NURS 6512/NURS6512 Final Exam – Version B (2023–2025) | 100 Real Questions & Correct Answers | A+ Graded | Walden University

Master the NURS 6512 Advanced Health Assessment Final Exam (Version B) with this comprehensive, up-to-date resource featuring 100 real exam questions and verified correct answers. Latest version for 2023–2024 — based on Walden University curriculum Covers key topics: Physical assessment techniques Diagnostic reasoning System-based evaluations (cardiac, respiratory, GI, neuro, etc.) Health history & documentation All answers are accurate, verified, and clearly explained Graded A+ — trusted by nursing students for top scores Designed to help you pass confidently on the first try Instant download for fast and flexible study access Perfect for students in FNP, AGACNP, or any APRN track taking NURS 6512. NURS 6512 final exam Version B 2023–2024 questions NURS6512 final Walden University exam answers NURS 6512 advanced health assessment exam questions NURS 6512 100 questions with verified answers Walden University NURS 6512 final test bank NURS 6512 final exam study guide Version B Latest NURS6512 exam answers NURS 6512 practice questions and rationales Download NURS 6512 final PDF with correct answers Advanced health assessment final exam Walden NURS 6512/NURS6512 Final Exam – Version B (2023–2025) | 100 Real Questions & Correct Answers | A+ Graded | Walden University • Question 1 1 out of 1 points During chest assessment, and the e's sound li Selected Answer: you note the patient's voice quality while auscultating the lung fields. The voice sound is intensified, there is a nasal quality to the voice, ke a s. This sound is indicative of: lung consolidation. • Question 2 1 out of 1 points As Mr. B. enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. You would document Mr. B.'s pattern as: Selected cerebellar Answer: ataxia. • Question 3 1 out of 1 points Diabetic peripheral neuropathy will likely produce: Selected diminished pain Answer: sensation. • Question 4 1 out of 1 points Montgomery tubercl Selected Answer: es are most prominent in the breasts of: pregnant women. • Question 5 1 out of 1 points Which one of the fo Selected Answer: llowing techniques is used to detect a torn meniscus? McMurray test • Question 6 1 out of 1 points Ulnar deviation and Selected Answer: boutonniere deformities are characteristic of: rheumatoid arthritis. • Question 7 1 out of 1 points A pulsation that is diminished to the point of being barely palpable would be graded as: Selected 1 Answer: • Question 8 1 out of 1 points In the most effective percussion technique of the posterior lung fields, the patient cooperates by: Selected folding the arms in Answer: front. • Question 9 1 out of 1 point When palpating join Selected Answer: ts, crepitus may occur when: irregular bony surfaces rub together. • Question 1 0 1 out of 1 points While collecting pe breast discomfort, Selected Answer: rsonal and social history data from a woman complaining of you should question her regarding: alcohol, tobacco, and caffeine use. • Question 1 1 1 out of 1 points Postural hypotensi with sitting or supi Selected Answer: on is defined as a ne readings. systolic pressure drop pulse rate increase when the patient stands, compared of more than 15 mm Hg with a • Question 1 2 1 out of 1 points You are examining a sustained head trau you would: Selected Answer: patient in the emergency department who has recently ma. In order to initially assess this patient's neurologic status, test the six cardinal points of gaze. • Question 13 1 out of 1 points Temporalis and masseter muscles are evaluated by: Selected having the patient clench his or Answer: her teeth. • Question 14 1 out of 1 points s A parent is advised to restrict contact or collision sports participation for their child. An example of a sport in which this child could participate is: Selected Answer: Correct Answer: C. Swimming Rationale: Swimming is a non-contact sport that provides excellent cardiovascular and muscular exercise with minimal risk of collision or bodily impact. It is ideal for children who are restricted from participating in contact or collision sports due to medical conditions such as bleeding disorders, recent surgery, or certain cardiovascular or orthopedic concerns. Explanation of Incorrect Options: • A. Soccer: Although less aggressive than football, soccer still involves body contact, heading the ball, and a higher risk of collisions. • B. Basketball: Basketball is a moderate-contact sport with frequent jumping, body contact, and potential for collisions. • D. Football: Football is a high-contact and high-collision sport, inappropriate for children on restricted activity. Test-Taking Tip: When a child is restricted from contact or collision sports, look for options that are low-impact and individual in nature. Always prioritize safety and medical limitations. DIF: Application REF: