NURS-6512N / NURS 6512 / NURS6512, Advanced Health
Assessment Midterm Exam | LATEST |
Graded A
Section 1: Advanced Assessment & Clinical Judgment
A 42-year-old cisgender female presents for a wellness visit. She discloses a 6-week
history of intermittent chest tightness that occurs when she walks her dog uphill and
resolves with rest. She takes no medications, has no prior cardiac history, and her father
died of an MI at age 48. Vital signs: BP 132/78 mm Hg, HR 76 bpm, RR 16, SpO₂ 98 %.
Point-of-care cardiac ultrasound shows normal wall motion and EF 60 %. Which element
of the 2026/2027 ASCVD risk estimator most significantly upgrades her risk category?
1. A) Sedentary lifestyle
B) Systolic BP 132 mm Hg
C) Premature family history of CAD
D) Female sex age 42
Correct Answer: C
Correct Answer Text: Premature family history of CAD
Rationale: 2026/2027 ACC/AHA guidelines continue to assign major weight to
premature first-degree male <55 y or female <65 y CAD history, moving an
otherwise low-intermediate risk individual into a higher tier that justifies statin
therapy and stress testing. Distractors A & B add smaller incremental points; D is
already accounted for in the sex-age risk coefficient.
During tele-health triage, a 28-year-old G2P1 at 18 weeks gestation reports unilateral,
pulsatile temporal headache with scotoma that began 30 min ago. She has no pedal
edema, BP 138/86 mm Hg, and is afebrile. Which additional finding best differentiates
migraine with aura from impending preeclampsia according to 2027 ACOG tech
standards?
2. A) Presence of photophobia
B) Headache resolution within 60 min
C) Platelet count 105 k/μL
D) Protein-to-creatinine ratio 0.12
Correct Answer: C
, Correct Answer Text: Platelet count 105 k/μL
Rationale: Thrombocytopenia (<150 k/μL) is a red-flag systemic sign of
preeclampsia, whereas migraine with aura lacks hematologic involvement.
Choices A & B can occur in both; D remains within normal 2027 gestational
limits.
A 3-day-old newborn is noted to have a single, 3 mm pale-pink papule on the right eyelid
that blanches fully and fades when prone. Which 2026/2027 vascular anomaly
classification best describes this lesion?
3. A) Congenital hemangioma (RICH)
B) Infantile hemangioma precursor
C) Salmon patch (nevus simplex)
D) Port-wine stain
Correct Answer: C
Correct Answer Text: Salmon patch (nevus simplex)
Rationale: Nevus simplex presents at birth as pink, macular, midline or periocular
patches that blanch and often fade; no proliferative phase occurs. All other
choices demonstrate persistent or progressive growth patterns.
While performing the Rinne test on a 71-year-old with gradual hearing loss, you place a
512 Hz tuning fork on the mastoid until no longer heard, then note air conduction
persists 20 sec. How should this be documented per 2026 ENT standards?
4. A) "Rinne negative L ear, suggestive of sensorineural loss"
B) "Rinne positive L ear, consistent with normal or SNHL"
C) "Rinne equivocal; requires 256 Hz retest"
D) "Weber needed to distinguish CHL vs SNHL"
Correct Answer: B
Correct Answer Text: "Rinne positive L ear, consistent with normal or SNHL"
Rationale: Air > bone by ≥15 sec is "Rinne positive," indicating normal or
sensorineural loss; bone > air is "negative" and implies conductive loss. Option B
uses correct terminology; Weber will lateralize for further differentiation.
