NURS6512 – Advanced Health
Assessment Midterm Exam (3 Versions) |
Verified Questions and Answers | All
Graded A | Latest 2025/2026 Update
Question 1 Normal liver span at the right midclavicular line in an adult Answer: 6–12 cm
Rationale: Percussion from lung resonance to dullness; >12–15 cm = hepatomegaly.
Question 2 Maneuver to elicit costovertebral angle tenderness Answer: Fist percussion at the
costovertebral angle Rationale: Positive in pyelonephritis, kidney stones, or perinephric
abscess.
Question 3 Shifting dullness is used to detect Answer: Ascites Rationale: Dullness shifts with
position change when ≥500–1000 mL free fluid present.
Question 4 Positive Murphy sign indicates Answer: Acute cholecystitis Rationale: Inspiratory
arrest when palpating under right costal margin.
Question 5 Best technique to palpate the thyroid gland Answer: Posterior approach (thumbs
on nape of neck) Rationale: Allows symmetric palpation as patient swallows.
Question 6 Romberg test primarily evaluates Answer: Proprioception (dorsal columns)
Rationale: Loss of balance with eyes closed = positive (sensory ataxia).
Question 7 Positive Phalen test within 60 seconds suggests Answer: Carpal tunnel syndrome
Rationale: Reproduces median nerve compression symptoms.
Question 8 Characteristics of a normal adult lymph node Answer: ≤1 cm, soft, mobile,
nontender Rationale: >1 cm, fixed, hard, or tender = pathologic.
Question 9 Carotid bruit extending into diastole indicates Answer: ≥70% stenosis Rationale:
High-velocity turbulent flow throughout cardiac cycle.
Question 10 First sign of puberty in girls Answer: Thelarche (breast budding) Rationale:
Tanner stage 2, age 8–13 years.
Question 11 First sign of puberty in boys Answer: Testicular enlargement (>4 mL or >2.5 cm)
Rationale: Precedes penile growth and pubic hair.
Assessment Midterm Exam (3 Versions) |
Verified Questions and Answers | All
Graded A | Latest 2025/2026 Update
Question 1 Normal liver span at the right midclavicular line in an adult Answer: 6–12 cm
Rationale: Percussion from lung resonance to dullness; >12–15 cm = hepatomegaly.
Question 2 Maneuver to elicit costovertebral angle tenderness Answer: Fist percussion at the
costovertebral angle Rationale: Positive in pyelonephritis, kidney stones, or perinephric
abscess.
Question 3 Shifting dullness is used to detect Answer: Ascites Rationale: Dullness shifts with
position change when ≥500–1000 mL free fluid present.
Question 4 Positive Murphy sign indicates Answer: Acute cholecystitis Rationale: Inspiratory
arrest when palpating under right costal margin.
Question 5 Best technique to palpate the thyroid gland Answer: Posterior approach (thumbs
on nape of neck) Rationale: Allows symmetric palpation as patient swallows.
Question 6 Romberg test primarily evaluates Answer: Proprioception (dorsal columns)
Rationale: Loss of balance with eyes closed = positive (sensory ataxia).
Question 7 Positive Phalen test within 60 seconds suggests Answer: Carpal tunnel syndrome
Rationale: Reproduces median nerve compression symptoms.
Question 8 Characteristics of a normal adult lymph node Answer: ≤1 cm, soft, mobile,
nontender Rationale: >1 cm, fixed, hard, or tender = pathologic.
Question 9 Carotid bruit extending into diastole indicates Answer: ≥70% stenosis Rationale:
High-velocity turbulent flow throughout cardiac cycle.
Question 10 First sign of puberty in girls Answer: Thelarche (breast budding) Rationale:
Tanner stage 2, age 8–13 years.
Question 11 First sign of puberty in boys Answer: Testicular enlargement (>4 mL or >2.5 cm)
Rationale: Precedes penile growth and pubic hair.
