Advanced Health Assessment for Nurses Exam Preparation Guide
Course Introduction
Advanced Health Assessment for Nurses is designed to equip nursing professionals with comprehensive skills in conducting detailed and systematic health evaluations across the lifespan. The course emphasizes integrating advanced techniques in physical examination, health history taking, and clinical reasoning to identify normal and abnormal findings. Students engage in case-based learning to enhance their ability to recognize complex health patterns, formulate differential diagnoses, and communicate assessment outcomes effectively within diverse healthcare settings. Ethical considerations, cultural competency, and the use of diagnostic tools are also explored to ensure holistic and patient-centered care in advanced nursing practice.
Recommended Textbook
Health Assessment for Nursing Practice 6th Edition by Wilson
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24 Chapters
634 Verified Questions
634 Flashcards
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Chapter 1: Introduction to Health Assessment
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/2458
Sample Questions
Q1) For which person is an episodic or follow-up assessment indicated?
A) The person who had abdominal surgery yesterday
B) The person who is unaware of his high serum glucose levels
C) The person who is being admitted to a long-term care facility
D) The person who is beginning rehabilitation after a knee replacement
Answer: D
Q2) Which activity illustrates the concept of secondary prevention?
A) Annual mammogram
B) Nutrition classes on low-fat cooking
C) Education on living with diabetes mellitus
D) Cardiac rehabilitation after coronary artery bypass surgery
Answer: A
Q3) A patient comes to the emergency department and tells the triage nurse that he is "having a heart attack." What is the nurse's top priority at this time?
A) Determine the patient's personal data and insurance coverage.
B) Ask the patient to take a seat in the waiting room until his name is called.
C) Request that a nurse collect data for a comprehensive history.
D) Ask a nurse to start a focused assessment of this patient now.
Answer: D
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Page 3
Chapter 2: Obtaining a Health History
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) Which data do nurses document under the heading of Personal and Psychosocial History? (Select all that apply.)
A) Walks for 45 minutes each day
B) Eats meats, vegetables, and fruit at two meals daily
C) Is allergic to milk and milk products
D) Is married and has two daughters whom he is close to
E) Smokes marijuana once a week
F) Grandfather died from prostate cancer
Answer: A, B, D, E
Q2) Which data do nurses document under the heading of Past Health History? (Select all that apply.)
A) Father has Alzheimer disease.
B) Last tetanus in 2009
C) Had chicken pox as a child
D) Drinks three to four beers each day
E) Had a dental examination 6 months ago
Answer: B, C, E
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Chapter 3: Techniques and Equipment for Physical Assessment
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A nurse is preparing to take a patient's blood pressure. The blood pressure cuff is 5 inches wide and the patient's upper arm circumference is 20 inches. How accurate will this patient's blood pressure be using this blood pressure cuff?
A) Accurate, the actual value
B) Higher than the actual value
C) Lower than the actual value
D) Unable to determine accuracy with available data
Answer: B
Q2) Which explanation is most appropriate for a nurse preparing to palpate a patient's neck?
A) "I need to feel for tumors in your neck."
B) "I'm going to feel your neck for any abnormalities."
C) "I need to press deeply on your neck so please hold still."
D) "Is there any tenderness in your neck?"
Answer: B
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Chapter 4: General Inspection and Measurement of Vital Signs
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A patient's blood pressure has been averaging 120/72 when using the upper arms. Today, the nurse uses this patient's thigh to measure the blood pressure. What is the expected systolic pressure using the thigh that is equivalent to a systolic pressure of 120?
A) A systolic reading of 110 mm Hg
B) A systolic reading of 120 mm Hg
C) A systolic reading of 140 mm Hg
D) A systolic reading of 170 mm Hg
Q2) According to research findings, which site is preferred for measuring blood pressure when the nurse is unable to use the patient's upper arms?
A) Ankle
B) Thigh
C) Calf
D) Wrist
Q3) A female patient admitted with fluid retention has been in diuretic therapy to remove fluid. She weighed 187 lb on admission. Today she weighs 179 lb. Since admission, this patient has lost _____ L from fluid loss.
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Chapter 5: Cultural Assessment
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) A patient tells the nurse that her religion prohibits her from eating food prepared outside of a special kitchen. What is the nurse's appropriate action to meet this patient's needs?
A) Call the dietary department to cancel the patient's meal tray.
