REGIS NU650 ADVANCED HEALTH
ASSESSMENT EXAM ACTUAL EXAM
COMPLETE QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
Objective data - ANSWER-what the health professional observes by inspecting,
palpating, percussing, and auscultating during the physical examination
Subjective data - ANSWER-things a person tells you about that you cannot
observe through your senses; symptoms
Start with general questions on each of the different body systems - ANSWER-The
most effective way to elicit the ROSs is for the NP to
Explain the meaning of a proverb - ANSWER-The NP can determine higher
cognitive fxn by asking the patient to perform which of the following tasks?
"Over the past two weeks, have you felt little interest or pleasure in doing things?"
- ANSWER-The NP will ask the patient which of the following questions to assess
for depression?
Chief Complaint - ANSWER-The NP will document the reason for the visit in
which of the following sections of the encounter note?
20% - ANSWER-The primary provider will anticipate what percent of outpatients
have mental health disorders?
Determine the personal context of the patient's symptoms - ANSWER-Which of
the following actions by the NP demonstrates patient-centered interviewing
techniques?
Validate the patient's feelings without agreeing with their reasons - ANSWER-
Which of the following strategies is most effective when dealing with an angry or
disruptive patient?
,The child's developmental age - ANSWER-Which of the following variables
should have the greatest effect as to how the NP will conduct the history and
physical examination of the child?
Macule - ANSWER-Lesion flat and
Papule - ANSWER-Lesion is raised
Plaque - ANSWER-Lesion is raised, >1 cm, but not fluid filled
Vesicle - ANSWER-Lesion is raised
Bullae - ANSWER-Lesion is raised >1 cm and fluid filled
Zosteriform - ANSWER-A linear arrangement along a nerve distribution is a
description of which type of skin lesion?
tine versicolor - ANSWER-A wood's lamp is especially using in diagnosing
Does the rash include mucous membranes? - ANSWER-Which of the following
questions will help the NP determine if the rash
Nodule - answer-the np has identified a solid, elevated, circumscribed lesion that is
less than 1 cm in diameter and palpable into the dermis. The np will correctly
document this finding as a
Blurred edges to a raised lesion - ANSWER-Which of the following findings
would alert the NP to consider skin cancer in the following differential diagnoses?
Does anyone in your family have chronic skin problems? - ANSWER-The patient's
chart reveals a history of atopic dermatitis. The NP that the patient will say "yes" to
which of the following subjective questions?
Lesions that run together - ANSWER-You have just read in a patient's chart that
she has a lesion that is congruent in nature. On examination, you would expect to
find:
,Stand at the patient's right side and proceed in a systematic fashion - ANSWER-
Proper position for NP to assess the patient's abdomen
Inspection-Auscultation-Percussion-Palpitation - ANSWER-The correct order of
examination for the abdomen by using examination techniques as follows:
Pyelonephritis - ANSWER-C/O fever and back pain w/ pain when percussed over
the left costovertebral angle
Left mid-axillary line - ANSWER-The liver border can be palpated normally
below the coastal margin at the
25-pack year smoking history - ANSWER-Which of the following subjective or
objective findings as worrisome for an abdominal aneurysm
Light palpitation - ANSWER-The NP will use which examination technique to
determine muscular resistance, superficial organs, and masses in the abdomen?
Palpate the abdomen after expiration - ANSWER-How to help patient relax during
an abdomen exam?
Most umbilical hernias disappear by 12 months of age - ANSWER-The parents of
a 4-month-old infant is concerned about their child's umbilical hernia at a well-
child visit. The NP should inform them that:
Dull - ANSWER-When percussing the abdomen in a patient with constipation,
which of the following sounds would you expect to find in the lower quadrant?
Tympanic - ANSWER-Percussing over the intestine’s normal findings equal
Positive Murphy's sign - ANSWER-Abdominal exam findings = cholecystitis
Severe RLQ pain with pallor and sweating - ANSWER-Symptom from young
adolescent in early phase of appendicitis
, Frontal and maxillary sinuses - ANSWER-Pt presents with sinus pain, pressure and
yellow nasal discharge. Assessment would include palpitation of
Picking at their nose - ANSWER-4-year-old with mother & c/o frequent bloody
nose. Common cause of epistaxis for this age group
Retinoblastoma - ANSWER-9-month-old and do not see the red reflex on the
fundoscopic exam
Patient denies eye pain or changes in vision - ANSWER-60-year-old male presents
w/ 3-day history of left eye irritation. Which finding should be recorded in the
subjective review of systems?
Weber test - ANSWER-Test done by placing the stem of a vibrating tuning fork on
the midline of the head and having the patient indicate in which ear the tone can be
heard.
Soft palate - ANSWER-During a physical exam of the throat, which part of the
following structures of the mouth/throat should rise when the patient says "Ahh"?
Tonsils visualized grade 1 - ANSWER-Tonsils bilaterally extending just past the
anterior and posterior pillars
Snellen test - ANSWER-Assess visual acuity
Enlarged Supraclavicular nodes - ANSWER-These warrants follow up when
assessing the lymph nodes in the head and neck
Neck, Lungs, Heart, Mouth, Nose, Left ear, and Right ear - ANSWER-3-year-old
presents with right ear pain; order of assessment
Use the largest speculum that will fit the canal
Hold the otoscope upside-down along your fingers and brace the dorsal aspect of
your hand on the patient's head, pull the ear lobe down and back, slightly away
from the head - ANSWER-Examination of the ear canal and drum for a 2-yr-old
child
ASSESSMENT EXAM ACTUAL EXAM
COMPLETE QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
Objective data - ANSWER-what the health professional observes by inspecting,
palpating, percussing, and auscultating during the physical examination
Subjective data - ANSWER-things a person tells you about that you cannot
observe through your senses; symptoms
Start with general questions on each of the different body systems - ANSWER-The
most effective way to elicit the ROSs is for the NP to
Explain the meaning of a proverb - ANSWER-The NP can determine higher
cognitive fxn by asking the patient to perform which of the following tasks?
