ADVANCED HEALTH ASSESSMENT
EXAM WITH VERIFIED SOLUTIONS
A k59 kyear kold kpatients ktells kthe knurse kpractitioner kthat khe kthinks khe kmust khave
kulcerative kcolitis. kHe khas kbeen khaving k"black kstools" kfor kthe klast k24 khours. kHow
kwould kthe knurse kpractitioner kbest kdocument kTHE kFACTS kfor khis kreason kfor
kseeking kcare?
A) kJM kis ka k59 kyear kold kmale khere kfor khaving k"black kstools" kfor kthe kpast k24
khours.
B) kJM kcame kinto kthe kclinic kcomplaining kof kblack kstools kfor kthe kpast k24 khours.
C) kJM kis ka k59 kyear kold kmale khere kfor k"ulcerative kcolitis."
D) kJM, ka k59 kyear kold kmale, kstates khe khas kulcerative kcolitis kand kwants kit
kchecked. k- kcorrect kanswers k-A) kJM kis ka k59 kyear kold kmale khere kfor khaving
k"black kstools" kfor kthe kpast k24 khours.
,Chief kComplaint(s) kThe kone kor kmore ksymptoms kor kconcerns kcausing kthe kpatient
kto kseek kcare. kMake kevery keffort kto kquote kthe kpatient's kown kwords.
A kpatient ktells kthe knurse kpractitioner kthat kshe khas khad kabdominal kpain kfor kthe
kpast kweek. kWhat kwould kbe kthe kbest kresponse kby kthe knurse kpractitioner?
A) kWe'll ktalk kmore kabout kthat klater kin kthe kinterview."
B) k"Have kyou kever khad kany kchildren?"
C) k"What khave kyou khad kto keat kin kthe klast k4 khours?"
D) k"Can kyou kpoint kto kwhere kit khurts?" k- kcorrect kanswers k-D) k"Can kyou kpoint kto
kwhere kit khurts?"
Each kprinciple ksymptom kshould kbe kwell-characterized, kwith kdescriptions kof
klocation; kalong kwith kthe kother kseven kattributes. kLocation: kAsk kthe kpatient kto
kpoint kto kthe kpain kbecause klay kterms kmay knot kbe kspecific kenough kto klocalize
kthe ksite kof korigin.
A k29-year-old kwoman ktells kthe knurse kthat kshe khas k"excruciating kpain" kin kher
kback. kWhich kof kthe kfollowing kwould kbe kan kappropriate kresponse kby kthe knurse
kto kher kstatement?
A) k"How kdoes kyour kfamily kreact kto kyour kpain?"
B) k"That kmust kbe kterrible. kYou kprobably kpinched ka knerve."
C) k"I've khad kback kpain kmyself kand kit kcan kbe kexcruciating."
D) k"How kwould kyou ksay kthe kpain kaffects kyour kability kto kdo kyour kdaily kactivities?"
k- kcorrect kanswers k-D) k"How kwould kyou ksay kthe kpain kaffects kyour kability kto kdo
kyour kdaily kactivities?"
Inquire kabout kthe keffects kof kpain kon kthe kpatient's kdaily kactivities, kmood, ksleep,
kwork, kand ksexual kactivity.
In krecording kthe kchildhood killnesses kof ka kpatient kwho kdenies khaving khad kany,
kwhich kof kthe kfollowing knotes kby kthe knurse kwould kbe kmost kaccurate?
A) kPatient kdenies kusual kchildhood killnesses.
B) kPatient kstates khe kwas ka k"very khealthy" kchild.
C) kPatient kstates ksister khad kmeasles, kbut khe kdidn't.
D) kPatient kdenies kmeasles, kmumps, krubella, kchickenpox, kpertussis, krheumatic
kfever, kand kpolio. k- kcorrect kanswers k-D) kPatient kdenies kmeasles, kmumps, krubella,
kchickenpox, kpertussis, krheumatic kfever, kand kpolio.
Childhood killnesses kinclude kmeasles, krubella, kmumps, kwhooping kcough, krheumatic
kfever, kscarlet kfever, kand kpolio. kThey kare kincluded kin kthe kpast khistory.
A kpatient ktells kthe knurse kthat khe kis kallergic kto kpenicillin. kWhat kwould kbe kthe
knurse's kbest kresponse kto kthis kinformation?
A) k"Are kyou kallergic kto kany kother kdrugs?"
B) k"How koften khave kyou kreceived kpenicillin?"
, C) k"I'll kwrite kyour kallergy kon kyour kchart kso kyou kwon't kreceive kany."
D) k"Please kdescribe kwhat khappens kto kyou kwhen kyou ktake kpenicillin." k- kcorrect
kanswers k-D) k"Please kdescribe kwhat khappens kto kyou kwhen kyou ktake kpenicillin."
