MARYVILLE NURS 612 EXAM 1/MARYVILLE NURS 612 EXAM 1 WITH COMPLETE SOLUTION LATEST 2025/2026 UPDATE (100% VERIFIED)/COMPLETE FREQUENTLY MOST TESTED QUESTIONS WITH COMPLETE SOLUTION /GET IT 100% ACCURATE!

MARYVILLE NURS 612 EXAM
1/MARYVILLE NURS 612 EXAM 1 WITH
COMPLETE SOLUTION LATEST
2025/2026 UPDATE (100%
VERIFIED)/COMPLETE FREQUENTLY
MOST TESTED QUESTIONS WITH
COMPLETE SOLUTION /GET IT 100%
ACCURATE!

MARYVILLE NURS 612: ADVANCED HEALTH ASSESSMENT gf gf gf gf gf




PRACTICE EXAM 1 gf gf




Instructions: Choose the single best answer for each question.
gf gf gf gf gf gf gf gf




1. A 45-year-
gf gf




old male patient presents with a history of heavy alcohol use. On examination, you note bi
gf gf gf gf gf gf gf gf gf gf gf gf gf gf gf




lateral, painless swelling of the parotid glands. Which of the following is the most likely u
gf gf gf gf gf gf gf gf gf gf gf gf gf gf gf




nderlying mechanism for this finding? gf gf gf gf




• A) Acute bacterial parotitis
gf gf gf




• B) Sialolithiasis (salivary duct stones)
gf gf gf gf




• C) Fatty infiltration and hypertrophy of the parotid tissue
gf gf gf gf gf gf gf gf




• D) Malignant neoplasm of the parotid
gf gf gf gf gf




Correct Answer: C) Fatty infiltration and hypertrophy of the parotid tissue
gf gf gf gf gf gf gf gf gf gf




Rationale: Chronic alcohol use can lead to non-gf gf gf gf gf gf gf




tender, bilateral parotid enlargement due to fatty infiltration. This is a classic finding in alcoholic c
gf gf gf gf gf gf gf gf gf gf gf gf gf gf gf




irrhosis or chronic pancreatitis.
gf gf gf




2. A patient describes a sharp, stabbing chest pain that is worse with inspiration and reliev
gf gf gf gf gf gf gf gf gf gf gf gf gf gf gf




ed by leaning forward. You suspect pericarditis. To elicit a classic sign of this condition, yo
gf gf gf gf gf gf gf gf gf gf gf gf gf gf gf

,u should ask the patient to lean forward while you auscultate the heart. What specific find
gf gf gf gf gf gf gf gf gf gf gf gf gf gf gf




ing are you listening for?
gf gf gf gf




• A) A high-pitched, scratchy, "systolic" click
gf gf gf gf gf




• B) A low-pitched, rumbling diastolic murmur
gf gf gf gf gf




• C) A pericardial friction rub
gf gf gf gf




• D) An S3 gallop
gf gf gf




Correct Answer: C) A pericardial friction rub
gf gf gf gf gf gf




Rationale: A pericardial friction rub is the classic auscultatory finding in pericarditis. It is a high-
gf gf gf gf gf gf gf gf gf gf gf gf gf gf gf




pitched, scratchy sound, often best heard with the diaphragm of the stethoscope, and is usually
gf gf gf gf gf gf gf gf gf gf gf gf gf gf gf




most prominent during systole. Asking the patient to lean forward and hold their breath at end-
gf gf gf gf gf gf gf gf gf gf gf gf gf gf gf




expiration can make the rub more audible. gf gf gf gf gf gf




3. Which of the following is the most appropriate initial screening tool for assessing cogni
gf gf gf gf gf gf gf gf gf gf gf gf gf gf




tive impairment in an elderly patient during a routine office visit?
gf gf gf gf gf gf gf gf gf gf




• A) Mini-Mental State Examination (MMSE)
gf gf gf gf




• B) Montreal Cognitive Assessment (MoCA)
gf gf gf gf




• C) Mini-Coggf




• D) Clock Drawing Test alone
gf gf gf gf




Correct Answer: C) Mini-Cog gf gf gf




Rationale: The Mini-Cog is a brief, effective screening tool that takes only 3-
gf gf gf gf gf gf gf gf gf gf gf gf




5 minutes to administer. It combines a three-item recall test with a clock-
gf gf gf gf gf gf gf gf gf gf gf gf




drawing test, making it excellent for use in a busy primary care setting. While the MMSE and MoC
gf gf gf gf gf gf gf gf gf gf gf gf gf gf gf gf gf




A are more comprehensive, the Mini-
gf gf gf gf gf




Cog is often preferred for initial rapid screening due to its brevity and ease of use.
gf gf gf gf gf gf gf gf gf gf gf gf gf gf gf




4. You are assessing a patient with suspected right-
gf gf gf gf gf gf gf gf




sided heart failure. Which of the following findings is a direct consequence of increased sy
gf gf gf gf gf gf gf gf gf gf gf gf gf gf




stemic venous pressure and would be a key physical examination finding?
gf gf gf gf gf gf gf gf gf gf




• A) Pitting edema in the lower extremities
gf gf gf gf gf gf




• B) Hepatomegaly with a pulsatile liver
gf gf gf gf gf




• C) Jugular Venous Distention (JVD)
gf gf gf gf

, • D) All of the above
gf gf gf gf




Correct Answer: D) All of the above gf gf gf gf gf gf




Rationale: Right- gf




sided heart failure results in impaired venous return to the right ventricle, leading to a backup of
gf gf gf gf gf gf gf gf gf gf gf gf gf gf gf gf gf




pressure into the systemic venous system. This manifests as JVD, hepatomegaly (often pulsatile),
gf gf gf gf gf gf gf gf gf gf gf gf gf




and peripheral pitting edema (dependent areas like ankles and sacrum).
gf gf gf gf gf gf gf gf gf