Pediatric Nursing Textbook OBJ: Safe activity planning for children with health limitations TOP: Health Promotion and Maintenance – Growth and Development rifler y. • Question 15 1 out of 1 points Cranial nerve XII may Selected Answer: be assessed in an infant by: observing the infant suck and swallow. • Question 1 6 1 out of 1 points The reliability of he the: Selected Answer: alth-related findings and observations is the responsibility of professional and the patient. • Question 17 1 out of 1 points Normal changes of Selected Answer: the aging brain include: diminished perception of touch. • Question 18 1 out of 1 points The adnexa of the Selected Answer: uterus are composed of the: fallopian tubes and ovaries. • Question 19 1 out of 1 points For purposes of examination and communication of physical findings, the breast is divided into: Selected four quadrants plus Answer: a tail. • Question 20 1 out of 1 points A patient in the deepest coma would be scored a on the Glasgow Coma Scale. Selected 3 Answer: • Question 21 1 out of 1 points A patient you are seeing in the emergency department for chest pain is suspected of having a myocardial infarction. During the health history interview of his family history, he relates that his father had died of "heart trouble." The most important follow-up question you should pose is which of the following? Selected "What age was your father at the time of Answer: his death?" • Question 22 1 out of 1 points Nerves that arise from the brain rather than the spinal cord are called: Selected crani Answer: al. • Question 23 1 out of 1 points While examining a 30-year-old woman, you note that one breast is slightly larger than the other. In response to this finding, you should: Selected note the finding in the Answer: patient’s record. • Question 24 1 out of 1 points In the adult, the apical impulse should be most visible when the patient is in what position? Selected Uprig Answer: ht • Question 25 1 out of 1 points A 23-year-old white woman has come to the clinic because she has missed two menstrual periods. She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is to: Selected suggest pregnancy Answer: testing. • Question 26 1 out of 1 points Tarry black stool sh Selected Answer: ould make you suspect: upper intestinal bleeding. • Question 2 7 1 out of 1 points To assess spinal lev Selected Answer: els L2, L3, and L4, which deep tendon reflex should be tested? Patell ar • Question 28 1 out of 1 points You are conducting an examination of Mr. Curtis’s heart and blood vessels and auscultate a grade III murmur. The intensity of this murmur is: Selected Answer: moderately loud. • Question 29 1 out of 1 points To assess a cremast Selected Answer: eric reflex, the examiner strokes the: inner thigh and observes whether the testicle and scrotum rise on the stroked side. • Question 30 1 out of 1 points An examiner has rotated a brush several times into the cervical os. The brush was withdrawn and stroked lightly on a glass slide. The slide was sprayed with fixative. Which type of specimen requires this technique for collection? Selected Cytology Answer: smear • Question 31 1 out of 1 points Functional assessm Selected Answer: ent is most important during the examination of a(n): older adult. • Question 32 1 out of 1 points Part of the screening orthopedic component of the examination includes evaluating the person while he or she is: Selected duck Answer: walking. • Question 33 1 out of 1 points To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with: Selected one arm overhead and a pillow under Answer: her shoulder. • Question 34 1 out of 1 points When is the mental status portion of the neurologic system examination performed? Selected Constantly, throughout the entire interaction Answer: with a patient • Question 35 1 out of 1 points If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation? Selected Answer: CN XI, spinal accessory • Question 36 1 out of 1 points One of the most important aspects to consider in the orthopedic screening examination is: Selected symmet Answer: ry. • Question 37 1 out of 1 points You are examining Mr. S., a 79 Which of the follow occlusion? Selected Answer: -year-old diabetic man complaining of claudication. ing physical findings is consistent with the diagnosis of arterial Loss of hair over the extremity • Question 3 8 1 out of 1 points The Mini-Mental Sta Selected Answer: te Examination should be administered for the patient who: gets lost in her neighborhood. • Question 3 9 1 out of 1 points If pitting edema is Selected Answer: unilateral, you would suspect occlusion of a: major vein. • Question 40 1 out of 1 points The best way to ease the apprehension of a 3-year-old child before a physical examination is to: Selected let the child hold the stethoscope while Answer: you listen. • Question 41 1 out of 1 points Nancy Walker is a 16-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her