1
NURS-6512N / NURS 6512 / NURS6512
Advanced Health Assessment Midterm
Exam (3 Versions) | LATEST |
ALL Graded A
Version 1
Question 1
During a comprehensive health history, which open-ended question best
elicits the patient's chief complaint?
• A. "What medications are you taking?"
• B. "What brings you in today?"
• C. "Do you have any allergies?"
• D. "How would you rate your pain on a scale of 1-10?"
Rationale: Open-ended questions like "What brings you in today?"
encourage patients to describe symptoms in their own words, facilitating
a patient-centered narrative and uncovering details that closed-ended
questions might miss.
Question 2
A 45-year-old patient reports fatigue and weight gain. Which
OLDCARTS component should the advanced practice nurse prioritize to
assess symptom onset?
• A. Location
• B. Onset
• C. Duration
• D. Characteristics
, 2
Rationale: Assessing onset helps determine if symptoms are acute or
chronic, guiding differential diagnosis; for example, sudden onset might
suggest acute thyroiditis, while gradual onset points to hypothyroidism.
Question 3
In assessing cultural competence, which factor is most critical when
interviewing a patient from a collectivist culture?
• A. Individual autonomy
• B. Family involvement in decision-making
• C. Personal achievement goals
• D. Direct eye contact
Rationale: Collectivist cultures often prioritize family consensus, so
involving family members enhances trust and ensures holistic care
aligned with the patient's values.
Question 4
Which technique is essential for establishing rapport during the initial
health assessment?
• A. Using medical jargon
• B. Active listening and empathy
• C. Rapid-fire questioning
• D. Avoiding personal space
Rationale: Active listening and empathy build therapeutic alliance,
improving communication accuracy and patient adherence to
recommendations.
Question 5
A patient with limited health literacy is identified. What is the most
appropriate response?
, 3
• A. Proceed with complex explanations
• B. Use the teach-back method
• C. Provide written materials only
• D. Refer to a specialist immediately
Rationale: Teach-back confirms understanding by having the patient
repeat information in their own words, addressing literacy barriers and
promoting patient education.
Question 6
During inspection of the head, bilateral ptosis is noted. This finding is
most associated with:
• A. Myasthenia gravis
• B. Horner's syndrome
• C. Bell's palsy
• D. Cluster headache
Rationale: Horner's syndrome involves sympathetic chain disruption,
causing ipsilateral ptosis, miosis, and anhidrosis due to loss of
sympathetic innervation to the levator palpebrae superioris.
Question 7
A patient complains of unilateral tinnitus. What is the priority
assessment?
• A. Weber test
• B. History of acoustic trauma or cerumen impaction
• C. Rinne test
• D. Visual acuity screening
Rationale: Unilateral tinnitus may indicate serious pathology like
acoustic neuroma; a targeted history identifies modifiable risks such as
noise exposure or wax buildup.
, 4
Question 8
On otoscopic examination, a red, bulging tympanic membrane is
observed. This suggests:
• A. Serous otitis media
• B. Acute otitis media
• C. Otosclerosis
• D. Meniere's disease
Rationale: Bulging and erythema indicate purulent effusion under
pressure from bacterial infection, distinguishing it from non-infectious
serous fluid accumulation.
Question 9
A 60-year-old patient has exophthalmos. Which thyroid condition is
most likely?
• A. Hypothyroidism
• B. Graves' disease
• C. Hashimoto's thyroiditis
• D. Thyroid nodule
Rationale: Autoimmune stimulation of TSH receptors in Graves'
disease causes orbital fat and muscle expansion, leading to proptosis and
lid retraction.
Question 10
Inspection of the oral cavity reveals a white, lacy pattern on the buccal
mucosa. This is characteristic of:
• A. Aphthous ulcers
• B. Oral lichen planus
• C. Candidiasis
• D. Leukoplakia
NURS-6512N / NURS 6512 / NURS6512
Advanced Health Assessment Midterm
Exam (3 Versions) | LATEST |
ALL Graded A
Version 1
Question 1
During a comprehensive health history, which open-ended question best
elicits the patient's chief complaint?
• A. "What medications are you taking?"
• B. "What brings you in today?"
• C. "Do you have any allergies?"
• D. "How would you rate your pain on a scale of 1-10?"
Rationale: Open-ended questions like "What brings you in today?"
encourage patients to describe symptoms in their own words, facilitating
a patient-centered narrative and uncovering details that closed-ended
questions might miss.
Question 2
A 45-year-old patient reports fatigue and weight gain. Which
OLDCARTS component should the advanced practice nurse prioritize to
assess symptom onset?
• A. Location
• B. Onset
• C. Duration
• D. Characteristics
, 2
Rationale: Assessing onset helps determine if symptoms are acute or
chronic, guiding differential diagnosis; for example, sudden onset might
suggest acute thyroiditis, while gradual onset points to hypothyroidism.
Question 3
In assessing cultural competence, which factor is most critical when
interviewing a patient from a collectivist culture?
• A. Individual autonomy
• B. Family involvement in decision-making
• C. Personal achievement goals
• D. Direct eye contact
Rationale: Collectivist cultures often prioritize family consensus, so
involving family members enhances trust and ensures holistic care
aligned with the patient's values.
Question 4
Which technique is essential for establishing rapport during the initial
health assessment?
• A. Using medical jargon
• B. Active listening and empathy
• C. Rapid-fire questioning
• D. Avoiding personal space
Rationale: Active listening and empathy build therapeutic alliance,
improving communication accuracy and patient adherence to
recommendations.
Question 5
A patient with limited health literacy is identified. What is the most
appropriate response?
, 3
• A. Proceed with complex explanations
• B. Use the teach-back method
• C. Provide written materials only
• D. Refer to a specialist immediately
Rationale: Teach-back confirms understanding by having the patient
repeat information in their own words, addressing literacy barriers and
promoting patient education.
Question 6
During inspection of the head, bilateral ptosis is noted. This finding is
most associated with:
• A. Myasthenia gravis
• B. Horner's syndrome
• C. Bell's palsy
• D. Cluster headache
Rationale: Horner's syndrome involves sympathetic chain disruption,
causing ipsilateral ptosis, miosis, and anhidrosis due to loss of
sympathetic innervation to the levator palpebrae superioris.
Question 7
A patient complains of unilateral tinnitus. What is the priority
assessment?
• A. Weber test
• B. History of acoustic trauma or cerumen impaction
• C. Rinne test
• D. Visual acuity screening
Rationale: Unilateral tinnitus may indicate serious pathology like
acoustic neuroma; a targeted history identifies modifiable risks such as
noise exposure or wax buildup.
, 4
Question 8
On otoscopic examination, a red, bulging tympanic membrane is
observed. This suggests:
• A. Serous otitis media
• B. Acute otitis media
• C. Otosclerosis
• D. Meniere's disease
Rationale: Bulging and erythema indicate purulent effusion under
pressure from bacterial infection, distinguishing it from non-infectious
serous fluid accumulation.
Question 9
A 60-year-old patient has exophthalmos. Which thyroid condition is
most likely?
• A. Hypothyroidism
• B. Graves' disease
• C. Hashimoto's thyroiditis
• D. Thyroid nodule
Rationale: Autoimmune stimulation of TSH receptors in Graves'
disease causes orbital fat and muscle expansion, leading to proptosis and
lid retraction.
Question 10
Inspection of the oral cavity reveals a white, lacy pattern on the buccal
mucosa. This is characteristic of:
• A. Aphthous ulcers
• B. Oral lichen planus
• C. Candidiasis
• D. Leukoplakia
