Advanced Health Assessment Exam
x x x
Questions & Correct Answers/ Graded A+
x x x x x
Ax59xyearxoldxpatientsxtellsxthexnursexpractitionerxthatxhexthinksxhexmustxhavexulcerativexcolitis.xHe
hasxbeenxhavingx"blackxstools"xforxthexlastx24xhours.xHowxwouldxthexnursexpractitionerxbest
documentxTHExFACTSxforxhisxreasonxforxseekingxcare?
A) JMxisxax59xyearxoldxmalexherexforxhavingx"blackxstools"xforxthexpastx24xhours.
B) JMxcamexintoxthexclinicxcomplainingxofxblackxstoolsxforxthexpastx24xhours.
C) JMxisxax59xyearxoldxmalexherexforx"ulcerativexcolitis."
D) JM,xax59xyearxoldxmale,xstatesxhexhasxulcerativexcolitisxandxwantsxitxchecked.
➹➹:x A)xJMxisxax59xyearxoldxmalexherexforxhavingx"blackxstools"xforxthexpastx24xhours.
ChiefxComplaint(s)xThexonexorxmorexsymptomsxorxconcernsxcausingxthexpatientxtoxseekxcare.xMake
everyxeffortxtoxquotexthexpatient'sxownxwords.
Axpatientxtellsxthexnursexpractitionerxthatxshexhasxhadxabdominalxpainxforxthexpastxweek.xWhatxwould
bexthexbestxresponsexbyxthexnursexpractitioner?
A) We'llxtalkxmorexaboutxthatxlaterxinxthexinterview."
B) "Havexyouxeverxhadxanyxchildren?"
C) "Whatxhavexyouxhadxtoxeatxinxthexlastx4xhours?"
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,D) "Canxyouxpointxtoxwherexitxhurts?"
➹➹:x D)x"Canxyouxpointxtoxwherexitxhurts?"
Eachxprinciplexsymptomxshouldxbexwell-characterized,xwithxdescriptionsxofxlocation;xalongxwithxthe
otherxsevenxattributes.xLocation:xAskxthexpatientxtoxpointxtoxthexpainxbecausexlayxtermsxmayxnotxbe
specificxenoughxtoxlocalizexthexsitexofxorigin.
Ax29-year-oldxwomanxtellsxthexnursexthatxshexhasx"excruciatingxpain"xinxherxback.xWhichxofxthe
followingxwouldxbexanxappropriatexresponsexbyxthexnursextoxherxstatement?
A) "Howxdoesxyourxfamilyxreactxtoxyourxpain?"
B) "Thatxmustxbexterrible.xYouxprobablyxpinchedxaxnerve."
C) "I'vexhadxbackxpainxmyselfxandxitxcanxbexexcruciating."
D) "Howxwouldxyouxsayxthexpainxaffectsxyourxabilityxtoxdoxyourxdailyxactivities?"
➹➹:x D)x"Howxwouldxyouxsayxthexpainxaffectsxyourxabilityxtoxdoxyourxdailyxactivities?"
Inquirexaboutxthexeffectsxofxpainxonxthexpatient'sxdailyxactivities,xmood,xsleep,xwork,xandxsexual
activity.
Inxrecordingxthexchildhoodxillnessesxofxaxpatientxwhoxdeniesxhavingxhadxany,xwhichxofxthexfollowing
notesxbyxthexnursexwouldxbexmostxaccurate?
A) Patientxdeniesxusualxchildhoodxillnesses.
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,B) Patientxstatesxhexwasxax"veryxhealthy"xchild.
C) Patientxstatesxsisterxhadxmeasles,xbutxhexdidn't.
D) Patientxdeniesxmeasles,xmumps,xrubella,xchickenpox,xpertussis,xrheumaticxfever,xandxpolio.
➹➹:x D)xPatientxdeniesxmeasles,xmumps,xrubella,xchickenpox,xpertussis,xrheumaticxfever,xandxpolio.
Childhoodxillnessesxincludexmeasles,xrubella,xmumps,xwhoopingxcough,xrheumaticxfever,xscarlet
fever,xandxpolio.xTheyxarexincludedxinxthexpastxhistory.
Axpatientxtellsxthexnursexthatxhexisxallergicxtoxpenicillin.xWhatxwouldxbexthexnurse'sxbestxresponsexto
thisxinformation?
