Walden University
NURS 6512 - Advanced Health Assessment and
Diagnostic Reasoning
NURS 6512 Midterm and Final Exam
Course Title and Number: NURS 6512 - Advanced Health
Assessment and Diagnostic Reasoning Exam
Exam Title: Board Exam
Exam Date: Exam 2024- 2025
Instructor: [Insert Instructor’s Name]
Student Name: [Insert Student’s Name]
Student ID: [Insert Student ID]
Examination
180 minutes
Instructions:
1. Read each question carefully.
2. Answer all questions.
3. Use the provided answer sheet to mark your responses.
4. Ensure all answers are final before submitting the exam.
5. Please answer each question below and click Submit when you have completed
the Exam.
6. This test has a time limit, The test will save and submit automatically when the
time expires
7. This is Exam which will assess your knowledge on the course Learning
Resources.
Good Luck!
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NURS 6512 - Advanced Health Assessment and
Diagnostic Reasoning 2024-2025
NURS 6512 Fall Exam 1 Review Questions with Correct
Answers | 100% Pass Guaranteed | Graded A+ |
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
How do you auscultate the 5 cardiac areas on the
chest? - =Answer>> Use the diaphragm on the
stethoscope to hear high pitched sounds with firm
pressure and use the bell with light pressure to hear
the low frequency sounds. Listen to the aortic valve
area which is the 2nd right intercostal space at the
right sternal border. Listen to the pulmonic valve area
which is the 2nd left intercostal space at the left sternal
border. Listen to the second pulmonic area at the 3rd
left intercostal space left sternal border. Listen to the
tricuspid area at the 4th left intercostal space along
lower left sternal border. And listen to the mitral area
which is the apex of the heart at the 5th left intercostal
space midclavicular line
What does S1 indicate in the cardiac cycle? -
=Answer>> it is the sound produced by the initiation
of systole due to the closing of the mitral and tricuspid
valves. It should be synonymous with the carotid pulse.
What does S2 indicate in the cardiac cycle? -
=Answer>> it is the sound produced by the initiation
of diastole due to the closure of the pulmonic and aortic
valves
What is S3 heart sound? - =Answer>> it may occur
during passive filling of the ventricles due vibration on
the ventricular walls and is a low-pitched sound
(kentucky)
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What is S4 heart sound? - =Answer>> it may occur
during the second phase of ventricular filling when the
atria contracts due to vibration in the valves, papillae,
and ventricular walls (Tennessee). If it is loud it may
indicate increased resistance to ventricular filling
Abnormalities of S1 - =Answer>> a loud sound may
be due to the snapping shut of the mitral valve,
increased blood viscosity, fever, anemia, anxiety,
exercise and intensity may be increased with heart
block. Decreased intensity may be due to overlying
tissue fat, fluid, pulmonary hypertension, fibrosis, or
calcification of mitral valve
Abnormalities of S2 - =Answer>> an increased
intensity may indicate systemic HTN, syphilis of aortic
valve, exercise, excitement, pulmonary HTN, mitral
stenosis, CHF. A decreased intensity may indicate
shock, immobile valves, aortic stenosis, pulmonic
stenosis, overlying tissue, fat or fluid
What is a pericardial friction rub? - =Answer>>
inflammation of the pericardial sac that produces a
rubbing/machine like sound during systole and diastole,
heard widely but more distinct over the apex
What position is best for hearing high pitch murmurs? -
=Answer>> lying supine or sitting erect and leaning
forward during expiration
What are the concepts of developing a relationship with
the patient? - =Answer>> See the patient as a unique
individual
Let them know that you really want to know all that is
needed
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Be open and flexible
Explain boundaries
Be honest
What is the primary objective when developing a
relationship with the patient? - =Answer>> To
discover the details about a patient's concern, explore
expectations, display interest, and partnership
What does establishing a positive relationship with the
patient depend on? - =Answer>> Communication built
on courtesy, comfort, connection, and confirmation.
What are effective communication strategies when
obtaining a health history? - =Answer>> Using open-
ended questions, direct questions, rarely leading
questions. Facilitate by encouraging patient to say
more. Reflect by repeating what you heard. Clarify.
Empathize by showing understanding and acceptance.
Confront by discussing disturbing behavior. Interpret by
repeating what you heard to confirm.
What are open-ended questions? - =Answer>> Those
that give the patient discretion about the extent of the
answer. Such as "How have you been feeling?" or
"What brings you in today?"
What are direct questions? - =Answer>> Those that
seek specific information. Such as "How long ago did
that happen?" or "Where does it hurt?"
What are leading questions? - =Answer>> Those that
are prompting the patient toward the desired answer
and these are the most risky.
What is a patient centered question? - =Answer>>
One that respects and responds to a patient's wants,
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