NUR 516 ADVANCED HEALTH ASSESSMENT
EXAM 2025 QUESTIONS AND ANSWERS
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You are assessing a patient with Wilson's disease and you see a golden/brown ring around the iris. This
is called:
A) chalazion
B) pterygium
C) pinguecula
D) Kayser-Fleischer ring
A ring around the iris from Wilson's disease is called a Kayser-Fleischer ring and it is from excessive
copper (Bates, p276).
If a patient is reporting light, gray colored stool, it is likely that ________ is missing from the stool.
A) bile
B) fiber
C) bacteria
D) mucus
Bile is what gives stools a darker color, so lighter, gray colored stools may indicate a bile duct
obstruction (Bates, p461).
,NUR 516 ADVANCED HEALTH ASSESSMENT
Kidney pain is commonly described as "flank pain." Which of the following would be considered in the
flank area?
A) periumbilical
B) costovertebral angle
C) suprapubic
D) epigastric
Costovertabal angle (CVA) pain or tenderness with percussion is a common test for kidney pain (Bates,
p463-464).
At what age is colorectal cancer screening started in those with "average risk?"
A) 50
B) 45
C) 25
D) 35
The recommendation for colorectal cancer screening starts at 50 years old for those with "average risk."
Bates, p 469
While performing a fundoscopic examination on a 38 year old African American female, the color of the
fundus is a grayish brown, almost purple. You determine:
A) this is a sign of diabetic retinopathy
B) this is a sign of hypertensive retinopathy
,NUR 516 ADVANCED HEALTH ASSESSMENT
C) this indicates retinal detachment and requires immediate intervention
D) this is a normal variation, no action is needed
There are normal variants for darker skinned patients (Bates, p283).
Wheezes are a result of:
A) abnormal lung tissue
B) narrowed air passages
C) fibrosis
D) fluid in the lungs
Wheezes are the result of narrowed airways, like in asthma, COPD, or bronchitis (Bates, p338)
Rhonchi suggests:
A) secretions is large airways
B) secretions in the pleural sac
C) secretions in alveoli
D) secretions in bronchioles
Rhonchi are suggestive of secretions in large airways (Bates, p325).
The prevalence of strokes in women ages 45-54 are:
, NUR 516 ADVANCED HEALTH ASSESSMENT
A) half that of men in the same age group
B) greater than that of men in the same age group
C) women have less strokes, but more heart attacks than men the same age
D) none of the above
Women have about 60% of the total number of strokes in the 45-54 years old age group, which is
important when evaluating their health risks (Bates, p361).
Normal blood pressure would be best described as:
A) < 130/90
B) < 120/80
C) < 100/50
D) 110/60
Normal blood pressure is 120/80 (Bates, p130)
Which of the following is a vesicular lesion?
A) psoriasis
B) nevus
C) café au lait spots
D) herpes simplex
Herpes simplex presents initially as a vesicle/vesicles. Café au lait spots are macules, psoriasis is a plaque
or papule, a nevus is a papule (Bates, p290).