ADVANCED HEALTH ASSESSMENT FINAL STUDY
GUIDE EXAM WITH DETAILED ANSWERS AND
RATIONALES
The following information is best placed in which
category? "The patient had a stent placed in the
left anterior descending artery (LAD) in 1999."
A) Medical
B) Surgical
C) Obstetrics/gynecology
D) Psychiatric - answer-B) Surgical
Provide information relative to Adult Illnesses in
each of four areas: Medical, Surgical,
Obstetric/Gynecologic, and Psychiatric.
A 59 year old patients tells the nurse practitioner
that he thinks he must have ulcerative colitis. He
has been having "black stools" for the last 24
hours. How would the nurse practitioner best
,document THE 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. - answer-A) JM is a
59 year old male here for having "black stools"
for the past 24 hours.
Chief Complaint(s) The one or more symptoms or
concerns causing the patient to seek care. Make
every effort to quote the patient's own words.
A patient tells the nurse practitioner that she has
had abdominal pain for the past week. What
would be the best response by the nurse
practitioner?
,A) We'll talk more about that later in the
interview."
B) "Have you ever had any children?"
C) "What have you had to eat in the last 4 hours?"
D) "Can you point to where it hurts?" - answer-D)
"Can you point to where it hurts?"
Each principle symptom should be well-
characterized, with descriptions of location; along
with the other seven attributes. Location: Ask the
patient to point to the pain because lay terms
may not be specific enough to localize the site of
origin.
A 29-year-old woman tells the nurse that she has
"excruciating pain" in her back. Which of the
following would be an appropriate response by
the nurse to her statement?
A) "How does your family react to 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?" - answer-D)
"How would you say the pain affects your ability
to do your daily activities?"
Inquire about the effects of pain on the patient's
daily activities, mood, sleep, work, and sexual
activity.
In recording the childhood illnesses of a patient
who denies having had any, which of the
following notes by the nurse would be most
accurate?
A) Patient denies usual childhood illnesses.
B) Patient states he was a "very healthy" child.
C) Patient states sister had measles, but he didn't.
GUIDE EXAM WITH DETAILED ANSWERS AND
RATIONALES
The following information is best placed in which
category? "The patient had a stent placed in the
left anterior descending artery (LAD) in 1999."
A) Medical
B) Surgical
C) Obstetrics/gynecology
D) Psychiatric - answer-B) Surgical
Provide information relative to Adult Illnesses in
each of four areas: Medical, Surgical,
Obstetric/Gynecologic, and Psychiatric.
A 59 year old patients tells the nurse practitioner
that he thinks he must have ulcerative colitis. He
has been having "black stools" for the last 24
hours. How would the nurse practitioner best
,document THE 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. - answer-A) JM is a
59 year old male here for having "black stools"
for the past 24 hours.
Chief Complaint(s) The one or more symptoms or
concerns causing the patient to seek care. Make
every effort to quote the patient's own words.
A patient tells the nurse practitioner that she has
had abdominal pain for the past week. What
would be the best response by the nurse
practitioner?
,A) We'll talk more about that later in the
interview."
B) "Have you ever had any children?"
C) "What have you had to eat in the last 4 hours?"
D) "Can you point to where it hurts?" - answer-D)
"Can you point to where it hurts?"
Each principle symptom should be well-
characterized, with descriptions of location; along
with the other seven attributes. Location: Ask the
patient to point to the pain because lay terms
may not be specific enough to localize the site of
origin.
A 29-year-old woman tells the nurse that she has
"excruciating pain" in her back. Which of the
following would be an appropriate response by
the nurse to her statement?
A) "How does your family react to 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?" - answer-D)
"How would you say the pain affects your ability
to do your daily activities?"
Inquire about the effects of pain on the patient's
daily activities, mood, sleep, work, and sexual
activity.
In recording the childhood illnesses of a patient
who denies having had any, which of the
following notes by the nurse would be most
accurate?
A) Patient denies usual childhood illnesses.
B) Patient states he was a "very healthy" child.
C) Patient states sister had measles, but he didn't.
