NSG 6020 HEALTH ASSESMENT (UPDATED 2025/2026) MIDTERM EXAM

NSG 6020 HEALTH ASSESMENT (UPDATED 2025/2026) MIDTERM EXAM When preparing to perform a physical examination on an infant, the examiner should: Question 1 options: Premature closure of the sagittal suture Elongated head with heavy eyebrow ridge A 30-year-old woman with a history of mitral valve problems states that she has been “very tired.” She has started waking up at night and feels like her “heart is pounding.” During the assessment, the nurse practitioner palpates a thrill and lift at the fifth left intercostal space midclavicular line. In the same area the nurse practitioner also auscultates a blowing, swishing sound right after S1. These findings would be most consistent with: Question 5 options: heart failure. aortic stenosis. pulmonary edema. mitral regurgitation. The nurse practitioner notices that a patient’s submental lymph nodes are enlarged. In an effort to identify the cause of the node enlargement, the nurse would assess the: Question 6 options: infraclavicular area. the patient understand his or her disease process and treatment modalities. the patient identify questions about his or her disease and potential areas of patient education. A patient’s thyroid is enlarged, and the nurse practitioner is preparing to auscultate the thyroid for the presence of a bruit. A bruit is a: Question 10 options: low gurgling sound best heard with the diaphragm of the stethoscope. loud, whooshing, blowing sound best heard with the bell of the stethoscope. soft, whooshing, pulsatile sound best heard with the bell of the stethoscope. high-pitched tinkling sound best heard with the diaphragm of the stethoscope. During a cardiac assessment on an adult patient in the hospital for “chest pain,” the nurse practitioner finds the following: jugular vein pulsations 4 cm above sternal angle when he is elevated at 45 degrees, BP 98/60, HR 130; ankle edema; difficulty in breathing when supine; and an S3 on auscultation. Which of the following best explains the cause of these findings? Question 11 options: Fluid overload last menstrual period 1 month ago. 2 Χ 5 cm scar present on the right lower forearm. The nurse practitioner is obtaining a history from a 30-year-old male patient and is concerned about health promotion activities. Which of the following questions would be appropriate to use to assess health promotion activities for this patient? Question 15 options: “Do you perform testicular self-exams?” “Have you ever noticed any pain in your testicles?” “Have you had any problems with passing your urine?” “Do you have any history of sexually transmitted disease?” The nurse practitioner notices that an infant has a large, soft lump on the side of his head and that his mother is very concerned. She tells the nurse practitioner that she noticed the lump about 8 hours after her baby’s birth, and that it seems to be getting bigger. One possible explanation for this is: Question 16 options: hydrocephalus. craniosynostosis. cephalhematoma. caput succedaneum. A mother asks when her newborn infant’s eyesight will be developed. The nurse practitioner should reply: Question 17 options: “Vision is not totally developed until 2 years of age.” “Infants develop the ability to focus on an object at around 8 months.” “By about 3 months, infants develop more coordinated eye movements and can fixate on an object.” “Most infants have uncoordinated eye movements for the first year of life.” The temporomandibular joint is just below the temporal artery and anterior to the: Question 18 options: hyoid. vagus. tragus. mandible. The nurse practitioner notes the presence of periorbital edema when performing an eye assessment on a 70-year-old patient. The nurse practitioner will: Question 19 options: check for the presence of exophthalmos. suspect that the patient has hyperthyroidism. ask the patient if he or she has a history of heart failure. assess for blepharitis because this is often associated with periorbital edema. During an examination of a patient in her third trimester of pregnancy, the nurse practitioner notices that the patient’s thyroid gland is slightly enlarged. No enlargement had been noted previously. The nurse practitioner suspects that: Question 20 options: she has an iodine deficiency. she is exhibiting early signs of goiter. this is a normal finding during pregnancy. further tests are needed for possible thyroid cancer. The mother of a 2-year-old is concerned because her son has had three ear infections in the past year. What would be an appropriate response by the nurse practitioner? Question 21 options: . “It is unusual for a small child to have frequent ear infections unless there is something else wrong.” “We need to check the immune system of your son to see why he is having so many ear infections.” “Ear infections are not uncommon in infants and toddlers because they tend to have more cerumen in the external ear.” “Your son’s eustachian tube is shorter and wider than yours because of his age, which allows for infections to develop more easily.” In performing an examination of a 3-year-old with a suspected ear infection, the nurse practitioner would: Question 22 options: omit the otoscopic exam if the child has a fever. pull the ear up and back before inserting the speculum. ask the mother to leave the room while examining the child. perform the otoscopic examination at the end of the assessment. A patient presents with excruciating headache pain on one side of his head, especially around his eye, forehead, and cheek that lasts about 1/2 to 2 hours, occurring once or twice each day. The nurse practitioner suspects: Question 23 options: hypertension. cluster headaches. tension headaches. migraine headaches. The nurse practitioner would use bimanual palpation technique in which situation? Question 24 options: Palpating the thorax of an infant Palpating the kidneys and uterus Assessing pulsations and vibrations Assessing the presence of tenderness and pain Percussion notes heard during the abdominal assessment may include: