NURS 612 ADVANCED HEALTH
ASSESSMENT EXAM
NURS 612 ADVANCED HEALTH
ASSESSMENT EXAM LATEST UPDATE
COMPLETE QUESTIONS CHAMBERLAIN
COLLEGE OF NURSING
Which of the following will help to optimize success from a pediatric examination?
A) Doing the examination out of order if necessary to take advantage of quiet periods for
auscultation, etc.
B) Being very orderly, so as not to miss a portion of the examination.
A+ TEST BANK 1
, NURS 612 ADVANCED HEALTH
ASSESSMENT EXAM
C) Using firmness throughout your examination, letting the child know you are in charge.
D) Making sure to place the infant on the table during the examination while Mom watches close by.
A) Doing the examination out of order if necessary to take advantage of quiet periods for
auscultation, etc.
With certain exceptions, physical examination does not require use of the examining table, or with the
child in a parent's lap. Plan the examination to start with the least distressing procedures and end with
the most distressing, usually involving the throat and ears. Patience, distraction, play flexibility in the
order of the examination, and caring but firm approach are all key to successfully examining the young
child.
A patient has come in for an examination and states, "I have this spot in front of my ear lobe here on
my cheek that seems to be getting bigger and is tender. What do you think it is?" The NP notes
swelling above the angle of the jaw and suspects it could be an inflammation of his:
A) occipital node
B) thyroid gland
C) parotid gland
D) none of the above
C) parotid gland
The swelling of the parotid gland is seen anterior to the ear lobes and above the angles of the jaw.
All of the following are a common or concerning symptom in a health history for a respiratory
assessment EXCEPT?
A) palpitations
B) blood-streaked sputum
C) chest pain
D) snoring
A+ TEST BANK 2
, NURS 612 ADVANCED HEALTH
ASSESSMENT EXAM
A) palpitations
Chest pain, blood-streaked sputum, and snoring are all common or concerning symptoms in a health
history for respiratory assessment.
A 29-year-old physical therapist presents for evaluation of an eyelid problem. On observation, the right
eyeball appears to be protruding forward. Based on this description, what is the most likely diagnosis?
A) Epicanthus
B) Ptosis
C) Exophthalmos
D) Ectropion
C) Exophthalmos
Eye protrusion (proptosis or exophthalmos)
The nurse practitioner is performing an eye examination using the ophthalmoscope. Which
component is NOT part of the ophthalmoscope?
A) lens disc
B) aperature
C) indicator of diopters
D) speculum
D) speculum
See picture of ophthalmoscope (Bates p 238)
A 15-year-old high school sophomore presents to the emergency room with his mother for evaluation
of an area of blood in the left eye. He denies trauma or injury but has been coughing forcefully with a
A+ TEST BANK 3
, NURS 612 ADVANCED HEALTH
ASSESSMENT EXAM
recent cold. He denies visual disturbances, eye pain, or discharge from the eye. On physical
examination, the pupils are equal, round, and reactive to light, with a visual acuity of 20/20 in each eye
and 20/20 bilaterally. There is a homogeneous, sharply demarcated area at the lateral aspect of the
base of the left eye. The cornea is clear. Based on this description, what is the most likely diagnosis?
A) Conjunctivitis
B) Acute iritis
C) Corneal abrasion
D) Subconjunctival hemorrhage
D) Subconjunctival hemorrhage
Leakage of blood outside of the vessels, producing a homogenous, sharply demarcated, red area. The
pupil is not affected, vision is not affected and the cornea is clear. May result from trauma, bleeding
disorders, or sudden increase in venous pressure, as from a cough.
The nurse practitioner is reviewing for a class in age-related changes in the eye. Which of these
physiological changes is responsible for presbyopia?
A) degeneration of the cornea
B) decreased adaptation to darkness
C) decreased distance vision abilities
D) loss of lens elasticity
D) loss of lens elasticity
The lens gradually loses its elasticity, and the eye grows progressively less able to accommodate and
focus on nearby objects. Ensuing presbyopia usually becomes noticeable during the fifth decade.
(Bates, p 959, 991)
Mr. Q. is a 45-year-old salesman who comes to your office for evaluation of fatigue. He has come to
the office many times in the past with a variety of injuries, and you suspect that he has a problem with
alcohol. Which one of the following questions will be most helpful in diagnosing this problem?