Allergies, kincluding kspecific kreactions kto keach kmedication, ksuch kas krash kor
knausea, kmust kbe krecorded.
The knurse kis ktaking ka kfamily khistory. kImportant kdiseases kor kproblems kto kask kthe
kpatient kabout kinclude:
A) kemphysema.
B) khead ktrauma.
C) kmental killness.
D) kfractured kbones. k- kcorrect kanswers k-C) kmental killness.
Specifically kask kfor kany kfamily khistory kof kheart kdisease, khigh kblood kpressure,
kstroke, kdiabetes, kobesity, kblood kdisorders, kovarian kcancer, kcolon kcancer, ksickle
kcell kanemia, karthritis, kallergies, kalcohol kor kdrug kaddiction, kmental killness, ksuicide,
kseizure kdisorder, kkidney kdisease, kand ktuberculosis. kThe kother kanswers kare
kacquired.
The kfollowing kinformation kis krecorded kin kthe khealth khistory: k"Patient kdenies kchest
kpain, kpalpitations, korthopnea, kand kparoxysmal knocturnal kdyspnea." kWhich
kcategory kdoes kit kbelong kto?
A) kChief kcomplaint
B) kPresent killness
C) kPersonal kand ksocial khistory
D) kReview kof ksystems k- kcorrect kanswers k-D) kReview kof ksystems
Most kreview kof ksystems kquestions kpertain kto ksystems. kYou kmay kalso kdraw kon
kReview kof kSystems kquestions krelated kto kthe kChief kComplaint kto kestablish
kpositives kand knegatives kthat khelp kclarify kthe kdiagnosis.
Which kof kthe kfollowing kstatements krepresents ksubjective kdata kobtained kfrom kthe
kpatient kregarding khis kskin?
A) kSkin kappears kdry.
B) kNo kobvious klesions
C) kDenies kcolor kchange
D) kLesion knoted klateral kaspect kright karm k- kcorrect kanswers k-C) kDenies kcolor
kchange
Remember kthat kthe khistory k(from kthe kchief kcomplaint kthrough kreview kof ksystems)
kshould kbe klimited kto kpatient kstatements kor ksubjective kdata—factors kthat kthe
kperson ksays kwere kor kwere knot kpresent.
Subjective kdata kis kwhat kthe kpatient ktells kyou.
EXAM WITH VERIFIED SOLUTIONS
A k59 kyear kold kpatients ktells kthe knurse kpractitioner kthat khe kthinks khe kmust khave
kulcerative kcolitis. kHe khas kbeen khaving k"black kstools" kfor kthe klast k24 khours. kHow
kwould kthe knurse kpractitioner kbest kdocument kTHE kFACTS kfor khis kreason kfor
kseeking kcare?
A) kJM kis ka k59 kyear kold kmale khere kfor khaving k"black kstools" kfor kthe kpast k24
khours.
B) kJM kcame kinto kthe kclinic kcomplaining kof kblack kstools kfor kthe kpast k24 khours.
C) kJM kis ka k59 kyear kold kmale khere kfor k"ulcerative kcolitis."
D) kJM, ka k59 kyear kold kmale, kstates khe khas kulcerative kcolitis kand kwants kit
kchecked. k- kcorrect kanswers k-A) kJM kis ka k59 kyear kold kmale khere kfor khaving
k"black kstools" kfor kthe kpast k24 khours.
,Chief kComplaint(s) kThe kone kor kmore ksymptoms kor kconcerns kcausing kthe kpatient
kto kseek kcare. kMake kevery keffort kto kquote kthe kpatient's kown kwords.
A kpatient ktells kthe knurse kpractitioner kthat kshe khas khad kabdominal kpain kfor kthe
kpast kweek. kWhat kwould kbe kthe kbest kresponse kby kthe knurse kpractitioner?
A) kWe'll ktalk kmore kabout kthat klater kin kthe kinterview."
B) k"Have kyou kever khad kany kchildren?"
C) k"What khave kyou khad kto keat kin kthe klast k4 khours?"
D) k"Can kyou kpoint kto kwhere kit khurts?" k- kcorrect kanswers k-D) k"Can kyou kpoint kto
kwhere kit khurts?"
Each kprinciple ksymptom kshould kbe kwell-characterized, kwith kdescriptions kof
klocation; kalong kwith kthe kother kseven kattributes. kLocation: kAsk kthe kpatient kto
kpoint kto kthe kpain kbecause klay kterms kmay knot kbe kspecific kenough kto klocalize
kthe ksite kof korigin.