mother reports that Nancy, apart from occasional colds, Nancy is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Nancy’s current problem? Selected Answer: Cocaine use • Question 42 1 out of 1 points Your patient’s chief complaint is repeated pencil-like stools. Further examination should include: Selected digital rectal examination Answer: (DRE). • Question 43 1 out of 1 points To hear diastolic he Selected Answer: art sounds, you should ask patients to: lie on their left sides. • Question 44 1 out of 1 points The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the: Selected QRS Answer: complex. • Question 45 1 out of 1 points Kawasaki disease is suspected when assessments of a child reveal: Selected conjunctival injection, strawberry tongue, and edema of the Answer: hands and feet. • Question 46 1 out of 1 points Which one of the following is a proper technique for use of a speculum during a vaginal examination? Selected Press introitus downward; insert closed Answer: speculum obliquely. • Question 47 1 out of 1 points You are interviewing a 20-year-old patient with a new-onset psychotic disorder. The patient is apathetic and has disturbed thoughts and language patterns. The nurse recognizes this behavior pattern as consistent with a diagnosis of: Selected Answer: schizophre nia. • Question 48 1 out of 1 points Inspection of the sc Selected Answer: rotum should reveal: left scrotal sac lower than the right. • Question 49 1 out of 1 points The finger-to-nose Selected Answer: test allows assessment of: coordination and fine motor function. • Question 50 1 out of 1 points Bimanual examinati Selected Answer: on of the uterus includes: grasping the cervix between the examining fingers. • Question 51 1 out of 1 points You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should: Selected inquire about previous penile Answer: infections. • Question 52 1 out of 1 points The difference in blood pressure readings between the right and the left arms is considered normal up to mm Hg. Selected 1 Answer: 0 • Question 53 1 out of 1 points When you attempt examination table, Selected Answer: to move a 10-month-old child from his mother’s lap to the he screams loudly. Your best action is to: perform the examination while the child is in the mother’s lap. • Question 5 4 1 out of 1 points It is especially impo Selected Answer: rtant to test for ankle clonus if: deep tendon reflexes are hyperactive. • Question 5 5 1 out of 1 points A finding that is indi Selected Answer: cative of osteoarthritis is: Heberden nodes. • Question 56 1 out of 1 points The checkout station for preparticipation physical evaluation (PPE) is critical because at this point: Selected coordination of follow-ups is Answer: reviewed. • Question 57 1 out of 1 points When palpating breast tissue, the examiner should use the at each site. Selected finger pads, Answer: gliding • Question 58 1 out of 1 points Which portion of th Selected Answer: e physical examination is best done with the patient standing? Spin al • Question 5 9 1 out of 1 points Throughout the hist Selected Answer: ory and physical examination, the clinician should: evaluate the whole patient. • Question 6 0 1 out of 1 points You are initially eva feet together and a Selected Answer: luating the equilibrium of Ms. Q. You ask her to stand with her rms at her sides. She loses her balance. Ms. Q. has a positive: Romberg sign. • Question 6 1 0 out of 1 points Anterior cruciate li Selected Answer: gament integrity is assessed via the test. straight leg raise • Question 62 0 out of 1 points Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify: Selected diabetic Answer: ketoacidosis. • Question 63 1 out of 1 points The Mini-Mental State Examination: Selected may be used to quantitatively estimate Answer: cognitive changes. • Question 64 1 out of 1 points A common finding in Selected Answer: markedly obese and pregnant women is: lordosi s. • Question 65 1 out of 1 points The Denver II is a t Selected Answer: ool used to determine: whether a child is developing as expected. • Question 66 1 out of 1 points The strength of the Selected Answer: trapezius muscle is evaluated by having the patient: push her head against the examiner’s hand. • Question 67 1 out of 1 points A red, hot swollen j Selected Answer: oint in a 40-year-old man should lead you to suspect: gou t. • Question 68 1 out of 1 points Examination of the patient in the lithotomy, or knee-chest, position includes: Selected palpation of anal Answer: sphincter tone. • Question 69 1 out of 1 points Assessing orientation to person, place, and time helps determine: Selected Answer: state of consciousness. • Question 70 1 out of 1 points When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the: Selected presence and form of Answer: body parts. • Question 71 1 out of 1 points A 12-year-old boy relates that his left scrotum has a soft swollen