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NURS 6512 WEEK 6 Midterm EXAM QUIZ Correct
Advanced Health Assessment & Diagnostic Reasoning (Walden University)
Studocu is not sponsored or endorsed by any college or university
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NURS 6512, Week 6 Midterm Exam
This exam is a test of your knowledge in preparation for your certification exam. No outside
resources including books, notes, websites, or any other type of resource are to be used to
complete this exam. You are expected to comply with Walden University’s Code of Conduct.
This exam will be on topics covered in weeks 1, 2, 3, 4, 5, and 6. Prior to starting the exam, you
should review all of your materials. This exam is timed with a limit of two hours for completion.
When time is up, your exam will automatically submit.
Submission and Grading Information
Submit Your Midterm Exam by Day 7
QUESTIONS
1. Before performing an abdominal examination, the examiner should:
Have the patient empty their bladder
2. During an interview, tears appear in the patient’s eyes and his voice becomes shaky. Initially, you
should:
Keep the interview moving to distract the patient
3. Which of the following is the most accurate reflection of an individual’s food intake?
Food Diary
4. Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct
technique for locating the:
Lower liver border
5. A fixed image of any group that rejects its potential for originality or individuality is known as a:
Stereotype
6. Peritonitis produces bowel sounds that are
Decreased/Hypoactive
7. Brittle nails are typical findings in:
Older adults
8. Which of the following is an expected change in the assessment of the thyroid during pregnancy?
A Bruit is auscultated d/t increased vascularity
9. You are planning to palpate the abdomen of your patient. Which part of the examiner's hand is best for
palpating vibration?
Ulnar Surface
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10. A 5-year-old child presents with nasal congestion and a headache to assess for sinus tenderness you
should palpate over the:
Maxillary sinuses only
11. During physical examination of a 30-year-old Chinese man you notice a slight asymmetry of his face.
the cranial nerve examination is normal. Your best action is to
Ask the patient if this characteristic runs in his family
12. Unusual white areas on the skin may be due to
Vitiligo
13. You are using an ophthalmoscope to examine a patient’s inner eye. You rotate the lens selector
clockwise, then counterclockwise to compensate for:
Myopia
14. Mrs. Webb is a 38-year old patient who has been changing her lifestyle to eat in a healthy way and
lose weight: during your health promotion education regarding her nutritional status, you explain the
function of dietary protein as:
Building and maintaining tissues
15. Mr. Akins is a 78-y/o patient who presents to the clinic with complaints of hearing loss. Which of the
following are changes in hearing that occur in the elderly? Select all that apply.
c. Loss of high frequency
e. Sounds may be garbled, difficult to localize
f. Unable to hear in a crowded room
16. The most superior part of the stomach is the
Fundus
17. 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?
B12
18. A 51-y/o woman calls with complaints of weight loss and constipation. She reports enlarged
hemorrhoids and rectal bleeding. You advise her to:
Come to the laboratory for a stool guaiac test.
19. Placing the base of a vibrating tuning fork on the midline vertex of the patient’s head is a test for:
Lateralization of Sound
20. Which technique is most likely to result in the patients understanding of questions?
Use the patient's own terms if possible.
21. Mr. Williams, age 25, has recovered recently from an upper and lower respiratory infection. He
describes a long-standing nasal dripping. He is seeking treatment for a mild hearing loss that has not gone
away. Information concerning his chronic postnasal drip should be documented within which section of
the history?
Past medical data
22. Nasal symptoms that imply an allergic response include:
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Bluish gray turbinates. ("Turbinates that appear bluish gray or pale pink with a swollen, boggy
consistency may indicate allergies"-Seidel p.243)
23. 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 am here! You tell me what’s
wrong.” Which caregiver response would be the most appropriate for enhancing communication?
After 3 days, you're tired of coughing. Have you had a fever?"
24. When taking a history, you should:
Use a chronologic and sequential framework.
25. Which of the following formats would be used for visits that address problems not yet identified in the
problem-oriented medical record (POMR)?
Brief SOAP note
26. 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:
Pull the auricle down and back in an effort to straighten the upward curvature of the canal
27. Which question would be considered a leading question?
You don't get headaches often, do you?"
28. Mr. Black is a 44y/o 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?
C 4 to C 5: C4 and C5 or C5 and C 6 provide the greatest horizontal mobility in adults
29. The term denoting the caregiver’s need to do no harm to the patient is:
Deontologic imperatives.
30. A tool used to screen adolescents for alcoholism is the:
CRAFFT
31. Under normal circumstances, how much water is lost daily by the body?
Under normal circumstances, approximately 2 to 2.5 liters of water is lost daily
32. You have just completed a skin assessment on Mr. Baker. During your assessment, you have
transilluminated a skin lesion. During the physical examination, you know that skin lesions are
transilluminated to distinguish:
Transillumination is used to determine the presence of fluid in cysts and masses. Fluid-filled lesions will
transilluminate with a red glow, and solid masses will not transilluminate.
33. Mr. Mills is a 55/y/o patient who presents to the office for an initial visit for health promotion. A
survey of mobility and activities of activities of daily living is part of a(n):
Functional assessment.
