2/11/26,
H
4:08 PM
ttps:/
NSG 6020 Midterm Exam Guide: Health Assessment
(Latest 2026/2027) –100% Verified Questions &
Answers | Grade A
Graduate Health Assessment – NSG 6020 | Core Domains: Advanced Physical Assessment,
Diagnostic Reasoning, Health History Collection, System-Focused Examination
Techniques, Evidence-Based Clinical Practice, Cultural Considerations in Assessment, and
Patient Communication Strategies | Learning Support Guide
Exam Structure Overview
The NSG 6020 Midterm focuses on advanced health assessment concepts essential for graduate-level
clinical practice. Key areas include patient interviewing, differential reasoning, focused and
comprehensive assessments, and interpretation of clinical findings. This guide organizes review material
by major systems and competencies to support structured and effective studying.
Introduction
This NSG 6020 Midterm Study Guide for the 2026/2027 academic cycle provides a clear, well-organized
review of essential health-assessment concepts. It is designed to reinforce clinical reasoning, improve
assessment accuracy, and strengthen understanding of evidence-based approaches used in advanced
nursing practice. Learners can use this resource to deepen their knowledge, practice critical thinking, and
prepare confidently for course assessments.
Study & Review Format
Each section presents:
• Key concepts and definitions
• Study questions to support comprehension
• Clinical reasoning tips
• Assessment cues and red-flag findings
• System-based summaries for quick review
1/
,2/11/26,
4:08 PM
A patient tells the nurse that she has had abdominal "Can you point to where it hurts?"
pain for the past week. What would be the best response
by the nurse?
A patient's laboratory data reveal an elevated thyroxine Thyroid
level. The nurse would proceed with an examination of
the:
A 6-month-old infant has been brought to the well-child Auscultate the lungs and heart while the infant is still sleeping
clinic for a check-up. She is currently sleeping. What
should the examiner do first?
When preparing to examine a 6-year-old child, which Start with the thorax, abdomen, and genitalia before examining the
head. Avoid action is most appropriate? talking about the equipment being used because it may increase the
child's anxiety
Keep in mind that a child this age will have a sense of modesty. Have the child undress from the waist up.
68-year-old woman is in the eye clinic for a checkup. She She may have macular degeneration
tells the nurse that she has been having trouble with
reading the paper, sewing, and even seeing the faces of
her grandchildren. On examination, the nurse notes that
she has some loss of central vision but her peripheral
vision is normal. These findings suggest that:
In assessing a patient's major risk factors for heart 3. Smoking, hypertension, obesity, diabetes, high cholesterol
disease, which would the nurse want to include when .
taking a history?
1.Family history, hypertension, stress, age
2.Personality type, high cholesterol, diabetes,
smoking 3.Smoking, hypertension, obesity, diabetes,
high
cholesterol
4.Alcohol consumption, obesity, diabetes, stress, high
cholesterol
A teenage patient comes to the emergency department a pneumothorax
with complaints of an inability to breathe and a sharp
pain in the left side of his chest. The assessment findings
include cyanosis, tachypnea, tracheal deviation to the
right, decreased tactile fremitus on the left,
hyperresonance on the left, and decreased breath sounds
on the left. The nurse interprets that these assessment
findings are consistent
with:
The most important reason to share information and 2. build rapport and increase the patient's confidence in the examiner.
offer brief teaching while performing the physical
examination is to help:
1. the examiner feel more comfortable and gain
control of the situation.
2. build rapport and increase the patient's confidence in
the examiner.
3. the patient understand his or her disease process
and treatment modalities.
4. the patient identify questions about his or her
disease and potential areas of patient education.
In assessing the sclera of a black patient, which of the The presence of small brown macules on the sclera
following would be an expected finding?
2/
, 2/11/26,
4:08 PM
During an examination, the nurse knows that the Using gentle pressure, palpate with both hands to compare the two
best way to palpate the lymph nodes in the neck sides.
is described by which statement?
The nurse is obtaining a history from a 30-year- 1. "Do you perform testicular self-exams?"
old male patient and is concerned about health
promotion activities. Which of the following
questions would be appropriate to use to assess
health promotion activities for this patient?
