Advanced Health Assessment Exam f f f
Questions & Correct Answers/ Graded A+
f f f f f
Af59fyearfoldfpatientsftellsfthefnursefpractitionerfthatfhefthinksfhefmustfhavefulcerativefcolitis.fHe
hasfbeenfhavingf"blackfstools"fforftheflastf24fhours.fHowfwouldfthefnursefpractitionerfbest
documentfTHEfFACTSfforfhisfreasonfforfseekingfcare?
A) JMfisfaf59fyearfoldfmalefherefforfhavingf"blackfstools"fforfthefpastf24fhours.
B) JMfcamefintofthefclinicfcomplainingfoffblackfstoolsfforfthefpastf24fhours.
C) JMfisfaf59fyearfoldfmalefherefforf"ulcerativefcolitis."
D) JM,faf59fyearfoldfmale,fstatesfhefhasfulcerativefcolitisfandfwantsfitfchecked.
➹➹:f A)fJMfisfaf59fyearfoldfmalefherefforfhavingf"blackfstools"fforfthefpastf24fhours.
ChieffComplaint(s)fThefoneforfmorefsymptomsforfconcernsfcausingfthefpatientftofseekfcare.fMake
everyfeffortftofquotefthefpatient'sfownfwords.
Afpatientftellsfthefnursefpractitionerfthatfshefhasfhadfabdominalfpainfforfthefpastfweek.fWhatfwould
befthefbestfresponsefbyfthefnursefpractitioner?
A) We'llftalkfmorefaboutfthatflaterfinfthefinterview."
B) "Havefyoufeverfhadfanyfchildren?"
C) "Whatfhavefyoufhadftofeatfinftheflastf4fhours?"
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,D) "Canfyoufpointftofwherefitfhurts?"
➹➹:f D)f"Canfyoufpointftofwherefitfhurts?"
Eachfprinciplefsymptomfshouldfbefwell-characterized,fwithfdescriptionsfofflocation;falongfwithfthe
otherfsevenfattributes.fLocation:fAskfthefpatientftofpointftofthefpainfbecauseflayftermsfmayfnotfbe
specificfenoughftoflocalizefthefsitefofforigin.
Af29-year-oldfwomanftellsfthefnursefthatfshefhasf"excruciatingfpain"finfherfback.fWhichfoffthe
followingfwouldfbefanfappropriatefresponsefbyfthefnurseftofherfstatement?
A) "Howfdoesfyourffamilyfreactftofyourfpain?"
B) "Thatfmustfbefterrible.fYoufprobablyfpinchedfafnerve."
C) "I'vefhadfbackfpainfmyselffandfitfcanfbefexcruciating."
D) "Howfwouldfyoufsayfthefpainfaffectsfyourfabilityftofdofyourfdailyfactivities?"
➹➹:f D)f"Howfwouldfyoufsayfthefpainfaffectsfyourfabilityftofdofyourfdailyfactivities?"
Inquirefaboutfthefeffectsfoffpainfonfthefpatient'sfdailyfactivities,fmood,fsleep,fwork,fandfsexual
activity.
Infrecordingfthefchildhoodfillnessesfoffafpatientfwhofdeniesfhavingfhadfany,fwhichfofftheffollowing
notesfbyfthefnursefwouldfbefmostfaccurate?
A) Patientfdeniesfusualfchildhoodfillnesses.
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,B) Patientfstatesfhefwasfaf"veryfhealthy"fchild.
C) Patientfstatesfsisterfhadfmeasles,fbutfhefdidn't.
D) Patientfdeniesfmeasles,fmumps,frubella,fchickenpox,fpertussis,frheumaticffever,fandfpolio.
➹➹:f D)fPatientfdeniesfmeasles,fmumps,frubella,fchickenpox,fpertussis,frheumaticffever,fandfpolio.
Childhoodfillnessesfincludefmeasles,frubella,fmumps,fwhoopingfcough,frheumaticffever,fscarlet
fever,fandfpolio.fTheyfarefincludedfinfthefpastfhistory.
Afpatientftellsfthefnursefthatfhefisfallergicftofpenicillin.fWhatfwouldfbefthefnurse'sfbestfresponsefto
thisfinformation?
