advanced health assessment 2025
ADVANCED HEALTH ASSESSMENT 2025 LATEST UPDATED
ACTUAL EXAM 150 QUESTIONS WITH VERIFIED ANSWERS
ALREADY GRADED A+
A young mother presents with a pregnancy confirmed by urine HCG. Her LMP was June 20.
Using Naegele's rule, you estimate what day of delivery?
A) March 27
B) April 13
C) February 20
D) February 13 - ANSWER-A) March 27
A pregnant woman finally comes in for her prenatal checkup. She complains today of headache
and abdominal pain of several months' duration. She appears somewhat hurried or nervous.
What question would you ask next?
A) Do you have a family history of thyroid disease?
B) Have you been eating properly and taking a prenatal vitamin?
C) Do you feel safe at home?
D) How much activity have you been able to fit into your schedule? - ANSWER-C) Do you feel
safe at home?
A woman in her 24th week of pregnancy notices she feels faint when lying down for a period.
What would you suspect as a cause for this?
A) Adrenal insufficiency
B) Orthostatic hypotension
C) Supine hypotensive syndrome
D) Hypoglycemia - ANSWER-C) Supine hypotensive syndrome
, advanced health assessment 2025
Lucille is in her 24th week. You notice a new onset of high blood pressure readings. Today's
value is 168/96. Her urine is normal. What do you suspect?
A) Preeclampsia
B) Chronic hypertension
C) Supine hypotensive syndrome
D) Gestational hypertension - ANSWER-D) Gestational hypertension
Which of the following is worrisome in Melissa, a woman in her 26th week of pregnancy?
A) Generalized hair loss
B) A hyperpigmented rash over the maxillary region bilaterally
C) Nosebleeds
D) Facial edema - ANSWER-D) Facial edema
A woman in her third trimester complains of shortness of breath on occasion, without other
symptoms. She has a normal examination. The most likely cause of this symptom is:
A) Hormonal
B) Asthma
C) Pulmonary embolus
D) Infection - ANSWER-A) Hormonal
A woman in her 30th week has a cervical length estimated at 1 cm. Should you be concerned?
A) Yes; she may be at risk for preterm labor.
B) Yes; she most likely has a bicornuate uterus.
C) No; this is a normal measurement for this gestational age.
D) Yes; it likely indicates the fetus is in the breech position. - ANSWER-A) Yes; she may be at risk
for preterm labor.
, advanced health assessment 2025
A woman has a positive pregnancy test and comes to you with left lower quadrant pain. On
bimanual examination, you feel a tender mass. Which of the following should you suspect?
A) Threatened abortion
B) Appendicitis
C) Ovarian cyst
D) Tubal pregnancy - ANSWER-D) Tubal pregnancy
A 52-year-old secretary comes to your office, complaining about accidentally leaking urine when
she coughs or sneezes. She says this has been going on for about a year now. She relates that
she has not had a period for 2 years. She denies any recent illness or injuries. Her past medical
history is significant for four spontaneous vaginal deliveries. She is married and has four
children. She denies alcohol, tobacco, or drug use. During her pelvic examination you note some
atrophic vaginal tissue, but the remainder of her pelvic, abdominal, and rectal examinations are
unremarkable.
Which type of urinary incontinence does she have?
A) Stress incontinence
B) Urge incontinence
C) Overflow incontinence - ANSWER-A) Stress incontinence
A 46-year-old former salesman presents to the ER, complaining of black stools for the past few
weeks. His past medical history is significant for cirrhosis. He has gained weight recently,
especially around his abdomen. He has smoked two packs of cigarettes a day for 30 years and
has drunk approximately 10 alcoholic beverages a day for 25 years. He has used IV heroin and
smoked crack in the past. He denies any recent use. He is currently unemployed and has never
been married. On examination you find a man appearing older than his stated age. His skin has
a yellowish tint and he is thin, with a prominent abdomen. You note multiple "spider angiomas"
at the base of his neck. Otherwise, his heart and lung examinations are normal. On inspection
he has dilated veins around his umbilicus. Increased bowel sounds are heard during
auscultation. Palpation reveals diffuse tenderness that is more severe in the epigastric area. His
- ANSWER-C) Esophageal varices
, advanced health assessment 2025
A 21-year-old receptionist comes to your clinic, complaining of frequent diarrhea. She states
that the stools are very loose and there is some cramping beforehand. She states this has
occurred on and off since she was in high school. She denies any nausea, vomiting, or blood in
her stool. Occasionally she has periods of constipation, but that is rare. She thinks the diarrhea
is much worse when she is nervous. Her past medical history is not significant. She is single and
a junior in college majoring in accounting. She smokes when she drinks alcohol but denies using
any illegal drugs. Both of her parents are healthy. Her entire physical examination is
unremarkable.
