NURS 6512 Mid Term Exam
Advanced Health Assessment (Walden University)
Review Test Submission: Exam - Week 6
Question 1
When completing this exam, did you comply with Walden University's Code of Conduct
including the expectations for academic integrity?
Answer: Yes
Question 2
A tool used to screen adolescents for alcoholism is the:
Answer: CRAFFT.
Question 3
Which question would be considered a leading question?
Answer: "You don't get headaches often, do you?"
Question 4
Mrs. Berger is a 39-year-old woman who presents with a complaint of epigastric abdominal pain.
You have completed the inspection of the abdomen. What is your next step in the assessment
process?
Answer: Auscultation
Question 5
Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic. Which
question has the most potential for exploring a patient's cultural beliefs related to a health
problem?
Answer: “Why do you think you are having these symptoms?”
Question 6
Which technique is most likely to result in the patient's understanding of questions?
Answer: Use the patient's own terms if possible.
Question 7
The most superior part of the stomach is the:
Answer: fundus.
Question 8
You are collecting a history from an 11-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:
Answer: given the opportunity to be interviewed without the parent at some point during the
interview.
Question 9
White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are:
Answer: aphthous ulcers.
Question 10
You are using an ophthalmoscope to examine a patient's inner eye. You rotate the lens selector
clockwise, then counterclockwise to compensate for:
Answer: myopia.
Question 11
Mrs. Raymonds is a 24-year-old patient who has presented for a routine concern over her current
weight. In your patient teaching with her, you explain the importance of macronutrients. Which
of the following is a macronutrient?
Answer: Fat
Question 12
Mr. Mathews is a 47-year-old patient who presents for a routine physical examination. On
examination, you have noted a bruit heard over the thyroid. This is suggestive of:
Answer: B. hyperthyroidism.
Question 13
The adult recommended dietary fat intake should be g/day.
Answer: 20 to 35
Question 14
Which of the following is the most accurate reflection of an individual's food intake?
Answer: Food diary
Question 15
Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced
practitioner who can distinguish:
Answer: D. seborrheic keratoses from actinic keratoses.
Question 16
Bulging of an amber tympanic membrane without mobility is most often associated with:
Answer: middle ear effusion.
Question 17
Mr. Donalds is a 45-year-old roofer. Your inspection to determine color variations of the skin is
best conducted:
Answer: C. with illumination provided by daylight.
Question 18
Sweat glands, hair, and nails are all formed from:
Answer: C. invaginations of epidermis into dermis.
Question 19
Mr. Williams, age 25, has recovered recently from an upper and lower respiratory infection. He
describes a long-standing nasal dripping. He is seeking treatment for a mild hearing loss that has
not gone away. Information concerning his chronic postnasal drip should be documented within
which section of his history?
Answer: Past medical data
Question 20
Mr. Mills is a 55-year-old patient who presents to the office for an initial visit for health
promotion. A survey of mobility and activities of daily living (ADLs) is part of a(an):
Answer: functional assessment.
Question 21
Before performing an abdominal examination, the examiner should:
Answer: have the patient empty his or her bladder.
Question 22
Which part of the information contained in the patient's record may be used in court?
Answer: All information
Question 23
When taking a history, you should:
Answer: use a chronologic and sequential framework.
Question 24
Which is the best way to position a patient's neck for palpation of the thyroid?
Answer: C. Flexed toward the side being examined
Question 25
In examining the neck of a 34-year-old female patient, you note that the uppermost ridge of the
tracheal cartilage is at the:
Answer: cricoid.
Question 26
Periods of silence during the interview can serve important purposes, such as:
Answer: providing time for reflection.
Question 27
When palpating the abdomen, you should note whether the liver is enlarged in the:
Answer: right upper quadrant.
Question 28
You are palpating a patient's thyroid and find that its broadest dimension measures 4 cm. The
right lobe is 25% larger than the left. These data would indicate:
Answer: C. a normal thyroid gland.
Question 29
Your patient is complaining of acute, intense sharp epigastric pain that radiates to the back and
left scapula with nausea and vomiting. Based on this history, your prioritized physical
examination should be to:
Answer: inspect for ecchymosis of the flank.
Question 30
During an interview, tears appear in the patient's eyes and his voice becomes shaky. Initially, you
should:
Answer: offer a tissue and let him know it is all right to cry.
Question 31
A 51-year-old woman calls with complaints of weight loss and constipation. She reports enlarged
hemorrhoids and rectal bleeding. You advise her to:
Answer: come to the laboratory for a stool guaiac test.
Question 32
Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural
competence?
Answer: Realize that cultural values are difficult to change and must be respected.
Question 33
Placing the base of a vibrating tuning fork on the midline vertex of the patient's head is a test for:
Answer: lateralization of sound.