A) "Arefyoufallergicftofanyfotherfdrugs?"
B) "Howfoftenfhavefyoufreceivedfpenicillin?"
C) "I'llfwritefyourfallergyfonfyourfchartfsofyoufwon'tfreceivefany."
D) "Pleasefdescribefwhatfhappensftofyoufwhenfyouftakefpenicillin."
➹➹:f D)f"Pleasefdescribefwhatfhappensftofyoufwhenfyouftakefpenicillin."
Allergies,fincludingfspecificfreactionsftofeachfmedication,fsuchfasfrashforfnausea,fmustfbefrecorded.
Thefnursefisftakingfaffamilyfhistory.fImportantfdiseasesforfproblemsftofaskfthefpatientfaboutfinclude:
A) emphysema.
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, B) headftrauma.
C) mentalfillness.
D) fracturedfbones.
➹➹:f C)fmentalfillness.
Specificallyfaskfforfanyffamilyfhistoryfoffheartfdisease,fhighfbloodfpressure,fstroke,fdiabetes,fobesity,
bloodfdisorders,fovarianfcancer,fcolonfcancer,fsicklefcellfanemia,farthritis,fallergies,falcoholforfdrug
addiction,fmentalfillness,fsuicide,fseizurefdisorder,fkidneyfdisease,fandftuberculosis.fThefother
answersfarefacquired.
Theffollowingfinformationfisfrecordedfinfthefhealthfhistory:f"Patientfdeniesfchestfpain,fpalpitations,
orthopnea,fandfparoxysmalfnocturnalfdyspnea."fWhichfcategoryfdoesfitfbelongfto?
A) Chieffcomplaint
B) Presentfillness
C) Personalfandfsocialfhistory
D) Reviewfoffsystems
➹➹:f D)fReviewfoffsystems
Mostfreviewfoffsystemsfquestionsfpertainftofsystems.fYoufmayfalsofdrawfonfReviewfoffSystems
questionsfrelatedftofthefChieffComplaintftofestablishfpositivesfandfnegativesfthatfhelpfclarifyfthe
diagnosis.
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Questions & Correct Answers/ Graded A+
f f f f f
Af59fyearfoldfpatientsftellsfthefnursefpractitionerfthatfhefthinksfhefmustfhavefulcerativefcolitis.fHe
hasfbeenfhavingf"blackfstools"fforftheflastf24fhours.fHowfwouldfthefnursefpractitionerfbest
documentfTHEfFACTSfforfhisfreasonfforfseekingfcare?
A) JMfisfaf59fyearfoldfmalefherefforfhavingf"blackfstools"fforfthefpastf24fhours.
B) JMfcamefintofthefclinicfcomplainingfoffblackfstoolsfforfthefpastf24fhours.
C) JMfisfaf59fyearfoldfmalefherefforf"ulcerativefcolitis."
D) JM,faf59fyearfoldfmale,fstatesfhefhasfulcerativefcolitisfandfwantsfitfchecked.
➹➹:f A)fJMfisfaf59fyearfoldfmalefherefforfhavingf"blackfstools"fforfthefpastf24fhours.
ChieffComplaint(s)fThefoneforfmorefsymptomsforfconcernsfcausingfthefpatientftofseekfcare.fMake
everyfeffortftofquotefthefpatient'sfownfwords.
Afpatientftellsfthefnursefpractitionerfthatfshefhasfhadfabdominalfpainfforfthefpastfweek.fWhatfwould
befthefbestfresponsefbyfthefnursefpractitioner?
A) We'llftalkfmorefaboutfthatflaterfinfthefinterview."
B) "Havefyoufeverfhadfanyfchildren?"
C) "Whatfhavefyoufhadftofeatfinftheflastf4fhours?"
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,D) "Canfyoufpointftofwherefitfhurts?"
➹➹:f D)f"Canfyoufpointftofwherefitfhurts?"
Eachfprinciplefsymptomfshouldfbefwell-characterized,fwithfdescriptionsfofflocation;falongfwithfthe
otherfsevenfattributes.fLocation:fAskfthefpatientftofpointftofthefpainfbecauseflayftermsfmayfnotfbe
specificfenoughftoflocalizefthefsitefofforigin.
