NURS 612 EXAM 1 MARYVILLE
UNIVERSITY ADVANCED HEALTH
ASSESSMENT EXAM 1 NEWEST
ACTUAL EXAM 150 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
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UPDATE 2025/2026
Mrs. Williams presents to the office for a follow-up visit. On examination, you
note deep fissures at the corners of her mouth and identify this as cheilosis. You
know this is a result of - CORRECT ANSWER ✔✔- riboflavin deficiency
Mr. Cruz presents for a physical examination. On examination, you note that the
lower molars are distally positioned in relation to the upper molars. How would
you classify this malocclusion? - CORRECT ANSWER ✔✔- Class II
malocclusion
The most important clinical signs for sinusitis in adults includes which of the
following? - CORRECT ANSWER ✔✔- Maxillary toothache, purulent nasal
drainage, poor response to decongestants
Normal findings in elderly mouth/pharynx - CORRECT ANSWER ✔✔- Oral
tissues may be dryer (xerostomia)
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General findings in elderly mouth/pharynx - CORRECT ANSWER ✔✔-
xerostomia, Periodontal disease, Oral cancer, Aspiration pneumonia, fully
edentulous
Abnormal findings in elderly mouth/pharynx - CORRECT ANSWER ✔✔-
Gingivitis, periodontal disease, dental caries, teeth may appear longer, Dental
malocclusion
Initial symptoms are cracking sound when yawning or swallowing, discomfort,
feeling of fullness (no drainage) - CORRECT ANSWER ✔✔- Otitis media with
effusion
Exam shows conductive loss as ears fills with fluid, retracted or bulging TM,
impaired mobility, yellowish air-fluid level and bubbles - CORRECT ANSWER
✔✔- Otitis media with effusion
Initial symptoms of Abrupt onset, fever, feels blocked, anorexia, irritability, deep-
seated ear ache, if TM ruptured foul-smelling discharge - CORRECT ANSWER
✔✔- Acute Otitis Media
Exam shows conductive loss as ears fills with pus, TM with distinct erythema,
thickened or clouding; bulging, impaired mobility, air-fluid level and bubbles -
CORRECT ANSWER ✔✔- Acute Otitis Media
Exam shows Meatus inflamed, tender and weeping, extreme pain, nothing can be
seen of interior canal. - CORRECT ANSWER ✔✔- Otitis Externa (Swimmer's
ear)
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What tests are done to test hearing? - CORRECT ANSWER ✔✔- Whisper, Weber,
& Rinne
expected findings of Weber test - CORRECT ANSWER ✔✔- sound heard equally
in both ears
expected findings for the Rinne test - CORRECT ANSWER ✔✔- air conduction
(AC) greater than bone conduction (BC); 2:1 ration
Abnormal findings with elderly Conjunctiva - CORRECT ANSWER ✔✔-
Cataracts
Age related macular degeneration
Diabetic retinopathy
Glaucoma
Which of the following will best facilitate the interview
when obtaining a history for a deaf patient who
can read lips? - CORRECT ANSWER ✔✔- speaking slowly
During a history, the patient indicates he has an uncle
and a brother with sickle cell disease. Which of the
following is an appropriate method to document this
information? - CORRECT ANSWER ✔✔- Include it in the family history.