A) "Arexyouxallergicxtoxanyxotherxdrugs?"
B) "Howxoftenxhavexyouxreceivedxpenicillin?"
C) "I'llxwritexyourxallergyxonxyourxchartxsoxyouxwon'txreceivexany."
D) "Pleasexdescribexwhatxhappensxtoxyouxwhenxyouxtakexpenicillin."
➹➹:x D)x"Pleasexdescribexwhatxhappensxtoxyouxwhenxyouxtakexpenicillin."
Allergies,xincludingxspecificxreactionsxtoxeachxmedication,xsuchxasxrashxorxnausea,xmustxbexrecorded.
Thexnursexisxtakingxaxfamilyxhistory.xImportantxdiseasesxorxproblemsxtoxaskxthexpatientxaboutxinclude:
A) emphysema.
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, B) headxtrauma.
C) mentalxillness.
D) fracturedxbones.
➹➹:xC)xmentalxillness.
Specificallyxaskxforxanyxfamilyxhistoryxofxheartxdisease,xhighxbloodxpressure,xstroke,xdiabetes,xobesity,
bloodxdisorders,xovarianxcancer,xcolonxcancer,xsicklexcellxanemia,xarthritis,xallergies,xalcoholxorxdrug
addiction,xmentalxillness,xsuicide,xseizurexdisorder,xkidneyxdisease,xandxtuberculosis.xThexother
answersxarexacquired.
Thexfollowingxinformationxisxrecordedxinxthexhealthxhistory:x"Patientxdeniesxchestxpain,xpalpitations,
orthopnea,xandxparoxysmalxnocturnalxdyspnea."xWhichxcategoryxdoesxitxbelongxto?
A) Chiefxcomplaint
B) Presentxillness
C) Personalxandxsocialxhistory
D) Reviewxofxsystems
➹➹:x D)xReviewxofxsystems
Mostxreviewxofxsystemsxquestionsxpertainxtoxsystems.xYouxmayxalsoxdrawxonxReviewxofxSystems
questionsxrelatedxtoxthexChiefxComplaintxtoxestablishxpositivesxandxnegativesxthatxhelpxclarifyxthe
diagnosis.
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x x x
Questions & Correct Answers/ Graded A+
x x x x x
Ax59xyearxoldxpatientsxtellsxthexnursexpractitionerxthatxhexthinksxhexmustxhavexulcerativexcolitis.xHe
hasxbeenxhavingx"blackxstools"xforxthexlastx24xhours.xHowxwouldxthexnursexpractitionerxbest
documentxTHExFACTSxforxhisxreasonxforxseekingxcare?
A) JMxisxax59xyearxoldxmalexherexforxhavingx"blackxstools"xforxthexpastx24xhours.
B) JMxcamexintoxthexclinicxcomplainingxofxblackxstoolsxforxthexpastx24xhours.
C) JMxisxax59xyearxoldxmalexherexforx"ulcerativexcolitis."
D) JM,xax59xyearxoldxmale,xstatesxhexhasxulcerativexcolitisxandxwantsxitxchecked.
➹➹:x A)xJMxisxax59xyearxoldxmalexherexforxhavingx"blackxstools"xforxthexpastx24xhours.
ChiefxComplaint(s)xThexonexorxmorexsymptomsxorxconcernsxcausingxthexpatientxtoxseekxcare.xMake
everyxeffortxtoxquotexthexpatient'sxownxwords.
Axpatientxtellsxthexnursexpractitionerxthatxshexhasxhadxabdominalxpainxforxthexpastxweek.xWhatxwould
bexthexbestxresponsexbyxthexnursexpractitioner?
A) We'llxtalkxmorexaboutxthatxlaterxinxthexinterview."
B) "Havexyouxeverxhadxanyxchildren?"
C) "Whatxhavexyouxhadxtoxeatxinxthexlastx4xhours?"
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,D) "Canxyouxpointxtoxwherexitxhurts?"
➹➹:x D)x"Canxyouxpointxtoxwherexitxhurts?"
Eachxprinciplexsymptomxshouldxbexwell-characterized,xwithxdescriptionsxofxlocation;xalongxwithxthe
otherxsevenxattributes.xLocation:xAskxthexpatientxtoxpointxtoxthexpainxbecausexlayxtermsxmayxnotxbe
specificxenoughxtoxlocalizexthexsitexofxorigin.
