Download NURS 612 EXAM 3.pdf Graded A+ 100 % COMPLETE and more Exams Nursing in PDF only on Docsity!
NURS 612 EXAM 3 MARYVILLE UNIVERSITY
ADVANCED HEALTH ASSESSMENT EXAM 3 AND
STUDY GUIDE NEWEST 2024 ACTUAL EXAM 250
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A 61 year old man has a presenting complaint of frequent constipation. he tells the examiner that there has been a change in his bowel movement habits- he gets constipated easily, the stool is very skinny looking and it is a different color than usual. he denies pain. what do these symptoms suggest? a. diverticulitis b. hepatitis B c. colon or rectal cancer d. pancreatitis - ...ANSWER...C
The functional ability of the gastrointestinal tract most severely affected by aging is a. motility b. metabolism c. digestion d. catabolism - ...ANSWER...A Which rule states that the farther away from the navel abdominal pain occurs, the more likely it is to be of physical importance? a. Reglan rule b. Apley rule c. Applegate rule d. Romberg rule - ...ANSWER...B Ecchymosis of the flanks associated with pancreatitis is identified as which of the following signs? a. Grey Turner b. Aaron c. Dance d. Markle - ...ANSWER...A
a. Aaron b. Ballance c. Blumberg d. Dance - ...ANSWER...C Abdominal pain radiating to the left shoulder may be indicative of which of the following? a. appendicitis b. intussusception c. pancreatitis d. splenic rupture - ...ANSWER...D which of the following questions asked by the examiner would be most helpful in understanding a patient complaining of acute back pain? a. what medications do you currently take b. was there any activity or injury that occurred before the onset of pain c. where you born with any congenital deformities of the spine? d. have you recently lost weight - ...ANSWER...b.
which of the following is commonly seen in a 72 year old patient a. meningocele b. myelomeningocele c. kyphosis d. scoliosis - ...ANSWER...d which of the following data from a patient's history indicates an increased risk of osteomyelitis a. severe gout b. rheumatoid arthritis c. severe osteoporosis d. open fracture of the radius - ...ANSWER...d what degree of knee flexion is considered a normal findings? a. 15 b. 90 c. 130 d. 160 - ...ANSWER...a
a patient complains of pain and a clicking noise with jaw movement. the pain extends into the face. these symptoms are suggestive of what condition? a. gout in the jaw b. temporomandibular joint dysfunction c. rheumatoid arthritis of the jaw d. bursitis of the temporomandibular joint - ...ANSWER...a normal muscle strength is documented as grade a. 0 b. 1 c. 5 d. 10 - ...ANSWER...c to assess muscle strength of the temporalis and masseter muscles, the examiner will ask the patient to a. push the haw forward while the examiner applies counterforce
b. attempt to open the mouth while the examiner applies counterforce c. clench the teeth while the examiner palpates the contracted muscles d. clench the teeth while the examine attempts to open the mouth with a tongue blade - ...ANSWER...b. for which type of problem does a family history have significance a. ankylosing spondylitis b. dislocation of the radius c. lumbosacral radiculopathy d. bursitis - ...ANSWER...c which statement made by a patient helps the examiner differentiate osteoarthritis from RA? a. I have swelling and pain in my joints b. I notice a crackling sound when I move my joints c. I get extremely tired by mid-morning, even when I sleep well
a. gibbus b. convex curves c. lordosis d. scoliosis - ...ANSWER...d Mrs. Woods is a 28 y.o. patient who is in her last trimester of pregnancy and presents to your office with complaints of numbness in her left hand. you diagnose her with carpel tunnel syndrome most likely related to a. repetitive movement b. fluid retention c. postural changes in the neck caused by pregnancy d. eclampsia - ...ANSWER...c on exam of a patient, you note a difference in size of the upper extremities. you decide that measurement of the circumference is indicated. how do you ensure that the measurements of the two extremities are comparable? a. measure both extremities in centimeters
