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NR 509 ADVANCED ASSESSMENT EXAM NEWEST VERSION -
2025/2026- 100+ QUESTIONS AND VERIFIED ANSWERS 100%
CORRECT GUARANTEED SUCCESS
You are beginning the examination of the skin on a 25 year old teacher. You have
previously elicited that she came to the office for evaluation of fatigue, weight
gain and hair loss. You strongly suspect that she has hypothyroidism. What is the
expected moisture and texture of the skin of a patient with hypothyroidism.
Dry and smooth
Moist and flaky
Moist and velvety
Dry and rough
Dry and rough
A provide is evaluating a patient who presents with increased of breath over the
past several weeks. During the discussion with the patient the following occurs.
Patient "Sometimes I become so anxious that I lose track of time." Provider "Lose
track of time/" Patient "yes a few minutes will pass but it feels like hours" Which
of the following describes the interviewing technique used by the provider
Summarization
Validation
Echoing
Partnering
Echoing
hich of the following skin lesions is the least likely to metastasize
Seborrheic keratosis
Squamous cell carcinoma
Basal cell carcinoma
Melanoma
, 2
Seborrheic keratosis
Which of the following brief screening measures is useful in assessing memory
Three-item recall
Serial 7s
Copying intersecting pentagrams
Spelling "world" backward
Three-item recall
A 25-year-old radio announcer comes to the clinic for and annual examination His
BMI is 25.9 kg/m2. He is concerned about his weight. Based on this information,
what is appropriate counsel for the patient during the visit?
Refer the patient to a nutritionist because he is anorexic
Reassure the patient that he has a normal body weight
Give the patient information about reduction of fat and cholesterol because he is
obese
Give the patient information about reduction of fat, cholesterol, and calorie
because he is overweight.
Give the patient information about reduction of fat, cholesterol, and calorie
because he is overweight.
A 55 year old bookkeeper comes to your office for a routine visit. You note that on
pervious visit for treatment of contact dermatitis, her blood pressure was
elevated. She does not have prior elevated readings and her family history in
negative for hypertension. You measure her blood pressure in your office today.
Which of the following factors can result in a false high reading?
Blood pressure cuff is tightly fitted
Patient is seated quietly for 10 minutes prior to measurement
Patients arm is resting supported by your arm at her mid chest level as you stand
to measure the blood pressure
Blood pressure is measured on bare arm.
Blood pressure cuff is tightly fitted
, 3
The following information is recorded in the comprehensive health history for a
patient who is establishing care and has no focused concerns. Patient denies chest
pain, palpitations, orthopnea, and paroxysmal nocturnal dyspnea. To which
category does it belong?
Past medial illness
Present illness
Review of systems
Personal and social history
Review of systems
You are beginning the physical examination of a patient. Which of the following
areas are important to observe as part of the general survey? Select all that apply
Level of consciousness
Signs of distress
Vital signs
Dress, grooming, and personal hygiene
Level of consciousness
Signs of distress
Dress, grooming, and personal hygiene
The nurse practitioner (NP) is completing a comprehensive assessment of Anita, a
new client in a primary care facility. Which assessment finding(s) reported by
Anita are related to social determinants of health? Select all that apply.
occasionally running out of food, being discriminated against in the workplace,
has a great amount of smog in their community, having difficulty making the rent
payment
Focused assessment:
- addresses focused concerns or symptoms
, 4
-used for established clients during routine or urgent care visits
- health history and physical exams are focused on the problem
-Includes: brief history of present illness, only the system related to the problem
in the ROS
comprehensive assessment:
- used for new clients
-provides personalized information about the client
-strengthens the clinician-client relationship
-provides a baseline for future assessments
-provides an opportunity for health promotion education and counseling
includes: extended history of the present illness, at least two area of PMhx, family
hx, social hx, at least 10 ROS
subjective data
Subjective data includes symptoms that the client describes such as a sore throat,
headache, or pain. It also includes the client's feelings, perceptions, and concerns
objective data
Objective data includes the physical examination findings or signs observed.
