NUR 643E ADVANCED HEALTH ASSESSMENT
FINAL EXAM 2025/2026 NEWEST ACTUAL EXAM
2 VERSIONS (VERSION A AND B) COMPLETE 365
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
A 47-year-old contractor presents for evaluation of neck pain, which has been intermittent
for several years. He normally takes over-the-counter medications to ease the pain, but
this time they haven't worked as well, and he still has discomfort. He recently wallpapered
the entire second floor in his house, which caused him great discomfort. The pain resolved
with rest. He denies fever, chills, rash, upper respiratory symptoms, trauma, or injury to
the neck. Based on this description, what is the most likely pathologic process? A)
Infectious B) Neoplastic C) Degenerative D) Traumatic - ANSWER - C) degenerative
A 49-year-old man presents with a skin lesion suspicious for malignant melanoma. you
describe the lesion as having:
a. deep, black-brown coloring throughout b. sharp borders c. a diameter of 3 mm or less d.
variable pigmentation - ANSWER - d. variable pigmentation
remember ABCDE rule
A 49-year-old truck driver comes to the emergency room for shortness of breath and
swelling in his ankles. He is diagnosed with congestive heart failure and admitted to the
hospital. You are the student assigned to do the patient's complete history and physical
examination. When you palpate the pulse, what do you expect to feel? A) Large amplitude,
forceful B) Small amplitude, weak C) Normal D) Bigeminal - ANSWER - B) small amplitude,
weak
CHF has decreased stroke volume
A 50-year-old body builder is upset by a letter of denial from his life insurance company.
He is very lean but has gained 2 pounds over the past 6 months. You personally performed
his health assessment and found no problems whatsoever. He says he is classified as
,"high risk" because of obesity. What should you do next? A) Explain that even small
amounts of weight gain can classify you as obese. B) Place him on a high-protein, low-fat
diet. C) Advise him to increase his aerobic exercise for calorie burning. D) Measure his
waist. - ANSWER - D) measure his waist
A 55-year-old bookkeeper comes to your office for a routine visit. You note that on a
previous visit for treatment of contact dermatitis, her blood pressure was elevated. She
does not have prior elevated readings, and her family history is negative for hypertension.
You measure her blood pressure in your office today. Which of the following factors can
result in a false high reading? A) Blood pressure cuff is tightly fitted. B) Patient is seated
quietly for 10 minutes prior to measurement. C) Blood pressure is measured on a bare
arm. D) Patient's arm is resting, supported by your arm at her mid-chest level as you stand
to measure the blood pressure. - ANSWER - A) blood pressure cuff is tightly fitted
A 55-year-old data entry operator comes to the clinic to establish care. She has the
following symptoms: headache, neck pain, sinus congestion, sore throat, ringing in ears,
sharp brief chest pains at rest, burning abdominal pain with spicy foods, constipation,
urinary frequency that is worse with coughing and sneezing, and swelling in legs. This
cluster of symptoms is explained by: A) One disease process B) More than one disease
process - ANSWER - B) more than one disease process
A 56-year-old truck driver presents with a new nodular, opaque lesion with non-distinct
borders on his left forearm. This most likely represents:
a. actinic keratosis b. squamous cell carcinoma c. basal cell carcinoma d. malignant
melanoma - ANSWER - b. squamous cell carcinoma
remember NO SUN
A 58-year-old gardener comes to your office for evaluation of a new lesion on her upper
chest. The lesion appears to be "stuck on" and is oval, brown, and slightly elevated with a
flat surface. It has a rough, wartlike texture on palpation. Based on this description, what is
your most likely diagnosis? A) Actinic keratosis B) Seborrheic keratosis C) Basal cell
carcinoma D) Squamous cell carcinoma - ANSWER - B) seborrheic keratosis
"stuck on"
A 62-year-old teacher presents to the clinic for evaluation of the following symptoms:
fever, headache, sinus congestion, sore throat, green nasal discharge, and cough. This
,cluster of symptoms is best explained by: A) One disease process B) More than one
disease process - ANSWER - A) one disease process
A 67-year-old retired janitor comes to the clinic with his wife. She brought him in because
she is concerned about his weight loss. He has a history of smoking 3 packs of cigarettes a
day for 30 years, for a total of 90 pack-years. He has noticed a daily cough for the past
several years, which he states is productive of sputum. He came into the clinic
approximately 1 year ago, and at that time his weight was 140 pounds. Today, his weight is
110 pounds. Which one of the following questions would be the most important to ask if
you suspect that he has lung cancer? A) Have you tried to force yourself to vomit after
eating a meal? B) Do you have heartburn/indigestion and diarrhea? C) Do you have enough
food to eat? D) Have you tried to lose weight? - ANSWER - D) have you tried to lose weight?