A+ TEST BANK 4
ASSESSMENT EXAM
NURS 612 ADVANCED HEALTH
ASSESSMENT EXAM LATEST UPDATE
COMPLETE QUESTIONS CHAMBERLAIN
COLLEGE OF NURSING
Which of the following will help to optimize success from a pediatric examination?
A) Doing the examination out of order if necessary to take advantage of quiet periods for
auscultation, etc.
B) Being very orderly, so as not to miss a portion of the examination.
A+ TEST BANK 1
, NURS 612 ADVANCED HEALTH
ASSESSMENT EXAM
C) Using firmness throughout your examination, letting the child know you are in charge.
D) Making sure to place the infant on the table during the examination while Mom watches close by.
A) Doing the examination out of order if necessary to take advantage of quiet periods for
auscultation, etc.
With certain exceptions, physical examination does not require use of the examining table, or with the
child in a parent's lap. Plan the examination to start with the least distressing procedures and end with
the most distressing, usually involving the throat and ears. Patience, distraction, play flexibility in the
order of the examination, and caring but firm approach are all key to successfully examining the young
child.
A patient has come in for an examination and states, "I have this spot in front of my ear lobe here on
my cheek that seems to be getting bigger and is tender. What do you think it is?" The NP notes
swelling above the angle of the jaw and suspects it could be an inflammation of his:
A) occipital node
B) thyroid gland
C) parotid gland
D) none of the above
C) parotid gland
The swelling of the parotid gland is seen anterior to the ear lobes and above the angles of the jaw.
All of the following are a common or concerning symptom in a health history for a respiratory
assessment EXCEPT?
A) palpitations
B) blood-streaked sputum
C) chest pain
D) snoring
A+ TEST BANK 2
, NURS 612 ADVANCED HEALTH
ASSESSMENT EXAM
A) palpitations
Chest pain, blood-streaked sputum, and snoring are all common or concerning symptoms in a health
history for respiratory assessment.
A 29-year-old physical therapist presents for evaluation of an eyelid problem. On observation, the right
eyeball appears to be protruding forward. Based on this description, what is the most likely diagnosis?
A) Epicanthus
B) Ptosis
C) Exophthalmos
D) Ectropion
C) Exophthalmos
Eye protrusion (proptosis or exophthalmos)
The nurse practitioner is performing an eye examination using the ophthalmoscope. Which
component is NOT part of the ophthalmoscope?
A) lens disc
B) aperature
C) indicator of diopters
D) speculum
D) speculum
See picture of ophthalmoscope (Bates p 238)
A 15-year-old high school sophomore presents to the emergency room with his mother for evaluation
of an area of blood in the left eye. He denies trauma or injury but has been coughing forcefully with a
A+ TEST BANK 3
, NURS 612 ADVANCED HEALTH
ASSESSMENT EXAM
recent cold. He denies visual disturbances, eye pain, or discharge from the eye. On physical
examination, the pupils are equal, round, and reactive to light, with a visual acuity of 20/20 in each eye
and 20/20 bilaterally. There is a homogeneous, sharply demarcated area at the lateral aspect of the
base of the left eye. The cornea is clear. Based on this description, what is the most likely diagnosis?
A) Conjunctivitis
B) Acute iritis
C) Corneal abrasion
D) Subconjunctival hemorrhage
D) Subconjunctival hemorrhage
Leakage of blood outside of the vessels, producing a homogenous, sharply demarcated, red area. The
pupil is not affected, vision is not affected and the cornea is clear. May result from trauma, bleeding
disorders, or sudden increase in venous pressure, as from a cough.
The nurse practitioner is reviewing for a class in age-related changes in the eye. Which of these
physiological changes is responsible for presbyopia?
A) degeneration of the cornea
B) decreased adaptation to darkness
C) decreased distance vision abilities
D) loss of lens elasticity
D) loss of lens elasticity
The lens gradually loses its elasticity, and the eye grows progressively less able to accommodate and
focus on nearby objects. Ensuing presbyopia usually becomes noticeable during the fifth decade.
(Bates, p 959, 991)
Mr. Q. is a 45-year-old salesman who comes to your office for evaluation of fatigue. He has come to
the office many times in the past with a variety of injuries, and you suspect that he has a problem with
alcohol. Which one of the following questions will be most helpful in diagnosing this problem?
A+ TEST BANK 4
