NURS 6512N 49 Final Exam - Summer 2021 - 100 out of 100
NURS-6512N-49-Advanced Health Assessment-2021-Summer- QTR-Term-wks-1-thru-11-
Final Exam - Week 11
1. During chest assessment, you note the patient's voice quality while auscultating the lung fields. The voice sound is intensified, there is a nasal quality to the voice, and the e's sound like a s. This sound is indicative of:
2. A red, hot swollen joint in a 40-year-old man should lead you to suspect:
3. You are conducting a preparticipation physical examination for a 10-year-old girl with Down syndrome who will be playing basketball. She has slight torticollis and mild ankle clonus. What additional diagnostic testing would be required for her?
4. Which medical condition would exclude a person from sports participation?
5. A patient in the deepest coma would be scored a on the Glasgow Coma Scale.
6. The best way to ease the apprehension of a 3-year-old child before a physical examination is to:
7. Ulnar deviation and boutonniere deformities are characteristic of:
8. Kawasaki disease is suspected when assessments of a child reveal:
9. Facial muscle or tongue weakness may result in:
10. A 25 yo AA female has come to the clinic because she has missed her menstrual period this month and 2 months before. She says her cycles are irregular and she wants to be on birth control to help regulate them. She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is to:
11. The strength of the trapezius muscle is evaluated by having the patient:
12. It is especially important to test for ankle clonus if:
13. Recent unilateral inversion of a previously everted nipple suggests:
14. In the most effective percussion technique of the posterior lung fields, the patient cooperates by:
15. You are conducting a clinical breast examination for your 30-year-old patient. Her breasts are symmetrical with bilateral, multiple tender masses that are freely moveable with well-defined borders. You recognize that these symptoms and assessment findings are consistent with:
16. An examiner has rotated a brush several times into the cervical os. The brush was withdrawn and stroked lightly on a glass slide. The slide was sprayed with fixative. Which type of specimen requires this technique for collection?
17. The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:
18. Inquiry about nocturnal muscle spasms would be most significant when taking the
musculoskeletal history of:
19. Assessing orientation to person, place, and time helps determine:
20. The adnexa of the uterus are composed of the:
21. When conducting a geriatric assessment, basic activities of daily living (ADLs) include:
22. When is the mental status portion of the neurologic system examination performed?
23. Your older clinic patient is being seen today as a follow-up for a 2-day history of pneumonia. The patient continues to have a productive cough, shortness of breath, and lethargy and has been spending most of the day lying in bed. You should begin the chest examination by:
24. The goals of preparticipation sports evaluation include:
25. The difference in blood pressure readings between the right and the left arms is considered normal up to mm Hg.
26. At your first meeting with a patient, it is usually best to say:
27. A cervical polyp usually appears as a:
28. To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with:
29. Bimanual examination of the uterus includes:
30. Which portion of the physical examination is best done with the patient standing?
31. An idiopathic spasm of arterioles in the digits is termed:
32. A pulsation that is diminished to the point of being barely palpable would be graded as:
33. While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding:
34. To hear diastolic heart sounds, you should ask patients to:
35. When assessing superficial pain, touch, vibration, and position perceptions, you are testing:
36. The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the:
37. Breath sounds normally heard over the trachea are called:
38. While examining a 30-year-old woman, you note that one breast is slightly larger than the other. In response to this finding, you should:
39. To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested?
40. The Denver II is a tool used to determine:
41. You are conducting an examination of Mr. Curtis's heart and blood vessels and auscultate a grade III murmur. The intensity of this murmur is:
42. Palpation of a normal prostate in an older adult is likely to feel:
43. Functional assessment is most important during the examination of a(n):
44. As Mr. B. enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. You would document Mr. B.'s pattern as:
45. Palpation of epitrochlear nodes is part of the:
46. The presence of cervical motion tenderness may indicate:
47. A grade IV mitral regurgitation murmur would:
48. You are performing a two-point discrimination test as part of a well physical examination. The area with the ability to discern two points in the shortest distance is the:
49. Which condition is considered progressive rather than reversible?
50. You are initially evaluating the equilibrium of Ms. Q. You ask her to stand with her feet together and arms at her sides. She loses her balance. Ms. Q. has a positive:
51. A chest radiography is performed on your patient that complains of having dyspnea, coughing productive sputum and chest pain. The image results shows consolidation and infiltrates. You compare this to your physical exam findings of distant or absent breath sounds and absent vocal fremitus. What is the most likely diagnosis?
