NURS 612 EXAM 3 MARYVILLE
NURS 612 EXAM 3 MARYVILLE
ADVANCED HEALTH ASSESSMENT EXAM
3 NEWEST 2025/2026 ACTUAL EXAM 120
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
When interviewing older adults, the examiner should
speak extremely loudly, because most older adults have significant hearing
impairment.
provide a written questionnaire in place of an interview.
position himself or herself facing the patient.
d. dim the lights to decrease anxiety.
ANS: C
The healthcare provider should position himself or herself so that the older patient can see his or her
face. Shouting distorts speech, dimming the lights impairs vision, and a written interview may be
necessary if all else fails.
You are collecting a history from a 16-year-old girl. Her mother is sitting next to her in the
examination room. When collecting history from older children or adolescents, they should be
given the opportunity to be interviewed without the parent at some point during the
interview.
mailed a questionnaire in advance to avoid the need for them to talk.
ignored while you address all questions to the parent.
allowed to direct the flow of the interview.
ANS: A
The adolescent should be given the opportunity to give information directly. This enhances the
probability that the adolescent will follow your advice. Mailing a questionnaire in advance to avoid
the need for her to talk does not assist the adolescent in learning to respond to answers regarding
her health. The parent can help fill in gaps at the end. If she is ignored while you address all questions
to the parent, the patient will feel as though she is just being discussed and is not part of the process
for the health care. The healthcare provider should always direct the flow of the interview according
to the patient's response
A+ TEST BANK 1
, NURS 612 EXAM 3 MARYVILLE
Information that is needed during the initial interview of a pregnant woman includes all the following
except
the gender that the woman hopes the baby will be.
past medical history.
healthcare practices.
the woman's remembering (knowledge) about pregnancy.
ANS: A
The initial interview for the pregnant woman should include information about her past medical
history, assessment of health practices, identification of potential risk factors, and assessment of
remembering (knowledge) as it affects the pregnancy. The gender of the fetus is not as important as
the information about her past medical history, healthcare practices, and the woman's remembering
(knowledge) about her pregnancy.
Constitutional symptoms in the ROS refer to
height, weight, and body mass index.
fever, chills, fatigue, and malaise.
hearing loss, tinnitus, and diplopia.
rashes, skin turgor, and temperature.
ANS: B
General constitutional symptoms refer to pain, fever, chills, malaise, fatigue, night sweats, sleep
patterns, and weight (average, preferred, present, change).
Mr. D complains of a headache. During the history, he mentions his use of alcohol and illicit drugs.
This information would most likely belong in the
chief complaint.
past medical history.
personal and social history.
review of systems.
ANS: C
Habits are included within the personal and social history. The chief complaint is the reason the
patient is seeking health care. The past medical history is made up of the previous medical conditions
that the patient has had. The review of systems is an overview of problems with other body systems.
A+ TEST BANK 2
, NURS 612 EXAM 3 MARYVILLE
A tool used to screen adolescents for alcoholism is the a. CAGE.
b. CRAFFT. c. PACES. d. HITS.
ANS: B
The CRAFFT tool is used to screen for alcoholism in adolescents. The CAGE test is used to screen for
alcoholism in adults. PACES is used to screen adolescents for important issues in their life. HITS is the
screen for domestic violence.
When are open-ended questions generally most useful?
During sensitive area part of the interview
After several closed-ended questions have been asked
While designing the genogram
During the review of systems
ANS: A
Asking open-ended questions during the sensitive part of the interview allows you to gather more
information and establishes you as an empathic listener, which is the first step of effective
communication. Asking closed-ended questions may stifle the patient's desire to discuss the history
of the illness. Interviewing for the purpose of designing a genogram or conducting a review of
systems requires more focused data than can be more easily gathered with direct questioning.
The degree of percussion tone is determined by the density of the medium through which the sound
waves travel. Which statement is true regarding the relationship between density of the medium and
percussion tone?
The more dense the medium, the louder the percussion tone.
The less dense the medium, the louder the percussion tone.
The more hollow the area percussed, the quieter the percussion tone.
Percussion over muscle areas produces the loudest percussion tones.
ANS: B
Percussion sounds vary according to the tissue being percussed. Less dense tissue (such as that over
normal lungs) produces a loud tone, whereas more dense tissue (such as a muscle) produces a softer
tone. The more dense the medium, the softer is the percussion tone. The more hollow the area, the
louder is the percussion tone. Percussion tones over muscle are soft and flat.
A+ TEST BANK 3
, NURS 612 EXAM 3 MARYVILLE
Expected normal percussion tones include
dullness over the lungs.
hyperresonance over the lungs.
tympany over an empty stomach.
flatness over an empty stomach.
ANS: C
A normal lung produces resonance percussion tones, whereas an empty stomach is expected to
produce tympany. Dullness indicates atelectasis of the lung. Hyperresonance over the lungs indicates
emphysema. Flatness occurs over muscle.
During percussion, a dull tone is expected to be heard over
healthy lung tissue.
emphysemic lungs.
the liver.
most of the abdomen
ANS: C
Dull tones are expected over denser areas such as the liver. Healthy lung tissue is resonant.
Emphysemic lungs are hyperresonant. Tympany is heard over most of the abdomen.
During auscultation, you can limit your perceptual field best by
asking patients to describe their symptoms.
closing your eyes.
performing auscultation before percussion.
using an aneroid manometer.
ANS: B
By closing your eyes, your sense of hearing becomes more acute, and it increases your ability to
isolate sounds. Asking patients to describe their symptoms does not assist in the technique of
auscultation. The only time that auscultation occurs before percussion is in examination of the
abdomen. Using an aneroid manometer does not assist in the technique of auscultation. During
auscultation, the only equipment needed is the stethoscope.
