Advanced Health Assessment Midterm
Review Exam Question & Answers
2025
1. A 19-year-old man comes to your clinic with a red,
irritated right eye for 24-48 hours. He notes that when he
woke up, his eyelids were "stuck together". Physical exam
findings: sclera is injected, vision is normal, and EOM are
intact, purulent discharge is noted. What is the most
likely diagnosis?
A. Chemical exposure
B. Bacterial Conjunctivitis
C. Erythema nodosa
D. Trauma - CORRECT ANSWERS ✔✔B. Bacterial
Conjunctivitis
2. An 18-year-old female presents to the ER with 1-day
history of severe sore throat, malaise, and headache. The
patient reports no history of cough or rhinitis. V.S.: T
101F, P98, R22, BP 124/60. On skin inspection, the NP
notices a fine sandpaper rash on the chest. The throat
examination reveals an inflamed uvula, pharynx, and
tonsils with gray-white exudate on the right tonsil. Neck
examination reveals tender cervical lymphadenopathy.
The most likely diagnosis is:
A. Hand-foot-and-mouth disease
B. Acute herpetic pharyngitis
C. Group A beta-hemolytic streptococcal infection
,Advanced Health Assessment Midterm
Review Exam Question & Answers
2025
D. Acute diphtherial infection - CORRECT ANSWERS
✔✔C. Group A beta-hemolytic streptococcal infection
3. The purpose of the health history is to:
A. Gather subjective data about the patient
B. Obtain a genetic history to determine susceptibility to
disease
C. Gather past and current objective and subjective data
about the patient
D. Obtain a genealogic record of familial diseases -
CORRECT ANSWERS ✔✔A. Gather subjective data
about the patient
4. A 67-year-old man with a 40 pack-year smoking history
complains of shortness of breath for the past 6 months
and swelling in his legs. He often wakes up at night
gasping for breath and feels most comfortable sleeping
on 3 pillows. He has no past medical history of COPD or
CHF, but he has diabetes and hypertension. What is the
most likely diagnosis?
A. Congestive heart failure
B. Chronic obstructive pulmonary disease
C. Asthma
,Advanced Health Assessment Midterm
Review Exam Question & Answers
2025
D. Lung cancer - CORRECT ANSWERS ✔✔A.
Congestive heart failure
5. A 50-year-old woman comes to your office with a
history of 2 episodes of coughing blood. The quantity is
estimated to be 2 to 3 tablespoons of bright blood on
each occasion. She has mild shortness of breath, but she
feels comfortable at rest. She has never smoked, denies
weight loss or fever, and has no other medical problems.
What would be the next step in her management?
A. Referral to a pulmonologist for bronchoscopy
B. Return to your clinic in the next several weeks to
monitor her symptoms
C. Chest x-ray with an admission to the hospital for
additional testing
D. Complete vital signs and physical examination -
CORRECT ANSWERS ✔✔D. Complete vital signs and
physical examination
6. During the central nervous system exam, the NP
evaluates the patient's gait and determines the patient is
unable to perform a heel-walk. The differential diagnosis
the NP is most concerned about is damage to the:
A. Corticospinal tract
, Advanced Health Assessment Midterm
Review Exam Question & Answers
2025
B. Spinocerebellar tract
C. Spinothalamic tract
D. Dorsal column-medial lemniscus tract - CORRECT
ANSWERS ✔✔A. Corticospinal tract
7. What is the best way to begin asking about the past
medical history?
A. Have you had measles, mumps, rubella, chicken pox,
scarlet fever, or rheumatic fever?
B. Did you get all your shots growing up?
C. Were you hospitalized as a child?
D. How was your health as a child? - CORRECT
ANSWERS ✔✔D. How was your health as a child?
