NURS 612 Final Exam Maryville University Advanced Health
Assessment Nursing Assessment Exam Prep 2026
1. Describe the significance of documenting fasciculation in a patient's
neurological assessment.
Fasciculation indicates a need for immediate surgical intervention.
Documenting fasciculation is important as it may indicate underlying
neurological issues.
Fasciculation is a normal finding and does not need documentation.
Fasciculation is only relevant in muscle injuries.
2. A patient presents with complaints of peeing whenever they are lifting
weights, jogging, or performing any kind of physical activity. What type of
incontinence may this individual be experiencing?
Functional incontinence
Stress incontinence
Overflow incontinence
Urge incontinence
3. If a patient presents with unusual discharge and pelvic pain, what steps
should a nurse take to assess for a sexually transmitted infection?
Advise the patient to wait and see if symptoms improve.
Refer the patient to a specialist without assessment.
Immediately prescribe antibiotics without testing.
Conduct a thorough sexual history and perform appropriate
diagnostic tests.
,4. Interpret the significance of a cervix deviating to the right during a pelvic
examination.
It indicates a left-sided pelvic mass.
It may indicate the presence of a right-sided pelvic mass that is
displacing the cervix.
It is a sign of cervical inflammation.
It suggests normal anatomical positioning of the cervix.
5. A 47-year-old woman has noticed a red, scaly area of skin on her left breast
that has grown slightly larger over the past 4 months. On physical
examination, there is a 1-cm area of eczematous skin just lateral to the areola.
The figure shows the microscopic appearance of the skin biopsy specimen.
What is the most likely diagnosis?
Fat necrosis
Lobular carcinoma in situ
Inflammatory carcinoma
Apocrine metaplasia
Paget disease of the breast
,6. Describe how family history can influence the risk of developing breast
cancer.
Family history has no impact on breast cancer risk.
Family history is irrelevant to breast cancer development.
Family history only affects men, not women.
Family history can indicate genetic predisposition to breast cancer,
increasing an individual's risk.
7. What is MASTITIS?
breast cancer
fibroids
infection of the breast tissue
pre-eclampsia
8. What condition is characterized by inflammation of breast tissue, often
associated with infection?
Mastitis
Fibrocystic breast changes
Osteoarthritis
Breast cancer
9. Describe the significance of nipple retraction in a clinical assessment.
Nipple retraction is always a normal finding.
Nipple retraction can be a sign of underlying breast pathology,
including malignancies.
, Nipple retraction is unrelated to breast health.
Nipple retraction indicates a hormonal imbalance.
10. In a clinical setting, how would you utilize the Katz hand diagram to assess a
patient with suspected arthritis?
To determine the patient's neurological reflexes in the arms.
To measure the patient's muscle strength in the legs.
To evaluate the patient's hand function and identify limitations
caused by arthritis.
To assess the patient's sensory perception in the lower extremities.
11. What does a positive Trendelenburg sign suggest about a patient's
condition?
Inflammation of the hip joint
Injury to the knee joint
Presence of a herniated disc
Weakness of the hip abductor muscles
12. Describe the characteristics of a scissor gait and its potential underlying
causes.
A scissor gait is marked by a rapid, unsteady walk, usually resulting
from inner ear issues.
A scissor gait features long strides and a bouncing motion, often
linked to joint problems.
A scissor gait is characterized by short steps and knees that remain
in contact, often caused by neurological conditions.
Assessment Nursing Assessment Exam Prep 2026
1. Describe the significance of documenting fasciculation in a patient's
neurological assessment.
Fasciculation indicates a need for immediate surgical intervention.
Documenting fasciculation is important as it may indicate underlying
neurological issues.
Fasciculation is a normal finding and does not need documentation.
Fasciculation is only relevant in muscle injuries.
2. A patient presents with complaints of peeing whenever they are lifting
weights, jogging, or performing any kind of physical activity. What type of
incontinence may this individual be experiencing?
Functional incontinence
Stress incontinence
Overflow incontinence
Urge incontinence
3. If a patient presents with unusual discharge and pelvic pain, what steps
should a nurse take to assess for a sexually transmitted infection?
Advise the patient to wait and see if symptoms improve.
Refer the patient to a specialist without assessment.
Immediately prescribe antibiotics without testing.
Conduct a thorough sexual history and perform appropriate
diagnostic tests.
,4. Interpret the significance of a cervix deviating to the right during a pelvic
examination.
It indicates a left-sided pelvic mass.
It may indicate the presence of a right-sided pelvic mass that is
displacing the cervix.
It is a sign of cervical inflammation.
It suggests normal anatomical positioning of the cervix.
5. A 47-year-old woman has noticed a red, scaly area of skin on her left breast
that has grown slightly larger over the past 4 months. On physical
examination, there is a 1-cm area of eczematous skin just lateral to the areola.
The figure shows the microscopic appearance of the skin biopsy specimen.
What is the most likely diagnosis?
Fat necrosis
Lobular carcinoma in situ
Inflammatory carcinoma
Apocrine metaplasia
Paget disease of the breast
,6. Describe how family history can influence the risk of developing breast
cancer.
Family history has no impact on breast cancer risk.
Family history is irrelevant to breast cancer development.
Family history only affects men, not women.
Family history can indicate genetic predisposition to breast cancer,
increasing an individual's risk.
7. What is MASTITIS?
breast cancer
fibroids
infection of the breast tissue
pre-eclampsia
8. What condition is characterized by inflammation of breast tissue, often
associated with infection?
Mastitis
Fibrocystic breast changes
Osteoarthritis
Breast cancer
9. Describe the significance of nipple retraction in a clinical assessment.
Nipple retraction is always a normal finding.
Nipple retraction can be a sign of underlying breast pathology,
including malignancies.
, Nipple retraction is unrelated to breast health.
Nipple retraction indicates a hormonal imbalance.
10. In a clinical setting, how would you utilize the Katz hand diagram to assess a
patient with suspected arthritis?
To determine the patient's neurological reflexes in the arms.
To measure the patient's muscle strength in the legs.
To evaluate the patient's hand function and identify limitations
caused by arthritis.
To assess the patient's sensory perception in the lower extremities.
11. What does a positive Trendelenburg sign suggest about a patient's
condition?
Inflammation of the hip joint
Injury to the knee joint
Presence of a herniated disc
Weakness of the hip abductor muscles
12. Describe the characteristics of a scissor gait and its potential underlying
causes.
A scissor gait is marked by a rapid, unsteady walk, usually resulting
from inner ear issues.
A scissor gait features long strides and a bouncing motion, often
linked to joint problems.
A scissor gait is characterized by short steps and knees that remain
in contact, often caused by neurological conditions.