Ax29-year-oldxwomanxtellsxthexnursexthatxshexhasx"excruciatingxpain"xinxherxback.xWhichxofxthe
followingxwouldxbexanxappropriatexresponsexbyxthexnursextoxherxstatement?
A) "Howxdoesxyourxfamilyxreactxtoxyourxpain?"
B) "Thatxmustxbexterrible.xYouxprobablyxpinchedxaxnerve."
C) "I'vexhadxbackxpainxmyselfxandxitxcanxbexexcruciating."
D) "Howxwouldxyouxsayxthexpainxaffectsxyourxabilityxtoxdoxyourxdailyxactivities?"
➹➹:x D)x"Howxwouldxyouxsayxthexpainxaffectsxyourxabilityxtoxdoxyourxdailyxactivities?"
Inquirexaboutxthexeffectsxofxpainxonxthexpatient'sxdailyxactivities,xmood,xsleep,xwork,xandxsexual
activity.
Inxrecordingxthexchildhoodxillnessesxofxaxpatientxwhoxdeniesxhavingxhadxany,xwhichxofxthexfollowing
notesxbyxthexnursexwouldxbexmostxaccurate?
A) Patientxdeniesxusualxchildhoodxillnesses.
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,B) Patientxstatesxhexwasxax"veryxhealthy"xchild.
C) Patientxstatesxsisterxhadxmeasles,xbutxhexdidn't.
D) Patientxdeniesxmeasles,xmumps,xrubella,xchickenpox,xpertussis,xrheumaticxfever,xandxpolio.
➹➹:x D)xPatientxdeniesxmeasles,xmumps,xrubella,xchickenpox,xpertussis,xrheumaticxfever,xandxpolio.
Childhoodxillnessesxincludexmeasles,xrubella,xmumps,xwhoopingxcough,xrheumaticxfever,xscarlet
fever,xandxpolio.xTheyxarexincludedxinxthexpastxhistory.
Axpatientxtellsxthexnursexthatxhexisxallergicxtoxpenicillin.xWhatxwouldxbexthexnurse'sxbestxresponsexto
thisxinformation?
A) "Arexyouxallergicxtoxanyxotherxdrugs?"
B) "Howxoftenxhavexyouxreceivedxpenicillin?"
C) "I'llxwritexyourxallergyxonxyourxchartxsoxyouxwon'txreceivexany."
D) "Pleasexdescribexwhatxhappensxtoxyouxwhenxyouxtakexpenicillin."
➹➹:x D)x"Pleasexdescribexwhatxhappensxtoxyouxwhenxyouxtakexpenicillin."
Allergies,xincludingxspecificxreactionsxtoxeachxmedication,xsuchxasxrashxorxnausea,xmustxbexrecorded.
Thexnursexisxtakingxaxfamilyxhistory.xImportantxdiseasesxorxproblemsxtoxaskxthexpatientxaboutxinclude:
A) emphysema.
3
, B) headxtrauma.
C) mentalxillness.
D) fracturedxbones.
➹➹:xC)xmentalxillness.
Specificallyxaskxforxanyxfamilyxhistoryxofxheartxdisease,xhighxbloodxpressure,xstroke,xdiabetes,xobesity,
bloodxdisorders,xovarianxcancer,xcolonxcancer,xsicklexcellxanemia,xarthritis,xallergies,xalcoholxorxdrug
addiction,xmentalxillness,xsuicide,xseizurexdisorder,xkidneyxdisease,xandxtuberculosis.xThexother
answersxarexacquired.
Thexfollowingxinformationxisxrecordedxinxthexhealthxhistory:x"Patientxdeniesxchestxpain,xpalpitations,
orthopnea,xandxparoxysmalxnocturnalxdyspnea."xWhichxcategoryxdoesxitxbelongxto?
A) Chiefxcomplaint
B) Presentxillness
C) Personalxandxsocialxhistory
D) Reviewxofxsystems
➹➹:x D)xReviewxofxsystems
Mostxreviewxofxsystemsxquestionsxpertainxtoxsystems.xYouxmayxalsoxdrawxonxReviewxofxSystems
questionsxrelatedxtoxthexChiefxComplaintxtoxestablishxpositivesxandxnegativesxthatxhelpxclarifyxthe
diagnosis.
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