A 68-year-old retired farmer comes to your office for evaluation of a skin lesion. On the
right temporal area of the forehead, you see a flattened papule the same color as his skin,
covered by a dry scale that is round and feels hard. He has several more of these scattered
on the forehead, arms, and legs. Based on this description, what is your most likely
diagnosis? A) Actinic keratosis B) Seborrheic keratosis C) Basal cell carcinoma D)
Squamous cell carcinoma - ANSWER - A) actinic keratosis
A 70-year-old retired auto mechanic comes to your office because his neighbor is
concerned about his memory. The patient himself admits to misplacing his keys more
often and forgets what he is supposed to buy from the grocery store and where he has
parked the car. He denies getting lost in familiar places. Upon further questioning, he
states that his wife of 40 years died 8 months ago; his three children live in three different
states; and he has limited his activities because the people he interacted with were "his
wife's friends, not his." He drinks a six-pack of beer daily; he does not smoke or use illicit
drugs. You perform a mini-mental state examination and obtain a total score of 24 out of
28. Based on this information, what is your most likely diagnosis? A) Benign forgetfulness
B) Dementia C) Meningitis D) Depression - ANSWER - D) Depression
A 72-year-old woman presents with a newly formed painless, pearly, ulcerated nodule with
an overlying telangiectasis on the upper lip. this most likely represents:
a. actinic keratosis b. basal cell carcinoma c. squamous cell carcinoma d. molluscum
contagious - ANSWER - basal cell carcinoma
remember PUT ON
, A 72-year-old retired truck driver comes to the clinic with his wife for evaluation of hearing
loss. He has noticed some decreased ability to hear what his wife and grandchildren are
saying to him. He admits to lip-reading more. He has a history of noise exposure in his
young adult years: He worked as a sound engineer at a local arena and had to attend a lot
of concerts. Based on this information, what is the most likely finding regarding his hearing
acuity? A) Loss of acuity for middle-range sounds B) Increase of acuity for low-range
sounds C) Loss of acuity for high-range sounds D) Increase of acuity for high-range sounds
- ANSWER - A) Loss of acuity for middle-range sounds
human speech is middle-range sound
A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after being in the
hospital for 6 weeks. She was treated for sepsis and respiratory failure and had to be on
the ventilator for 3 weeks. You are completing your initial assessment and are evaluating
her skin condition. On her sacrum there is full-thickness skin loss that is 5 cm in diameter,
with damage to the subcutaneous tissue. The underlying muscle is not affected. You
diagnose this as a pressure ulcer. What is the stage of this ulcer? A) Stage 1 B) Stage 2 C)
Stage 3 D) Stage 4 - ANSWER - C) stage 3
full thickness skin loss with damage to subcutaneous tissue
A 78-year-old resident of a long-term care facility complains of generalized itchiness at
night that disturbs her sleep. Her examination is consistent with scabies. Which of the
following do you expect to find on examination?
a. excoriated papule on the interdigital area b. annular lesions over the buttocks c.
