Study Guide – NURS 6512 Advanced Health Assessment Midterm Exam Questions

Study Guide – NURS 6512 Advanced Health Assessment Midterm Exam Questions

• Question 1

1 out of 1 points

	Underestimation of blood pressure will occur if the blood pressure cuff’s width covers:

• Question 2

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	Mrs. Hartzell is a 34-year-old patient who has presented for nutritional counseling because she is a vegetarian. Deficiency of which of the following is a concern in the vegetarian diet? Study Guide – NURS 6512 Advanced Health Assessment Midterm Exam Questions

• Question 3

1 out of 1 points

	The most superior part of the stomach is the:

• Question 4

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1 out of 1 points

	When recording physical findings, which data are recorded first for all systems?

• Question 5

1 out of 1 points

	Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence?

• Question 6

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	To perform the Rinne test, place the tuning fork on the:

• Question 7

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	When are open-ended questions generally most useful?

• Question 8

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	The review of systems is a component of the:

• Question 9

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	Fluorescing lesions are best distinguished using a(n):

• Question 10

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	Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish: Study Guide – NURS 6512 Advanced Health Assessment Midterm Exam Questions.

• Question 11

1 out of 1 points

	Mr. Franklin is speaking with you, the health care provider, about his respiratory problem. Mr. Franklin says, “I’ve had this cough for 3 days, and it’s getting worse.” You reply, “Tell me more about your cough.” Mr. Franklin states, “I wish I could tell you more. That’s why I’m here. You tell me what’s wrong!” Which caregiver response would be most appropriate for enhancing communication? Study Guide – NURS 6512 Advanced Health Assessment Midterm Exam Questions.

• Question 12

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	The term denoting the caregiver’s need to do no harm to the patient is:

• Question 13

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	Recommended carbohydrate content of total dietary intake (% total calories) is ____%.

• Question 14

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	Mr. Abdul is a 40-year-old Middle Eastern man who presents to the office for a first visit with the complaint of new abdominal pain. You are concerned about violating a cultural prohibition when you prepare to do his rectal examination. The best tactic would be to:

• Question 15

1 out of 1 points

	Your patient is complaining of acute, intense sharp epigastric pain that radiates to the back and left scapula with nausea and vomiting. Based on this history, your prioritized physical examination should be to: Study Guide – NURS 6512 Advanced Health Assessment Midterm Exam Questions.

• Question 16

1 out of 1 points

	When examining the skull of a 4-month-old baby, you should normally find:

• Question 17

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	Ms. G. is being seen for her routine physical examination. She is a college graduate and president of a research firm. Although her exact salary is unknown, she has adequate health insurance. Most of the above information is part of Ms. G.’s _____ history.

• Question 18

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	During an interview, tears appear in the patient’s eyes and his voice becomes shaky. Initially, you should:

• Question 19

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	Before performing an abdominal examination, the examiner should:

• Question 20

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	The adult recommended dietary fat intake should be _____ g/day.

• Question 21

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	Nuchal rigidity is most commonly associated with:

• Question 22

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	A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the:

• Question 23

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	A flat, nonpalpable lesion is described as a macule if the diameter is:

• Question 24

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	Bulging of an amber tympanic membrane without mobility is most often associated with:

• Question 25

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	The position on a clock, topographic notations, and anatomic landmarks:

• Question 26

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	When assessing abdominal pain in a college-age woman, one must include:

• Question 27

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	The infant should be placed in which position to have his or her height or length measured? Study Guide – NURS 6512 Advanced Health Assessment Midterm Exam Questions.

• Question 28

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	A fixed image of any group that rejects its potential for originality or individuality is known as a(n):

• Question 29

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	Sweat glands, hair, and nails are all formed from:

• Question 30

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	Mr. Walters, a 32-year-old patient, tells you that his ears are “stopped up.” An objective assessment of this complaint is achieved by using the:

• Question 31

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	Ms. Davis is a 27-year-old patient with a BMI of 33. Based on her BMI, your diagnosis would be:

• Question 32

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	Tracheal tug suggests the presence of a(n):

• Question 33

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	Mr. Black is a 44-year-old patient who presents to the clinic with complaints of neck pain that he thinks is from his job involving computer data entry. As the examiner, you are checking the range of motion in his neck and note the greatest degree of cervical mobility is at: Study Guide – NURS 6512 Advanced Health Assessment Midterm Exam Questions.