8. The NP is conducting an ophthalmoscopic examination.
Which statement by the NP to the preceptor indicates
correct understanding regarding ophthalmoscopic
examination:
A. I will look for the yellow tint in the patient's pupil to
examine the fundus
Review Exam Question & Answers
2025
1. A 19-year-old man comes to your clinic with a red,
irritated right eye for 24-48 hours. He notes that when he
woke up, his eyelids were "stuck together". Physical exam
findings: sclera is injected, vision is normal, and EOM are
intact, purulent discharge is noted. What is the most
likely diagnosis?
A. Chemical exposure
B. Bacterial Conjunctivitis
C. Erythema nodosa
D. Trauma - CORRECT ANSWERS ✔✔B. Bacterial
Conjunctivitis
2. An 18-year-old female presents to the ER with 1-day
history of severe sore throat, malaise, and headache. The
patient reports no history of cough or rhinitis. V.S.: T
101F, P98, R22, BP 124/60. On skin inspection, the NP
notices a fine sandpaper rash on the chest. The throat
examination reveals an inflamed uvula, pharynx, and
tonsils with gray-white exudate on the right tonsil. Neck
examination reveals tender cervical lymphadenopathy.
The most likely diagnosis is:
A. Hand-foot-and-mouth disease
B. Acute herpetic pharyngitis
C. Group A beta-hemolytic streptococcal infection
,Advanced Health Assessment Midterm
Review Exam Question & Answers
2025
D. Acute diphtherial infection - CORRECT ANSWERS
✔✔C. Group A beta-hemolytic streptococcal infection
3. The purpose of the health history is to:
A. Gather subjective data about the patient
B. Obtain a genetic history to determine susceptibility to
disease
C. Gather past and current objective and subjective data
about the patient
D. Obtain a genealogic record of familial diseases -
CORRECT ANSWERS ✔✔A. Gather subjective data
about the patient
4. A 67-year-old man with a 40 pack-year smoking history
complains of shortness of breath for the past 6 months
and swelling in his legs. He often wakes up at night
gasping for breath and feels most comfortable sleeping
on 3 pillows. He has no past medical history of COPD or
CHF, but he has diabetes and hypertension. What is the
most likely diagnosis?
A. Congestive heart failure
B. Chronic obstructive pulmonary disease
C. Asthma
,Advanced Health Assessment Midterm
Review Exam Question & Answers
2025
D. Lung cancer - CORRECT ANSWERS ✔✔A.
Congestive heart failure
5. A 50-year-old woman comes to your office with a
history of 2 episodes of coughing blood. The quantity is
estimated to be 2 to 3 tablespoons of bright blood on
each occasion. She has mild shortness of breath, but she
feels comfortable at rest. She has never smoked, denies
weight loss or fever, and has no other medical problems.
What would be the next step in her management?
A. Referral to a pulmonologist for bronchoscopy
B. Return to your clinic in the next several weeks to
monitor her symptoms
C. Chest x-ray with an admission to the hospital for
additional testing
D. Complete vital signs and physical examination -
CORRECT ANSWERS ✔✔D. Complete vital signs and
physical examination
6. During the central nervous system exam, the NP
evaluates the patient's gait and determines the patient is
unable to perform a heel-walk. The differential diagnosis
the NP is most concerned about is damage to the:
A. Corticospinal tract
, Advanced Health Assessment Midterm
Review Exam Question & Answers
2025
B. Spinocerebellar tract
C. Spinothalamic tract
D. Dorsal column-medial lemniscus tract - CORRECT
ANSWERS ✔✔A. Corticospinal tract
7. What is the best way to begin asking about the past
medical history?
A. Have you had measles, mumps, rubella, chicken pox,
scarlet fever, or rheumatic fever?
B. Did you get all your shots growing up?
C. Were you hospitalized as a child?
D. How was your health as a child? - CORRECT
ANSWERS ✔✔D. How was your health as a child?
8. The NP is conducting an ophthalmoscopic examination.
Which statement by the NP to the preceptor indicates
correct understanding regarding ophthalmoscopic
examination:
A. I will look for the yellow tint in the patient's pupil to
examine the fundus