What is most likely the etiology of her diarrhea?
A) Secretory infections
B) Inflammatory infections
C) Irritable bowel syndrome
D) Malabsorption syndrome - ANSWER-C) Irritable bowel syndrome
A 29-year-old homemaker who is G4P3 comes to your clinic for her first prenatal check. Her last
period was 2 months ago. She has had three previous pregnancies and deliveries with no
complications. She has no medical problems and has had no surgeries. Her only current
complaint is of severe reflux that occurs in the mornings and evenings. On examination she is in
no acute distress. Her vitals are 110/70 with a pulse of 88. Her respirations are 16. Her head,
eyes, ears, nose, throat, thyroid, cardiac, pulmonary, and abdominal examinations are
unremarkable. On bimanual examination her cervix is soft and her uterus is 10 weeks in size.
Pap smear, cultures, and blood work are pending.
What is the most likely cause of her first-trimester reflux?
A) Increasing prolactin levels
B) Increasing ADH (antidiuretic hormone) levels
C) Increasing progesterone
D) Enlarged gravid uterus - ANSWER-C) Increasing progesterone
A 26-year-old telephone operator comes to your office for her first prenatal visit. This is her first
pregnancy. Her last period was about 2 months ago. She has no current complaints. She is
eating healthily, taking vitamins, and exercising. She has a past medical history of an
ADVANCED HEALTH ASSESSMENT 2025 LATEST UPDATED
ACTUAL EXAM 150 QUESTIONS WITH VERIFIED ANSWERS
ALREADY GRADED A+
A young mother presents with a pregnancy confirmed by urine HCG. Her LMP was June 20.
Using Naegele's rule, you estimate what day of delivery?
A) March 27
B) April 13
C) February 20
D) February 13 - ANSWER-A) March 27
A pregnant woman finally comes in for her prenatal checkup. She complains today of headache
and abdominal pain of several months' duration. She appears somewhat hurried or nervous.
What question would you ask next?
A) Do you have a family history of thyroid disease?
B) Have you been eating properly and taking a prenatal vitamin?
C) Do you feel safe at home?
D) How much activity have you been able to fit into your schedule? - ANSWER-C) Do you feel
safe at home?
A woman in her 24th week of pregnancy notices she feels faint when lying down for a period.
What would you suspect as a cause for this?
A) Adrenal insufficiency
B) Orthostatic hypotension
C) Supine hypotensive syndrome
D) Hypoglycemia - ANSWER-C) Supine hypotensive syndrome
, advanced health assessment 2025
Lucille is in her 24th week. You notice a new onset of high blood pressure readings. Today's
value is 168/96. Her urine is normal. What do you suspect?
A) Preeclampsia
B) Chronic hypertension
C) Supine hypotensive syndrome
D) Gestational hypertension - ANSWER-D) Gestational hypertension
Which of the following is worrisome in Melissa, a woman in her 26th week of pregnancy?
A) Generalized hair loss
B) A hyperpigmented rash over the maxillary region bilaterally
C) Nosebleeds
D) Facial edema - ANSWER-D) Facial edema
A woman in her third trimester complains of shortness of breath on occasion, without other
symptoms. She has a normal examination. The most likely cause of this symptom is:
A) Hormonal
B) Asthma
C) Pulmonary embolus
D) Infection - ANSWER-A) Hormonal
A woman in her 30th week has a cervical length estimated at 1 cm. Should you be concerned?
