NURS 6512 Midterm Exam LATEST 2023 AND
NURS 6512 Midterm Exam Review (Weeks 1-6)
QUESTIONS
1. Before performing an abdominal examination, the examiner should: Have the patient empty their
bladder
2. During an interview, tears appear in the patient’s eyes and his voice becomes shaky. Initially, you
should:
Keep the interview moving to distract the patient
3. Which of the following is the most accurate reflection of an individual’s food intake?Food Diary
4. Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct
technique for locating the: Lower liver border
5. A fixed image of any group that rejects its potential for originality or individuality is known as a:
Stereotype
6. Peritonitis produces bowel sounds that areDecreased/Hypoactive
7. Brittle nails are typical findings in: Older adults
8. Which of the following is an expected change in the assessment of the thyroid during pregnancy?A
Bruit is auscultated d/t increased vascularity
9. You are planning to palpate the abdomen of your patient. Which part of the examiner's hand is best
for palpating vibration? Ulnar Surface
10. A 5-year-old child presents with nasal congestion and a headache to assess for sinus
tenderness you should palpate over the: Maxillary sinuses only
11. During physical examination of a 30-year-old Chinese man you notice a slight asymmetry
of his face. the cranial nerve examination is normal. Your best action is to Ask the patient if this
characteristic runs in his family
12. Unusual white areas on the skin may be due toVitiligo
13. You are using an ophthalmoscope to examine a patient’s inner eye. You rotate the lens
selector clockwise, then counterclockwise to compensate for:
Myopia
14. 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:
Building and maintaining tissues
,15. Mr. Akins is a 78-y/o patient who presents to the clinic with complaints of hearing loss.
Which of the following are changes in hearing that occur in the elderly? Select all that apply. c.
Loss of high frequency
e. Sounds may be garbled, difficult to localize
f. Unable to hear in a crowded room
16. The most superior part of the stomach is the
Fundus
17. Mrs. Grace is a 58-year-old patient who has a diagnosis of pernicious anemia. Which B vitamin is
deficient in patients with pernicious anemia?
B12
18. A 51-y/o woman calls with complaints of weight loss and constipation. She reports enlarged
hemorrhoids and rectal bleeding. You advise her to: Come to the laboratory for a stool guaiac test.
19. Placing the base of a vibrating tuning fork on the midline vertex of the patient’s head is a test for:
Lateralization of Sound
20. Which technique is most likely to result in the patients understanding of questions?Use the patient's
own terms if possible.
21. 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 the history?
Past medical data
22. Nasal symptoms that imply an allergic response include:
Bluish gray turbinates. ("Turbinates that appear bluish gray or pale pink with a swollen, boggy
consistency may indicate allergies"-Seidel p.243)
23. Mr. Franklin is speaking with you the health care provider, about his respiratory problem. Mr.
Franklin says, “I’ve had this cough for 3 days and it’s getting worse.” You reply, “Tell me more about
your cough.” Mr. Franklin states, “I wish I could tell you more, that’s why I am here! You tell me
what’s wrong.” Which caregiver response would be the most appropriate for enhancing
communication? After 3 days, you're tired of coughing. Have you had a fever?"
24. When taking a history, you should:
Use a chronologic and sequential framework.
25. Which of the following formats would be used for visits that address problems not yet identified in
theproblem-oriented medical record (POMR)? Brief SOAP note
26. Mr. and Mrs. Johnson have presented to the office with their infant son with complaints of ear
drainage. When examining an infant’s middle ear, the nurse should use one hand to stabilize the
otoscope against the head while using the other hand to:
Pull the auricle down and back in an effort to straighten the upward curvature of the canal
,27. Which question would be considered a leading question?You don't get headaches often, do you?"
28. Mr. Black is a 44y/o 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?
C 4 to C 5: C4 and C5 or C5 and C 6 provide the greatest horizontal mobility in adults
29. The term denoting the caregiver’s need to do no harm to the patient is: Deontologic imperatives.
30. A tool used to screen adolescents for alcoholism is the:
CRAFFT
31. Under normal circumstances, how much water is lost daily by the body?
Under normal circumstances, approximately 2 to 2.5 liters of water is lost daily
32. 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:
Transillumination is used to determine the presence of fluid in cysts and masses. Fluid-filled lesions will
transilluminate with a red glow, and solid masses will not transilluminate.
33. Mr. Mills is a 55/y/o patient who presents to the office for an initial visit for health promotion. A
survey of mobility and activities of activities of daily living is part of a(n): Functional assessment.
34. Sweat glands, hair, and nails are all formed from?
Invagination of epidermis into dermis
35. A brief statement of the reason the patient is seeking health care is called the?Chief concern
36. Which part of the information contained in the patient’s record may be used in court?
Anything that is entered into a patient’s record in paper or electronic form, is a legal document and
can be used
37. Which cranial nerves innervate the face?5 and 7
38. In counseling a client regarding nutrition education, you explain that linoleic acid, a major fatty
acid, is thought to be essential for?
