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ADVANCED HEALTH ASSESSMENT FINAL EXAM
NEWEST 2025 ACTUAL EXAM TEST BANK|
COMPLETE 250 REAL EXAM QUESTIONS AND
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A patient has been admitted to the emergency department with a possible medical diagnosis of pulmonary embolism. The nurse expects to see which assessment findings related to this condition?
- Absent or decreased breath sounds
- Productive cough with thin, frothy sputum
- Chest pain that is worse on deep inspiration and dyspnea
- Diffuse infiltrates with areas of dullness on percussion - Correct
answer is C-Chest pain that is worse on deep inspiration and dyspnea.Undissolved materials originating in the legs or pelvis detach and travel through the venous system, returning blood to the right side of the heart and lodge to occlude the pulmonary vessels.
Freshly oxygenated blood enters the heart through the ___, and is pumped out to the body through the ____.
- Right atrium; aorta
- Left atrium; aorta
- Right ventricle; pulmonary arteries
- Left ventricle; pulmonary arteries - The correct answer is B;
Freshly oxygenated blood enters the heart through the left atrium, and is pumped out to the body through the aorta. 1 / 4
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pg. 2 When listening to heart sounds, the nurse knows that the valve closures that can be heard best at the base of the heart are
- mitral and tricuspid.
- tricuspid and aortic.
- aortic and pulmonic.
- mitral and pulmonic. - Correct answer is C.
S2 heard best over the aortic & pulmonic valves (loudest at the base of the heart) Occurs with the closure of the semilunar valves (aortic & pulmonic valves) after the ventricles contract and signals the end of systole (dub)
The nurse is aware that one change that may occur in the gastrointestinal
system of an aging client is:
A: Increased salivation.
B: Increased liver size.
C: Increased esophageal emptying.
D: Decreased gastric acid secretion. - The correct answer is d
Gastric acid secretion decreases with aging. As one ages, salivation decreases, esophageal emptying is delayed, and liver size decreases.
The nurse is performing percussion by tapping on a client's abdomen in the left upper quadrant (spleen) and right upper quadrant (liver). Which of the following would be an expected assessment finding in these two areas of the GI system?
A: Resonance 2 / 4
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B: Dullness
C: Tympany
D: Hyperresonance - The correct answer is b
Percussion notes normally heard during the abdominal assessment include tympany over the stomach and intestines, because air in the intestines rises to the surface when the person is supine, and dullness over solid organs such as the liver and spleen.
During an assessment, the nurse notices that the client's umbilicus is
enlarged and everted. The nurse recognizes this as:
A: Abnormal: May be an umbilical hernia
B: A normal result of aging
C: Likely caused by constipation
D: A rare occurrence - The correct answer is a
The umbilicus is normally midline and inverted with no signs of discoloration.With an umbilical hernia, the mass is enlarged and everted.The other responses are incorrect
The nurse is preparing to examine a client who reports right lower
abdominal pain. The nurse's priority would be to:
- Palpate the tender area first.
- Palpate the tender area last.
- Avoid palpating the tender area.
- Notify the physician. - The correct answer is b 3 / 4
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pg. 4 The nurse should save the examination of any identified tender areas until last.This method avoids pain and the resulting muscle rigidity that would obscure deep palpation later in the examination.It is important to perform an examination of the client before notifying the physician.
The nurse is assessing a client's abdomen. She places the diaphragm of
the stethoscope in the area where bowel sounds are prominent which is:
A: The RLQ of the abdomen
B: The RUQ of the abdomen
C: The LUQ of the abdomen
D: The LLQ of the abdomen - The correct answer is a
To effectively assess for bowel sounds start at the right lower quadrant (RLQ) which is the location of the ileocecal valve. That is where the most active part of bowel sounds will be as it is where our GI tracts are most active.
The nurse is asking the client for subjective data before performing a cardiac and great vessel assessment. Which of the following should the nurse ask? Select all that apply
- Do you ever have any dyspnea?
- Have you noticed any edema?
- Do you have any history of respiratory infections?
- Have you had any chest pain? - Correct answers: A, B, E
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D)Have you noticed any skin pigmentation changes?