NURS 612 EXAM 1 ADVANCED HEALTH ASSESSMENT MARYVILLE
UNIVERSITY LATEST COMPLETE EXAM QUESTIONS AND CORRECT ANSWERS
On your patient schedule see a diagnosis of plagiocephaly on your patient schedule. You
vaguely recall learning something about this in Nurs 612 so you check UpToDate and are
able to explain the etiology of this head growth disturbance is to the parents of this 4-
month-old:
A. Your child's head appears small. His head size is 2 SD below the mean, this can result
abnormal brain development from a genetic or teratogenic exposure
B. Your child's head appears flat. This form of craniostenosis can result from premature
fusion of lambdoidal or coronal skull sutures and often results in brain injury.
C. Your child's head appears large. His head size is 2 SD above the mean, this can result
from hydrocephalus while skull sutures are open.
D. Your child's head appears flat. This form of craniostenosis can result from premature
fusion of lambdoidal or coronal skull sutures and is often only cosmetic and can be treated
with a s
D. Your child's head appears flat. This form of craniostenosis can result from premature fusion
of lambdoidal or coronal skull sutures and is often only cosmetic and can be treated with a
special helmet.
Which of the following will best facilitate the interview
when obtaining a history for a deaf patient who
can read lips?
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?
Include it in the family history.
Reviewing lesion pathophysiology, you understand that vascular nevi are malformations of
blood vessels near the skin surface. Which of the following lesions is NOT a type of
vascular nevi:
A. Salmon Patch
B. Hemangioma
C. Port-wine stain
D. Blue nevi
D. Blue nevi
12-year-old ST presents with a complaint of a possible “spider bite” on exam you note a
tender 3 cm fluctuant area of erythema. As his primary care nurse practitioner how will
you manage this condition?
,A. Incise the lesion and then await culture results to determine antibiotic treatment
B. Incise and drain the fluctuant lesion and initiate oral antibiotic therapy with Group A
strep coverage
C. Incise and drain the fluctuant lesion and initiate oral antibiotic therapy with both staph
aureus and Group A strep coverage
D. Initiate oral antibiotic therapy with staph aureus and Group A strep coverage, if not
improving consider incising the lesion
C. Incise and drain the fluctuant lesion and initiate oral antibiotic therapy with both staph aureus
and Group A strep coverage
During a well-child examination of an infant, the primary care nurse practitioner counts 8
light brown flat lesions on the infant’s trunk. What potential concern is associated with this
finding?
A. Turner’s syndrome
B. Neurofibromatosis
C. Sturge-Weber syndrome
D. Hypothyroidism
B. Neurofibromatosis
Which approach is recommended at the onset of an
interview?
Use an open-ended approach; let the patient explain the problem or reason for the visit.
Which of the following questions may lead to an
inaccurate patient response?
"That was a horrible experience, wasn't it?"
Repeating a patient's answer is an attempt to
confirm an accurate understanding.
During an interview, your patient admits to feeling
worthless and having a sleep disturbance for the
past 3 weeks. These are clues that warrant the exploration
of
risk for suicide
Jerry, a 26-year-old homosexual man, is having a
health history taken. Which question regarding sexual
activity would most likely hamper trust between
Jerry and the interviewer?
Are you married or do you have a girlfriend
When questioning a patient regarding a sensitive
issue, such as drug use, it is best to
be direct, firm, and to the point
, Direct questions are designed to
obtain or clarify specific details about an answer
Interviewers should identify and assess their own
feelings, such as hostility and prejudice, in order to
reduce communication barriers
During an interview, a patient describes abdominal
pain that often awakens him at night. Which of the
following responses by the interviewer would facilitate
the interviewing process?
"Tell me what you mean by often."
Developing cultural sensitivity is vital in order for the
examiner to be successful in
recognizing and accepting health beliefs that differ from his or her own beliefs.
The balance of hot and cold and its relationship to
wellness is a concept that
is believed by members of many cultures, including
Arabs, Asians, Filipinos, and Hispanics.
Developing a knowledge base about cultural groups
allows the practitioner to
understand the behaviors, practices, and problems observed
Which of the following is an example of a cultural
characteristic?
shared belief
A young mother brings her infant to the emergency
department with a high temperature and dehydration.
Which of the following questions asked by an examiner
demonstrates cultural awareness?
What do you think is causing the illness?
A common mistake made by health care professionals
is to?
stereotype individuals based on color or ethnic group
All of the following are cultural considerations that
affect health care except
eye color, temperature, and visual acuity
Which of the following is an example of a physical,
as opposed to a cultural, characteristic?