B) Tell the patient that her diet must be carefully monitored and prepared at the hospital.
C) Tell the patient that because of her illness, a few changes to her religious requirements will be necessary.
D) Ask the patient to describe the requirements for the special kitchen.
Q2) A nurse can improve cultural awareness with which behavior?
A) Being sensitive to differences between the cultures of the nurse and patient
B) Making generalizations about various ethnic and cultural groups
C) Learning everything about the various cultural groups in the nurse's city
D) Taking a foreign language class
Q3) What are the characteristics of one's culture?
A) Color of skin and hair
B) System of beliefs and practices
C) Food preferences
D) Language and religion
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Page 7
Chapter 6: Pain Assessment
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) How do nurses assess pain of neonates or of adults with dementia or decreased level of consciousness? (Select all that apply.)
A) Ask family or caregivers what indicators they think may indicate the patient's pain.
B) Review results of blood tests for signs of pain.
C) Administer the ordered analgesic to the patient.
D) Identify any physiologic signs of pain.
E) Examine the patient for possible causes of pain.
Q2) A patient with gout is complaining of severe, throbbing pain in the great toe. What type of pain is this patient experiencing?
A) Neuropathic pain
B) Somatic pain
C) Referred pain
D) Visceral pain
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Chapter 7: Mental Health Assessment
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) During a report, a nurse hears about a patient who was admitted at 8 PM after an automobile accident. He had a blood alcohol level of 100 mg/dl at the time of admission. During the 8 AM assessment, the nurse notes that the patient is having hand tremors, is sweaty, is slightly agitated, and complains of nausea. The nurse recognizes that the patient may be exhibiting signs of which disorder?
A) Alcohol withdrawal syndrome
B) Delirium tremens
C) Panic
D) Delirium
Q2) During a mental health history, the nurse suspects altered mental status for a patient. Which questions are appropriate to ask when assessing mental status? (Select all that apply.)
A) Do you have difficulty making decisions?
B) Do you know where you are?
C) Are there times when you wanted to escape?
D) If you bought a hat for $5.75 and gave the sales person $10.00, how much change do you expect back?
E) What would you do if a fire started in your home?
F) What does this phrase "A rolling stone gathers no moss" mean?
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Page 9
Chapter 8: Nutritional Assessment
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A woman's waist circumference is 32 inches and her hip circumference is 29 inches. Her waist-to-hip ratio is _____.
Q2) What is the desired body weight for a male who is 7 feet tall?
A) 178 lb
B) 225 lb
C) 250 lb
D) 275 lb
Q3) During a physical examination, the nurse notes that the patient's skin is dry and flaking, with patches of eczema. Which nutritional deficiency might be present?
A) Vitamin C
B) Vitamin B
C) Essential fatty acid
D) Protein
Q4) Which patient may require additional nutritional assessment?
A) A male patient with a blood glucose level of 100 mg/dl
B) A pregnant patient with a hemoglobin level of 10.5 g/dl
C) A female patient with a prealbumin level of 25 mg/dl
D) A male patient with a serum triglyceride level of 100 mg/dl
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Chapter 9: Skin, Hair, and Nails
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) How does the nurse recognize jaundice in a dark-skinned patient?
A) Inspect the conjunctiva for ashen-gray color.
B) Inspect the nail beds for a deeper brown or purple skin tone.
C) Inspect the palms and soles for yellowish-green color.
D) Inspect the oral mucous membrane for yellow color.
Q2) A patient asks the nurse if it is possible to grow new skin. What is the nurse's most appropriate response?
A) "Even if new skin growth is required, the melanocytes do not regenerate."
B) "The avascular epidermis sheds slowly and is replaced completely every 4 weeks."
C) "The outer layer of skin remains the same over the lifetime except for repairing injuries."
D) "Epidermal regeneration is impossible because it is avascular."
Q3) During shift report, a nurse learns that a patient has a macular rash. As the nurse inspects the patient's skin, what finding will confirm the rash?
A) Elevated, firm, well-defined lesions less than 1 cm in diameter
B) Depressed, firm, or scaly, rough lesions greater than 1 cm in diameter
C) Elevated, fluid-filled lesions less than 1 cm in diameter
D) Flat, well-defined, small lesions less than 1 cm in diameter
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11
Chapter 10: Head, Eyes, Ears, Nose, and Throat
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75 Verified Questions
75 Flashcards
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Sample Questions
Q1) A patient comes to the clinic for evaluation after a sinus infection. To evaluate the therapy, the nurse uses transillumination to assess the sinuses and notes which finding indicating recovery from a frontal sinus infection?