mass. The scrotum is not painful upon palpation. The left inguinal canal is without masses. The mass does transilluminate with a penlight. This collection of symptoms is consistent with: Selected Answer: hydroce le. • Question 72 1 out of 1 points The rectal past med Selected Answer: ical history of all patients should include inquiry about: hemorrhoid surgery. • Question 73 1 out of 1 points The goals of preparticipation sports evaluation include: Selected identifying risk of injury or death during sports Answer: participation. • Question 74 1 out of 1 points An idiopathic spasm of arterioles in the digits is termed: Selected Raynaud Answer: disease. • Question 75 1 out of 1 points A cervical polyp usually appears as a: Selected Answer: bright-red soft protrusion from the endocervical canal. • Question 76 1 out of 1 points Your older clinic patient is being seen today as a follow-up for a 2-day history of pneumonia. The patient continues to have a productive cough, shortness of breath, and lethargy and has been spending most of the day lying in bed. You should begin the chest examination by: Selected auscultating the lung Answer: bases. • Question 77 1 out of 1 points Which condition is considered progressive rather than reversible? Selected Demen Answer: tia • Question 78 1 out of 1 points Recent unilateral inversion of a previously everted nipple suggests: Selected canc Answer: er. • Question 79 1 out of 1 points Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the: Selected P Answer: wave. • Question 80 1 out of 1 points An apical PMI palpated Selected Answer: beyond the left fifth intercostal space may indicate: left ventricular hypertrophy. • Question 81 1 out of 1 points The examiner perc Selected Answer: usses for diaphragmatic excursion along the: scapular line. • Question 8 2 1 out of 1 points Which of the follow arteries? Selected Answer: ing statements is true regarding the examination of peripheral The pulses are most readily felt over bony prominences. • Question 83 1 out of 1 points You are conducting a clinical breast examination for your 30-year-old patient. Her breasts are symmetrical with bilateral, multiple tender masses that are freely moveable with well-defined borders. You recognize that these symptoms and assessment findings are consistent with: Selected fibrocystic Answer: changes. • Question 84 1 out of 1 points The presence of cervical motion tenderness may indicate: Selected pelvic inflammatory Answer: disease. • Question 85 1 out of 1 points When assessing are testing: Selected Answer: superficial pain, touch, vibration, and position perceptions, you sensory function. • Question 8 6 1 out of 1 points The family history f siblings with: Selected Answer: or a patient with joint pain should include information about genetic disorders. • Question 87 1 out of 1 points Which cranial nerve Selected Answer: s are usually evaluated during the examination of the eyes? III and VI • Question 8 8 1 out of 1 points While interviewing ginkgo biloba and S the: Selected Answer: a 70-year-old female clinic patient, she tells you that she takes t. John’s wort. You make a short note to check for results of Mini-Mental State Examination. • Question 89 1 out of 1 points When conducting a geriatric assessment, basic activities of daily living (ADLs) include: Selected bathin Answer: g. • Question 90 1 out of 1 points Palpation of a normal prostate in an older adult is likely to feel: Selected rubber Answer: y. • Question 91 1 out of 1 points Breath sounds normally Selected Answer: heard over the trachea are called: bronchi al. • Question 92 1 out of 1 points When assessing a 17 examination table. suspicions associate sign. Selected Answer: -year-old for nuchal rigidity, you gently raise his head off the He involuntarily flexes his hips and knees. To confirm your d with this positive test, you would also perform a test for the Kerni g • Question 93 1 out of 1 points During a routine pr varicosities of the l symptoms. You expl pelvic veins and her findings: Selected Answer: enatal visit, Ms. T. was noted as having dependent edema, egs, and hemorrhoids. She expressed concern about these ain to Ms. T. that her enlarged uterus is compressing her inferior vena cava. You would further explain that these are usual conditions during pregnancy. • Question 94 1 out of 1 points Facial muscle or to Selected Answer: ngue weakness may result in: aphas ia. • Question 95 1 out of 1 points A positive straight leg raise test usually indicates: Selected lumbar nerve root Answer: irritation. ________________________________________ Correct Answer: C. Sciatic nerve root irritation ________________________________________ Rationale: A positive straight leg raise (SLR) test typically indicates sciatic nerve root irritation, often caused by a herniated lumbar disc (especially at L4–L5 or L5–S1). Pain radiating down the leg during the test is suggestive