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NURS 6512 Week 6 Midterm Exam/ Actual
Exam Questions and Correct Verified
Answers/ Newest 2024 – 2025/ Rated A+
This exam is a test of your knowledge in preparation for your
certification exam. No outside resources including books, notes,
websites, or any other type of resource are to be used to complete this
exam. You are expected to comply with Walden University’s Code of
Conduct.
This exam will be on topics covered in weeks 1, 2, 3, 4, 5, and 6. Prior
to starting the exam, you should review all of your materials. This exam
is timed with a limit of two hours for completion. When time is up, your
exam will automatically submit.
Submit Your Midterm Exam by Day 7
1. 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
2. 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
3. Unusual white areas on the skin may be due to Vitiligo
4. You are using an ophthalmoscope to examine a patient’s inner eye. You rotate the lens
selector clockwise, then counterclockwise to compensate for: Myopia
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5. 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
6. 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
7. The most superior part of the stomach is the Fundus
8. 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
9. 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.
10. Placing the base of a vibrating tuning fork on the midline vertex of the patient’s head is a
test for: Lateralization of Sound
11. Which technique is most likely to result in the patients understanding of questions? Use
the patient's own terms if possible.
12. 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
13. Nasal symptoms that imply an allergic response include:
Bluish gray turbinates. ("Turbinate’s that appear bluish gray or pale pink with a swollen,
boggy consistency may indicate allergies"-Seidel p.243)
14. 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?"
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15. When taking a history, you should:
Use a chronologic and sequential framework.
16. Which of the following formats would be used for visits that address problems not yet
identified in the problem-oriented medical record (POMR)? Brief SOAP note
17. 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
18. Which question would be considered a leading question? You don't get
headaches often, do you?"
19. 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
20. The term denoting the caregiver’s need to do no harm to the patient is: Deontological
imperatives.
21. A tool used to screen adolescents for alcoholism is the:
CRAFFT
22. 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
23. 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.
24. 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.
25. Sweat glands, hair, and nails are all formed from? Invagination of epidermis into
dermis
26. A brief statement of the reason the patient is seeking health care is called the? Chief
concern
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27. 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
28. Which cranial nerves innervate the face? 5 and 7
29. 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
30. When are open-ended questions generally most useful? During the initial part of the
interview
31. Knowledge of the culture or cultures represented by the patient should be used to? Help
make interview questions more pertinent
32. 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
33. A guideline for history taking is for caregivers to?
Make notes sparingly so that patients can be observed during the history taking
34. Which type of speculum should be used to examine a patient’s tympanic membrane? The
largest speculum that will fit comfortably in ear
35. You are palpating a patient’s thyroid and find that its broadest dimension measures 4cm. the
right lobe is 25% larger than the left. These data would indicate? The description is most
likely a normal finding
36. 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
37. Before performing an abdominal examination, the examiner should?
Have the patient empty his or her bladder
38. 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?
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