1. "Do you perform testicular self-exams?"
2. "Have you ever noticed any pain in your
testicles?"
3. "Have you had any problems with passing your
urine?"
4. "Do you have any history of sexually
transmitted disease?"
When examining a 16-year-old male teenager, provide feedback that his body is developing normally and discuss
the examiner should: the wide variation among teenagers on the rate of growth and
development.
Which of the following statements regarding the the abdominal musculature is thinner
aging adult and abdominal assessment is true?
In recording the childhood illnesses of a patient 4. Patient denies measles, mumps, rubella, chickenpox, pertussis, or
who denies having had any, which of the strep throat.
following notes by the nurse would be most
accurate?
1. Patient denies usual childhood illnesses.
2. Patient states he was a "very healthy" child.
3. Patient states sister had measles, but he didn't.
4. Patient denies measles, mumps, rubella,
chickenpox, pertussis, or strep throat.
A patient's thyroid is enlarged, and the nurse is soft, whooshing, pulsatile sound best heard with the bell of the
preparing to auscultate the thyroid for the stethoscope.
presence of a bruit. A bruit is a:
During an examination, the nurse knows Paget's disease occurs more often in males and is characterized by
that Paget's disease would be indicated by bowed, long bones, sudden fractures, and enlarging skull bones that
which of the following findings? press on cranial nerves causing symptoms of headache, vertigo,
tinnitus, and progressive deafness.
A patient is unable to read the 20/100 line on the refer the patient to an ophthalmologist or optometrist for further
Snellen chart. The nurse practitioner would evaluation.
Which technique of assessment is used to Palpation
determine the presence of crepitus, swelling,
and pulsations?
During a cardiac assessment on an adult patient 4. heart failure
in the hospital for "chest pain," the nurse finds
the following:
jugular vein pulsations 4 cm above sternal angle
when he is elevated at 45 degrees, BP 98/60,
HR 130; ankle edema; difficulty in breathing
when supine; and an S3 on auscultation. Which
of the following best explains the cause of these
findings?
1. Fluid overload
3/
H
4:08 PM
ttps:/
NSG 6020 Midterm Exam Guide: Health Assessment
(Latest 2026/2027) –100% Verified Questions &
Answers | Grade A
Graduate Health Assessment – NSG 6020 | Core Domains: Advanced Physical Assessment,
Diagnostic Reasoning, Health History Collection, System-Focused Examination
Techniques, Evidence-Based Clinical Practice, Cultural Considerations in Assessment, and
Patient Communication Strategies | Learning Support Guide
Exam Structure Overview
The NSG 6020 Midterm focuses on advanced health assessment concepts essential for graduate-level
clinical practice. Key areas include patient interviewing, differential reasoning, focused and
comprehensive assessments, and interpretation of clinical findings. This guide organizes review material
by major systems and competencies to support structured and effective studying.
Introduction
This NSG 6020 Midterm Study Guide for the 2026/2027 academic cycle provides a clear, well-organized
review of essential health-assessment concepts. It is designed to reinforce clinical reasoning, improve
assessment accuracy, and strengthen understanding of evidence-based approaches used in advanced
nursing practice. Learners can use this resource to deepen their knowledge, practice critical thinking, and
prepare confidently for course assessments.
Study & Review Format
Each section presents:
• Key concepts and definitions
• Study questions to support comprehension
• Clinical reasoning tips
• Assessment cues and red-flag findings
• System-based summaries for quick review
1/
,2/11/26,
4:08 PM
A patient tells the nurse that she has had abdominal "Can you point to where it hurts?"
pain for the past week. What would be the best response
by the nurse?
A patient's laboratory data reveal an elevated thyroxine Thyroid
level. The nurse would proceed with an examination of
the:
A 6-month-old infant has been brought to the well-child Auscultate the lungs and heart while the infant is still sleeping
clinic for a check-up. She is currently sleeping. What
should the examiner do first?
When preparing to examine a 6-year-old child, which Start with the thorax, abdomen, and genitalia before examining the
head. Avoid action is most appropriate? talking about the equipment being used because it may increase the
child's anxiety
Keep in mind that a child this age will have a sense of modesty. Have the child undress from the waist up.