A) The soft palate illuminates brightly when the light source is placed against the lateral nose.
B) No illumination is noted when the light source is placed firmly against the lateral nose.
C) A bright glow illuminates the hard palate when the light source is placed against each temporal bone.
D) A reddish light is noted above the eyebrows when the light is placed against each supraorbital rim.
Q2) When inspecting a patient's nasal mucous membrane, which finding does the nurse expect to see?
A) Deep pink turbinates
B) Red, edematous mucous membranes
C) Septum that angles to the left
D) Clear exudate
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12
Chapter 11: Lungs and Respiratory System
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) In reviewing the patient's record, the nurse notes that the patient has air in the subcutaneous tissue. The nurse validates that this patient has crepitus with which finding?
A) Asymmetric expansion of the chest wall on inhalation
B) Increased transmission of vocal vibrations on auscultation
C) Crackling sensation under the skin of the chest on palpation
D) Coarse grating sounds heard over the mediastinum on inspiration
Q2) A nurse notices a patient's chest wall moving in during inspiration and out during expiration. What additional assessment must the nurse perform immediately?
A) Palpate for tracheal deviation.
B) Auscultate for bronchovesicular breath sounds in the lung periphery.
C) Palpate posterior thoracic muscles for tenderness.
D) Auscultate for absence of breath sounds in the lung periphery.
Q3) Where does a nurse expect to hear bronchovesicular lung sounds in a healthy adult?
A) In the lower lobes
B) Over the trachea
C) In the apices of the lungs
D) Near the sternal border
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Chapter 12: Heart and Peripheral Vascular System
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/2469
Sample Questions
Q1) What findings does the nurse expect when assessing the cardiovascular system of a healthy adult? (Select all that apply.)
A) Heart rate of 102 beats/min
B) S1 and S2 present with regular rhythm
C) Capillary refill greater than 3 seconds
D) Blood pressure of 124/86
E) Warm, elastic turgor
F) Pulse of smooth contour with 2+ amplitude
Q2) During a health fair, the nurse is alert for which risk factors for hypertension? (Select all that apply.)
A) Excessive protein intake
B) Having parents with hypertension
C) Excessive alcohol intake
D) Being Asian
E) Experiencing persistent stress
F) Elevated serum lipids
Q3) A patient's blood pressure using the posterior tibial pulse is 104/72 while blood pressure using the brachial pulse is 112/84. This patient's ankle-brachial index is ____.
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14
Chapter 13: Abdomen and Gastrointestinal System
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/2470
Sample Questions
Q1) On palpation of the left upper quadrant of the abdomen of a female patient, the nurse notes tenderness. This finding may indicate a disorder in which organ?
A) Spleen
B) Gallbladder
C) Sigmoid colon
D) Left ovary
Q2) A patient reports having abdominal distention. The nurse observes that the patient's sclerae are yellow. Which abnormal finding does the nurse anticipate on examination of this patient's abdomen?
A) Decreased bowel sounds in all quadrants
B) Glistening or taut skin of the abdomen
C) Bulge in the abdomen when coughing
D) Bruit around the umbilicus
Q3) Put in correct order the steps used to palpate the liver.
A) Place your right hand parallel to the right costal margin.
B) Ask the patient to take a deep breath and hold it.
C) Lift up the eleventh and twelfth ribs with the left hand.
D) Press your right hand down and under the coastal margin.
E) Assess the border and contour of the liver.
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Page 15
Chapter 14: Musculoskeletal System
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/2471
Sample Questions
Q1) With the patient lying supine, a nurse raises the patient's leg to flex the hip. The patient complains of pain when the leg is raised to 40 degrees. The nurse correlates this finding with which disorder?
A) Lumbar nerve compression
B) Cervical disk herniation
C) Osteoarthritis
D) Bursitis
Q2) Nurses inquire about lifestyle behaviors of patients with risk factors for osteoarthritis. Which risk factors for osteoarthritis does the nurse ask about? (Select all that apply.)
A) Estrogen deficiency
B) Physical inactivity
C) Overuse of joints
D) Smoking
E) Obesity
F) Age
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16
Chapter 15: Neurologic System
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) The nurse hears in a report that a patient has receptive or fluent aphasia. What communication abilities does the nurse anticipate from this patient?
