NURS 612 Advanced Health Assessment - Week 11 Quiz 2026
|Maryville
1. When performing a physical examination on a 6-month-old infant, which
assessment should the provider perform last to minimize distress?
A. Auscultation of heart and lung sounds
B. Palpation of the fontanels
C. Assessment of the Moro reflex
D. Examination of the ears and throat
Answer: D
Rationale: In pediatric assessments, invasive or distressing procedures, such as examining
the throat and ears with an otoscope, should be performed last to maintain the child’s
cooperation for as long as possible.
2. An 82-year-old patient presents with difficulty hearing high-pitched sounds.
This condition, common in the elderly, is known as:
A. Otosclerosis
B. Cholesteatoma
C. Tinnitus
D. Presbycusis
Answer: D
Rationale: Presbycusis is the age-related sensorineural hearing loss that typically involves
the loss of ability to hear high-frequency sounds due to degeneration of the hair cells in the
cochlea.
,3. When assessing a newborn for Developmental Dysplasia of the Hip (DDH), the
provider performs the Ortolani maneuver. A positive finding is indicated by:
A. Resistance when attempting to abduct the hips
B. External rotation of the hip beyond 90 degrees
C. Asymmetrical skin folds on the posterior thighs
D. A palpable clunk as the femoral head moves into the acetabulum
Answer: D
Rationale: The Ortolani maneuver is used to reduce a dislocated hip; a positive sign is a
palpable ‘clunk’ as the femoral head slips back into the acetabulum during abduction.
4. Which of the following is considered an Instrumental Activity of Daily Living
(IADL) rather than a basic Activity of Daily Living (ADL)?
A. Bathing and toileting
B. Feeding oneself
C. Transferring from bed to chair
D. Managing finances and medications
Answer: D
Rationale: ADLs are basic self-care tasks (bathing, dressing, feeding). IADLs are more
complex tasks necessary for independent living, such as shopping, meal preparation, and
managing finances.
5. During the assessment of a 4-year-old child, the provider notes a musical,
vibratory, mid-systolic murmur at the lower left sternal border. This is most
likely:
A. Still’s Murmur
B. Ventricular Septal Defect (VSD)
C. Patent Ductus Arteriosus (PDA)
D. Tetralogy of Fallot
Answer: A
, Rationale: Still’s murmur is the most common innocent murmur in children. It is
characterized by a musical or vibratory quality and is heard best at the lower left sternal
border.
6. At what age does the anterior fontanel typically close in a healthy infant?
A. 2 to 3 months
B. 6 to 9 months
C. 12 to 18 months
D. 24 to 30 months
Answer: C
Rationale: The anterior fontanel usually closes between 12 and 18 months of age, whereas
the posterior fontanel closes by 2 months.
7. A 75-year-old patient reports a sudden onset of confusion, agitation, and
visual hallucinations. This clinical picture is most consistent with:
A. Alzheimer’s Disease
B. Vascular Dementia
C. Delirium
D. Depression
Answer: C
Rationale: Delirium is characterized by an acute onset, fluctuating course, and
disturbances in consciousness and attention, often triggered by an underlying medical
condition or medication.
|Maryville
1. When performing a physical examination on a 6-month-old infant, which
assessment should the provider perform last to minimize distress?
A. Auscultation of heart and lung sounds
B. Palpation of the fontanels
C. Assessment of the Moro reflex
D. Examination of the ears and throat
Answer: D
Rationale: In pediatric assessments, invasive or distressing procedures, such as examining
the throat and ears with an otoscope, should be performed last to maintain the child’s
cooperation for as long as possible.
2. An 82-year-old patient presents with difficulty hearing high-pitched sounds.
This condition, common in the elderly, is known as:
A. Otosclerosis
B. Cholesteatoma
C. Tinnitus
D. Presbycusis
Answer: D
Rationale: Presbycusis is the age-related sensorineural hearing loss that typically involves
the loss of ability to hear high-frequency sounds due to degeneration of the hair cells in the
cochlea.
,3. When assessing a newborn for Developmental Dysplasia of the Hip (DDH), the
provider performs the Ortolani maneuver. A positive finding is indicated by:
A. Resistance when attempting to abduct the hips
B. External rotation of the hip beyond 90 degrees
C. Asymmetrical skin folds on the posterior thighs
D. A palpable clunk as the femoral head moves into the acetabulum
Answer: D
Rationale: The Ortolani maneuver is used to reduce a dislocated hip; a positive sign is a
palpable ‘clunk’ as the femoral head slips back into the acetabulum during abduction.
4. Which of the following is considered an Instrumental Activity of Daily Living
(IADL) rather than a basic Activity of Daily Living (ADL)?
A. Bathing and toileting
B. Feeding oneself
C. Transferring from bed to chair
D. Managing finances and medications
Answer: D
Rationale: ADLs are basic self-care tasks (bathing, dressing, feeding). IADLs are more
complex tasks necessary for independent living, such as shopping, meal preparation, and
managing finances.
5. During the assessment of a 4-year-old child, the provider notes a musical,
vibratory, mid-systolic murmur at the lower left sternal border. This is most
likely:
A. Still’s Murmur
B. Ventricular Septal Defect (VSD)
C. Patent Ductus Arteriosus (PDA)
D. Tetralogy of Fallot
Answer: A
, Rationale: Still’s murmur is the most common innocent murmur in children. It is
characterized by a musical or vibratory quality and is heard best at the lower left sternal
border.
6. At what age does the anterior fontanel typically close in a healthy infant?
A. 2 to 3 months
B. 6 to 9 months
C. 12 to 18 months
D. 24 to 30 months
Answer: C
Rationale: The anterior fontanel usually closes between 12 and 18 months of age, whereas
the posterior fontanel closes by 2 months.
7. A 75-year-old patient reports a sudden onset of confusion, agitation, and
visual hallucinations. This clinical picture is most consistent with:
A. Alzheimer’s Disease
B. Vascular Dementia
C. Delirium
D. Depression
Answer: C
Rationale: Delirium is characterized by an acute onset, fluctuating course, and
disturbances in consciousness and attention, often triggered by an underlying medical
condition or medication.