A+ TEST BANK 4
NURS 612 EXAM 3 MARYVILLE
ADVANCED HEALTH ASSESSMENT EXAM
3 NEWEST 2025/2026 ACTUAL EXAM 120
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
When interviewing older adults, the examiner should
speak extremely loudly, because most older adults have significant hearing
impairment.
provide a written questionnaire in place of an interview.
position himself or herself facing the patient.
d. dim the lights to decrease anxiety.
ANS: C
The healthcare provider should position himself or herself so that the older patient can see his or her
face. Shouting distorts speech, dimming the lights impairs vision, and a written interview may be
necessary if all else fails.
You are collecting a history from a 16-year-old girl. Her mother is sitting next to her in the
examination room. When collecting history from older children or adolescents, they should be
given the opportunity to be interviewed without the parent at some point during the
interview.
mailed a questionnaire in advance to avoid the need for them to talk.
ignored while you address all questions to the parent.
allowed to direct the flow of the interview.
ANS: A
The adolescent should be given the opportunity to give information directly. This enhances the
probability that the adolescent will follow your advice. Mailing a questionnaire in advance to avoid
the need for her to talk does not assist the adolescent in learning to respond to answers regarding
her health. The parent can help fill in gaps at the end. If she is ignored while you address all questions
to the parent, the patient will feel as though she is just being discussed and is not part of the process
for the health care. The healthcare provider should always direct the flow of the interview according
to the patient's response
A+ TEST BANK 1
, NURS 612 EXAM 3 MARYVILLE
Information that is needed during the initial interview of a pregnant woman includes all the following
except
the gender that the woman hopes the baby will be.
past medical history.
healthcare practices.
the woman's remembering (knowledge) about pregnancy.
ANS: A
The initial interview for the pregnant woman should include information about her past medical
history, assessment of health practices, identification of potential risk factors, and assessment of
remembering (knowledge) as it affects the pregnancy. The gender of the fetus is not as important as
the information about her past medical history, healthcare practices, and the woman's remembering
(knowledge) about her pregnancy.
Constitutional symptoms in the ROS refer to
height, weight, and body mass index.
fever, chills, fatigue, and malaise.
hearing loss, tinnitus, and diplopia.
rashes, skin turgor, and temperature.
ANS: B
General constitutional symptoms refer to pain, fever, chills, malaise, fatigue, night sweats, sleep
patterns, and weight (average, preferred, present, change).
Mr. D complains of a headache. During the history, he mentions his use of alcohol and illicit drugs.
This information would most likely belong in the
chief complaint.
past medical history.
personal and social history.
review of systems.
ANS: C
Habits are included within the personal and social history. The chief complaint is the reason the
patient is seeking health care. The past medical history is made up of the previous medical conditions
that the patient has had. The review of systems is an overview of problems with other body systems.
A+ TEST BANK 2
, NURS 612 EXAM 3 MARYVILLE
A tool used to screen adolescents for alcoholism is the a. CAGE.
b. CRAFFT. c. PACES. d. HITS.
ANS: B
The CRAFFT tool is used to screen for alcoholism in adolescents. The CAGE test is used to screen for
alcoholism in adults. PACES is used to screen adolescents for important issues in their life. HITS is the
screen for domestic violence.
When are open-ended questions generally most useful?
During sensitive area part of the interview
After several closed-ended questions have been asked
While designing the genogram
During the review of systems
ANS: A
Asking open-ended questions during the sensitive part of the interview allows you to gather more
information and establishes you as an empathic listener, which is the first step of effective
communication. Asking closed-ended questions may stifle the patient's desire to discuss the history
of the illness. Interviewing for the purpose of designing a genogram or conducting a review of
systems requires more focused data than can be more easily gathered with direct questioning.
The degree of percussion tone is determined by the density of the medium through which the sound
waves travel. Which statement is true regarding the relationship between density of the medium and
percussion tone?
The more dense the medium, the louder the percussion tone.
The less dense the medium, the louder the percussion tone.
The more hollow the area percussed, the quieter the percussion tone.
Percussion over muscle areas produces the loudest percussion tones.
ANS: B
Percussion sounds vary according to the tissue being percussed. Less dense tissue (such as that over
normal lungs) produces a loud tone, whereas more dense tissue (such as a muscle) produces a softer
tone. The more dense the medium, the softer is the percussion tone. The more hollow the area, the
louder is the percussion tone. Percussion tones over muscle are soft and flat.
A+ TEST BANK 3
, NURS 612 EXAM 3 MARYVILLE
Expected normal percussion tones include
dullness over the lungs.
hyperresonance over the lungs.
tympany over an empty stomach.
flatness over an empty stomach.
ANS: C
A normal lung produces resonance percussion tones, whereas an empty stomach is expected to
produce tympany. Dullness indicates atelectasis of the lung. Hyperresonance over the lungs indicates
emphysema. Flatness occurs over muscle.
During percussion, a dull tone is expected to be heard over
healthy lung tissue.
emphysemic lungs.
the liver.
most of the abdomen
ANS: C
Dull tones are expected over denser areas such as the liver. Healthy lung tissue is resonant.
Emphysemic lungs are hyperresonant. Tympany is heard over most of the abdomen.
During auscultation, you can limit your perceptual field best by
asking patients to describe their symptoms.
closing your eyes.
performing auscultation before percussion.
using an aneroid manometer.
ANS: B
By closing your eyes, your sense of hearing becomes more acute, and it increases your ability to
isolate sounds. Asking patients to describe their symptoms does not assist in the technique of
auscultation. The only time that auscultation occurs before percussion is in examination of the
abdomen. Using an aneroid manometer does not assist in the technique of auscultation. During
auscultation, the only equipment needed is the stethoscope.
A+ TEST BANK 4