Linoleic acid, found abundantly in milk and dairy fat, is required for normal growth and
development, it has been suggested that it can reduce body fat in overweight patient
39. When are open-ended questions generally most useful?During the initial part of the interview
40. Knowledge of the culture or cultures represented by the patient should be used to?Help make
interview questions more pertinent
41. 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?
Auscultation
, 42. A guideline for history taking is for caregivers to?
Make notes sparingly so that patients can be observed during the history taking
43. Which type of speculum should be used to examine a patient’s tympanic membrane?The largest
speculum that will fit comfortably in ear
44. You are palpating a patient’s thyroid and find that its broadest dimension measures 4cm. the right
lobeis 25% larger than the left. These data would indicate? The description is most likely a
normal finding
45. Mr. L. presents to the clinic with severe groin pain and a history of kidney stones. Mr. L.’s son
tells you that, for religious reasons, his father wishes to keep any stone that is passed into the urine
filter that he has been using. What is your most appropriate response?
Healthcare provider should be willing to modify delivery and respectful of wishes/culture
background
46. Before performing an abdominal examination, the examiner should?
Have the patient empty his or her bladder
47. You are examining a pregnant patient and have noted a vascular lesion. When you Blanche over
the vascular lesion, the site blanches and refills evenly from the center outward. The nurse
documents this lesion as a? Telangiectasia
48. 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?
The English worry about being overheard and tend to speak in a modulated voice, so when they lean
toward you, they probably have a question
49. When palpating the abdomen, you should note whether the liver is enlarged in the?The liver is
located in the right upper quadrant of the abdomen
50. Expected normal percussion tones include?
Normal lings produce renaissance percussion tones
51. Mr. Abdul is a 40-year-old Middle Eastern man who presents to the office for a first visit with the
complaint of new abdominal pain. You ate concerned about violating a cultural prohibition when
you prepare to do his rectal examination. The best tactic would be to?
Inform the patient of the reason for the exam and ask if it is acceptable to him
52. Fluorescing lesions are best distinguished using a(n)?Wood’s lamp
53. 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? Proteins,
calcium, iron, B12, and vitamin D
54. Underestimation of blood pressure will occur if the blood pressure cuff’s width covers?
Cuff that are too wide will underestimate blood pressure, which would happen with a cuff that is
more than one third of the upper arm
NURS 6512 Midterm Exam Review (Weeks 1-6)
QUESTIONS
1. Before performing an abdominal examination, the examiner should: Have the patient empty their
bladder
2. During an interview, tears appear in the patient’s eyes and his voice becomes shaky. Initially, you
should:
Keep the interview moving to distract the patient
3. Which of the following is the most accurate reflection of an individual’s food intake?Food Diary
4. Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct
technique for locating the: Lower liver border
5. A fixed image of any group that rejects its potential for originality or individuality is known as a:
Stereotype
6. Peritonitis produces bowel sounds that areDecreased/Hypoactive
7. Brittle nails are typical findings in: Older adults
8. Which of the following is an expected change in the assessment of the thyroid during pregnancy?A
Bruit is auscultated d/t increased vascularity
9. You are planning to palpate the abdomen of your patient. Which part of the examiner's hand is best
for palpating vibration? Ulnar Surface
10. A 5-year-old child presents with nasal congestion and a headache to assess for sinus
tenderness you should palpate over the: Maxillary sinuses only
11. During physical examination of a 30-year-old Chinese man you notice a slight asymmetry
of his face. the cranial nerve examination is normal. Your best action is to Ask the patient if this
characteristic runs in his family
12. Unusual white areas on the skin may be due toVitiligo
13. You are using an ophthalmoscope to examine a patient’s inner eye. You rotate the lens
selector clockwise, then counterclockwise to compensate for:
Myopia
14. 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:
Building and maintaining tissues
,15. Mr. Akins is a 78-y/o patient who presents to the clinic with complaints of hearing loss.
Which of the following are changes in hearing that occur in the elderly? Select all that apply. c.
Loss of high frequency
e. Sounds may be garbled, difficult to localize
f. Unable to hear in a crowded room
16. The most superior part of the stomach is the
Fundus
17. Mrs. Grace is a 58-year-old patient who has a diagnosis of pernicious anemia. Which B vitamin is
deficient in patients with pernicious anemia?
B12
18. A 51-y/o woman calls with complaints of weight loss and constipation. She reports enlarged
hemorrhoids and rectal bleeding. You advise her to: Come to the laboratory for a stool guaiac test.
19. Placing the base of a vibrating tuning fork on the midline vertex of the patient’s head is a test for:
Lateralization of Sound
20. Which technique is most likely to result in the patients understanding of questions?Use the patient's
own terms if possible.