Information obtained from the client during any part of the health history is
considered subjective data. All physical examinations, laboratory information, and
test data are considered objective data
initial encounter
-review the clinical record
-ensure the client is comfortable
-clarify the goals/agenda for the encounter
-establish rapport
NR 509 ADVANCED ASSESSMENT EXAM NEWEST VERSION -
2025/2026- 100+ QUESTIONS AND VERIFIED ANSWERS 100%
CORRECT GUARANTEED SUCCESS
You are beginning the examination of the skin on a 25 year old teacher. You have
previously elicited that she came to the office for evaluation of fatigue, weight
gain and hair loss. You strongly suspect that she has hypothyroidism. What is the
expected moisture and texture of the skin of a patient with hypothyroidism.
Dry and smooth
Moist and flaky
Moist and velvety
Dry and rough
Dry and rough
A provide is evaluating a patient who presents with increased of breath over the
past several weeks. During the discussion with the patient the following occurs.
Patient "Sometimes I become so anxious that I lose track of time." Provider "Lose
track of time/" Patient "yes a few minutes will pass but it feels like hours" Which
of the following describes the interviewing technique used by the provider
Summarization
Validation
Echoing
Partnering
Echoing
hich of the following skin lesions is the least likely to metastasize
Seborrheic keratosis
Squamous cell carcinoma
Basal cell carcinoma
Melanoma
, 2
Seborrheic keratosis
Which of the following brief screening measures is useful in assessing memory
Three-item recall
Serial 7s
Copying intersecting pentagrams
Spelling "world" backward
Three-item recall
A 25-year-old radio announcer comes to the clinic for and annual examination His
BMI is 25.9 kg/m2. He is concerned about his weight. Based on this information,
what is appropriate counsel for the patient during the visit?
Refer the patient to a nutritionist because he is anorexic
Reassure the patient that he has a normal body weight
Give the patient information about reduction of fat and cholesterol because he is
obese
Give the patient information about reduction of fat, cholesterol, and calorie
because he is overweight.
Give the patient information about reduction of fat, cholesterol, and calorie
because he is overweight.
A 55 year old bookkeeper comes to your office for a routine visit. You note that on
pervious visit for treatment of contact dermatitis, her blood pressure was
elevated. She does not have prior elevated readings and her family history in
negative for hypertension. You measure her blood pressure in your office today.
Which of the following factors can result in a false high reading?
Blood pressure cuff is tightly fitted
Patient is seated quietly for 10 minutes prior to measurement
Patients arm is resting supported by your arm at her mid chest level as you stand
to measure the blood pressure
Blood pressure is measured on bare arm.
Blood pressure cuff is tightly fitted
, 3
The following information is recorded in the comprehensive health history for a
patient who is establishing care and has no focused concerns. Patient denies chest
pain, palpitations, orthopnea, and paroxysmal nocturnal dyspnea. To which
category does it belong?
Past medial illness
Present illness
Review of systems
Personal and social history
Review of systems
You are beginning the physical examination of a patient. Which of the following
areas are important to observe as part of the general survey? Select all that apply
Level of consciousness
Signs of distress
Vital signs
Dress, grooming, and personal hygiene
Level of consciousness
Signs of distress
Dress, grooming, and personal hygiene
The nurse practitioner (NP) is completing a comprehensive assessment of Anita, a
new client in a primary care facility. Which assessment finding(s) reported by
Anita are related to social determinants of health? Select all that apply.
occasionally running out of food, being discriminated against in the workplace,
has a great amount of smog in their community, having difficulty making the rent
payment
Focused assessment:
- addresses focused concerns or symptoms
, 4
-used for established clients during routine or urgent care visits
- health history and physical exams are focused on the problem
-Includes: brief history of present illness, only the system related to the problem
in the ROS
comprehensive assessment:
- used for new clients
-provides personalized information about the client
-strengthens the clinician-client relationship
-provides a baseline for future assessments
-provides an opportunity for health promotion education and counseling
includes: extended history of the present illness, at least two area of PMhx, family
hx, social hx, at least 10 ROS
subjective data
Subjective data includes symptoms that the client describes such as a sore throat,
headache, or pain. It also includes the client's feelings, perceptions, and concerns
objective data
Objective data includes the physical examination findings or signs observed.
Information obtained from the client during any part of the health history is
considered subjective data. All physical examinations, laboratory information, and
test data are considered objective data
initial encounter
-review the clinical record
-ensure the client is comfortable
-clarify the goals/agenda for the encounter
-establish rapport
