NURS 5334 ADVANCED HEALTH ASSESSMENT EXAM NEWEST
2025/2026 ACTUAL EXAM COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) WITH RATIONALES
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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 a ventilator for 3 weeks. The nurse is completing an initial
assessment and evaluating the client's 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. What is the stage of this pressure
ulcer?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4
C) Stage 3
A crater appears in the skin, with full-thickness skin loss and damage to or
necrosis of subcutaneous tissue that may extend to, but not through underlying
muscle.
Mrs. Anderson presents with an itchy rash which is raised and appears and
disappears in various locations. Each lesion lasts for many minutes. What most
likely accounts for this rash?
A) Insect bites
B) Wheals, urticaria, or hives
C) Psoriasis
D) Purpura
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, NURS 5334 Advanced Health Assessment Exam
B) Wheals, urticaria, or hives
Wheals/urticaria - a somewhat irregular, relatively transient, superficial area of
localized skin edema.
Ethel is a 68 year old Caucasian female who is new to your area. She shows you
multiple brown colored, flat lesions on her face, chest, and hands that have been
present for years. You respond that these are likely:
A) solar lentigos
B) melanomas
C) keloids
D) fissures
A) solar lentigos
solar lentigos are from sun damage, are more common on the face, shoulders,
and hands.
A 27 year old female patient has three furuncles connected around a hair follicle.
You use the following term in your charting:
A) nodules
B) carbuncle
C) macules
D) bulla
B) carbuncle
Multiple furuncles around a hair follicle form a carbuncle.
A young man comes to you with an extremely pruritic rash over his knees and
elbows which has come and gone for several years. It seems to be worse in the
winter and improves with some sun exposure. On examination, you notice
scabbing and crusting with some silvery scale, and you are observant enough to
notice small "pits" in his nails. What would account for these findings?
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, NURS 5334 Advanced Health Assessment Exam
A) Eczema
B) Pityriasis rosea
C) Psoriasis
D) Tinea infection
C) Psoriasis
Psoriasis: silvery scaly papules or plaques, mainly on the extensor surfaces.
Pitting: punctate depressions of the nail plate caused by defective layering of the
superficial nail plate by the proximal nail matrix. Usually associated with
psoriasis.
Suzanne, a 25 year old, comes to your clinic to establish care. You are the student
preparing to go into the examination room to interview her. Which of the
following is the most logical sequence for the patient-provider interview?
A) Establish the agenda, negotiate a plan, establish rapport, and invite the
patient's story.
B) Invite the patient's story, negotiate a plan, establish the agenda, and establish
rapport.
C) Greet the patient, establish rapport, invite the patient's story, establish the
agenda, expand and clarify the patient's story, and negotiate a plan.
D) Negotiate a plan, establish an agenda, invite the patient's story, and establish
rapport.
C) Greet the patient, establish rapport, invite the patient's story, establish the
agenda, expand and clarify the patient's story, and negotiate a plan.
The sequence of the interview: Greeting the patient and establishing rapport.
Taking notes. Establishing the agenda for the interview. Inviting the patient's story.
Expanding and clarifying the patient's story. Sharing the treatment plan.
A young woman undergoes cranial nerve testing. On touching the soft palate, her
uvula deviates to the left. Which of the following is likely?
A) CN IX lesion on the left
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, NURS 5334 Advanced Health Assessment Exam
B) CN X lesion on the left
C) CN IX lesion on the right
D) CN X lesion on the right
D) CN X lesion on the right
In cranial nerve X paralysis, the soft palate fails to rise and the uvula deviates to
the opposite side.
When performing posterior palpation of the thyroid gland, you should do all fo
the following, EXCEPT:
A) Have the patient tip his or her head forward and slightly to the side.
B) Place your index fingers above the cricoid cartilage.
C) Palpate between the sternocleidomastoid muscle and the trachea for the lobes
of the thyroid.
D) Move your fingers laterally to palpate for the thyroid lobes.
B) Place your index fingers above the cricoid cartilage.
Place the fingers of both hands on the patient's neck so that your index fingers
are just BELOW the cricoid cartilage.
You are interviewing an elderly woman in the ambulatory setting and trying to get
more information about her urinary symptoms. Which of the following techniques
is NOT a component of guided questioning?
A) Reassuring the patient that the urinary symptoms are benign and that she
doesn't need to worry about it being a sign of cancer.
B) Offering the patient multiple choices in order to clarify the character of the
urinary symptoms she is experiencing.
C) Asking her to tell you what she means when she states that she has a urinary
tract infection.
D) Directed questioning starting with the general and proceeding to the specific in
a manner that does not make the patient give a yes/no answer.
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