A) The patient understands speech but is unable to translate ideas into meaningful speech.
B) The patient is able to understand speech but has difficulty forming words creating muffled speech.
C) The patient is unable to comprehend speech and thus does not respond verbally.
D) The patient is emotionally liable and cries easily, which interferes with the ability to communicate.
Q2) A nurse holds the patient's relaxed left arm, with elbow flexed at a 90-degree angle, in one hand. The nurse palpates and then strikes the appropriate tendon just above the elbow with either end of the reflex hammer. What is the expected response for this deep tendon reflex?
A) Flexion of the left elbow
B) Pronation of the left forearm
C) Supination of the left arm
D) Extension of the left elbow
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Chapter 16: Breasts and Axillae
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) In teaching a patient about breast self-examination, why does the nurse emphasize palpation of the axillary areas?
A) Because deep muscles in that area can mask changes
B) Because some patients avoid this area because of tenderness
C) Because most lymph draining from the breast flows through this area
D) Because supporting ligaments in this area may present as tissue changes
Q2) In a presentation on breast cancer risk factors, a nurse would be accurate in making which statement?
A) "Women who breastfeed their children are at increased risk of breast cancer."
B) "Women who are more than 30% overweight are at increased risk of breast cancer."
C) "African-American women have the highest risk of breast cancer."
D) "Women who have children before age 30 are at increased risk of breast cancer."
Q3) During a breast examination of a healthy female, the nurse recognizes which finding as normal?
A) Asymmetrical venous pattern
B) Unequal nipple size
C) Supernumerary nipples along the milk line
D) Pink discharge from one nipple when manipulated
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Chapter 17: Reproductive System and the Perineum
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) Which assessment technique does a nurse use to assess the inguinal region and femoral area of a male patient as he is standing and straining?
A) Palpates the femoral artery
B) Palpates the inguinal lymph nodes
C) Observes for a bulge through the inguinal region
D) Observes for discoloration of the inguinal ring
Q2) A patient complains of dysuria, yellow-green vaginal discharge, and vulvar itching. The nurse suspects which sexually transmitted disease?
A) Syphilis
B) Gonorrhea
C) Genital warts
D) Chlamydia
Q3) After a rectal examination of a patient with obstructive jaundice, the nurse expects the stool to be what color?
A) Tan
B) Pale yellow
C) Black
D) Bright red
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Chapter 18: Developmental Assessment Throughout the Life Span
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A 7-month-old infant weighs 11.6 lb compared with a birth weight of 7.1 lb and has a head circumference of 19 inches. What does the nurse document about this infant?
A) Underweight and normal head circumference
B) Underweight and larger-than-normal head circumference
C) Overweight and smaller-than-normal head circumference
D) Normal weight and larger-than-normal head circumference
Q2) A nurse makes observations about a toddler's motor development. Which behavior is an example of fine motor behavior?
A) Sitting up in a chair
B) Walking while holding on to the edge of a table
C) Creeping up the stairs
D) Stacking blocks to make a tower
Q3) Which statement reflects a 21-year-old woman's achievement of an expected developmental task?
A) "I am planning to get married next year."
B) "I don't plan anything without asking my boyfriend first."
C) "I don't know which direction I'll take after college."
D) "I am living with my parents and may stay for a while."
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Chapter 19: Assessment of the Infant, Child, and Adolescent
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) The nurse places an 8-year-old boy in which position for examination of his genitalia?
A) Supine with legs extended to either side
B) Lying on his left side with knees bent
C) Reclining with knees flexed
D) Standing with legs spread apart
Q2) A nurse is assessing a child who is able to dress herself, jump rope, identify colors, and follow rules when playing games. These are expected developmental achievements of a child of what age?
A) 3 years old
B) 4 years old
C) 5 years old
D) 6 years old
Q3) A nurse tests a reflex on a 9-month-old infant's right foot by stroking the surface of the infant's foot, moving from the sole laterally up and across to the great toe. What is the expected response?
A) Flexion of the right toes
B) Extension of the right ankle
C) Dorsiflexion of the right foot
D) Fanning of the toes of the right foot
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Chapter 20: Assessment of the Pregnant Patient
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) How does a nurse describe abruptio placentae when teaching a class to pregnant women?
