LATEST NURS 5220 MODULE 1 -
ADVANCED HEALTH ASSESSMENT |
COMPLETE EXAM WITH CORRECT
ANSWERS AND RATIONALES. A+
GUARANTEED SUCCESS
1. A nurse practitioner is conducting a health history
interview with a new patient. Which question is most
appropriate to ask when exploring the patient's chief
complaint?
A) Why did you come in today?
B) What brings you to the clinic today?
C) What is wrong with you?
D) Have you been sick lately?
Correct answer: B
Rationale: An open-ended question such as "What
brings you to the clinic today?" allows the patient to
describe their symptoms in their own words without
bias. The other options are closed-ended, leading, or
non-specific.
,2. The OLDCARTS mnemonic is used to gather
detailed information about a patient's symptom. The
C in OLDCARTS stands for:
A) Character
B) Course
C) Cause
D) Complications
Correct answer: A
Rationale: OLDCARTS stands for Onset, Location,
Duration, Character, Aggravating factors, Relieving
factors, Timing, and Severity. Character describes
the quality of the symptom (e.g., sharp, dull, burning).
3. A nurse practitioner is assessing a patient for
orthostatic vital signs. After obtaining supine blood
pressure and heart rate, how long should the patient
wait after standing before obtaining the standing
measurements?
A) Immediately
B) 30 seconds
C) 1 to 3 minutes
D) 5 to 10 minutes
Correct answer: C
,Rationale: Orthostatic vital signs are measured
immediately upon standing (1 minute) and then again
after 3 minutes. A drop in systolic blood pressure of
≥20 mm Hg or an increase in heart rate of ≥20 beats
per minute suggests orthostatic hypotension.
4. A patient reports a pain level of 7 out of 10 on the
numeric rating scale. The pain is described as
burning and shooting in the left lower leg. This type of
pain is most likely:
A) Somatic pain
B) Visceral pain
C) Neuropathic pain
D) Referred pain
Correct answer: C
Rationale: Neuropathic pain is caused by damage to
nerves and is often described as burning, shooting,
tingling, or electric shock-like. Somatic pain is
localized, sharp, or dull. Visceral pain is diffuse,
cramping, or squeezing. Referred pain is perceived
at a site distant from the source.
5. A nurse practitioner is performing a
comprehensive health history on a 72-year-old
patient. Which component is most important to
, include when assessing functional status in an older
adult?
A) Activities of daily living (ADLs) and instrumental
activities of daily living (IADLs)
B) Marital status
C) Occupation history
D) Birthplace
Correct answer: A
Rationale: Functional status assessment includes
ADLs (bathing, dressing, toileting, transferring,
continence, feeding) and IADLs (cooking, cleaning,
managing finances, taking medications, using
telephone, shopping, transportation). These are
essential for determining the patient's ability to live
independently.
6. A nurse practitioner is assessing a patient's mental
status. Which component of the mental status
examination assesses the patient's ability to sustain
attention and perform calculations?
A) Orientation
B) Memory
C) Attention and concentration
D) Insight and judgment
ADVANCED HEALTH ASSESSMENT |
COMPLETE EXAM WITH CORRECT
ANSWERS AND RATIONALES. A+
GUARANTEED SUCCESS
1. A nurse practitioner is conducting a health history
interview with a new patient. Which question is most
appropriate to ask when exploring the patient's chief
complaint?
A) Why did you come in today?
B) What brings you to the clinic today?
C) What is wrong with you?
D) Have you been sick lately?
Correct answer: B
Rationale: An open-ended question such as "What
brings you to the clinic today?" allows the patient to
describe their symptoms in their own words without
bias. The other options are closed-ended, leading, or
non-specific.
,2. The OLDCARTS mnemonic is used to gather
detailed information about a patient's symptom. The
C in OLDCARTS stands for:
A) Character
B) Course
C) Cause
D) Complications
Correct answer: A
Rationale: OLDCARTS stands for Onset, Location,
Duration, Character, Aggravating factors, Relieving
factors, Timing, and Severity. Character describes
the quality of the symptom (e.g., sharp, dull, burning).
3. A nurse practitioner is assessing a patient for
orthostatic vital signs. After obtaining supine blood
pressure and heart rate, how long should the patient
wait after standing before obtaining the standing
measurements?
A) Immediately
B) 30 seconds
C) 1 to 3 minutes
D) 5 to 10 minutes
Correct answer: C
,Rationale: Orthostatic vital signs are measured
immediately upon standing (1 minute) and then again
after 3 minutes. A drop in systolic blood pressure of
≥20 mm Hg or an increase in heart rate of ≥20 beats
per minute suggests orthostatic hypotension.
4. A patient reports a pain level of 7 out of 10 on the
numeric rating scale. The pain is described as
burning and shooting in the left lower leg. This type of
pain is most likely:
A) Somatic pain
B) Visceral pain
C) Neuropathic pain
D) Referred pain
Correct answer: C
Rationale: Neuropathic pain is caused by damage to
nerves and is often described as burning, shooting,
tingling, or electric shock-like. Somatic pain is
localized, sharp, or dull. Visceral pain is diffuse,
cramping, or squeezing. Referred pain is perceived
at a site distant from the source.
5. A nurse practitioner is performing a
comprehensive health history on a 72-year-old
patient. Which component is most important to
, include when assessing functional status in an older
adult?
A) Activities of daily living (ADLs) and instrumental
activities of daily living (IADLs)
B) Marital status
C) Occupation history
D) Birthplace
Correct answer: A
Rationale: Functional status assessment includes
ADLs (bathing, dressing, toileting, transferring,
continence, feeding) and IADLs (cooking, cleaning,
managing finances, taking medications, using
telephone, shopping, transportation). These are
essential for determining the patient's ability to live
independently.
6. A nurse practitioner is assessing a patient's mental
status. Which component of the mental status
examination assesses the patient's ability to sustain
attention and perform calculations?
A) Orientation
B) Memory
C) Attention and concentration
D) Insight and judgment
