ADVANCED HEALTH ASSESSMENT 2025 LATEST
ADVANCED HEALTH ASSESSMENT 2025 LATEST UPDATED ACTUAL
EXAM QUESTIONS WITH VERIFIED ANSWERS AND RATIONALES
What is the best way to accentuate the murmur of aortic regurgitation?
Answers:
a. Have the patient sit leaning forward and exhale
b. Place the bell on the apical impulse and turn the patient to the left lateral position
c. Have the patient stand and perform a valsalva maneuver.
d. Have the patient squat. - ANSWER-a. Have the patient sit leaning forward and exhale
Which occurs at the start of diastole?
Answers:
a. Closure of the tricuspid valve
b. Opening of the pulmonic valve
c. Closure of the aortic valve
d. Production of the first heart sound (S1) - ANSWER-c. Closure of the aortic valve
Which is true about using the bell and diaphragm of the stethoscope?
Answers:
a. The bell is better at picking up low-pitched sounds
b. Use the diaphragm when trying to hear the sounds of S3 and S4.
c. The bell is better at picking up S1 and S2.
d. Use the diaphragm to listen to the apical impulse while the patient has rolled over in the left,
lateral decubitus position. - ANSWER-a. The bell is better at picking up low-pitched sounds
Elevated jugular venous pressure may be an indicator of
Answers:
, ADVANCED HEALTH ASSESSMENT 2025 LATEST
a. heart failure.
b. hepatic congestion.
c. tension pneumothorax.
d. mitral stenosis. - ANSWER-a. heart failure
Venous disease or venous insufficiency may present as (Select all that apply)
Answers:
a. brown pigmentation of ankles.
b. decreased pulses.
c. dependent edema.
d. pallor on elevation. - ANSWER-a. brown pigmentation of ankles.
c. dependent edema.
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?
, ADVANCED HEALTH ASSESSMENT 2025 LATEST
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.
D) Patient denies measles, mumps, rubella, chickenpox, pertussis, rheumatic fever, and polio. -
ANSWER-D) Patient denies measles, mumps, rubella, chickenpox, pertussis, rheumatic fever,
and polio.
, ADVANCED HEALTH ASSESSMENT 2025 LATEST
Childhood illnesses include measles, rubella, mumps, whooping cough, rheumatic fever, scarlet
fever, and polio. They are included in the past history.
A patient tells the nurse that he is allergic to penicillin. What would be the nurse's best response
to this information?
A) "Are you allergic to any other drugs?"
B) "How often have you received penicillin?"
C) "I'll write your allergy on your chart so you won't receive any."
D) "Please describe what happens to you when you take penicillin." - ANSWER-D) "Please
describe what happens to you when you take penicillin."
Allergies, including specific reactions to each medication, such as rash or nausea, must be
recorded.
The nurse is taking a family history. Important diseases or problems to ask the patient about
include:
A) emphysema.
B) head trauma.
C) mental illness.
D) fractured bones. - ANSWER-C) mental illness.
Specifically ask for any family history of heart disease, high blood pressure, stroke, diabetes,
obesity, blood disorders, ovarian cancer, colon cancer, sickle cell anemia, arthritis, allergies,
alcohol or drug addiction, mental illness, suicide, seizure disorder, kidney disease, and
tuberculosis. The other answers are acquired.
ADVANCED HEALTH ASSESSMENT 2025 LATEST UPDATED ACTUAL
EXAM QUESTIONS WITH VERIFIED ANSWERS AND RATIONALES
What is the best way to accentuate the murmur of aortic regurgitation?
Answers:
a. Have the patient sit leaning forward and exhale
b. Place the bell on the apical impulse and turn the patient to the left lateral position
c. Have the patient stand and perform a valsalva maneuver.
d. Have the patient squat. - ANSWER-a. Have the patient sit leaning forward and exhale
Which occurs at the start of diastole?
Answers:
a. Closure of the tricuspid valve
b. Opening of the pulmonic valve
c. Closure of the aortic valve
d. Production of the first heart sound (S1) - ANSWER-c. Closure of the aortic valve
Which is true about using the bell and diaphragm of the stethoscope?
Answers:
a. The bell is better at picking up low-pitched sounds
b. Use the diaphragm when trying to hear the sounds of S3 and S4.
c. The bell is better at picking up S1 and S2.
d. Use the diaphragm to listen to the apical impulse while the patient has rolled over in the left,
lateral decubitus position. - ANSWER-a. The bell is better at picking up low-pitched sounds
Elevated jugular venous pressure may be an indicator of
Answers:
, ADVANCED HEALTH ASSESSMENT 2025 LATEST
a. heart failure.
b. hepatic congestion.
c. tension pneumothorax.
d. mitral stenosis. - ANSWER-a. heart failure
Venous disease or venous insufficiency may present as (Select all that apply)
Answers:
a. brown pigmentation of ankles.
b. decreased pulses.
c. dependent edema.
d. pallor on elevation. - ANSWER-a. brown pigmentation of ankles.
c. dependent edema.
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?
, ADVANCED HEALTH ASSESSMENT 2025 LATEST
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.
D) Patient denies measles, mumps, rubella, chickenpox, pertussis, rheumatic fever, and polio. -
ANSWER-D) Patient denies measles, mumps, rubella, chickenpox, pertussis, rheumatic fever,
and polio.
, ADVANCED HEALTH ASSESSMENT 2025 LATEST
Childhood illnesses include measles, rubella, mumps, whooping cough, rheumatic fever, scarlet
fever, and polio. They are included in the past history.
A patient tells the nurse that he is allergic to penicillin. What would be the nurse's best response
to this information?
A) "Are you allergic to any other drugs?"
B) "How often have you received penicillin?"
C) "I'll write your allergy on your chart so you won't receive any."
D) "Please describe what happens to you when you take penicillin." - ANSWER-D) "Please
describe what happens to you when you take penicillin."
Allergies, including specific reactions to each medication, such as rash or nausea, must be
recorded.
The nurse is taking a family history. Important diseases or problems to ask the patient about
include:
A) emphysema.
B) head trauma.
C) mental illness.
D) fractured bones. - ANSWER-C) mental illness.
Specifically ask for any family history of heart disease, high blood pressure, stroke, diabetes,
obesity, blood disorders, ovarian cancer, colon cancer, sickle cell anemia, arthritis, allergies,
alcohol or drug addiction, mental illness, suicide, seizure disorder, kidney disease, and
tuberculosis. The other answers are acquired.