A k29-year-old kwoman ktells kthe knurse kthat kshe khas k"excruciating kpain" kin kher
kback. kWhich kof kthe kfollowing kwould kbe kan kappropriate kresponse kby kthe knurse
kto kher kstatement?
A) k"How kdoes kyour kfamily kreact kto kyour kpain?"
B) k"That kmust kbe kterrible. kYou kprobably kpinched ka knerve."
C) k"I've khad kback kpain kmyself kand kit kcan kbe kexcruciating."
D) k"How kwould kyou ksay kthe kpain kaffects kyour kability kto kdo kyour kdaily kactivities?"
k- kcorrect kanswers k-D) k"How kwould kyou ksay kthe kpain kaffects kyour kability kto kdo
kyour kdaily kactivities?"
Inquire kabout kthe keffects kof kpain kon kthe kpatient's kdaily kactivities, kmood, ksleep,
kwork, kand ksexual kactivity.
In krecording kthe kchildhood killnesses kof ka kpatient kwho kdenies khaving khad kany,
kwhich kof kthe kfollowing knotes kby kthe knurse kwould kbe kmost kaccurate?
A) kPatient kdenies kusual kchildhood killnesses.
B) kPatient kstates khe kwas ka k"very khealthy" kchild.
C) kPatient kstates ksister khad kmeasles, kbut khe kdidn't.
D) kPatient kdenies kmeasles, kmumps, krubella, kchickenpox, kpertussis, krheumatic
kfever, kand kpolio. k- kcorrect kanswers k-D) kPatient kdenies kmeasles, kmumps, krubella,
kchickenpox, kpertussis, krheumatic kfever, kand kpolio.
Childhood killnesses kinclude kmeasles, krubella, kmumps, kwhooping kcough, krheumatic
kfever, kscarlet kfever, kand kpolio. kThey kare kincluded kin kthe kpast khistory.
A kpatient ktells kthe knurse kthat khe kis kallergic kto kpenicillin. kWhat kwould kbe kthe
knurse's kbest kresponse kto kthis kinformation?
A) k"Are kyou kallergic kto kany kother kdrugs?"
B) k"How koften khave kyou kreceived kpenicillin?"
, C) k"I'll kwrite kyour kallergy kon kyour kchart kso kyou kwon't kreceive kany."
D) k"Please kdescribe kwhat khappens kto kyou kwhen kyou ktake kpenicillin." k- kcorrect
kanswers k-D) k"Please kdescribe kwhat khappens kto kyou kwhen kyou ktake kpenicillin."
Allergies, kincluding kspecific kreactions kto keach kmedication, ksuch kas krash kor
knausea, kmust kbe krecorded.
The knurse kis ktaking ka kfamily khistory. kImportant kdiseases kor kproblems kto kask kthe
kpatient kabout kinclude:
A) kemphysema.
B) khead ktrauma.
C) kmental killness.
D) kfractured kbones. k- kcorrect kanswers k-C) kmental killness.
Specifically kask kfor kany kfamily khistory kof kheart kdisease, khigh kblood kpressure,
kstroke, kdiabetes, kobesity, kblood kdisorders, kovarian kcancer, kcolon kcancer, ksickle
kcell kanemia, karthritis, kallergies, kalcohol kor kdrug kaddiction, kmental killness, ksuicide,
kseizure kdisorder, kkidney kdisease, kand ktuberculosis. kThe kother kanswers kare
kacquired.
The kfollowing kinformation kis krecorded kin kthe khealth khistory: k"Patient kdenies kchest
kpain, kpalpitations, korthopnea, kand kparoxysmal knocturnal kdyspnea." kWhich
kcategory kdoes kit kbelong kto?
A) kChief kcomplaint
B) kPresent killness
C) kPersonal kand ksocial khistory
D) kReview kof ksystems k- kcorrect kanswers k-D) kReview kof ksystems
Most kreview kof ksystems kquestions kpertain kto ksystems. kYou kmay kalso kdraw kon
kReview kof kSystems kquestions krelated kto kthe kChief kComplaint kto kestablish
kpositives kand knegatives kthat khelp kclarify kthe kdiagnosis.
Which kof kthe kfollowing kstatements krepresents ksubjective kdata kobtained kfrom kthe
kpatient kregarding khis kskin?
A) kSkin kappears kdry.
B) kNo kobvious klesions
C) kDenies kcolor kchange
D) kLesion knoted klateral kaspect kright karm k- kcorrect kanswers k-C) kDenies kcolor
kchange
Remember kthat kthe khistory k(from kthe kchief kcomplaint kthrough kreview kof ksystems)
kshould kbe klimited kto kpatient kstatements kor ksubjective kdata—factors kthat kthe
kperson ksays kwere kor kwere knot kpresent.
Subjective kdata kis kwhat kthe kpatient ktells kyou.