Question 34
During an interview, you have the impression that a patient may be considering suicide. Which
action is essential?
Answer: Ask whether the patient has considered self-harm.
Question 35
A detailed description of the symptoms related to the chief complaint is presented in the:
Answer: history of present illness.
Question 36
Which statement is true regarding the relationship of physical characteristics and culture?
Answer: There is a difference between distinguishing cultural characteristics and distinguishing
physical characteristics.
Question 37
Which technique is most likely to result in the patient's understanding of questions?
Answer: Use the patient's own terms if possible.
Question 38
Mrs. Britton is a 34-year-old patient who presents to the office with complaints of skin rashes.
You have noted a 4' 3-cm, rough, elevated area of psoriasis. This is an example of a:
Answer: A. plaque.
Question 39
Your patient returns for a blood pressure check 2 weeks after a visit during which you performed
a complete history and physical. This visit would be documented by creating a(n):
Answer: progress note.
Question 40
Mrs. Hartzell is a 34-year-old patient who has presented for nutritional counseling because she is
a vegetarian. Deficiency of which of the following is a concern in the vegetarian diet?
Answer: Vitamin B12
Question 41
Fluorescing lesions are best distinguished using a(n):
Answer: Wood’s lamp.
Question 42
When assessing abdominal pain in a college-age woman, one must include:
Answer: the first day of the last menstrual period.
Question 43
During percussion, a dull tone is expected to be heard over:
Answer: the liver.
Question 44
In issues surrounding ethical decision making, beneficence refers to the:
Answer: need to do good for the patient.
Question 45
Nuchal rigidity is most commonly associated with:
Answer: B. meningeal irritation.
Question 46
Subjective and symptomatic data are:
Answer: placed in the history section.
Question 47
As part of your health promotion education for a new patient, you explain that the risk factors for
skin cancer include:
Answer: repeated trauma or irritation to skin.
Question 48
Mrs. Tuber is a 36-year-old patient who comes into the health center with complaints that her
fingernails are not growing. Which structure is the site of new nail growth?
Answer: C. Matrix
Question 49
To correctly document absent bowel sounds, one must listen continuously for:
Answer: 5 minutes.
Question 50
Which of the following is an "ABCD" characteristic of malignant melanoma?
Answer: Asymmetric borders
Question 51
You are planning to palpate the abdomen of your patient. Which part of the examiner's hand is
best for palpating vibration?
Answer: Ulnar surface
Question 52
Mr. Jones is a 45-year-old patient who presents for a physical examination. On examination, you
note costochondral beading, enlarged skull, and bowed legs and diagnose him with rickets. A
deficiency of which fat-soluble micronutrient can result in rickets?
Answer: Vitamin D
Question 53
Mr. Johnson presents with a freely movable cystic mass in the midline of the high neck region at
the base of the tongue. This is most likely a:
Answer: thyroglossal duct cyst
Question 54
In counseling a client regarding nutrition education, you explain that linoleic acid, a major fatty
acid, is thought to be essential for:
Answer: normal growth and development
Question 55
Mrs. Kinder is a 39-year-old patient who presents to the office with complaints of an earache. In
explaining to the patient about the function of her ears, which ear structure would you tell her is
responsible for equalizing atmospheric pressure when swallowing, sneezing, or yawning?
Answer: Eustachian tube
Question 56
Regardless of the origin, discharge is described by noting:
Answer: color and consistency.
Question 57
Ms. Jones is a 31-year-old female patient who presents for a routine physical examination.
Which examination technique will be used first?
Answer: Inspection
Question 58
Penicillin is considered a
Answer: “hot” medicine.
Question 59
Peritonitis produces bowel sounds that are:
Answer: hypoactive.
Question 60
When are open-ended questions generally most useful?
Answer: During the initial part of the interview
Question 61
Mrs. Britton brings her 16-year-old son in with a complaint that he is not developing correctly
into adolescence. Which structures disproportionately enlarge in the male during adolescence?
Answer: D. Nose and thyroid cartilages
Question 62
Before performing an abdominal examination, the examiner should:
Answer: have the patient empty his or her bladder.
Question 63
Nasal symptoms that imply an allergic response include:
Answer: bluish gray turbinates.
Question 64
Coarse, dry, and brittle hair is associated with which metabolic disorder?
Answer: Hypothyroidism
Question 65
The infant should be placed in which position to have his or her height or length measured?
Answer: Supine on a measuring board
Question 66
Cherry angiomas are a common finding in:
Answer: adults older than 30 years.
Question 67
Underestimation of blood pressure will occur if the blood pressure cuff's width covers:
Answer: more than two-thirds of the upper arm.