b. measure at the same distance from the same landmark c. measure each extremity twice and average the results for each d. measure three locations on each extremity and obtain the average - ...ANSWER...a a patient comes to the clinic because of pain and swelling of the proximal interphalangeal joint of the third finger on the left hand. how would you order your exam of her joints? a. affected joint first followed by the same joint on the right hand for comparison b. left metacarpohalangeal joints, then the left proximal interphalangeal joints, and finally, the left distal interphalangeal joints c. affected joints last to avoid inducing discomfort, which could influence the remaining exam d. left proximal interphalangeal joints starting which the index finger, then the middle finger, then the ring finger, and ending with the fifth finger - ...ANSWER...d
the patient is able to touch each finger to his thumb in rapid sequence. what does this finding mean? the patient has a. intact trochlear and abducens cranial nerves b. appropriate cerebellar function c. an intact spinal accessory nerve d. intact kinesthetic sensation - ...ANSWER...b which question asked by the examiner may help determine prevention strategies for seizures that a patient has been experiencing? a. where do your seizures typically being? b. how do you feel after the seizure? c. what goes through your mind during the seizure? d. are there any factors or activities that seem to start the seizures? - ...ANSWER...d The examiner asks the patient to close her eyes, then places a vibrating tuning fork on the patient's ankle and
asks her to indicate what is felt. What is being assessed? a. peripheral nerve sensory function b. cranial nerve sensory function c. primary sensory function d. level of consciousness - ...ANSWER...c jack is a 52 year old obese man with a history of poorly controlled diabetes. he also smokes. based on these data, the examiner should recognize that jack has several risk factors for a. seizures b. stroke c. multiple sclerosis d. guillain-barre syndrome - ...ANSWER...b which of the following assessment findings should not be surprising to an examiner given jack's history (smoking, poorly controlled DM) a. inability to discern superficial touch or two-point discrimination on the legs
d. associated with a problem of the vestibular apparatus - ...ANSWER...c a patient demonstrates impaired pain sensation. which additional test is appropriate to further evaluate this finding? a. heat and cold sensation b. ultrasonic perception c. deep tendon reflex d. transillumination of the involved area - ...ANSWER...a the examiner squeezes the patient's biceps muscle as part of an examination. which of the following responses verbalized by the patient is considered normal? a. that makes my arm tingle b. that makes a burning sensation go up my arm c. that is uncomfortable d. my arm is twitching - ...ANSWER...c
which of the following findings is associated with an increased risk for skin breakdown and injury? a. inability to feel pressure applied by a 5. monofilament b. inability to identify a familiar object by touch c. inability to identify a letter drawn in the palm or the hand d. 3+ deep tendon reflexes - ...ANSWER...a Mr. Stanton is a 52-year-old patient with diabetes who presents to the office for a routine examination. You have checked protective sensation with 5. monofilament, and you noted a loss of sensation. This indicates a. peripheral neuropathy. b. positive Kernig sign. c. positive Brudzinski sign. d. posturing. - ...ANSWER...a a patient is brought into the emergency department unresponsive following a motor vehicle accident. the
on exam of which patient would an examiner expect to find a positive kernig sign? a. a patient with Parkinson disease b. a patient who has had a stroke c. a patient with a whiplash injury d. a patient with meningitis - ...ANSWER...d as a patient walks from the waiting area to the examining room the examiner notes that the patient's fee are wide apart and his trunk sways as he staggers and lurches side to side. how should the examiner document this observation? a. dystrophic gait b. cerebellar ataxia c. dystonia d. spastic diplegia - ...ANSWER...b a patient's inability to follow simple instructions could indicate which of the following findings? a. dysphonia b. amnesia
c. aphasia d. depression - ...ANSWER...d a patient scores a 3 on the mini-cog assessment instrument for dementia. what does this score indicate? a. advanced dementia b. early dementia c. need for further evaluation d. negative screen for dementia - ...ANSWER...d the examiner asks the patient to complete this statement: "a bird is to air as a fish is to..." this is an example of what type of testing? a. calculation b. analogy c. judgment d. mood and feelings - ...ANSWER...b
