NURS 6512 Exam 1 V3 | NURS 6512
Advanced Health Assessment | Actual
Q&A with Rationale (NURS6512 Exam 1) |
Walden University
1. When conducting a health history, which component is considered subjective data?
A. Blood pressure reading
B. Physical examination findings
C. Review of Systems (ROS)
D. Laboratory results
Answer: C
Rationale: The Review of Systems consists of information provided by the patient
regarding their symptoms and history, making it subjective data. Subjective data is what
the person says about themselves during history taking. In contrast, objective data is what
the health professional observes by inspecting, percussing, palpating, and auscultating
during the physical examination.
2. During a skin assessment, the clinician notes a lesion that is flat and less than 1 cm in
diameter. This is documented as a:
A. Papule
B. Patch
,C. Plaque
D. Macule
Answer: D
Rationale: A macule is a flat, circumscribed area that is a change in the color of the skin;
less than 1 cm in diameter. Examples include freckles, flat moles, or petechiae.
Understanding these primary lesion definitions is crucial for accurate dermatological
documentation in advanced practice.
3. Which of the following describes the correct technique for assessing the thyroid gland
using a posterior approach?
A. Ask the patient to hyperextend the neck and look for a bruit.
B. Position yourself behind the patient and have them swallow a sip of water.
C. Palpate the gland while the patient is lying supine with a pillow under the head.
D. Use the bell of the stethoscope to palpate the lateral lobes.
Answer: B
Rationale: The posterior approach involves the clinician standing behind the patient and
palpating the thyroid as the patient swallows to feel for glandular movement. This position
allows for better stabilization and more accurate feeling of the thyroid lobes and isthmus. It
is considered the preferred method for detecting nodules or enlargement during a
comprehensive neck exam.
, 4. A patient presents with a ‘curtain’ closing over their vision. This symptom is most
characteristic of:
A. Retinal detachment
B. Glaucoma
C. Cataracts
D. Macular degeneration
Answer: A
Rationale: A classic symptom of retinal detachment is the sensation of a shade or curtain
being drawn across the field of vision. This occurs as the retina peels away from its
underlying layer of support tissue. This is a medical emergency that requires immediate
referral to an ophthalmologist to prevent permanent vision loss.
5. To assess for a possible sinus infection, the clinician should:
A. Perform a Weber test.
B. Auscultate for bruits over the maxillary area.
C. Palpate and percuss the frontal and maxillary sinuses.
D. Use an otoscope to visualize the ethmoid sinus.
Answer: C
Rationale: Palpation and percussion of the frontal and maxillary sinuses help identify
tenderness associated with inflammation or infection. Tenderness suggests sinusitis, which
Advanced Health Assessment | Actual
Q&A with Rationale (NURS6512 Exam 1) |
Walden University
1. When conducting a health history, which component is considered subjective data?
A. Blood pressure reading
B. Physical examination findings
C. Review of Systems (ROS)
D. Laboratory results
Answer: C
Rationale: The Review of Systems consists of information provided by the patient
regarding their symptoms and history, making it subjective data. Subjective data is what
the person says about themselves during history taking. In contrast, objective data is what
the health professional observes by inspecting, percussing, palpating, and auscultating
during the physical examination.
2. During a skin assessment, the clinician notes a lesion that is flat and less than 1 cm in
diameter. This is documented as a:
A. Papule
B. Patch
,C. Plaque
D. Macule
Answer: D
Rationale: A macule is a flat, circumscribed area that is a change in the color of the skin;
less than 1 cm in diameter. Examples include freckles, flat moles, or petechiae.
Understanding these primary lesion definitions is crucial for accurate dermatological
documentation in advanced practice.
3. Which of the following describes the correct technique for assessing the thyroid gland
using a posterior approach?
A. Ask the patient to hyperextend the neck and look for a bruit.
B. Position yourself behind the patient and have them swallow a sip of water.
C. Palpate the gland while the patient is lying supine with a pillow under the head.
D. Use the bell of the stethoscope to palpate the lateral lobes.
Answer: B
Rationale: The posterior approach involves the clinician standing behind the patient and
palpating the thyroid as the patient swallows to feel for glandular movement. This position
allows for better stabilization and more accurate feeling of the thyroid lobes and isthmus. It
is considered the preferred method for detecting nodules or enlargement during a
comprehensive neck exam.
, 4. A patient presents with a ‘curtain’ closing over their vision. This symptom is most
characteristic of:
A. Retinal detachment
B. Glaucoma
C. Cataracts
D. Macular degeneration
Answer: A
Rationale: A classic symptom of retinal detachment is the sensation of a shade or curtain
being drawn across the field of vision. This occurs as the retina peels away from its
underlying layer of support tissue. This is a medical emergency that requires immediate
referral to an ophthalmologist to prevent permanent vision loss.
5. To assess for a possible sinus infection, the clinician should:
A. Perform a Weber test.
B. Auscultate for bruits over the maxillary area.
C. Palpate and percuss the frontal and maxillary sinuses.
D. Use an otoscope to visualize the ethmoid sinus.
Answer: C
Rationale: Palpation and percussion of the frontal and maxillary sinuses help identify
tenderness associated with inflammation or infection. Tenderness suggests sinusitis, which
