NURS 6512 Midterm Exam Revision

ByDaniel Rossi Updated on

NURS 6512 Midterm Exam Revision

When preparing for this exam, you have to ensure that all the topics have been covered comprehensively.

NURS 6512 Midterm Exam Revision: Building a Complete Health History

A comprehensive patient history is crucial in nursing practice. You should begin by reminding yourself about the therapeutic communication techniques used when interviewing the patients. You can read about the use of open-ended questions and empathic communication. Familiarize yourself on the importance of accurate documentation and recording of patient information. Go through the Subjective, Objective, Assessment, and Plan (SOAP) notes, understand its structure and importance in helping healthcare workers collect and organize patient information.

You should also understand the difference between subjective and objective patient information: subjective information is reported by the patient, and it includes their feeling and symptoms, while subjective data is obtained by the healthcare worker during routine assessment. You should also revise ethical decision-making and ethical principles, such as beneficence. Read about how they are essential in protecting the patient’s interests.

Diversity and Health Assessments

Go through the spiritual, socioeconomic, and lifestyle factors that impact the health of different populations. Understand how these factors affect the utilization of healthcare services and their influence in achieving positive health outcomes. You should also read on the concept of cultural competence, which revolves around the recognition and respect of the different backgrounds of the populations. You should understand the values, practices, and cultural beliefs that can impact patient behavior and health outcomes. Additionally, revise the different assessment tools such as Katz Index of Independence in Activities of Daily Living, which can be used to assess patient’s functional status, helping to determine whether they can perform ADLs.

Assessment Tools and Diagnostic Tests in Adults and Children

You should review the growth, development, and measurements that are used for children and adults, and how they can be used to assess potential health issues that affect this facet. It is also essential to remind yourself about the developmental milestones that individuals from different ages should achieve and the appropriate tools that are used in the assessment of growth.

You also need to stay informed on nutritional assessment. Review different energy requirements for individuals of different ages, the recommended daily water intake, and the differences and functions of macronutrients and micronutrients. You should also understand the importance of keeping a food diary in helping healthcare workers to have information about an individual’s nutritional status and dietary habits.

Review how the BMI is calculated and how individuals are classified based on their weight according to the BMI; normal, overweight, obesity, and morbid obesity. This information is essential in helping one to diagnose weight-related health issues.

You should also review information about pernicious anemia; its risk factors, causes, symptoms, and management. You should be able to recognize the early signs of this condition and come up with an essential nursing plan to manage it. Familiarize yourself with the techniques and instruments used in examination, such as monitoring of blood pressure, the use of tuning forks, otoscopes, stethoscopes, and opthalmoscopes. You should know what instruments are essential in assessing different body systems.

NURS 6512 Midterm Exam Revision Sample

Question 11 pts

Ms. G. is being seen for her routine physical examination. She is a college graduate and president of a research firm. Although her exact salary is unknown, she has adequate health insurance. Most of the above information is part of Ms. G.’s _____ history.

Group of answer choices

past medical

personal and social

present problem

family

Question 21 pts

Which of the following occurs when firm pressure is used to apply the stethoscope’s bell end-piece to the skin?

Group of answer choices

It transmits low-pitched sounds.

It functionally converts to a diaphragm end-piece.

Assessment findings are more accurate.

Most sounds are occluded.

Question 31 pts

Which type of speculum should be used to examine a patient’s tympanic membrane? Have a look at NURS 6512 Week 7 I-Human Patients Case Study: Assessing The Cardiovascular System.

Group of answer choices

The smallest speculum that will illuminate the ear

The largest speculum that will fit comfortably in the ear

The shortest speculum available

Any speculum that will fit the otoscope head

Question 41 pts

The adult recommended dietary fat intake should be _____ g/day.

Question 51 pts

Which cranial nerves innervate the face?

Group of answer choices

A. II and V

B. III and VI

C. V and VII

D. VIII and IX

Question 61 pts

A tool used to screen adolescents for alcoholism is the:

Group of answer choices

CAGE.

CRAFFT.

PACES.

HITS.

Question 71 pts

Underestimation of blood pressure will occur if the blood pressure cuff’s width covers:

Group of answer choices

less than one-half of the upper arm.

less than 5 inches of the lower arm.

more than two-thirds of the upper arm.

more than 4 inches of the lower arm.

Question 81 pts

The attitudes of the health care professional:

Group of answer choices

are culturally derived.

are difficult for the patient to sense.

do not influence patient behavior.

are largely irrelevant to the success of relationships with the patient.

Question 91 pts

In issues surrounding ethical decision making, beneficence refers to the:

Group of answer choices

care provider acting as a father or mother figure.

care provider knowing what is best for the patient.

need to avoid harming the patient.

need to do good for the patient.