Af29-year-oldfwomanftellsfthefnursefthatfshefhasf"excruciatingfpain"finfherfback.fWhichfoffthe
followingfwouldfbefanfappropriatefresponsefbyfthefnurseftofherfstatement?
A) "Howfdoesfyourffamilyfreactftofyourfpain?"
B) "Thatfmustfbefterrible.fYoufprobablyfpinchedfafnerve."
C) "I'vefhadfbackfpainfmyselffandfitfcanfbefexcruciating."
D) "Howfwouldfyoufsayfthefpainfaffectsfyourfabilityftofdofyourfdailyfactivities?"
➹➹:f D)f"Howfwouldfyoufsayfthefpainfaffectsfyourfabilityftofdofyourfdailyfactivities?"
Inquirefaboutfthefeffectsfoffpainfonfthefpatient'sfdailyfactivities,fmood,fsleep,fwork,fandfsexual
activity.
Infrecordingfthefchildhoodfillnessesfoffafpatientfwhofdeniesfhavingfhadfany,fwhichfofftheffollowing
notesfbyfthefnursefwouldfbefmostfaccurate?
A) Patientfdeniesfusualfchildhoodfillnesses.
2
,B) Patientfstatesfhefwasfaf"veryfhealthy"fchild.
C) Patientfstatesfsisterfhadfmeasles,fbutfhefdidn't.
D) Patientfdeniesfmeasles,fmumps,frubella,fchickenpox,fpertussis,frheumaticffever,fandfpolio.
➹➹:f D)fPatientfdeniesfmeasles,fmumps,frubella,fchickenpox,fpertussis,frheumaticffever,fandfpolio.
Childhoodfillnessesfincludefmeasles,frubella,fmumps,fwhoopingfcough,frheumaticffever,fscarlet
fever,fandfpolio.fTheyfarefincludedfinfthefpastfhistory.
Afpatientftellsfthefnursefthatfhefisfallergicftofpenicillin.fWhatfwouldfbefthefnurse'sfbestfresponsefto
thisfinformation?
A) "Arefyoufallergicftofanyfotherfdrugs?"
B) "Howfoftenfhavefyoufreceivedfpenicillin?"
C) "I'llfwritefyourfallergyfonfyourfchartfsofyoufwon'tfreceivefany."
D) "Pleasefdescribefwhatfhappensftofyoufwhenfyouftakefpenicillin."
➹➹:f D)f"Pleasefdescribefwhatfhappensftofyoufwhenfyouftakefpenicillin."
Allergies,fincludingfspecificfreactionsftofeachfmedication,fsuchfasfrashforfnausea,fmustfbefrecorded.
Thefnursefisftakingfaffamilyfhistory.fImportantfdiseasesforfproblemsftofaskfthefpatientfaboutfinclude:
A) emphysema.
3
, B) headftrauma.
C) mentalfillness.
D) fracturedfbones.
➹➹:f C)fmentalfillness.
Specificallyfaskfforfanyffamilyfhistoryfoffheartfdisease,fhighfbloodfpressure,fstroke,fdiabetes,fobesity,
bloodfdisorders,fovarianfcancer,fcolonfcancer,fsicklefcellfanemia,farthritis,fallergies,falcoholforfdrug
addiction,fmentalfillness,fsuicide,fseizurefdisorder,fkidneyfdisease,fandftuberculosis.fThefother
answersfarefacquired.
Theffollowingfinformationfisfrecordedfinfthefhealthfhistory:f"Patientfdeniesfchestfpain,fpalpitations,
orthopnea,fandfparoxysmalfnocturnalfdyspnea."fWhichfcategoryfdoesfitfbelongfto?
A) Chieffcomplaint
B) Presentfillness
C) Personalfandfsocialfhistory
D) Reviewfoffsystems
➹➹:f D)fReviewfoffsystems
Mostfreviewfoffsystemsfquestionsfpertainftofsystems.fYoufmayfalsofdrawfonfReviewfoffSystems
questionsfrelatedftofthefChieffComplaintftofestablishfpositivesfandfnegativesfthatfhelpfclarifyfthe
diagnosis.
4