68-year-old woman is in the eye clinic for a checkup. She She may have macular degeneration
tells the nurse that she has been having trouble with
reading the paper, sewing, and even seeing the faces of
her grandchildren. On examination, the nurse notes that
she has some loss of central vision but her peripheral
vision is normal. These findings suggest that:
In assessing a patient's major risk factors for heart 3. Smoking, hypertension, obesity, diabetes, high cholesterol
disease, which would the nurse want to include when .
taking a history?
1.Family history, hypertension, stress, age
2.Personality type, high cholesterol, diabetes,
smoking 3.Smoking, hypertension, obesity, diabetes,
high
cholesterol
4.Alcohol consumption, obesity, diabetes, stress, high
cholesterol
A teenage patient comes to the emergency department a pneumothorax
with complaints of an inability to breathe and a sharp
pain in the left side of his chest. The assessment findings
include cyanosis, tachypnea, tracheal deviation to the
right, decreased tactile fremitus on the left,
hyperresonance on the left, and decreased breath sounds
on the left. The nurse interprets that these assessment
findings are consistent
with:
The most important reason to share information and 2. build rapport and increase the patient's confidence in the examiner.
offer brief teaching while performing the physical
examination is to help:
1. the examiner feel more comfortable and gain
control of the situation.
2. build rapport and increase the patient's confidence in
the examiner.
3. the patient understand his or her disease process
and treatment modalities.
4. the patient identify questions about his or her
disease and potential areas of patient education.
In assessing the sclera of a black patient, which of the The presence of small brown macules on the sclera
following would be an expected finding?
2/
, 2/11/26,
4:08 PM
During an examination, the nurse knows that the Using gentle pressure, palpate with both hands to compare the two
best way to palpate the lymph nodes in the neck sides.
is described by which statement?
The nurse is obtaining a history from a 30-year- 1. "Do you perform testicular self-exams?"
old male patient and is concerned about health
promotion activities. Which of the following
questions would be appropriate to use to assess
health promotion activities for this patient?
1. "Do you perform testicular self-exams?"
2. "Have you ever noticed any pain in your
testicles?"
3. "Have you had any problems with passing your
urine?"
4. "Do you have any history of sexually
transmitted disease?"
When examining a 16-year-old male teenager, provide feedback that his body is developing normally and discuss
the examiner should: the wide variation among teenagers on the rate of growth and
development.
Which of the following statements regarding the the abdominal musculature is thinner
aging adult and abdominal assessment is true?
In recording the childhood illnesses of a patient 4. Patient denies measles, mumps, rubella, chickenpox, pertussis, or
who denies having had any, which of the strep throat.
following notes by the nurse would be most
accurate?
1. Patient denies usual childhood illnesses.
2. Patient states he was a "very healthy" child.
3. Patient states sister had measles, but he didn't.
4. Patient denies measles, mumps, rubella,
chickenpox, pertussis, or strep throat.
A patient's thyroid is enlarged, and the nurse is soft, whooshing, pulsatile sound best heard with the bell of the
preparing to auscultate the thyroid for the stethoscope.
presence of a bruit. A bruit is a:
During an examination, the nurse knows Paget's disease occurs more often in males and is characterized by
that Paget's disease would be indicated by bowed, long bones, sudden fractures, and enlarging skull bones that
which of the following findings? press on cranial nerves causing symptoms of headache, vertigo,
tinnitus, and progressive deafness.
A patient is unable to read the 20/100 line on the refer the patient to an ophthalmologist or optometrist for further
Snellen chart. The nurse practitioner would evaluation.
Which technique of assessment is used to Palpation
determine the presence of crepitus, swelling,
and pulsations?
During a cardiac assessment on an adult patient 4. heart failure
in the hospital for "chest pain," the nurse finds
the following:
jugular vein pulsations 4 cm above sternal angle
when he is elevated at 45 degrees, BP 98/60,
HR 130; ankle edema; difficulty in breathing
when supine; and an S3 on auscultation. Which
of the following best explains the cause of these
findings?
1. Fluid overload
3/
