Advanced Health Assessment Proctored Exams – Thomas Jefferson Universisty

A 22-year-old patient is evaluated in the clinic for reports of severe constipation and pain during defecation. The patient also reports blood on the toilet paper. Fast medical history is unremarkable

An advanced practice registered nurse (APRN) is assessing a patient who reports a rash. Which two descriptors should the APRN include in the documentation for the rash seen in the photo? Select All Th

The advanced practice registered nurse (APRN) is assessing Tanner staging of the breast in a young cisgender female patient. The APRN notices projection of the areola and nipple to form a secondary mo

A 55 year-old cisgender male patient comes to the primary care office for a general physical examination. He has had some lower back pain but denies change in bowel habits or rectal bleeding. His exam

A 78 year-old hospitalized patient becomes acutely confused, is disoriented to time, and has visual hallucinations that worsen at night. Which feature most strongly supports a diagnosis of delirium ra

The advanced practice registered nurse (APRN) is seeing a pregnant patient in the clinic for a routine assessment. The pregnancy is at 22 weeks gestation and has had an uncomplicated pregnancy thus fa

An older adult patient reports to the advanced practice registered nurse (APRN) that they are having difficulty driving. The patient reports being afraid to change lanes because sometimes they do not

The advanced practice registered nurse (APRN) is seeing a pregnant patient at 30 weeks gestation. The patient has had 4 total pregnancies including the present pregnancy and 3 first trimester spontane

An older adult who is diagnosed with severe rheumatoid arthritis reports having difficulty with meal preparation. This should be documented as a deficit in:

An advanced practice registered nurse (APRN) is staging a pressure injury. The APRN notes partial-thickness skin loss involving the epidermis and dermis. How should the APRN document the stage of this

Which of the following statements is true regarding pilonidal cysts?

Building trust and creating a comfortable and confidential environment is critical in caring for adolescents. Which of the following are ways an advanced practice registered nurse (APRN) can create a

The advanced practice registered nurse (APRN) is assessing the thought content of a 65-year-old patient in the emergency department. All the following are examples of questions used to assess thought

The advanced practice registered nurse (APRN) is seeing a pregnant patient at 26 weeks gestation. The patient reports absence of fetal movements in the last 24 hours. On physical examine the APRN conf

Which description correctly defines the ABCDES of screening for melanoma?

The advanced practice registered nurse (APRN) is assessing a 55 year-old cisgender female who presents to the primary clinic with complaints of a non-tender mass in her left breast. The patient's last

An 83 year-old patient lives with his daughter. At his examination, the advanced practice registered nurse (APRN) notes numerous bruises and scars. The patient is making less eye contact than usual. T

A 16 year-old presents for evaluation of a rash. The patient notes that it started on their back, with multiple spots, and has spread to their upper chest and arms. It itches a little. The patient als

Which of the following statements about mental health disorders in primary care are true? Select All That Apply.

A patient reports bilateral leg pain to the advanced practice registered nurse (APRN). Both of the patient's legs have +2 pedal pulses, brown pigmentation around the ankles along with stasis dermatiti

The advanced practice registered nurse (APRN) is conducting the Initial assessment on a newborn delivered just minutes ago. The Apgar score was part of the assessment and is performed:

A 42 year-old warehouse worker presents with acute low back pain that began after lifting heavy boxes at work. The pain is described as a dull ache in the lumbosacral area and occasionally radiates in

The advanced practice registered nurse (APRN) is assessing a 45 year-old patient in the primary care office. The APRN has followed the patient for many years and notes the patient is displaying signs

The advanced practice registered nurse (APRN) is measuring the fundal height of a pregnant patient at 21 weeks gestation. To perform this assessment the APRN uses a tape measure and extends it from th

The Advanced Practice Registered Nurse (APRN) sees a patient in the primary care office for a routine physical exam. The patient reports suicidal thoughts. What is the APRN's most appropriate next ste