NUR 643 Advanced Health Assessment Exam New
2024-2025 Updated Version with All Questions from
Actual Past Exam and 100% Correct Answers
a 78 year old resident of a long term care facility complains of generalized itchiness at night that
disturbs her sleep. Her examination is consistent with scabies. Which of the following do you
expect to find on examination?
a. excoriated papule on the interdigital area
b. annular lesions over the buttocks
c. vesicular lesions in a linear pattern
d. honey-colored crusted lesions that began as vesicles ----------- Correct Answer ------------ a.
excoriated (from itching) papule on the interdigital area
You examine a patient with psoriasis vulgaris and expect to find the following lesions:
A. lichenified areas in flexor areas
B. well-demarcated plaques on the knees
C. greasy lesions throughout the scalp
D. vesicular lesions over the upper thorax ----------- Correct Answer ------------ b. well-
demarcated plaques on the knees
Mr. Q. is a 45-year-old salesman who comes to your office for evaluation of fatigue. He has
come to the office many times in the past with a variety of injuries, and you suspect that he has a
problem with alcohol. Which one of the following questions will be most helpful in diagnosing
this problem?
A) You are an alcoholic, aren't you?
B) When was your last drink?
C) Do you drink 2 to 3 beers every weekend?
D) Do you drink alcohol when you are supposed to be working? ----------- Correct Answer -------
----- B) when was your last drink?
On a very busy day in the office, Mrs. Donelan, who is 81 years old, comes for her usual visit for
her blood pressure. She is on a low-dose diuretic chronically and denies any side effects. Her
blood pressure is 118/78 today, which is well-controlled. As you are writing her script, she
mentions that it is hard not having her husband Bill around anymore. What would you do next?
A) Hand her the script and make sure she has a 3-month follow-up appointment.
B) Make sure she understands the script.
C) Ask why Bill is not there.
D) Explain that you will have more time at the next visit to discuss this. ----------- Correct
Answer ------------ C) ask why bill is not there?
patient is looking for support and empathy
A patient is describing a very personal part of her history very quickly and in great detail. How
,should you react to this?
A) Write down as much as you can, as quickly as possible.
B) Ask her to repeat key phrases or to pause at regular intervals, so you can get almost every
word.
C) Tell her that she can go over the notes later to make sure they are accurate.
D) Push away from the keyboard or put down your pen and listen. ----------- Correct Answer -----
------- D) push away from the keyboard and put down your pen and listen
You arrive at the bedside of an elderly woman who has had a stroke, affecting her entire right
side. She cannot speak (aphasia). You are supposed to examine her. You notice that the last
examiner left her socks at the bottom of the bed, and although sensitive areas are covered by a
sheet, the blanket is heaped by her feet at the bottom of the bed. What would you do next?
A) Carry out your examination, focusing on the neurologic portion, and then cover her properly.
B) Carry out your examination and let the nurse assigned to her "put her back together."
C) Put her socks back on and cover her completely before beginning the evaluation.
D) Apologize for the last examiner but let the next examiner dress and cover her. -----------
Correct Answer ------------ C) put her socks back on and cover her completely before beginning
the evaluation
*make patient comfortable before examining*
When you enter your patient's examination room, his wife is waiting there with him. Which of
the following is most appropriate?
A) Ask if it's okay to carry out the visit with both people in the room.
B) Carry on as you would ordinarily. The permission is implied because his wife is in the room
with him.
C) Ask his wife to leave the room for reasons of confidentiality.
D) First ask his wife what she thinks is going on. ----------- Correct Answer ------------ A) ask if
it's okay to carry out the visit with both people in the room
A patient complains of knee pain on your arrival in the room. What should your first sentence be
after greeting the patient?
A) How much pain are you having?
B) Have you injured this knee in the past?
C) When did this first occur?
D) Could you please describe what happened? ----------- Correct Answer ------------ D) could you
please describe what happened
You have just asked a patient how he feels about his emphysema. He becomes silent, folds his
arms across his chest and leans back in his chair, and then replies, "It is what it is." How should
you respond?
A) "You seem bothered by this question."
B) "Next, I would like to talk with you about your smoking habit."
C) "Okay, let's move on to your other problems."
D) "You have adopted a practical attitude toward your problem." ----------- Correct Answer ------
------ A) you seem bothered by this question
, which of the following best describes seborrheic dermatitis lesions?
a. flaking lesions in the AC and popliteal spaces
b. greasy, scaling lesions in the nasolabial folds
c. intensely itchy lesions in the groin folds
d. silvery lesions on the elbows and knees ----------- Correct Answer ------------ b. greasy, scaling
lesions in the nasolabia folds
think sebaceous glands so *greasy, oily*
a 49 year old man presents with a skin lesion suspicious for malignant melanoma. you describe
the lesion as having:
a. deep, black-brown coloring throughout
b. sharp borders
c. a diameter of 3 mm or less
d. variable pigmentation ----------- Correct Answer ------------ d. variable pigmentation
remember ABCDE rule
a 72 year old woman presents with a newly formed painless, pearly, ulcerated nodule with an
overlying telangiectasis on the upper lip. this most likely represents:
a. actinic keratosis
b. basal cell carcinoma
c. squamous cell carcinoma
d. molluscum contagiosa ----------- Correct Answer ------------ basal cell carcinoma
remember PUT ON
when examining a mole for malignant melanoma, all of the following characteristics can indicate
a melanoma, except:
a. asymmetry with non matching sides
b. color that is not uniform
c. a recently formed lesion
d. a lesion that has been present for at least 2 years ----------- Correct Answer ------------ d. a
lesion that has been present for at least 2 years
ABCDE
E-evolving (new or changing lesion)
the most common sites for squamous and basal cell carcinoma include:
a. palms of hands and soles of feet
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