ADVANCED HEALTH ASSESSMENT EXAM 2025
ADVANCED HEALTH ASSESSMENT EXAM 2025 LATEST UPDATED
ACTUAL EXAM QUESTIONS WITH VERIFIED ANSWERS
A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after being in the
hospital for 6 weeks. She was treated for sepsis and respiratory failure and had to be on a
ventilator for 3 weeks. The nurse is completing an initial assessment and evaluating the client's
skin condition. On her sacrum there is full-thickness skin loss that is 5 cm in diameter with
damage to the subcutaneous tissue. The underlying muscle is not affected. What is the stage of
this pressure ulcer?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4 - ANSWER-C) Stage 3
A crater appears in the skin, with full-thickness skin loss and damage to or necrosis of
subcutaneous tissue that may extend to, but not through underlying muscle.
Mrs. Anderson presents with an itchy rash which is raised and appears and disappears in various
locations. Each lesion lasts for many minutes. What most likely accounts for this rash?
A) Insect bites
B) Wheals, urticaria, or hives
C) Psoriasis
D) Purpura - ANSWER-B) Wheals, urticaria, or hives
Wheals/urticaria - a somewhat irregular, relatively transient, superficial area of localized skin
edema.
, ADVANCED HEALTH ASSESSMENT EXAM 2025
Ethel is a 68 year old Caucasian female who is new to your area. She shows you multiple brown
colored, flat lesions on her face, chest, and hands that have been present for years. You respond
that these are likely:
A) solar lentigos
B) melanomas
C) keloids
D) fissures - ANSWER-A) solar lentigos
solar lentigos are from sun damage, are more common on the face, shoulders, and hands.
A 27 year old female patient has three furuncles connected around a hair follicle. You use the
following term in your charting:
A) nodules
B) carbuncle
C) macules
D) bulla - ANSWER-B) carbuncle
Multiple furuncles around a hair follicle form a carbuncle.
A young man comes to you with an extremely pruritic rash over his knees and elbows which has
come and gone for several years. It seems to be worse in the winter and improves with some
sun exposure. On examination, you notice scabbing and crusting with some silvery scale, and
you are observant enough to notice small "pits" in his nails. What would account for these
findings?
A) Eczema
B) Pityriasis rosea
C) Psoriasis
D) Tinea infection - ANSWER-C) Psoriasis
, ADVANCED HEALTH ASSESSMENT EXAM 2025
Psoriasis: silvery scaly papules or plaques, mainly on the extensor surfaces. Pitting: punctate
depressions of the nail plate caused by defective layering of the superficial nail plate by the
proximal nail matrix. Usually associated with psoriasis.
Suzanne, a 25 year old, comes to your clinic to establish care. You are the student preparing to
go into the examination room to interview her. Which of the following is the most logical
sequence for the patient-provider interview?
A) Establish the agenda, negotiate a plan, establish rapport, and invite the patient's story.
B) Invite the patient's story, negotiate a plan, establish the agenda, and establish rapport.
C) Greet the patient, establish rapport, invite the patient's story, establish the agenda, expand
and clarify the patient's story, and negotiate a plan.
D) Negotiate a plan, establish an agenda, invite the patient's story, and establish rapport. -
ANSWER-C) Greet the patient, establish rapport, invite the patient's story, establish the agenda,
expand and clarify the patient's story, and negotiate a plan.
The sequence of the interview: Greeting the patient and establishing rapport. Taking notes.
Establishing the agenda for the interview. Inviting the patient's story. Expanding and clarifying
the patient's story. Sharing the treatment plan.
A young woman undergoes cranial nerve testing. On touching the soft palate, her uvula deviates
to the left. Which of the following is likely?
A) CN IX lesion on the left
B) CN X lesion on the left
C) CN IX lesion on the right
D) CN X lesion on the right - ANSWER-D) CN X lesion on the right
In cranial nerve X paralysis, the soft palate fails to rise and the uvula deviates to the opposite
side.
, ADVANCED HEALTH ASSESSMENT EXAM 2025
When performing posterior palpation of the thyroid gland, you should do all fo the following,
EXCEPT:
A) Have the patient tip his or her head forward and slightly to the side.
B) Place your index fingers above the cricoid cartilage.
C) Palpate between the sternocleidomastoid muscle and the trachea for the lobes of the
thyroid.
D) Move your fingers laterally to palpate for the thyroid lobes. - ANSWER-B) Place your index
fingers above the cricoid cartilage.
Place the fingers of both hands on the patient's neck so that your index fingers are just BELOW
the cricoid cartilage.
You are interviewing an elderly woman in the ambulatory setting and trying to get more
information about her urinary symptoms. Which of the following techniques is NOT a
component of guided questioning?
A) Reassuring the patient that the urinary symptoms are benign and that she doesn't need to
worry about it being a sign of cancer.
B) Offering the patient multiple choices in order to clarify the character of the urinary symptoms
she is experiencing.
C) Asking her to tell you what she means when she states that she has a urinary tract infection.
D) Directed questioning starting with the general and proceeding to the specific in a manner
that does not make the patient give a yes/no answer. - ANSWER-A) Reassuring the patient that
the urinary symptoms are benign and that she doesn't need to worry about it being a sign of
cancer.