52. A 40 yr old female presents to the clinic with complaints of low back and buttock pain. Pt states the buttock pain radiates from one side to the other. On examination, the patient is noted to have
limited ROM of the shoulders, chest wall, hips, and knees. Upon xray, you find gross postural changes and there is a severe deformity of the vertebral column.
What is the most likely diagnosis for this patient?
53. Anterior cruciate ligament integrity is assessed via the test.
54. Throughout the history and physical examination, the clinician should:
55. While interviewing a 70-year-old female clinic patient, she tells you that she takes ginkgo biloba and St. John's wort. You make a short note to check for results of the:
56. Cranial nerve XII may be assessed in an infant by:
57. The family history for a patient with joint pain should include information about siblings with:
58. An apical PMI palpated beyond the left fifth intercostal space may indicate:
59. In the adult, the apical impulse should be most visible when the patient is in what position?
60. You are examining Mr. S., a 79-year-old diabetic man complaining of claudication. Which of the following physical findings is consistent with the diagnosis of arterial occlusion?
61. Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the:
62. A patient you are seeing in the emergency department for chest pain is suspected of having a myocardial infarction. During the health history interview of his family history, he relates that his father had died of "heart trouble." The most important follow-up question you should pose is which of the following?
63. Adrian Thomas is a 19-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her father reports that Adrian, apart from occasional
sinus infections, Adrian isnot prone to respiratory problems. What potential risk factor is most important to assess with regards to Adrian's current problem?
64. A finding that is indicative of osteoarthritis is:
65. The examiner percusses for diaphragmatic excursion along the:
66. The musculoskeletal examination should begin when:
67. You are interviewing a 20-year-old patient with a new-onset psychotic disorder. The patient is apathetic and has disturbed thoughts and language patterns. The nurse recognizes this behavior pattern as consistent with a diagnosis of:
68. When palpating joints, crepitus may occur when:
69. Tarry black stool should make you suspect:
70. Your patient's chief complaint is repeated pencil-like stools. Further examination should include:
71. Which one of the following techniques is used to detect a torn meniscus?
72. The rectal past medical history of all patients should include inquiry about:
73. You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should:
74. Normal changes of the aging brain include:
75. Adrian Thompson is a 19-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her mother reports that Andrian, apart from occasional sinus infections, Andrian is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Adrian's current problem?
76. Examination of the patient in the lithotomy, or knee-chest, position includes:
77. When you attempt to move a 10-month-old child from his mother's lap to the examination table, he screams loudly. Your best action is to:
78. When palpating breast tissue, the examiner should use the at each site.
79. Your 15-year-old patient is athletic and thin. Radiography of an ankle injury reveals a stress fracture. You should question this patient about her:
80. The finger-to-nose test allows assessment of:
81. When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the:
82. If pitting edema is unilateral, you would suspect occlusion of a:
83. A parent is advised to restrict contact or collision sports participation for their child. An example of a sport in which this child could participate is:
84. Inspection of the scrotum should reveal:
85. You order an ECG on a patient that c/o feeling heart palpitations, chest pain, shortness of breath. Your ECG shows irregular heart rate and you determine that you need to call EMS immediately because this rhythm can cause death. What rhythm would you suspect the ECG is showing?
86. Darian is a 14-year-old adolescent who states his right testicle has a soft swollen mass. The testicle is not painful upon palpation. The right inguinal canal is without masses. The mass does transilluminate with a penlight. This collection of symptoms is consistent with:
87. An elderly female was recently diagnosed with osteoporosis 2 weeks ago. What is the hallmark appearance of a patient with this diagnosis?
88. Postural hypotension is defined as a when the patient stands, compared with sitting or supine readings.
89. An ophthalmoscopic eye examination involves:
90. Diabetic peripheral neuropathy will likely produce:
91. The Mini-Mental State Examination should be administered for the patient who:
92. Montgomery tubercles are most prominent in the breasts of:
93. Temporalis and masseter muscles are evaluated by:
94. You are assessing Mr. Z.'s fluid volume status as a result of heart failure. If your finger depresses a patient's edematous ankle to a depth of 6 mm, you should record this pitting as:
95. The reliability of health-related findings and observations is the responsibility of the:
96. When assessing a 17-year-old for nuchal rigidity, you gently raise his head off the examination table. He involuntarily flexes his hips and knees. To confirm your suspicions associated with this positive test, you would also perform a test for the sign.
97. Which cranial nerves are usually evaluated during the examination of the eyes?
98. Which of the following statements is true regarding the examination of peripheral arteries?
99. The pulses are most readily felt over bony prominences.
100. To assess a cremasteric reflex, the examiner strokes the:
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