Illness (HPI) is the chronological account of the patient’s symptoms, including
location, radiation, and quality.
2. When performing a physical examination, which sequence of assessment techniques is
generally considered standard for most body systems?
A. Auscultation, Palpation, Percussion, Inspection
,B. Inspection, Palpation, Percussion, Auscultation
C. Palpation, Inspection, Auscultation, Percussion
D. Inspection, Auscultation, Percussion, Palpation
Answer: B
Conceptual Explanation: The standard sequence is Inspection, Palpation, Percussion, and
Auscultation (IPPA). The abdomen is the exception to avoid altering bowel sounds.
3. Which part of the hand is most sensitive to vibrations and should be used when assessing
tactile fremitus?
A. Dorsal surface of the hand
B. Fingertips
C. Palmar surface of the hand
D. Ulnar surface of the hand
Answer: D
Conceptual Explanation: The ulnar surface or the metacarpophalangeal joints are most
sensitive to vibrations, whereas the fingertips are best for fine tactile discrimination.
4. A 65-year-old patient presents for an annual wellness exam. Which type of health history is
most appropriate for this visit?
A. Problem-oriented history
B. Follow-up history
, C. Comprehensive history
D. Emergency history
Answer: C
Conceptual Explanation: A comprehensive health history is appropriate for new patients
or annual wellness visits to establish a baseline and screen for various health issues.
5. Subjective data in a health assessment is best defined as:
A. Information reported by the patient’s family members
B. Physical exam findings observed by the clinician
C. Information provided by the patient about their feelings and perceptions
D. Laboratory results and diagnostic imaging findings
Answer: C
Conceptual Explanation: Subjective data includes the patient’s symptoms, feelings, and
perceptions that cannot be independently verified by the examiner.
6. When assessing an older adult, the nurse practitioner notices a decrease in skin turgor and
increased fragility. This is best explained by:
A. Acute dehydration
B. A sign of impending systemic infection
C. Chronic vitamin D deficiency