vesicular lesions in a linear pattern d. honey-colored crusted lesions that began as
vesicles - ANSWER - a. excoriated (from itching) papule on the interdigital area
A 78-year-old retired seamstress comes to the office for a routine check-up. You obtain an
ECG (electrocardiogram) because of her history of hypertension. You diagnose a previous
myocardial infarction and ask her if she had any symptoms related to this. Which of the
following symptoms would be more common in this patient's age group for an acute
myocardial infarction? A) Chest pain B) Syncope C) Pain radiating into the left arm D) Pain
radiating into the jaw - ANSWER - B) syncope
a common site for atopic dermatitis in an adult is on the:
a. dorsum of the hand b. face c. neck d. flexor surfaces - ANSWER - d. flexor surfaces
FINAL EXAM 2025/2026 NEWEST ACTUAL EXAM
2 VERSIONS (VERSION A AND B) COMPLETE 365
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
A 47-year-old contractor presents for evaluation of neck pain, which has been intermittent
for several years. He normally takes over-the-counter medications to ease the pain, but
this time they haven't worked as well, and he still has discomfort. He recently wallpapered
the entire second floor in his house, which caused him great discomfort. The pain resolved
with rest. He denies fever, chills, rash, upper respiratory symptoms, trauma, or injury to
the neck. Based on this description, what is the most likely pathologic process? A)
Infectious B) Neoplastic C) Degenerative D) Traumatic - ANSWER - C) degenerative
A 49-year-old man presents with a skin lesion suspicious for malignant melanoma. you
describe the lesion as having:
a. deep, black-brown coloring throughout b. sharp borders c. a diameter of 3 mm or less d.
variable pigmentation - ANSWER - d. variable pigmentation
remember ABCDE rule
A 49-year-old truck driver comes to the emergency room for shortness of breath and
swelling in his ankles. He is diagnosed with congestive heart failure and admitted to the
hospital. You are the student assigned to do the patient's complete history and physical
examination. When you palpate the pulse, what do you expect to feel? A) Large amplitude,
forceful B) Small amplitude, weak C) Normal D) Bigeminal - ANSWER - B) small amplitude,
weak
CHF has decreased stroke volume
A 50-year-old body builder is upset by a letter of denial from his life insurance company.
He is very lean but has gained 2 pounds over the past 6 months. You personally performed
his health assessment and found no problems whatsoever. He says he is classified as
,"high risk" because of obesity. What should you do next? A) Explain that even small
amounts of weight gain can classify you as obese. B) Place him on a high-protein, low-fat
diet. C) Advise him to increase his aerobic exercise for calorie burning. D) Measure his
waist. - ANSWER - D) measure his waist
A 55-year-old bookkeeper comes to your office for a routine visit. You note that on a
previous visit for treatment of contact dermatitis, her blood pressure was elevated. She
does not have prior elevated readings, and her family history is negative for hypertension.
You measure her blood pressure in your office today. Which of the following factors can
result in a false high reading? A) Blood pressure cuff is tightly fitted. B) Patient is seated
quietly for 10 minutes prior to measurement. C) Blood pressure is measured on a bare
arm. D) Patient's arm is resting, supported by your arm at her mid-chest level as you stand
to measure the blood pressure. - ANSWER - A) blood pressure cuff is tightly fitted
A 55-year-old data entry operator comes to the clinic to establish care. She has the
following symptoms: headache, neck pain, sinus congestion, sore throat, ringing in ears,
sharp brief chest pains at rest, burning abdominal pain with spicy foods, constipation,
urinary frequency that is worse with coughing and sneezing, and swelling in legs. This
cluster of symptoms is explained by: A) One disease process B) More than one disease
process - ANSWER - B) more than one disease process
A 56-year-old truck driver presents with a new nodular, opaque lesion with non-distinct
borders on his left forearm. This most likely represents:
a. actinic keratosis b. squamous cell carcinoma c. basal cell carcinoma d. malignant
melanoma - ANSWER - b. squamous cell carcinoma
remember NO SUN
A 58-year-old gardener comes to your office for evaluation of a new lesion on her upper
chest. The lesion appears to be "stuck on" and is oval, brown, and slightly elevated with a
flat surface. It has a rough, wartlike texture on palpation. Based on this description, what is
your most likely diagnosis? A) Actinic keratosis B) Seborrheic keratosis C) Basal cell
carcinoma D) Squamous cell carcinoma - ANSWER - B) seborrheic keratosis
"stuck on"
A 62-year-old teacher presents to the clinic for evaluation of the following symptoms:
fever, headache, sinus congestion, sore throat, green nasal discharge, and cough. This
,cluster of symptoms is best explained by: A) One disease process B) More than one
disease process - ANSWER - A) one disease process
A 67-year-old retired janitor comes to the clinic with his wife. She brought him in because
she is concerned about his weight loss. He has a history of smoking 3 packs of cigarettes a
day for 30 years, for a total of 90 pack-years. He has noticed a daily cough for the past
several years, which he states is productive of sputum. He came into the clinic
approximately 1 year ago, and at that time his weight was 140 pounds. Today, his weight is
110 pounds. Which one of the following questions would be the most important to ask if
you suspect that he has lung cancer? A) Have you tried to force yourself to vomit after
eating a meal? B) Do you have heartburn/indigestion and diarrhea? C) Do you have enough
food to eat? D) Have you tried to lose weight? - ANSWER - D) have you tried to lose weight?