• Question 34

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	The most common form of birth trauma of the scalp is:

• Question 35

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	Which question would be considered a leading question?

• Question 36

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	A brief statement of the reason the patient is seeking health care is called the:

• Question 37

1 out of 1 points

	Your patient is complaining of acute, intense sharp epigastric pain that radiates to the back and left scapula with nausea and vomiting. Based on this history, your prioritized physical examination should be to:

• Question 38

1 out of 1 points

	A tool used to screen adolescents for alcoholism is the:

• Question 39

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	Expected hair distribution changes in older adults include:

• Question 40

1 out of 1 points

	Mr. Johnson presents with a freely movable cystic mass in the midline of the high neck region at the base of the tongue. This is most likely a: Study Guide – NURS 6512 Advanced Health Assessment Midterm Exam Questions.

• Question 41

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	When hearing is evaluated, which cranial nerve is being tested?

• Question 42

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	Mrs. Grace is a 58-year-old patient who has a diagnosis of pernicious anemia. Which B vitamin is deficient in patients with pernicious anemia?

• Question 43

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	Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic. Which question has the most potential for exploring a patient’s cultural beliefs related to a health problem?

• Question 44

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	You are examining a pregnant patient and have noted a vascular lesion. When you blanche over the vascular lesion, the site blanches and refills evenly from the center outward. The nurse documents this lesion as a:

• Question 45

1 out of 1 points

	A blood pressure cuff bladder should be long enough to:

• Question 46

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	A college student comes to the student health center complaining of difficulty in concentrating during class and while studying. The diet that would contribute to this problem is one that consumes mostly:

• Question 47

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	After thorough inspection of the abdomen, the next assessment step is:

• Question 48

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	Mr. Mathews is a 47-year-old patient who presents for a routine physical examination. On examination, you have noted a bruit heard over the thyroid. This is suggestive of:

• Question 49

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	During percussion, a dull tone is expected to be heard over:

• Question 50

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	Which of the following occurs when firm pressure is used to apply the stethoscope’s bell end-piece to the skin?

• Question 51

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	When communicating with older children and teenagers, you should be sensitive to their:

• Question 52

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	To approximate vocal frequencies, which tuning fork should be used to assess hearing?

• Question 53

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	You are palpating a patient’s thyroid and find that its broadest dimension measures 4 cm. The right lobe is 25% larger than the left. These data would indicate:

• Question 54

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	When you are questioning a patient regarding alcohol intake, she tells you that she is only a social drinker. Which initial response is appropriate?

• Question 55

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	Expected normal percussion tones include:

• Question 56

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	Subjective and symptomatic data are:

• Question 57

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	You are collecting a history from an 11-year-old girl. Her mother is sitting next to her in the examination room. When collecting history from older children or adolescents, they should be: Study Guide – NURS 6512 Advanced Health Assessment Midterm Exam Questions.

• Question 58

1 out of 1 points

	Which technique is most likely to result in the patient’s understanding of questions?

• Question 59

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	Mr. and Mrs. Johnson have presented to the office with their infant son with complaints of ear drainage. When examining an infant’s middle ear, the nurse should use one hand to stabilize the otoscope against the head while using the other hand to:

• Question 60

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	Unusual white areas on the skin may be due to:

• Question 61

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	George Michaels, a 22-year-old patient, tells the nurse that he is here today to “check his allergies.” He has been having “green nasal discharge” for the last 72 hours. How would the nurse document his reason for seeking care? Study Guide – NURS 6512 Advanced Health Assessment Midterm Exam Questions.

• Question 62

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	To correctly document absent bowel sounds, one must listen continuously for:

• Question 63

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	Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)?

• Question 64

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	Which type of speculum should be used to examine a patient’s tympanic membrane?

• Question 65

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	Ms. Jones is a 31-year-old female patient who presents for a routine physical examination. Which examination technique will be used first?