of nerve root compression. ________________________________________ Explanation of Incorrect Options: • A. Hip joint arthritis typically causes groin or anterior thigh pain and isn’t reproduced by SLR. • B. Lumbar muscle strain may cause back pain but not radicular symptoms down the leg. • D. Sacroiliac joint dysfunction is better assessed with other maneuvers such as the FABER (Patrick’s) test. ________________________________________ Test-Taking Tip: If a physical test provokes radiating leg pain, think of nerve involvement, particularly in the lumbar spine. ________________________________________ DIF: Application REF: Bates’ Guide to Physical Examination and History Taking OBJ: Assess musculoskeletal and neurologic symptoms TOP: Neurological/Musculoskeletal Assessment • Question 96 1 out of 1 points At your first meeting with a patient, it is usually best to say: Correct Answer: C. “Hello, I’m [Your Name], and I’ll be your nurse. What would you like me to call you?” ________________________________________ Rationale: Establishing rapport is essential during the first patient encounter. Introducing yourself by name and role and then asking how the patient prefers to be addressed shows respect, fosters trust, and sets the tone for patient-centered communication. ________________________________________ Explanation of Incorrect Options: • A. Is abrupt and task-focused, lacking rapport-building. • B. Focuses immediately on procedures rather than establishing trust. • D. Starts the interview but doesn’t build personal connection or clarify your role. ________________________________________ Test-Taking Tip: When answering questions about communication, prioritize respect, empathy, and patient-centered care — especially at the beginning of interactions. ________________________________________ DIF: Application REF: Bates' Guide to Physical Examination and History Taking OBJ: Establish therapeutic communication with patients TOP: Professional Nursing Communication • Question 97 1 out of 1 points The foramen ovale Selected Answer: should close: within minutes of birth. • Question 9 8 1 out of 1 points If your patient has Selected Answer: nipple discharge, you will most likely need a: glass slide and fixative. • Question 99 1 out of 1 points A grade IV mitral regurgitation murmur would: Selected radiate to the Answer: axilla. ________________________________________ Rationale: Murmurs are graded on a scale of I to VI, with Grade IV being loud and associated with a palpable thrill (a vibratory sensation felt on the chest wall). Mitral regurgitation produces a holosystolic murmur best heard at the apex and often radiating to the axilla. ________________________________________ Explanation of Incorrect Options: • A. Murmurs that can be heard with the stethoscope lifted off the chest are Grade VI, not Grade IV. • B. Murmurs that radiate to the carotids and increase with inspiration are more characteristic of aortic stenosis and right-sided murmurs, respectively. • D. Mitral regurgitation is a systolic murmur, not diastolic, and is best heard at the apex, not the aortic area. ________________________________________ Test-Taking Tip: Know your murmur grading scale and timing (systolic vs. diastolic). Also associate valve locations and radiation patterns for accurate identification. ________________________________________ DIF: Comprehension REF: Bates' Guide to Physical Examination and History Taking OBJ: Assess cardiac murmurs and heart valve pathology TOP: Cardiovascular Assessment • Question 100 1 out of 1 points Selected Answer: “Tell me about yourself.” Selected Answer: examination of the upper extremities. Palpation of epitrochlear nodes is part of the: ________________________________________ Rationale: The epitrochlear lymph nodes are located on the medial aspect of the arm above the elbow and drain the forearm and hand. Their palpation is a component of the peripheral vascular examination, which includes assessment of lymphatic drainage as part of circulation evaluation. ________________________________________ Explanation of Incorrect Options: • A. Abdominal examination: This focuses on organs in the abdominal cavity, not lymph nodes in the upper extremities. • B. Respiratory assessment: Involves lungs, breath sounds, and related structures, not peripheral lymph nodes. • D. Musculoskeletal assessment: Examines joints, muscles, and bones—not lymph nodes. ________________________________________ Test-Taking Tip: When a question mentions lymph nodes, think about what area they drain and which body system they're part of. Epitrochlear nodes are tied to circulation and immunity, making them part of the peripheral vascular and lymphatic system. ________________________________________ DIF: Knowledge REF: Physical Examination and Health Assessment Textbook OBJ: Assess peripheral vascular and lymphatic systems TOP: Peripheral Vascular Assessment