A) Yes; she may be at risk for preterm labor.
B) Yes; she most likely has a bicornuate uterus.
C) No; this is a normal measurement for this gestational age.
D) Yes; it likely indicates the fetus is in the breech position. - ANSWER-A) Yes; she may be at risk
for preterm labor.
, advanced health assessment 2025
A woman has a positive pregnancy test and comes to you with left lower quadrant pain. On
bimanual examination, you feel a tender mass. Which of the following should you suspect?
A) Threatened abortion
B) Appendicitis
C) Ovarian cyst
D) Tubal pregnancy - ANSWER-D) Tubal pregnancy
A 52-year-old secretary comes to your office, complaining about accidentally leaking urine when
she coughs or sneezes. She says this has been going on for about a year now. She relates that
she has not had a period for 2 years. She denies any recent illness or injuries. Her past medical
history is significant for four spontaneous vaginal deliveries. She is married and has four
children. She denies alcohol, tobacco, or drug use. During her pelvic examination you note some
atrophic vaginal tissue, but the remainder of her pelvic, abdominal, and rectal examinations are
unremarkable.
Which type of urinary incontinence does she have?
A) Stress incontinence
B) Urge incontinence
C) Overflow incontinence - ANSWER-A) Stress incontinence
A 46-year-old former salesman presents to the ER, complaining of black stools for the past few
weeks. His past medical history is significant for cirrhosis. He has gained weight recently,
especially around his abdomen. He has smoked two packs of cigarettes a day for 30 years and
has drunk approximately 10 alcoholic beverages a day for 25 years. He has used IV heroin and
smoked crack in the past. He denies any recent use. He is currently unemployed and has never
been married. On examination you find a man appearing older than his stated age. His skin has
a yellowish tint and he is thin, with a prominent abdomen. You note multiple "spider angiomas"
at the base of his neck. Otherwise, his heart and lung examinations are normal. On inspection
he has dilated veins around his umbilicus. Increased bowel sounds are heard during
auscultation. Palpation reveals diffuse tenderness that is more severe in the epigastric area. His
- ANSWER-C) Esophageal varices
, advanced health assessment 2025
A 21-year-old receptionist comes to your clinic, complaining of frequent diarrhea. She states
that the stools are very loose and there is some cramping beforehand. She states this has
occurred on and off since she was in high school. She denies any nausea, vomiting, or blood in
her stool. Occasionally she has periods of constipation, but that is rare. She thinks the diarrhea
is much worse when she is nervous. Her past medical history is not significant. She is single and
a junior in college majoring in accounting. She smokes when she drinks alcohol but denies using
any illegal drugs. Both of her parents are healthy. Her entire physical examination is
unremarkable.
What is most likely the etiology of her diarrhea?
A) Secretory infections
B) Inflammatory infections
C) Irritable bowel syndrome
D) Malabsorption syndrome - ANSWER-C) Irritable bowel syndrome
A 29-year-old homemaker who is G4P3 comes to your clinic for her first prenatal check. Her last
period was 2 months ago. She has had three previous pregnancies and deliveries with no
complications. She has no medical problems and has had no surgeries. Her only current
complaint is of severe reflux that occurs in the mornings and evenings. On examination she is in
no acute distress. Her vitals are 110/70 with a pulse of 88. Her respirations are 16. Her head,
eyes, ears, nose, throat, thyroid, cardiac, pulmonary, and abdominal examinations are
unremarkable. On bimanual examination her cervix is soft and her uterus is 10 weeks in size.
Pap smear, cultures, and blood work are pending.
What is the most likely cause of her first-trimester reflux?
A) Increasing prolactin levels
B) Increasing ADH (antidiuretic hormone) levels
C) Increasing progesterone
D) Enlarged gravid uterus - ANSWER-C) Increasing progesterone
A 26-year-old telephone operator comes to your office for her first prenatal visit. This is her first
pregnancy. Her last period was about 2 months ago. She has no current complaints. She is
eating healthily, taking vitamins, and exercising. She has a past medical history of an