Question 101 pts

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’m here. You tell me what’s wrong!” Which caregiver response would be most appropriate for enhancing communication?

Group of answer choices

After 3 days, you’re tired of coughing. Have you had a fever?

I’d like to hear more about your experiences. Where were you born?

I’ll examine you and figure out later what the problem is.

I don’t know what’s wrong. You could have almost any disease.

Question 111 pts

Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure:

Group of answer choices

buzzing or tingling sensations.

buzzing from bone conduction.

hearing range of normal speech.

noise above the threshold level.

Question 121 pts

The most common form of birth trauma of the scalp is:

Group of answer choices

caput succedaneum.

cephalhematoma.

cranial bossing.

torticollis.

Question 131 pts

When palpating the abdomen, you should note whether the liver is enlarged in the:

Group of answer choices

left lower quadrant.

midepigastric region.

periumbilical area.

right upper quadrant.

Question 141 pts

Mr. Akins is a 78-year-old 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.

Group of answer choices

Unable to hear in a crowded room

Sounds may be garbled and difficult to localize

Loss of high frequency

Results from cranial nerve VII

Progression is slow

Bone conduction heard longer than air conduction

Question 151 pts

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?

Group of answer choices

Vitamin B12 

Ascorbic acid

Folate

Fiber

Question 161 pts

The examiner’s evaluation of a patient’s mental status belongs in the:

Group of answer choices

history of present illness.

review of systems.

physical examination.

patient education.

Question 171 pts

A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the:

Group of answer choices

peritoneum.

mediastinum.

periosteum.

hilum.

Question 181 pts

Which technique is most likely to result in the patient’s understanding of questions?

Group of answer choices

Use phrases that are commonly used by other patients in the area.

Use the patient’s own terms if possible.

Use proper medical and technical terminology.

Use the simplest language possible.

Question 191 pts

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:

Group of answer choices

building and maintaining tissues.

providing energy source for brain.

participating in specific detoxifying metabolic pathways.

synthesizing and regulating hormones.

Question 201 pts

Macronutrients are so named because they:

Group of answer choices

have high molecular weights.

form long chemical chains.

tend to increase waist measurements.

are required in large amounts.

Question 211 pts

Cherry angiomas are a common finding in:

Group of answer choices

adults older than 30 years.

newborns.

pregnant women.

sunbathers.

Question 221 pts

A patient comes into the clinic with a chief complaint of “I have found a lump in my neck.” This statement is indicative of:

Group of answer choices

Past medical history

Symptom perceived by the patient

Physical assessment findings

Family history

Question 231 pts

You are collecting a history from an 11-year-old girl. Her mother is sitting next to her in the examination room. When collecting history from older children or adolescents, they should be:

Group of answer choices

mailed a questionnaire in advance to avoid the need for her to talk.

given the opportunity to be interviewed without the parent at some point during the interview.

allowed to direct the flow of the interview.

ignored while you address all questions to the parent.

Question 241 pts

Tangential lighting is best used for inspecting skin:

Group of answer choices

color.

contour.

exudates.

symmetry.

Question 251 pts

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 are concerned about violating a cultural prohibition when you prepare to do his rectal examination. The best tactic would be to:

Group of answer choices

inform the patient of the reason for the examination and ask if it is acceptable to him.

refer the patient to a provider more knowledgeable about cultural differences.

ask a colleague from the same geographic area if this examination is acceptable.

forego the examination for fear of violating cultural norms.

Question 261 pts

Your patient is complaining of acute, intense sharp epigastric pain that radiates to the back and left scapula with nausea and vomiting. Based on this history, your prioritized physical examination should be to:

Group of answer choices

inspect for ecchymosis of the flank.

percuss for ascites.

assess for rebound tenderness.

assess for rebound tenderness.

Question 271 pts

In obtaining a social/personal profile, which of the following questions or statements would be appropriate?

Group of answer choices

Tell me about your typical day.

Let me know the date of your last dental examination.

What prescription medications are you currently taking?

Do you have any itching, sniffling, or sneezing associated with allergies?

Question 281 pts

When examining the skull of a 4-month-old baby, you should normally find:

Group of answer choices

A. closure of the anterior fontanel.

B. closure of the posterior fontanel.

C. ossification of all sutures.

D. overlap of cranial bones.

Question 291 pts

A guideline for history taking is for caregivers to:

Group of answer choices

ask direct questions before open-ended questions so that data move from simple to complex.

make notes sparingly so that patients can be observed during the history taking.

write detailed information as stated by patients so that their priorities are reflected.

ask for a complete history at once so that data are not forgotten between meetings.

Question 301 pts

Which of the following is an expected change in the assessment of the thyroid during pregnancy?

Group of answer choices

Palpation of the gland becomes difficult.

A bruit is auscultated.

Inspection reveals a goiter.

The gland is tender upon palpation.