34. Sweat glands, hair, and nails are all formed from?
Invagination of epidermis into dermis
Downloaded by COLLINS WANJOHI ()
NURS 6512 WEEK 6 Midterm EXAM QUIZ Correct
Advanced Health Assessment & Diagnostic Reasoning (Walden University)
Studocu is not sponsored or endorsed by any college or university
Downloaded by COLLINS WANJOHI ()
, lOMoARcPSD|35435103
NURS 6512, Week 6 Midterm Exam
This exam is a test of your knowledge in preparation for your certification exam. No outside
resources including books, notes, websites, or any other type of resource are to be used to
complete this exam. You are expected to comply with Walden University’s Code of Conduct.
This exam will be on topics covered in weeks 1, 2, 3, 4, 5, and 6. Prior to starting the exam, you
should review all of your materials. This exam is timed with a limit of two hours for completion.
When time is up, your exam will automatically submit.
Submission and Grading Information
Submit Your Midterm Exam by Day 7
QUESTIONS
1. Before performing an abdominal examination, the examiner should:
Have the patient empty their bladder
2. During an interview, tears appear in the patient’s eyes and his voice becomes shaky. Initially, you
should:
Keep the interview moving to distract the patient
3. Which of the following is the most accurate reflection of an individual’s food intake?
Food Diary
4. Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct
technique for locating the:
Lower liver border
5. A fixed image of any group that rejects its potential for originality or individuality is known as a:
Stereotype
6. Peritonitis produces bowel sounds that are
Decreased/Hypoactive
7. Brittle nails are typical findings in:
Older adults
8. Which of the following is an expected change in the assessment of the thyroid during pregnancy?
A Bruit is auscultated d/t increased vascularity
9. You are planning to palpate the abdomen of your patient. Which part of the examiner's hand is best for
palpating vibration?
Ulnar Surface
Downloaded by COLLINS WANJOHI ()
, lOMoARcPSD|35435103
10. A 5-year-old child presents with nasal congestion and a headache to assess for sinus tenderness you
should palpate over the:
Maxillary sinuses only
11. During physical examination of a 30-year-old Chinese man you notice a slight asymmetry of his face.
the cranial nerve examination is normal. Your best action is to
Ask the patient if this characteristic runs in his family
12. Unusual white areas on the skin may be due to
Vitiligo
13. You are using an ophthalmoscope to examine a patient’s inner eye. You rotate the lens selector
clockwise, then counterclockwise to compensate for:
Myopia
14. Mrs. Webb is a 38-year old patient who has been changing her lifestyle to eat in a healthy way and
lose weight: during your health promotion education regarding her nutritional status, you explain the
function of dietary protein as:
Building and maintaining tissues
15. Mr. Akins is a 78-y/o patient who presents to the clinic with complaints of hearing loss. Which of the
following are changes in hearing that occur in the elderly? Select all that apply.
c. Loss of high frequency
e. Sounds may be garbled, difficult to localize
f. Unable to hear in a crowded room
16. The most superior part of the stomach is the
Fundus
17. 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?
B12
18. A 51-y/o woman calls with complaints of weight loss and constipation. She reports enlarged
hemorrhoids and rectal bleeding. You advise her to:
Come to the laboratory for a stool guaiac test.
19. Placing the base of a vibrating tuning fork on the midline vertex of the patient’s head is a test for:
Lateralization of Sound
20. Which technique is most likely to result in the patients understanding of questions?
Use the patient's own terms if possible.
21. Mr. Williams, age 25, has recovered recently from an upper and lower respiratory infection. He
describes a long-standing nasal dripping. He is seeking treatment for a mild hearing loss that has not gone
away. Information concerning his chronic postnasal drip should be documented within which section of
the history?
Past medical data
22. Nasal symptoms that imply an allergic response include:
Downloaded by COLLINS WANJOHI ()
, lOMoARcPSD|35435103
Bluish gray turbinates. ("Turbinates that appear bluish gray or pale pink with a swollen, boggy
consistency may indicate allergies"-Seidel p.243)
23. 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 am here! You tell me what’s
wrong.” Which caregiver response would be the most appropriate for enhancing communication?
After 3 days, you're tired of coughing. Have you had a fever?"
24. When taking a history, you should:
Use a chronologic and sequential framework.
25. Which of the following formats would be used for visits that address problems not yet identified in the
problem-oriented medical record (POMR)?
Brief SOAP note
26. 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:
Pull the auricle down and back in an effort to straighten the upward curvature of the canal
27. Which question would be considered a leading question?
You don't get headaches often, do you?"
28. Mr. Black is a 44y/o 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?
C 4 to C 5: C4 and C5 or C5 and C 6 provide the greatest horizontal mobility in adults
29. The term denoting the caregiver’s need to do no harm to the patient is:
Deontologic imperatives.
30. A tool used to screen adolescents for alcoholism is the:
CRAFFT
31. Under normal circumstances, how much water is lost daily by the body?
Under normal circumstances, approximately 2 to 2.5 liters of water is lost daily
32. You have just completed a skin assessment on Mr. Baker. During your assessment, you have
transilluminated a skin lesion. During the physical examination, you know that skin lesions are
transilluminated to distinguish:
Transillumination is used to determine the presence of fluid in cysts and masses. Fluid-filled lesions will
transilluminate with a red glow, and solid masses will not transilluminate.
33. Mr. Mills is a 55/y/o patient who presents to the office for an initial visit for health promotion. A
survey of mobility and activities of activities of daily living is part of a(n):
Functional assessment.
34. Sweat glands, hair, and nails are all formed from?
Invagination of epidermis into dermis
Downloaded by COLLINS WANJOHI ()
