ADVANCED HEALTH ASSESSMENT 2026
FINAL PAPER QUESTIONS WITH
SOLUTIONS COMPLETE SOLUTION VIEW
◉The nurse practitioner is reviewing the immunization history of a
new 24 year old female patient. Which is the best to ask the patient
to obtain the needed information for your records?
A) Do you need vaccines today?
B) When was your last flu shot, tetanus shot?
C) Have you received these vaccines in your lifetime? When did you
receive them? Tetanus, pertussis, diphtheria, polio, measles, mumps,
rubella, influenza, varicella, hepatitis B, haemophilus influenzae type
B, pneumococcal, HPV?
D) Are your immunizations up to date?. Answer: C) Have you
received these vaccines in your lifetime? When did you receive
them? Tetanus, pertussis, diphtheria, polio, measles, mumps, rubella,
influenza, varicella, hepatitis B, haemophilus influenzae type B,
pneumococcal, HPV?
Find out whether the patient has received required and
recommended vaccines. (Bates, 10)
,◉The assessment of a COPD patient will most likely reveal:
A) resonant percussion sounds, no adventitious sounds and
vesicular breath sounds
B) dull percussion sounds and absent breath sounds. No crackles or
wheezes
C) resonant to hyper-resonant sounds with percussion and wheezes
present
D) diffusely hyper-resonant sounds with percussion, decreased or
absent breath sounds per auscultation, decreased tactile fremitus,
and no crackles, wheezes, or rhonchi.. Answer: D) diffusely hyper-
resonant sounds with percussion, decreased or absent breath
sounds per auscultation, decreased tactile fremitus, and no crackles,
wheezes, or rhonchi.
COPD is characterized by diffusely hyper-resonant sounds with
percussion, decreased or absent breath sounds per auscultation,
decreased tactile fremitus, and no crackles, wheezes, or rhonchi.
(Bates, p340)
◉Which of the following is true about auscultating the heart?
A) the diaphragm is better for picking up the sounds of S1 and S2
and the bell is better for picking up the sounds of S3 and S4.
B) The bell is better for picking up the sounds of S1 and S2 and the
diaphragm is better for picking up the sounds of S3 and S4.
, C) The diaphragm is not necessary for accurate auscultation during
the cardiac exam.
D) The bell is not necessary for the cardiac exam, but it is necessary
for accurate auscultation during the abdominal exam.. Answer: A)
the diaphragm is better for picking up the sounds of S1 and S2 and
the bell is better for picking up the sounds of S3 and S4. (Bates,
p390)
◉The nurse practitioner aucultates the heart and hears a murmur
which she documents as 4/6 at its loudest point. She means the
murmur is:
A) moderately loud
B) very loud, with thrill. May be heard when the stethoscope is
partly off the chest.
C) loud with a palpable thrill.
D) quiet, but heard immediately after placing the stethoscope on the
chest.. Answer: C) loud with a palpable thrill.
Grade 4 is loud with a palpable thrill (Bates, p396).
◉Physiologic splitting of the S2 in the 2nd and 3rd interspace, which
is usually accentuated by inspiration, is caused by:
A) the closing of the aortic and pulmonic valves
B) the addition of the S4 sound
FINAL PAPER QUESTIONS WITH
SOLUTIONS COMPLETE SOLUTION VIEW
◉The nurse practitioner is reviewing the immunization history of a
new 24 year old female patient. Which is the best to ask the patient
to obtain the needed information for your records?
A) Do you need vaccines today?
B) When was your last flu shot, tetanus shot?
C) Have you received these vaccines in your lifetime? When did you
receive them? Tetanus, pertussis, diphtheria, polio, measles, mumps,
rubella, influenza, varicella, hepatitis B, haemophilus influenzae type
B, pneumococcal, HPV?
D) Are your immunizations up to date?. Answer: C) Have you
received these vaccines in your lifetime? When did you receive
them? Tetanus, pertussis, diphtheria, polio, measles, mumps, rubella,
influenza, varicella, hepatitis B, haemophilus influenzae type B,
pneumococcal, HPV?
Find out whether the patient has received required and
recommended vaccines. (Bates, 10)
,◉The assessment of a COPD patient will most likely reveal:
A) resonant percussion sounds, no adventitious sounds and
vesicular breath sounds
B) dull percussion sounds and absent breath sounds. No crackles or
wheezes
C) resonant to hyper-resonant sounds with percussion and wheezes
present
D) diffusely hyper-resonant sounds with percussion, decreased or
absent breath sounds per auscultation, decreased tactile fremitus,
and no crackles, wheezes, or rhonchi.. Answer: D) diffusely hyper-
resonant sounds with percussion, decreased or absent breath
sounds per auscultation, decreased tactile fremitus, and no crackles,
wheezes, or rhonchi.
COPD is characterized by diffusely hyper-resonant sounds with
percussion, decreased or absent breath sounds per auscultation,
decreased tactile fremitus, and no crackles, wheezes, or rhonchi.
(Bates, p340)
◉Which of the following is true about auscultating the heart?
A) the diaphragm is better for picking up the sounds of S1 and S2
and the bell is better for picking up the sounds of S3 and S4.
B) The bell is better for picking up the sounds of S1 and S2 and the
diaphragm is better for picking up the sounds of S3 and S4.
, C) The diaphragm is not necessary for accurate auscultation during
the cardiac exam.
D) The bell is not necessary for the cardiac exam, but it is necessary
for accurate auscultation during the abdominal exam.. Answer: A)
the diaphragm is better for picking up the sounds of S1 and S2 and
the bell is better for picking up the sounds of S3 and S4. (Bates,
p390)
◉The nurse practitioner aucultates the heart and hears a murmur
which she documents as 4/6 at its loudest point. She means the
murmur is:
A) moderately loud
B) very loud, with thrill. May be heard when the stethoscope is
partly off the chest.
C) loud with a palpable thrill.
D) quiet, but heard immediately after placing the stethoscope on the
chest.. Answer: C) loud with a palpable thrill.
Grade 4 is loud with a palpable thrill (Bates, p396).
◉Physiologic splitting of the S2 in the 2nd and 3rd interspace, which
is usually accentuated by inspiration, is caused by:
A) the closing of the aortic and pulmonic valves
B) the addition of the S4 sound
