Advanced Health Assessment Exam
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A 59 year old patients tells the nurse A) JM is a 59 year old male here for having "black
practitioner that he thinks he must stools" for the past 24 hours.
have ulcerative colitis. He has been
having "black stools" for the last 24 Chief Complaint(s) The one or more symptoms or
hours. How would the nurse concerns causing the patient to seek care. Make
practitioner best document THE every effort to quote the patient's own words.
FACTS for his reason for seeking
care?
A) JM is a 59 year old male here for
having "black stools" for the past 24
hours.
B) JM came into the clinic
complaining of black stools for the
past 24 hours.
C) JM is a 59 year old male here for
"ulcerative colitis."
D) JM, a 59 year old male, states he
has ulcerative colitis and wants it
checked.
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A patient tells the nurse practitioner D) "Can you point to where it hurts?"
that she has had abdominal pain for
the past week. What would be the Each principle symptom should be well-
best response by the nurse characterized, with descriptions of location; along
practitioner? with the other seven attributes. Location: Ask the
A) We'll talk more about that later in patient to point to the pain because lay terms may
the interview." not be specific enough to localize the site of
B) "Have you ever had any children?" origin.
C) "What have you had to eat in the
last 4 hours?"
D) "Can you point to where it hurts?"
A 29-year-old woman tells the nurse D) "How would you say the pain affects your ability
that she has "excruciating pain" in her to do your daily activities?"
back. Which of the following would
be an appropriate response by the Inquire about the effects of pain on the patient's
nurse to her statement? daily activities, mood, sleep, work, and sexual
A) "How does your family react to activity.
your pain?"
B) "That must be terrible. You
probably pinched a nerve."
C) "I've had back pain myself and it
can be excruciating."
D) "How would you say the pain
affects your ability to do your daily
activities?"
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In recording the childhood illnesses D) Patient denies measles, mumps, rubella,
of a patient who denies having had chickenpox, pertussis, rheumatic fever, and polio.
any, which of the following notes by
the nurse would be most accurate? Childhood illnesses include measles, rubella,
A) Patient denies usual childhood mumps, whooping cough, rheumatic fever, scarlet
illnesses. fever, and polio. They are included in the past
B) Patient states he was a "very history.
healthy" child.
C) Patient states sister had measles,
but he didn't.
D) Patient denies measles, mumps,
rubella, chickenpox, pertussis,
rheumatic fever, and polio.
A patient tells the nurse that he is D) "Please describe what happens to you when you
allergic to penicillin. What would be take penicillin."
the nurse's best response to this
information? Allergies, including specific reactions to each
A) "Are you allergic to any other medication, such as rash or nausea, must be
drugs?" recorded.
B) "How often have you received
penicillin?"
C) "I'll write your allergy on your
chart so you won't receive any."
D) "Please describe what happens to
you when you take penicillin."
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The nurse is taking a family history. C) mental illness.
Important diseases or problems to
ask the patient about include: Specifically ask for any family history of heart
A) emphysema. disease, high blood pressure, stroke, diabetes,
B) head trauma. obesity, blood disorders, ovarian cancer, colon
C) mental illness. cancer, sickle cell anemia, arthritis, allergies,
D) fractured bones. alcohol or drug addiction, mental illness, suicide,
seizure disorder, kidney disease, and tuberculosis.
The other answers are acquired.
The following information is D) Review of systems
recorded in the health history:
"Patient denies chest pain, Most review of systems questions pertain to
palpitations, orthopnea, and systems. You may also draw on Review of Systems
paroxysmal nocturnal dyspnea." questions related to the Chief Complaint to
Which category does it belong to? establish positives and negatives that help clarify
A) Chief complaint the diagnosis.
B) Present illness
C) Personal and social history
D) Review of systems
Which of the following statements C) Denies color change
represents subjective data obtained
from the patient regarding his skin? Remember that the history (from the chief
A) Skin appears dry. complaint through review of systems) should be
B) No obvious lesions limited to patient statements or subjective data—
C) Denies color change factors that the person says were or were not
D) Lesion noted lateral aspect right present.
arm Subjective data is what the patient tells you.
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