A 16-year-old transgender male (on testosterone 9 months) is embarrassed about
"period-like cramps" he rates 5/10 despite amenorrhea. Exam shows nontender lower
abdomen, no masses, and vital signs stable. First-line 2026/2027 assessment guidance
recommends:
5. A) Discontinue testosterone for 4 weeks and re-evaluate
B) Order urgent pelvic ultrasound to rule out ovarian cyst
Assessment Midterm Exam | LATEST |
Graded A
Section 1: Advanced Assessment & Clinical Judgment
A 42-year-old cisgender female presents for a wellness visit. She discloses a 6-week
history of intermittent chest tightness that occurs when she walks her dog uphill and
resolves with rest. She takes no medications, has no prior cardiac history, and her father
died of an MI at age 48. Vital signs: BP 132/78 mm Hg, HR 76 bpm, RR 16, SpO₂ 98 %.
Point-of-care cardiac ultrasound shows normal wall motion and EF 60 %. Which element
of the 2026/2027 ASCVD risk estimator most significantly upgrades her risk category?
1. A) Sedentary lifestyle
B) Systolic BP 132 mm Hg
C) Premature family history of CAD
D) Female sex age 42
Correct Answer: C
Correct Answer Text: Premature family history of CAD
Rationale: 2026/2027 ACC/AHA guidelines continue to assign major weight to
premature first-degree male <55 y or female <65 y CAD history, moving an
otherwise low-intermediate risk individual into a higher tier that justifies statin
therapy and stress testing. Distractors A & B add smaller incremental points; D is
already accounted for in the sex-age risk coefficient.
During tele-health triage, a 28-year-old G2P1 at 18 weeks gestation reports unilateral,
pulsatile temporal headache with scotoma that began 30 min ago. She has no pedal
edema, BP 138/86 mm Hg, and is afebrile. Which additional finding best differentiates
migraine with aura from impending preeclampsia according to 2027 ACOG tech
standards?
2. A) Presence of photophobia
B) Headache resolution within 60 min
C) Platelet count 105 k/μL
D) Protein-to-creatinine ratio 0.12
Correct Answer: C
, Correct Answer Text: Platelet count 105 k/μL
Rationale: Thrombocytopenia (<150 k/μL) is a red-flag systemic sign of
preeclampsia, whereas migraine with aura lacks hematologic involvement.
Choices A & B can occur in both; D remains within normal 2027 gestational
limits.
A 3-day-old newborn is noted to have a single, 3 mm pale-pink papule on the right eyelid
that blanches fully and fades when prone. Which 2026/2027 vascular anomaly
classification best describes this lesion?
3. A) Congenital hemangioma (RICH)
B) Infantile hemangioma precursor
C) Salmon patch (nevus simplex)
D) Port-wine stain
Correct Answer: C
Correct Answer Text: Salmon patch (nevus simplex)
Rationale: Nevus simplex presents at birth as pink, macular, midline or periocular
patches that blanch and often fade; no proliferative phase occurs. All other
choices demonstrate persistent or progressive growth patterns.
While performing the Rinne test on a 71-year-old with gradual hearing loss, you place a
512 Hz tuning fork on the mastoid until no longer heard, then note air conduction
persists 20 sec. How should this be documented per 2026 ENT standards?
4. A) "Rinne negative L ear, suggestive of sensorineural loss"
B) "Rinne positive L ear, consistent with normal or SNHL"
C) "Rinne equivocal; requires 256 Hz retest"
D) "Weber needed to distinguish CHL vs SNHL"
Correct Answer: B
Correct Answer Text: "Rinne positive L ear, consistent with normal or SNHL"
Rationale: Air > bone by ≥15 sec is "Rinne positive," indicating normal or
sensorineural loss; bone > air is "negative" and implies conductive loss. Option B
uses correct terminology; Weber will lateralize for further differentiation.
A 16-year-old transgender male (on testosterone 9 months) is embarrassed about
"period-like cramps" he rates 5/10 despite amenorrhea. Exam shows nontender lower
abdomen, no masses, and vital signs stable. First-line 2026/2027 assessment guidance
recommends:
5. A) Discontinue testosterone for 4 weeks and re-evaluate
B) Order urgent pelvic ultrasound to rule out ovarian cyst