• Question 66

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	In counseling a client regarding nutrition education, you explain that linoleic acid, a major fatty acid, is thought to be essential for:

• Question 67

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	Mr. D. complains of a headache. During the history, he mentions his use of alcohol and illicit drugs. This information would most likely belong in the:

• Question 68

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	Peritonitis produces bowel sounds that are:

• Question 69

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	The recommended minimum daily protein requirement for the normal adult is ______.

• Question 70

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	As part of your health promotion education for a new patient, you explain that the risk factors for skin cancer include:

• Question 71

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	Which is the best way to position a patient’s neck for palpation of the thyroid? Study Guide – NURS 6512 Advanced Health Assessment Midterm Exam Questions.

• Question 72

1 out of 1 points

	When taking a history, you should:

• Question 73

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	Ms. Otten is a 45-year-old patient who presents with a complaint of weight gain. Which medication is frequently associated with weight gain?

• Question 74

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	Which of the following is an expected change in the assessment of the thyroid during pregnancy?

• Question 75

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	Brittle nails are typical findings in:

• Question 76

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	Regardless of the origin, discharge is described by noting:

• Question 77

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	Nasal symptoms that imply an allergic response include:

• Question 78

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	Mrs. Britton brings her 16-year-old son in with a complaint that he is not developing correctly into adolescence. Which structures disproportionately enlarge in the male during adolescence?

• Question 79

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	Mr. Mills is a 55-year-old patient who presents to the office for an initial visit for health promotion. A survey of mobility and activities of daily living (ADLs) is part of a(an):

• Question 80

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	Tangential lighting is best used for inspecting skin:

• Question 81

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	A 5-year-old child presents with nasal congestion and a headache. To assess for sinus tenderness you should palpate over the:

• Question 82

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	Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure:

• Question 83

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	Which statement is true regarding the relationship of physical characteristics and culture?

• Question 84

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	A guideline for history taking is for caregivers to:

• Question 85

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	A 17-year-old girl presents to the clinic for a sports physical. Physical examination findings reveal bradycardia, multiple erosions of tooth enamel, and scars on her knuckles. She appears healthy otherwise. You should ask her if she: Study Guide – NURS 6512 Advanced Health Assessment Midterm Exam Questions.

• Question 86

1 out of 1 points

	During an interview, you have the impression that a patient may be considering suicide. Which action is essential?

• Question 87

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	Mrs. Leonard brings her newborn infant into the pediatrician’s office for a first well-baby visit. As the health care provider, you teach her that newborns are more vulnerable to hypothermia due to:

• Question 88

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	Your patient returns for a blood pressure check 2 weeks after a visit during which you performed a complete history and physical. This visit would be documented by creating a(n):

• Question 89

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	You are planning to palpate the abdomen of your patient. Which part of the examiner’s hand is best for palpating vibration?

• Question 90

1 out of 1 points

	In examining the neck of a 34-year-old female patient, you note that the uppermost ridge of the tracheal cartilage is at the: Study Guide – NURS 6512 Advanced Health Assessment Midterm Exam Questions.

• Question 91

1 out of 1 points

	You are using an ophthalmoscope to examine a patient’s inner eye. You rotate the lens selector clockwise, then counterclockwise to compensate for:

• Question 92

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	Your patient presents with symptoms that lead you to suspect acute appendicitis. Which assessment finding is least likely to be associated with this condition early in its course?

• Question 93

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	Under normal circumstances, how much water is lost daily by the body?

• Question 94

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	Tympanic thermometers measure body temperature when a probe is placed:

• Question 95

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	Which cranial nerves innervate the face?

• Question 96

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	Which of the following is an “ABCD” characteristic of malignant melanoma?

• Question 97

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	Mrs. Tuber is a 36-year-old patient who comes into the health center with complaints that her fingernails are not growing. Which structure is the site of new nail growth?

• Question 98

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	Which of the following is the most accurate reflection of an individual’s food intake?

• Question 99

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	A 51-year-old woman calls with complaints of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to:

• Question 100

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	White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are:

• Question 101

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	When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Study Guide – NURS 6512 Advanced Health Assessment Midterm Exam Questions.