21. 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 the history?
Past medical data
22. Nasal symptoms that imply an allergic response include:
Bluish gray turbinates. ("Turbinates that appear bluish gray or pale pink with a swollen, boggy
consistency may indicate allergies"-Seidel p.243)
23. Mr. Franklin is speaking with you the health care provider, about his respiratory problem. Mr.
Franklin says, “I’ve had this cough for 3 days and it’s getting worse.” You reply, “Tell me more about
your cough.” Mr. Franklin states, “I wish I could tell you more, that’s why I am here! You tell me
what’s wrong.” Which caregiver response would be the most appropriate for enhancing
communication? After 3 days, you're tired of coughing. Have you had a fever?"
24. When taking a history, you should:
Use a chronologic and sequential framework.
25. Which of the following formats would be used for visits that address problems not yet identified in
theproblem-oriented medical record (POMR)? Brief SOAP note
26. Mr. and Mrs. Johnson have presented to the office with their infant son with complaints of ear
drainage. When examining an infant’s middle ear, the nurse should use one hand to stabilize the
otoscope against the head while using the other hand to:
Pull the auricle down and back in an effort to straighten the upward curvature of the canal
,27. Which question would be considered a leading question?You don't get headaches often, do you?"
28. Mr. Black is a 44y/o 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?
C 4 to C 5: C4 and C5 or C5 and C 6 provide the greatest horizontal mobility in adults
29. The term denoting the caregiver’s need to do no harm to the patient is: Deontologic imperatives.
30. A tool used to screen adolescents for alcoholism is the:
CRAFFT
31. Under normal circumstances, how much water is lost daily by the body?
Under normal circumstances, approximately 2 to 2.5 liters of water is lost daily
32. 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:
Transillumination is used to determine the presence of fluid in cysts and masses. Fluid-filled lesions will
transilluminate with a red glow, and solid masses will not transilluminate.
33. Mr. Mills is a 55/y/o patient who presents to the office for an initial visit for health promotion. A
survey of mobility and activities of activities of daily living is part of a(n): Functional assessment.
34. Sweat glands, hair, and nails are all formed from?
Invagination of epidermis into dermis
35. A brief statement of the reason the patient is seeking health care is called the?Chief concern
36. Which part of the information contained in the patient’s record may be used in court?
Anything that is entered into a patient’s record in paper or electronic form, is a legal document and
can be used
37. Which cranial nerves innervate the face?5 and 7
38. In counseling a client regarding nutrition education, you explain that linoleic acid, a major fatty
acid, is thought to be essential for?
Linoleic acid, found abundantly in milk and dairy fat, is required for normal growth and
development, it has been suggested that it can reduce body fat in overweight patient
39. When are open-ended questions generally most useful?During the initial part of the interview
40. Knowledge of the culture or cultures represented by the patient should be used to?Help make
interview questions more pertinent
41. 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?
Auscultation
, 42. A guideline for history taking is for caregivers to?
Make notes sparingly so that patients can be observed during the history taking
43. Which type of speculum should be used to examine a patient’s tympanic membrane?The largest
speculum that will fit comfortably in ear
44. You are palpating a patient’s thyroid and find that its broadest dimension measures 4cm. the right
lobeis 25% larger than the left. These data would indicate? The description is most likely a
normal finding
45. Mr. L. presents to the clinic with severe groin pain and a history of kidney stones. Mr. L.’s son
tells you that, for religious reasons, his father wishes to keep any stone that is passed into the urine
filter that he has been using. What is your most appropriate response?
Healthcare provider should be willing to modify delivery and respectful of wishes/culture
background
46. Before performing an abdominal examination, the examiner should?
Have the patient empty his or her bladder
47. You are examining a pregnant patient and have noted a vascular lesion. When you Blanche over
the vascular lesion, the site blanches and refills evenly from the center outward. The nurse
documents this lesion as a? Telangiectasia
48. 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?
The English worry about being overheard and tend to speak in a modulated voice, so when they lean
toward you, they probably have a question
49. When palpating the abdomen, you should note whether the liver is enlarged in the?The liver is
located in the right upper quadrant of the abdomen
50. Expected normal percussion tones include?
Normal lings produce renaissance percussion tones
51. Mr. Abdul is a 40-year-old Middle Eastern man who presents to the office for a first visit with the
complaint of new abdominal pain. You ate concerned about violating a cultural prohibition when
you prepare to do his rectal examination. The best tactic would be to?
Inform the patient of the reason for the exam and ask if it is acceptable to him
52. Fluorescing lesions are best distinguished using a(n)?Wood’s lamp
53. 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? Proteins,
calcium, iron, B12, and vitamin D
54. Underestimation of blood pressure will occur if the blood pressure cuff’s width covers?
Cuff that are too wide will underestimate blood pressure, which would happen with a cuff that is
more than one third of the upper arm