UNIVERSITY LATEST COMPLETE EXAM QUESTIONS AND CORRECT ANSWERS
On your patient schedule see a diagnosis of plagiocephaly on your patient schedule. You
vaguely recall learning something about this in Nurs 612 so you check UpToDate and are
able to explain the etiology of this head growth disturbance is to the parents of this 4-
month-old:
A. Your child's head appears small. His head size is 2 SD below the mean, this can result
abnormal brain development from a genetic or teratogenic exposure
B. Your child's head appears flat. This form of craniostenosis can result from premature
fusion of lambdoidal or coronal skull sutures and often results in brain injury.
C. Your child's head appears large. His head size is 2 SD above the mean, this can result
from hydrocephalus while skull sutures are open.
D. Your child's head appears flat. This form of craniostenosis can result from premature
fusion of lambdoidal or coronal skull sutures and is often only cosmetic and can be treated
with a s
D. Your child's head appears flat. This form of craniostenosis can result from premature fusion
of lambdoidal or coronal skull sutures and is often only cosmetic and can be treated with a
special helmet.
Which of the following will best facilitate the interview
when obtaining a history for a deaf patient who
can read lips?
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?
Include it in the family history.
Reviewing lesion pathophysiology, you understand that vascular nevi are malformations of
blood vessels near the skin surface. Which of the following lesions is NOT a type of
vascular nevi:
A. Salmon Patch
B. Hemangioma
C. Port-wine stain
D. Blue nevi
D. Blue nevi
12-year-old ST presents with a complaint of a possible “spider bite” on exam you note a
tender 3 cm fluctuant area of erythema. As his primary care nurse practitioner how will
you manage this condition?
,A. Incise the lesion and then await culture results to determine antibiotic treatment
B. Incise and drain the fluctuant lesion and initiate oral antibiotic therapy with Group A
strep coverage
C. Incise and drain the fluctuant lesion and initiate oral antibiotic therapy with both staph
aureus and Group A strep coverage
D. Initiate oral antibiotic therapy with staph aureus and Group A strep coverage, if not
improving consider incising the lesion
C. Incise and drain the fluctuant lesion and initiate oral antibiotic therapy with both staph aureus
and Group A strep coverage
During a well-child examination of an infant, the primary care nurse practitioner counts 8
light brown flat lesions on the infant’s trunk. What potential concern is associated with this
finding?
A. Turner’s syndrome
B. Neurofibromatosis
C. Sturge-Weber syndrome
D. Hypothyroidism
B. Neurofibromatosis
Which approach is recommended at the onset of an
interview?
Use an open-ended approach; let the patient explain the problem or reason for the visit.
Which of the following questions may lead to an
inaccurate patient response?
"That was a horrible experience, wasn't it?"
Repeating a patient's answer is an attempt to
confirm an accurate understanding.
During an interview, your patient admits to feeling
worthless and having a sleep disturbance for the
past 3 weeks. These are clues that warrant the exploration
of
risk for suicide
Jerry, a 26-year-old homosexual man, is having a
health history taken. Which question regarding sexual
activity would most likely hamper trust between
Jerry and the interviewer?
Are you married or do you have a girlfriend
When questioning a patient regarding a sensitive
issue, such as drug use, it is best to
be direct, firm, and to the point
, Direct questions are designed to
obtain or clarify specific details about an answer
Interviewers should identify and assess their own
feelings, such as hostility and prejudice, in order to
reduce communication barriers
During an interview, a patient describes abdominal
pain that often awakens him at night. Which of the
following responses by the interviewer would facilitate
the interviewing process?
"Tell me what you mean by often."
Developing cultural sensitivity is vital in order for the
examiner to be successful in
recognizing and accepting health beliefs that differ from his or her own beliefs.
The balance of hot and cold and its relationship to
wellness is a concept that
is believed by members of many cultures, including
Arabs, Asians, Filipinos, and Hispanics.
Developing a knowledge base about cultural groups
allows the practitioner to
understand the behaviors, practices, and problems observed
Which of the following is an example of a cultural
characteristic?
shared belief
A young mother brings her infant to the emergency
department with a high temperature and dehydration.
Which of the following questions asked by an examiner
demonstrates cultural awareness?
What do you think is causing the illness?
A common mistake made by health care professionals
is to?
stereotype individuals based on color or ethnic group
All of the following are cultural considerations that
affect health care except
eye color, temperature, and visual acuity
Which of the following is an example of a physical,
as opposed to a cultural, characteristic?