A 68-year-old retired farmer comes to your office for evaluation of a skin lesion. On the
right temporal area of the forehead, you see a flattened papule the same color as his skin,
covered by a dry scale that is round and feels hard. He has several more of these scattered
on the forehead, arms, and legs. Based on this description, what is your most likely
diagnosis? A) Actinic keratosis B) Seborrheic keratosis C) Basal cell carcinoma D)
Squamous cell carcinoma - ANSWER - A) actinic keratosis
A 70-year-old retired auto mechanic comes to your office because his neighbor is
concerned about his memory. The patient himself admits to misplacing his keys more
often and forgets what he is supposed to buy from the grocery store and where he has
parked the car. He denies getting lost in familiar places. Upon further questioning, he
states that his wife of 40 years died 8 months ago; his three children live in three different
states; and he has limited his activities because the people he interacted with were "his
wife's friends, not his." He drinks a six-pack of beer daily; he does not smoke or use illicit
drugs. You perform a mini-mental state examination and obtain a total score of 24 out of
28. Based on this information, what is your most likely diagnosis? A) Benign forgetfulness
B) Dementia C) Meningitis D) Depression - ANSWER - D) Depression
A 72-year-old woman presents with a newly formed painless, pearly, ulcerated nodule with
an overlying telangiectasis on the upper lip. this most likely represents:
a. actinic keratosis b. basal cell carcinoma c. squamous cell carcinoma d. molluscum
contagious - ANSWER - basal cell carcinoma
remember PUT ON
, A 72-year-old retired truck driver comes to the clinic with his wife for evaluation of hearing
loss. He has noticed some decreased ability to hear what his wife and grandchildren are
saying to him. He admits to lip-reading more. He has a history of noise exposure in his
young adult years: He worked as a sound engineer at a local arena and had to attend a lot
of concerts. Based on this information, what is the most likely finding regarding his hearing
acuity? A) Loss of acuity for middle-range sounds B) Increase of acuity for low-range
sounds C) Loss of acuity for high-range sounds D) Increase of acuity for high-range sounds
- ANSWER - A) Loss of acuity for middle-range sounds
human speech is middle-range sound
A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after being in the
hospital for 6 weeks. She was treated for sepsis and respiratory failure and had to be on
the ventilator for 3 weeks. You are completing your initial assessment and are evaluating
her skin condition. On her sacrum there is full-thickness skin loss that is 5 cm in diameter,
with damage to the subcutaneous tissue. The underlying muscle is not affected. You
diagnose this as a pressure ulcer. What is the stage of this ulcer? A) Stage 1 B) Stage 2 C)
Stage 3 D) Stage 4 - ANSWER - C) stage 3
full thickness skin loss with damage to subcutaneous tissue
A 78-year-old resident of a long-term care facility complains of generalized itchiness at
night that disturbs her sleep. Her examination is consistent with scabies. Which of the
following do you expect to find on examination?
a. excoriated papule on the interdigital area b. annular lesions over the buttocks c.
vesicular lesions in a linear pattern d. honey-colored crusted lesions that began as
vesicles - ANSWER - a. excoriated (from itching) papule on the interdigital area
A 78-year-old retired seamstress comes to the office for a routine check-up. You obtain an
ECG (electrocardiogram) because of her history of hypertension. You diagnose a previous
myocardial infarction and ask her if she had any symptoms related to this. Which of the
following symptoms would be more common in this patient's age group for an acute
myocardial infarction? A) Chest pain B) Syncope C) Pain radiating into the left arm D) Pain
radiating into the jaw - ANSWER - B) syncope
a common site for atopic dermatitis in an adult is on the:
a. dorsum of the hand b. face c. neck d. flexor surfaces - ANSWER - d. flexor surfaces