Question 68
Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure:
Answer: hearing range of normal speech.
Question 69
Auscultation should be carried out last, except when examining the:
Answer: abdomen.
Question 70
You have just completed a skin assessment on Mr. Baker. During your assessment, you have
transilluminated a skin lesion. During the physical examination, you know that skin lesions are
transilluminated to distinguish:
Answer: C. fluid-filled from solid cysts or masses.
Question 71
Which of the following organs is part of the alimentary tract?
Answer: Stomach
Question 72
When assessing abdominal pain in a college-age woman, one must include:
Answer: the first day of the last menstrual period.
Question 73
To perform the Rinne test, place the tuning fork on the:
Answer: mastoid bone.
Question 74
A 5-year-old child presents with nasal congestion and a headache. To assess for sinus tenderness
you should palpate over the:
Answer: maxillary sinuses only.
Question 75
A serous membrane that lines the abdominal cavity and forms a protective cover for many
abdominal structures is the:
Answer: peritoneum.
Question 76
Inspection of the abdomen should begin with the patient supine and the examiner:
Answer: seated on the patient's right.
Question 77
When you are questioning a patient regarding alcohol intake, she tells you that she is only a
social drinker. Which initial response is appropriate?
Answer: "What amount and what kind of alcohol do you drink in a week?"
Question 78
During physical examination of a 30-year-old Chinese man, you notice slight asymmetry of his
face. The cranial nerve examination is normal. Your best action is to:
Answer: D. record the finding in the patient’s chart.
Question 79
A brief statement of the reason the patient is seeking health care is called the:
Answer: chief complaint.
Question 80
Unusual white areas on the skin may be due to:
Answer: C. vitiligo.
Question 81
When examining the skull of a 4-month-old baby, you should normally find:
Answer: B. closure of the posterior fontanel.
Question 82
To approximate vocal frequencies, which tuning fork should be used to assess hearing?
Answer: 500 to 1000 Hz
Question 83
Which of the following is an expected change in the assessment of the thyroid during pregnancy?
Answer: A bruit is auscultated.
Question 84
Mr. Walters, a 32-year-old patient, tells you that his ears are "stopped up." An objective
assessment of this complaint is achieved by using the:
Answer: tympanometer.
Question 85
Ms. Otten is a 45-year-old patient who presents with a complaint of weight gain. Which
medication is frequently associated with weight gain?
Answer: Steroids
Question 86
The term denoting the caregiver's need to do no harm to the patient is:
Answer: nonmaleficence.
Question 87
Mr. Black is a 44-year-old patient who presents to the clinic with complaints of neck pain that he
thinks is from his job involving computer data entry. As the examiner, you are checking the range
of motion in his neck and note the greatest degree of cervical mobility is at:
Answer: D. C4 to C5.
Question 88
Peritonitis produces bowel sounds that are:
Answer: hypoactive.
Question 89
Macronutrients are so named because they:
Answer: are required in large amounts.
Question 90
As you explain your patient's condition to her husband, you notice that he is leaning toward you
and pointedly blinking his eyes. Knowing that he is from England, your most appropriate
response to this behavior is to:
Answer: ask whether he has any questions.
Question 91
A 17-year-old girl presents to the clinic for a sports physical. Physical examination findings
reveal bradycardia, multiple erosions of tooth enamel, and scars on her knuckles. She appears
healthy otherwise. You should ask her if she:
Answer: binges and vomits.
Question 92
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:
Answer: personal and social history.
Question 93
A college student comes to the student health center complaining of difficulty in concentrating
during class and while studying. The diet that would contribute to this problem is one that
consumes mostly:
Answer: lean meat and fish.
Question 94
You are completing a general physical examination on Mr. Rock, a 39-year-old man with
complaints of constipation. When examining a patient with tense abdominal musculature, a
helpful technique is to have the patient:
Answer: flex his or her knees.
Question 95
What finding is unique to the documentation of a physical examination of an infant?
Answer: Fontanel sizes
Question 96
When communicating with older children and teenagers, you should be sensitive to their:
Answer: typical reluctance to talk.
Question 97
Under normal circumstances, how much water is lost daily by the body?
Answer: 2 to 2.5 L
Question 98
A fixed image of any group that rejects its potential for originality or individuality is known as
a(n):
Answer: stereotype.
Question 99
Knowledge of the culture or cultures represented by the patient should be used to:
Answer: help make the interview questions more pertinent.
Question 100
Mrs. Webb is a 38-year-old patient who has been changing her lifestyle to eat in a healthy way
and lose weight. During your health promotion education regarding her nutritional status, you
explain the function of dietary protein as:
Answer: building and maintaining tissues.
Question 101
When recording physical findings, which data are recorded first for all systems?
Answer: Inspection
