NURS 6512N Final Exam 2 (98 out of 100)
NURS-6512N-20,Advanced Health Assessment Exam Week 11
98 out of 100 points
1. The family history for a patient with joint pain should include information about siblings with:
2. When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the:
3. In the adult, the apical impulse should be most visible when the patient is in what position?
4. 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.
5. A red, hot swollen joint in a 40-year-old man should lead you to suspect:
6. Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the:
7. Which cranial nerves are usually evaluated during the examination of the eyes?
8. A pulsation that is diminished to the point of being barely palpable would be graded as:
9. 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:
10. A positive straight leg raise test usually indicates:
11. A common finding in markedly obese and pregnant women is:
12. 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?
13. A patient in the deepest coma would be scored a _____ on the Glasgow Coma Scale.
14. Cranial nerve XII may be assessed in an infant by:
15. A 23-year-old white woman has come to the clinic because she has missed two menstrual periods. She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is to:
16. One of the most important aspects to consider in the orthopedic screening examination is:
17. To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with:
18. An idiopathic spasm of arterioles in the digits is termed:
19. If pitting edema is unilateral, you would suspect occlusion of a:
20. Tarry black stool should make you suspect:
21. 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:
22. When is the mental status portion of the neurologic system examination performed?
23. The adnexa of the uterus are composed of the:
24. Which portion of the physical examination is best done with the patient standing?
25. You are examining a patient in the emergency department who has recently sustained head trauma. In order to initially assess this patient's neurologic status, you would:
26. A finding that is indicative of osteoarthritis is:
27. Bimanual examination of the uterus includes:
28. At your first meeting with a patient, it is usually best to say:
29. Throughout the history and physical examination, the clinician should:
30. You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should:
31. When palpating breast tissue, the examiner should use the _____ at each site.
32. A grade IV mitral regurgitation murmur would:
33. Which of the following statements is true regarding the examination of peripheral arteries?
34. 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?
35. 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:
36. Which medical condition would exclude a person from sports participation?
37. The Mini-Mental State Examination:
38. 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:
39. The presence of cervical motion tenderness may indicate:
40. When palpating joints, crepitus may occur when:
41. 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?
42. The goals of preparticipation sports evaluation include:
43. 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:
44. The rectal past medical history of all patients should include inquiry about:
45. While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding:
46. The Denver II is a tool used to determine:
47. The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the:
48. Functional assessment is most important during the examination of a(n):
49. The best way to ease the apprehension of a 3-year-old child before a physical examination is to:
50. An apical PMI palpated beyond the left fifth intercostal space may indicate:
51. Ulnar deviation and boutonniere deformities are characteristic of:
52. The Mini-Mental State Examination should be administered for the patient who:
53. 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:
54. The physical assessment technique most frequently used to assess joint symmetry is:
55. 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:
56. When conducting a geriatric assessment, basic activities of daily living (ADLs) include:
57. Recent unilateral inversion of a previously everted nipple suggests:
58. The examiner percusses for diaphragmatic excursion along the:
59. Nancy Walker is a 16-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her mother reports that Nancy, apart from occasional colds, Nancy is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Nancy's current problem?
60. The musculoskeletal examination should begin when:
61. Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify:
62. Assessing orientation to person, place, and time helps determine:
63. To assess a cremasteric reflex, the examiner strokes the:
64. 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:
65. Facial muscle or tongue weakness may result in:
66. 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:
67. For purposes of examination and communication of physical findings, the breast is divided into:
68. Which one of the following is a proper technique for use of a speculum during a vaginal examination?
69. Diabetic peripheral neuropathy will likely produce:
70. Your patient's chief complaint is repeated pencil-like stools. Further examination should include:
71. Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of:
72. The difference in blood pressure readings between the right and the left arms is considered normal up to _____ mm Hg.
73. An ophthalmoscopic eye examination involves:
74. It is especially important to test for ankle clonus if:
75. 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:
76. Nerves that arise from the brain rather than the spinal cord are called:
77. Breath sounds normally heard over the trachea are called:
78. If your patient has nipple discharge, you will most likely need a:
79. Which condition is considered progressive rather than reversible?
80. To hear diastolic heart sounds, you should ask patients to:
81. Inspection of the scrotum should reveal:
82. During a routine prenatal visit, Ms. T. was noted as having dependent edema, varicosities of the legs, and hemorrhoids. She expressed concern about these symptoms. You explain to Ms. T. that her enlarged uterus is compressing her pelvic veins and her inferior vena cava. You would further explain that these findings:
83. Kawasaki disease is suspected when assessments of a child reveal:
84. If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation?
85. Palpation of epitrochlear nodes is part of the:
86. The reliability of health-related findings and observations is the responsibility of the:
87. 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:
88. The finger-to-nose test allows assessment of:
89. Which one of the following techniques is used to detect a torn meniscus?
90. Palpation of a normal prostate in an older adult is likely to feel:
91. Postural hypotension is defined as a _____ when the patient stands, compared with sitting or supine readings.
92. Examination of the patient in the lithotomy, or knee-chest, position includes:
93. 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:
94. When assessing superficial pain, touch, vibration, and position perceptions, you are testing:
95. The foramen ovale should close:
96. A cervical polyp usually appears as a:
97. Anterior cruciate ligament integrity is assessed via the _____ test.
98. Temporalis and masseter muscles are evaluated by:
99. Part of the screening orthopedic component of the examination includes evaluating the person while he or she is:
100. The strength of the trapezius muscle is evaluated by having the patient:
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