5. A 28-year-
gf gf




old female patient presents with complaints of fatigue, cold intolerance, and weight gain.
gf gf gf gf gf gf gf gf gf gf gf gf gf




On examination, you note a firm, non-
gf gf gf gf gf gf




tender, diffusely enlarged thyroid gland (goiter). Palpation of the gland feels rubbery. Wh
gf gf gf gf gf gf gf gf gf gf gf gf




at is the most likely diagnosis?
gf gf gf gf gf




• A) Graves' disease
gf gf




• B) Hashimoto's thyroiditis
gf gf




• C) Multinodular goiter
gf gf




• D) Subacute (viral) thyroiditis
gf gf gf




Correct Answer: B) Hashimoto's thyroiditis
gf gf gf gf




Rationale: Hashimoto's thyroiditis is the most common cause of hypothyroidism in the United St
gf gf gf gf gf gf gf gf gf gf gf gf gf




ates. The characteristic physical finding is a firm, rubbery, non-
gf gf gf gf gf gf gf gf gf




tender goiter. Graves' disease causes a hyperthyroid state with a soft, smooth, and possibly vascu
gf gf gf gf gf gf gf gf gf gf gf gf gf gf




lar (bruit) goiter. Multinodular goiter would have a nodular consistency.
gf gf gf gf gf gf gf gf gf




6. You are performing a fundoscopic examination on a patient with a history of hypertensi
gf gf gf gf gf gf gf gf gf gf gf gf gf gf




on. You note that the arteriovenous (AV) crossings show a "nicking" appearance where th
gf gf gf gf gf gf gf gf gf gf gf gf gf




e arteries appear to compress the veins. What is the clinical significance of this finding?
gf gf gf gf gf gf gf gf gf gf gf gf gf gf




• A) It is a normal variant in patients over 60
gf gf gf gf gf gf gf gf gf




• B) It is an early sign of diabetic retinopathy
gf gf gf gf gf gf gf gf




• C) It indicates chronic hypertensive retinopathy and systemic vascular disease
gf gf gf gf gf gf gf gf gf




• D) It signifies an impending retinal detachment
gf gf gf gf gf gf




Correct Answer: C) It indicates chronic hypertensive retinopathy and systemic vascular disease
gf gf gf gf gf gf gf gf gf gf gf




Rationale: AV nicking (or AV crossing changes) is a hallmark sign of chronic hypertensive retinop
gf gf gf gf gf gf gf gf gf gf gf gf gf gf




athy. It reflects arteriosclerotic changes in the retinal vasculature due to long-
gf gf gf gf gf gf gf gf gf gf gf

, standing hypertension and is an important predictor of cardiovascular and cerebrovascular morbi
gf gf gf gf gf gf gf gf gf gf gf




dity.



7. A patient reports a history of a "heart murmur" detected in childhood but was told they
gf gf gf gf gf gf gf gf gf gf gf gf gf gf gf gf




didn't need treatment. On auscultation, you hear a medium-pitched, crescendo-
gf gf gf gf gf gf gf gf gf gf




decrescendo systolic ejection murmur best heard at the left upper sternal border (pulmoni
gf gf gf gf gf gf gf gf gf gf gf gf




c area). The murmur decreases in intensity with inspiration. This is most consistent with:
gf gf gf gf gf gf gf gf gf gf gf gf gf




• A) Aortic stenosis
gf gf




• B) Pulmonic stenosis
gf gf




• C) An innocent/physiologic flow murmur
gf gf gf gf




• D) Ventricular septal defect
gf gf gf




Correct Answer: C) An innocent/physiologic flow murmur
gf gf gf gf gf gf




Rationale: This description fits a classic innocent or flow murmur (like a Still's murmur in children
gf gf gf gf gf gf gf gf gf gf gf gf gf gf gf g




or a pulmonary flow murmur in young adults). Key features include a systolic ejection quality, bes
f gf gf gf gf gf gf gf gf gf gf gf gf gf gf gf




t heard at the pulmonic area, and a decrease in intensity with inspiration. Pathologic murmurs lik
gf gf gf gf gf gf gf gf gf gf gf gf gf gf gf




e pulmonic stenosis typically increase with inspiration. The murmur is also usually benign in natur
gf gf gf gf gf gf gf gf gf gf gf gf gf gf




e.



8. You are assessing a patient's neurological status. Which of the following cranial nerves i
gf gf gf gf gf gf gf gf gf gf gf gf gf gf




s most commonly assessed by testing the patient's ability to shrug their shoulders and tur
gf gf gf gf gf gf gf gf gf gf gf gf gf gf




n their head against resistance?
gf gf gf gf




• A) Cranial Nerve X (Vagus)
gf gf gf gf




• B) Cranial Nerve XI (Accessory)
gf gf gf gf




• C) Cranial Nerve XII (Hypoglossal)
gf gf gf gf




• D) Cranial Nerve IX (Glossopharyngeal)
gf gf gf gf




Correct Answer: B) Cranial Nerve XI (Accessory)
gf gf gf gf gf gf




Rationale: The spinal accessory nerve (CN XI) innervates the sternocleidomastoid and trapezius
gf gf gf gf gf gf gf gf gf gf gf gf




muscles. Testing the strength of the trapezius (shoulder shrug) and sternocleidomastoid (head tu
gf gf gf gf gf gf gf gf gf gf gf gf




rn against resistance) assesses this nerve.
gf gf gf gf gf




9. A 60-year-
gf gf




old patient with a history of smoking and hypertension presents with a new onset of a pul
gf gf gf gf gf gf gf gf gf gf gf gf gf gf gf gf




satile mass in the mid- gf gf gf gf