Bates p 59, 69-71
Mrs. T. comes for her regular visit to the clinic. She is on your schedule because her regular
provider is on vacation and she wanted to be seen. You have heard about her many times from
ADVANCED HEALTH ASSESSMENT EXAM 2025 LATEST UPDATED
ACTUAL EXAM QUESTIONS WITH VERIFIED ANSWERS
A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after being in the
hospital for 6 weeks. She was treated for sepsis and respiratory failure and had to be on a
ventilator for 3 weeks. The nurse is completing an initial assessment and evaluating the client's
skin condition. On her sacrum there is full-thickness skin loss that is 5 cm in diameter with
damage to the subcutaneous tissue. The underlying muscle is not affected. What is the stage of
this pressure ulcer?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4 - ANSWER-C) Stage 3
A crater appears in the skin, with full-thickness skin loss and damage to or necrosis of
subcutaneous tissue that may extend to, but not through underlying muscle.
Mrs. Anderson presents with an itchy rash which is raised and appears and disappears in various
locations. Each lesion lasts for many minutes. What most likely accounts for this rash?
A) Insect bites
B) Wheals, urticaria, or hives
C) Psoriasis
D) Purpura - ANSWER-B) Wheals, urticaria, or hives
Wheals/urticaria - a somewhat irregular, relatively transient, superficial area of localized skin
edema.
, ADVANCED HEALTH ASSESSMENT EXAM 2025
Ethel is a 68 year old Caucasian female who is new to your area. She shows you multiple brown
colored, flat lesions on her face, chest, and hands that have been present for years. You respond
that these are likely:
A) solar lentigos
B) melanomas
C) keloids
D) fissures - ANSWER-A) solar lentigos
solar lentigos are from sun damage, are more common on the face, shoulders, and hands.
A 27 year old female patient has three furuncles connected around a hair follicle. You use the
following term in your charting:
A) nodules
B) carbuncle
C) macules
D) bulla - ANSWER-B) carbuncle
Multiple furuncles around a hair follicle form a carbuncle.
A young man comes to you with an extremely pruritic rash over his knees and elbows which has
come and gone for several years. It seems to be worse in the winter and improves with some
sun exposure. On examination, you notice scabbing and crusting with some silvery scale, and
you are observant enough to notice small "pits" in his nails. What would account for these
findings?
A) Eczema
B) Pityriasis rosea
C) Psoriasis
D) Tinea infection - ANSWER-C) Psoriasis
, ADVANCED HEALTH ASSESSMENT EXAM 2025
Psoriasis: silvery scaly papules or plaques, mainly on the extensor surfaces. Pitting: punctate
depressions of the nail plate caused by defective layering of the superficial nail plate by the
proximal nail matrix. Usually associated with psoriasis.
Suzanne, a 25 year old, comes to your clinic to establish care. You are the student preparing to
go into the examination room to interview her. Which of the following is the most logical
sequence for the patient-provider interview?
A) Establish the agenda, negotiate a plan, establish rapport, and invite the patient's story.
B) Invite the patient's story, negotiate a plan, establish the agenda, and establish rapport.
C) Greet the patient, establish rapport, invite the patient's story, establish the agenda, expand
and clarify the patient's story, and negotiate a plan.
D) Negotiate a plan, establish an agenda, invite the patient's story, and establish rapport. -
ANSWER-C) Greet the patient, establish rapport, invite the patient's story, establish the agenda,
expand and clarify the patient's story, and negotiate a plan.
The sequence of the interview: Greeting the patient and establishing rapport. Taking notes.
Establishing the agenda for the interview. Inviting the patient's story. Expanding and clarifying
the patient's story. Sharing the treatment plan.
A young woman undergoes cranial nerve testing. On touching the soft palate, her uvula deviates
to the left. Which of the following is likely?
A) CN IX lesion on the left
B) CN X lesion on the left
C) CN IX lesion on the right
D) CN X lesion on the right - ANSWER-D) CN X lesion on the right
In cranial nerve X paralysis, the soft palate fails to rise and the uvula deviates to the opposite
side.
, ADVANCED HEALTH ASSESSMENT EXAM 2025
When performing posterior palpation of the thyroid gland, you should do all fo the following,
EXCEPT:
A) Have the patient tip his or her head forward and slightly to the side.
B) Place your index fingers above the cricoid cartilage.
C) Palpate between the sternocleidomastoid muscle and the trachea for the lobes of the
thyroid.
D) Move your fingers laterally to palpate for the thyroid lobes. - ANSWER-B) Place your index
fingers above the cricoid cartilage.
Place the fingers of both hands on the patient's neck so that your index fingers are just BELOW
the cricoid cartilage.
You are interviewing an elderly woman in the ambulatory setting and trying to get more
information about her urinary symptoms. Which of the following techniques is NOT a
component of guided questioning?
A) Reassuring the patient that the urinary symptoms are benign and that she doesn't need to
worry about it being a sign of cancer.
B) Offering the patient multiple choices in order to clarify the character of the urinary symptoms
she is experiencing.
C) Asking her to tell you what she means when she states that she has a urinary tract infection.
D) Directed questioning starting with the general and proceeding to the specific in a manner
that does not make the patient give a yes/no answer. - ANSWER-A) Reassuring the patient that
the urinary symptoms are benign and that she doesn't need to worry about it being a sign of
cancer.
Bates p 59, 69-71
Mrs. T. comes for her regular visit to the clinic. She is on your schedule because her regular
provider is on vacation and she wanted to be seen. You have heard about her many times from
