ADVANCED HEALTH ASSESSMENT EXAM
WITH QUESTIONS AND ANSWERS||
GUARANTEED PASS|| ALREADY GRADED A+
A 10-year-old is at the clinic for "a sore throat lasting 6 days." The nurse is
aware that which of these findings would be consistent with an acute infection?
A) Tonsils 3+/1-4+ with large white spots
B) Tonsils 1+/1-4+ with pale coloring
C) Tonsils 1+/1-4+ and pink, same color as oral mucosa
D) Tonsils 2+/1-4+ and pink with white particles inside deep crypts -
ANSWER-A) Tonsils 3+/1-4+ with large white spots
With an acute infection, tonsils are bright red and swollen and may have
exudate or large white spots. Tonsils are enlarged to 2+, 3+, or 4+ with an acute
infection.
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)
,Which of the following is the most common bloodborne pathogen in the United
States?
A) Hepatitis C
B) HIV
C) Hepatitis A
D) Hepatitis B - ANSWER-A) Hepatitis C
Hepatitis C is the most common bloodborne pathogen in the United States with
about 2% of the population having the virus. Bates, p467-468
In which order should the abdomen be examined in?
A) auscultation, inspection, percussion, palpation
B) inspection, percussion, auscultation, palpation
C) percussion, palpation, inspection, auscultation
D) inspection, auscultation, percussion, palpation - ANSWER-D) inspection,
auscultation, percussion, palpation
Bates 471-475
Auscultate for abdominal bruits of the following areas during abdominal exam:
A) aorta, renal arteries, iliac arteries, femoral arteries
B) lower right and left quadrants
C) liver and spleen only
D) femoral arteries and aorta only - ANSWER-A) aorta, renal arteries, iliac
arteries, femoral arteries
Bates 472-473
, A 45-year-old man is in the clinic for a routine physical. During history the
patient states he has been having difficulty sleeping. "I'll be sleeping great and
then I wake up and feel like I can't catch my breath." His symptoms indicates
sleep related symptoms of a certain type of disease, so which question would
the NP want to ask?
A) Have you had a recent sinus infection or URI?
B) Do you have any history of problems with your heart?
C) Do you think it is because it's been so hot at night?
D) When was your last electroencephalogram? - ANSWER-B) Do you have any
history of problems with your heart?
Paroxysmal nocturnal dyspnea occurs with heart failure. Lying down increases
volume of intrathoracic blood, and the weakened heart cannot accommodate the
increased load. Classically, the person awakens after 2 hours of sleep, arises,
and flings open a window with the perception of needing fresh air. (Bates,
p357)
In assessing a patient's major risk factors for heart disease, which would the
nurse want to include when taking a history?
A) Personality type, high cholesterol, diabetes, smoking
B) Family history, hypertension, stress, age
C) Alcohol consumption, obesity, diabetes, stress, high cholesterol
D) Smoking, hypertension, obesity, diabetes, and high cholesterol, activity
level, family history - ANSWER-D) Smoking, hypertension, obesity, diabetes,
and high cholesterol, activity level, family history
For major risk factors for coronary artery disease, collect data regarding
elevated serum cholesterol, elevated blood pressure, blood glucose levels above
130 mg/dL or known diabetes mellitus, obesity, cigarette smoking, low activity
level (Bates, p358)
WITH QUESTIONS AND ANSWERS||
GUARANTEED PASS|| ALREADY GRADED A+
A 10-year-old is at the clinic for "a sore throat lasting 6 days." The nurse is
aware that which of these findings would be consistent with an acute infection?
A) Tonsils 3+/1-4+ with large white spots
B) Tonsils 1+/1-4+ with pale coloring
C) Tonsils 1+/1-4+ and pink, same color as oral mucosa
D) Tonsils 2+/1-4+ and pink with white particles inside deep crypts -
ANSWER-A) Tonsils 3+/1-4+ with large white spots
With an acute infection, tonsils are bright red and swollen and may have
exudate or large white spots. Tonsils are enlarged to 2+, 3+, or 4+ with an acute
infection.
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)
,Which of the following is the most common bloodborne pathogen in the United
States?
A) Hepatitis C
B) HIV
C) Hepatitis A
D) Hepatitis B - ANSWER-A) Hepatitis C
Hepatitis C is the most common bloodborne pathogen in the United States with
about 2% of the population having the virus. Bates, p467-468
In which order should the abdomen be examined in?
A) auscultation, inspection, percussion, palpation
B) inspection, percussion, auscultation, palpation
C) percussion, palpation, inspection, auscultation
D) inspection, auscultation, percussion, palpation - ANSWER-D) inspection,
auscultation, percussion, palpation
Bates 471-475
Auscultate for abdominal bruits of the following areas during abdominal exam:
A) aorta, renal arteries, iliac arteries, femoral arteries
B) lower right and left quadrants
C) liver and spleen only
D) femoral arteries and aorta only - ANSWER-A) aorta, renal arteries, iliac
arteries, femoral arteries
Bates 472-473
, A 45-year-old man is in the clinic for a routine physical. During history the
patient states he has been having difficulty sleeping. "I'll be sleeping great and
then I wake up and feel like I can't catch my breath." His symptoms indicates
sleep related symptoms of a certain type of disease, so which question would
the NP want to ask?
A) Have you had a recent sinus infection or URI?
B) Do you have any history of problems with your heart?
C) Do you think it is because it's been so hot at night?
D) When was your last electroencephalogram? - ANSWER-B) Do you have any
history of problems with your heart?
Paroxysmal nocturnal dyspnea occurs with heart failure. Lying down increases
volume of intrathoracic blood, and the weakened heart cannot accommodate the
increased load. Classically, the person awakens after 2 hours of sleep, arises,
and flings open a window with the perception of needing fresh air. (Bates,
p357)
In assessing a patient's major risk factors for heart disease, which would the
nurse want to include when taking a history?
A) Personality type, high cholesterol, diabetes, smoking
B) Family history, hypertension, stress, age
C) Alcohol consumption, obesity, diabetes, stress, high cholesterol
D) Smoking, hypertension, obesity, diabetes, and high cholesterol, activity
level, family history - ANSWER-D) Smoking, hypertension, obesity, diabetes,
and high cholesterol, activity level, family history
For major risk factors for coronary artery disease, collect data regarding
elevated serum cholesterol, elevated blood pressure, blood glucose levels above
130 mg/dL or known diabetes mellitus, obesity, cigarette smoking, low activity
level (Bates, p358)