"Over the past two weeks, have you felt little interest or pleasure in doing things?"
- ANSWER-The NP will ask the patient which of the following questions to assess
for depression?
Chief Complaint - ANSWER-The NP will document the reason for the visit in
which of the following sections of the encounter note?
20% - ANSWER-The primary provider will anticipate what percent of outpatients
have mental health disorders?
Determine the personal context of the patient's symptoms - ANSWER-Which of
the following actions by the NP demonstrates patient-centered interviewing
techniques?
Validate the patient's feelings without agreeing with their reasons - ANSWER-
Which of the following strategies is most effective when dealing with an angry or
disruptive patient?
,The child's developmental age - ANSWER-Which of the following variables
should have the greatest effect as to how the NP will conduct the history and
physical examination of the child?
Macule - ANSWER-Lesion flat and
Papule - ANSWER-Lesion is raised
Plaque - ANSWER-Lesion is raised, >1 cm, but not fluid filled
Vesicle - ANSWER-Lesion is raised
Bullae - ANSWER-Lesion is raised >1 cm and fluid filled
Zosteriform - ANSWER-A linear arrangement along a nerve distribution is a
description of which type of skin lesion?
tine versicolor - ANSWER-A wood's lamp is especially using in diagnosing
Does the rash include mucous membranes? - ANSWER-Which of the following
questions will help the NP determine if the rash
Nodule - answer-the np has identified a solid, elevated, circumscribed lesion that is
less than 1 cm in diameter and palpable into the dermis. The np will correctly
document this finding as a
Blurred edges to a raised lesion - ANSWER-Which of the following findings
would alert the NP to consider skin cancer in the following differential diagnoses?
Does anyone in your family have chronic skin problems? - ANSWER-The patient's
chart reveals a history of atopic dermatitis. The NP that the patient will say "yes" to
which of the following subjective questions?
Lesions that run together - ANSWER-You have just read in a patient's chart that
she has a lesion that is congruent in nature. On examination, you would expect to
find:
,Stand at the patient's right side and proceed in a systematic fashion - ANSWER-
Proper position for NP to assess the patient's abdomen
Inspection-Auscultation-Percussion-Palpitation - ANSWER-The correct order of
examination for the abdomen by using examination techniques as follows:
Pyelonephritis - ANSWER-C/O fever and back pain w/ pain when percussed over
the left costovertebral angle
Left mid-axillary line - ANSWER-The liver border can be palpated normally
below the coastal margin at the
25-pack year smoking history - ANSWER-Which of the following subjective or
objective findings as worrisome for an abdominal aneurysm
Light palpitation - ANSWER-The NP will use which examination technique to
determine muscular resistance, superficial organs, and masses in the abdomen?
Palpate the abdomen after expiration - ANSWER-How to help patient relax during
an abdomen exam?
Most umbilical hernias disappear by 12 months of age - ANSWER-The parents of
a 4-month-old infant is concerned about their child's umbilical hernia at a well-
child visit. The NP should inform them that:
Dull - ANSWER-When percussing the abdomen in a patient with constipation,
which of the following sounds would you expect to find in the lower quadrant?
Tympanic - ANSWER-Percussing over the intestine’s normal findings equal
Positive Murphy's sign - ANSWER-Abdominal exam findings = cholecystitis
Severe RLQ pain with pallor and sweating - ANSWER-Symptom from young
adolescent in early phase of appendicitis
, Frontal and maxillary sinuses - ANSWER-Pt presents with sinus pain, pressure and
yellow nasal discharge. Assessment would include palpitation of
Picking at their nose - ANSWER-4-year-old with mother & c/o frequent bloody
nose. Common cause of epistaxis for this age group
Retinoblastoma - ANSWER-9-month-old and do not see the red reflex on the
fundoscopic exam
Patient denies eye pain or changes in vision - ANSWER-60-year-old male presents
w/ 3-day history of left eye irritation. Which finding should be recorded in the
subjective review of systems?
Weber test - ANSWER-Test done by placing the stem of a vibrating tuning fork on
the midline of the head and having the patient indicate in which ear the tone can be
heard.
Soft palate - ANSWER-During a physical exam of the throat, which part of the
following structures of the mouth/throat should rise when the patient says "Ahh"?
Tonsils visualized grade 1 - ANSWER-Tonsils bilaterally extending just past the
anterior and posterior pillars
Snellen test - ANSWER-Assess visual acuity
Enlarged Supraclavicular nodes - ANSWER-These warrants follow up when
assessing the lymph nodes in the head and neck
Neck, Lungs, Heart, Mouth, Nose, Left ear, and Right ear - ANSWER-3-year-old
presents with right ear pain; order of assessment
Use the largest speculum that will fit the canal
Hold the otoscope upside-down along your fingers and brace the dorsal aspect of
your hand on the patient's head, pull the ear lobe down and back, slightly away
from the head - ANSWER-Examination of the ear canal and drum for a 2-yr-old
child