A) A premature separation of the implanted placenta before birth of the fetus
B) An accumulation of amniotic fluid associated with decreased fetal movement
C) An attachment of the placenta in the lower uterine segment near the cervical os
D) Related to premature rupture of membranes with purulent vaginal discharge
Q2) A pregnant patient's weight before pregnancy was 148 lb. Her expected weight during the first trimester is ______ to ______ lb.
Q3) A nurse refers which pregnant patient for additional assessment?
A) A woman at 36 weeks of gestation who has 30% effacement of the cervix
B) A woman at 19 weeks of gestation who has noticed fetal movement every day this week
C) A woman at 20 weeks of gestation who has gained 4 lb in the last 2 weeks
D) A woman at 28 weeks of gestation who has a systolic blood pressure of 40 mg Hg over baseline
Q4) A pregnant patient's weight before pregnancy was 163 lb. The nurse expects the patient to weigh ______ to ______ lb during the second trimester.
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Chapter 21: Assessment of the Older Adult
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) When assessing the pain level of an older adult, a nurse considers which factor?
A) Neural transmission of pain is increased as a part of the aging process.
B) Older adult patients are not reliable in their descriptions of pain and how it affects them.
C) Physiologic indicators of pain that are unique to older adults are tachycardia and hypotension.
D) The older adult may believe that pain is a factor of aging and not worth mentioning.
Q2) In assessing the mood of older adult patients, a nurse documents which finding as abnormal?
A) Sadness and grief after returning from the funeral of a long-time friend
B) Depression that interferes with the ability to perform activities of daily living
C) Frustration about rearranging the day's schedule to attend a grandson's birthday party
D) Crying about the unexpected death of a pet that had been with the family 12 years
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Chapter 22: Conducting a Head-to-Toe Examination
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Sample Questions
Q1) Which techniques does a nurse use routinely to collect data when assessing the abdomen of a patient? (Select all that apply.)
A) Testing for presence of abdominal reflexes
B) Inspecting skin for contour, scars, lesions, vascularity, and bulges
C) Percussing in all quadrants for tone
D) Lightly palpating for tenderness, guarding, and masses
E) Auscultating for bowel sounds, bruits, and venous hums
F) Deeply palpating for tenderness, guarding, and masses
Q2) Which assessments are routine examination techniques of the upper extremities?
A) Palpating the epitrochlear lymph nodes for size and tenderness
B) Palpating the arms for skin characteristics, symmetry, tenderness, and deformities
C) Testing the range of motion and muscle strength comparing one arm with the other
D) Testing triceps, biceps, and brachioradialis deep tendon reflexes bilaterally
Q3) When does the health assessment begin?
A) When the nurse first meets the patient
B) When the patient tells the nurse his name and age
C) When the nurse asks the patient the first health-related question
D) When the patient consents to have a health assessment performed
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24
Chapter 23: Documenting the Comprehensive Health Assessment
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Sample Questions
Q1) The nurse documents which data under the category of present health status?
A) Counts on her friends in stressful times
B) "I only sleep for 2 to 3 hours a night and use diphenhydramine for sleep."
C) Has a physical examination and flu vaccination annually
D) "I feel good about myself most of the time."
Q2) Which documentation by a nurse is most descriptive?
A) Heart sounds normal.
B) Few ectopic beats heard during auscultation.
C) S1 murmur is heard at second right sternal border.
D) Pulse within normal limits.
Q3) Which data do nurses document under the category of past health history?
A) Chronic diseases
B) Immunizations received
C) Allergies to medications or food
D) Causes of death of the patient's parents
Q4) What data do nurses document under the category general survey?
A) Mental health
B) Functional ability
C) Diet and nutrition
D) Orientation
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Chapter 24: Adapting Health Assessment to the Hospitalized Patient
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Sample Questions
Q1) What data do nurses collect when assessing a patient's wound? (Select all that apply.)
A) Skin turgor
B) Width, length, and depth
C) Presence of pulsations
D) Wound color
E) Presence of edema
F) Drainage color
Q2) Which patient using respiratory equipment requires skin assessment? (Select all that apply.)
A) A patient using a nasal cannula
B) A patient with a tracheostomy
C) A patient using an incentive spirometer
D) A patient using a Ventimask
E) A patient with an IV
Q3) Development of which complication is considered a never event?
A) Fever
B) Atelectasis
C) Pressure ulcer
D) Thrombophlebitis
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