Exam (elaborations)
NUR 622 ADVANCED HEALTH ASSESSEMENT FINAL EXAM 2023/2024 QUESTIONS AND ANSWERS
- Course
- Institution
NUR 622 ADVANCED HEALTH ASSESSEMENT FINAL EXAM 2023/2024 QUESTIONS AND ANSWERS
[Show more]
Content preview
NUR 622 ADVANCED HEALTH ASSESSEMENTNUR 622 ADVANCED HEALTH ASSESSEMENT
FINAL EXAM 2023/2024 QUESTIONS AND
ANSWERS
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.
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?"
,NUR 622 ADVANCED HEALTH ASSESSEMENT
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.
D) Patient denies measles, mumps, rubella, chickenpox, pertussis, rheumatic fever, and polio.
D) Patient denies measles, mumps, rubella, chickenpox, pertussis, rheumatic fever, and polio.
,NUR 622 ADVANCED HEALTH ASSESSEMENT
Childhood illnesses include measles, rubella, mumps, whooping cough, rheumatic fever, scarlet fever,
and polio. They are included in the past history.
A patient tells the nurse that he is allergic to penicillin. What would be the nurse's best response to this
information?
A) "Are you allergic to any other drugs?"
B) "How often have you received penicillin?"
C) "I'll write your allergy on your chart so you won't receive any."
D) "Please describe what happens to you when you take penicillin."
D) "Please describe what happens to you when you take penicillin."
Allergies, including specific reactions to each medication, such as rash or nausea, must be recorded.
The nurse is taking a family history. Important diseases or problems to ask the patient about include:
A) emphysema.
B) head trauma.
C) mental illness.
D) fractured bones.
C) mental illness.
Specifically ask for any family history of heart disease, high blood pressure, stroke, diabetes, obesity,
blood disorders, ovarian cancer, colon cancer, sickle cell anemia, arthritis, allergies, alcohol or drug
addiction, mental illness, suicide, seizure disorder, kidney disease, and tuberculosis. The other answers
are acquired.
, NUR 622 ADVANCED HEALTH ASSESSEMENT
The following information is recorded in the health history: "Patient denies chest pain, palpitations,
orthopnea, and paroxysmal nocturnal dyspnea." Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
D) Review of systems
Most review of systems questions pertain to systems. You may also draw on Review of Systems
questions related to the Chief Complaint to establish positives and negatives that help clarify the
diagnosis.
Which of the following statements represents subjective data obtained from the patient regarding his
skin?
A) Skin appears dry.
B) No obvious lesions
C) Denies color change
D) Lesion noted lateral aspect right arm
C) Denies color change
Remember that the history (from the chief complaint through review of systems) should be limited to
patient statements or subjective data—factors that the person says were or were not present.
Subjective data is what the patient tells you.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LUCYSTUDY. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
84866 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now