ADVANCED HEALTH ASSESSMENT
TESTBANK WITH ALL CORRECT
ANSWERS VERIFIED AND GRADED
A+
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.
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.
While performing a fundoscopic examination on a 38 year old African
American female, the color of the fundus is a grayish brown, almost purple.
You determine:
A) this is a sign of diabetic retinopathy
B) this is a sign of hypertensive retinopathy
C) this indicates retinal detachment and requires immediate intervention
,D) this is a normal variation, no action is needed
D) this is a normal variation, no action is needed
There are normal variants for darker skinned patients (Bates, p283).
Wheezes are a result of:
A) abnormal lung tissue
B) narrowed air passages
C) fibrosis
D) fluid in the lungs
B) narrowed air passages
Wheezes are the result of narrowed airways, like in asthma, COPD, or
bronchitis (Bates, p338)
Rhonchi suggests:
A) secretions is large airways
B) secretions in the pleural sac
C) secretions in alveoli
D) secretions in bronchioles
A) secretions is large airways
Rhonchi are suggestive of secretions in large airways (Bates, p325).
,The prevalence of strokes in women ages 45-54 are:
A) half that of men in the same age group
B) greater than that of men in the same age group
C) women have less strokes, but more heart attacks than men the same age
D) none of the above
B) greater than that of men in the same age group
Women have about 60% of the total number of strokes in the 45-54 years old
age group, which is important when evaluating their health risks (Bates,
p361).
Normal blood pressure would be best described as:
A) < 130/90
B) < 120/80
C) < 100/50
D) 110/60
B) < 120/80
Normal blood pressure is 120/80 (Bates, p130)
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?
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?"
, 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?"
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.
TESTBANK WITH ALL CORRECT
ANSWERS VERIFIED AND GRADED
A+
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.
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.
While performing a fundoscopic examination on a 38 year old African
American female, the color of the fundus is a grayish brown, almost purple.
You determine:
A) this is a sign of diabetic retinopathy
B) this is a sign of hypertensive retinopathy
C) this indicates retinal detachment and requires immediate intervention
,D) this is a normal variation, no action is needed
D) this is a normal variation, no action is needed
There are normal variants for darker skinned patients (Bates, p283).
Wheezes are a result of:
A) abnormal lung tissue
B) narrowed air passages
C) fibrosis
D) fluid in the lungs
B) narrowed air passages
Wheezes are the result of narrowed airways, like in asthma, COPD, or
bronchitis (Bates, p338)
Rhonchi suggests:
A) secretions is large airways
B) secretions in the pleural sac
C) secretions in alveoli
D) secretions in bronchioles
A) secretions is large airways
Rhonchi are suggestive of secretions in large airways (Bates, p325).
,The prevalence of strokes in women ages 45-54 are:
A) half that of men in the same age group
B) greater than that of men in the same age group
C) women have less strokes, but more heart attacks than men the same age
D) none of the above
B) greater than that of men in the same age group
Women have about 60% of the total number of strokes in the 45-54 years old
age group, which is important when evaluating their health risks (Bates,
p361).
Normal blood pressure would be best described as:
A) < 130/90
B) < 120/80
C) < 100/50
D) 110/60
B) < 120/80
Normal blood pressure is 120/80 (Bates, p130)
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?
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?"
, 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?"
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.
