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NURS 623 HEALTH ASSESSMENT FINAL EXAM
2025|ACTUAL 150+QUESTIONS AND
ANSWERS|GRADED A+
Which type of headache is suspected when the headaches are unilateral and throbbing. Tension-type, preceded by a prodrome of photophobia, and associated with a family history of this type of headache? a. Cluster b. Migraine c. Frontal-type Migraine The NP is evaluating a patient's family history for an autosomal dominant single- gene disorder. The NP understands that sine the patient has the disorder: Any siblings will also have the mutation but the parents may not Both parents have the condition Only female members of the family will be affected At least one parent will also have the mutation At least one parent will also have the mutation The general survey is performed to capture any additional symptoms that a patient may be experiencing for differential diagnoses True
False True What is the name of this patient position? Semi-Fowler's Lithotomy Dorsal Recumbent Prone Dorsal Recumbent Essential parts of a health history include all of the following EXCEPT: Chief complaint Current vital signs Review of systems History of the present illness Current Vital Signs Which type of clinical decision making is most reliable?
Can you point to the area of most severe pain? What makes the pain worse or better? Match the term with the definition. Melanin A brownish pigment which is formed in the epidermis Match the term with the definition Dermis Dense layer of collagen and elastin fibers which house the pilosebaceous glands, sweat glands, and hair follicles Match the term with the definition Epidermis This is the outermost layer of the skin, which is described as a keratinized epithelium with 2 layers Identify the raised lesion:
The lesion is:
1cm Solid and elevated More broad than thick Plaque Cyst Papule Nodule Plaque Identify the lesion: This fluid-filled lesion is: A cavity or elevation < 1cm Fluid can be clear, serous, hemorrhagic, or pus-filled Bulla Pustule
< 1 cm Solid and elevated Cyst Papule Nodule Plaque Papule Identify the lesion: This fluid-filled lesion is: <1 cm Circumscribed elevation containing pus Pustule Bulla Vesicle Pustule Identify the raised lesion:
The lesion is: Elevated above the skin surface Closed cavity/sac Containing fluid or a semisolid material May have epithelial, endothelial, or membranous lining Plaque Papule Cyst Nodule Cyst Don't forget to assess your patient's skin. In dermatologic assessment, we want to inquire about any lesion or skin changes. In asking your patient about their skin, nails, and hair, which of the following information is important? (Select all that apply) Have you noticed any new lumps, bumps, or changes in existing moles? Do you have a personal or family history of abnormal skin growths such as skin cancer or precancerous lesions? Have you noticed any changes to your skin, hair, or nails?
Characterized as tense or flaccid Bulla Vesicle Pustule Bulla What are the common causes of halitosis? Sinusitis Plaque on teeth Poor dental hygiene Systemic infection such as hepatic cirrhosis All answers are correct All answers are correct Which of the following extraocular muscles is responsible for moving the eye:
Inferior Oblique Upward and outward, away from nose The following extraocular muscles is responsible for moving the eye Inferior Rectus Moves the eye downward The following extraocular muscles is responsible for moving the eye Superior Rectus Moves eye upward The following extraocular muscles is responsible for moving the eye Superior Oblique Moves eye downward and inward, toward the nose
Relaxation The systolic blood pressure corresponds to the maximal Left Ventricular Pressure True False True What Valve is associated with the chest wall locations where murmurs can occur: Left 2nd or 3rd intercostal spaces close to the sternum Pulmonic Valve What Valve is associated with the chest wall locations where murmurs can occur: At or near the lower left sternal border Tricuspid Valve
What Valve is associated with the chest wall locations where murmurs can occur: Right 2nd intercostal space/cardiac apex Aortic Valve What Valve is associated with the chest wall locations where murmurs can occur: At or around the cardiac apex Mitral Valve Interstitial Fluid which accumulates in the extravascular space can constitute edema. How many pounds of this fluid can accumulate before pitting edema is seen? Up to 10 pounds Up to 3 pounds Up to 20 pounds Up to 1 pound
Which are non-concerning reasons for a person to have sinus bradycardia? An elite athlete A sedentary 45-year-old with cardiomyopathy No answer is correct An elderly person with a history of an MI An elite athlete Order the following murmurs from Grade I- Grade VI Moderately loud May be heard with stethoscope off of the chest, associated with a thrill Soft, but easily heard Loud, associated with a thrill
Very faint, not heard in all positions Very loud, may be heard with stethoscope barely on the chest Lowest Grade Very faint, not heard in all positions Soft, but easily heard Moderately loud Loud, associated with a thrill Very loud, may be heard with stethoscope barely on chest May be heard with stethoscope off of the chest, associated with a thrill Highest Grade An S3 gallop is commonly heard in:
The medical record of your patient lists a grade III systolic murmur. This indicates that the patient has a heart murmur that is: Loud and crescendo in quality Moderately loud after S Soft and after S Loud and after S Moderately loud and after S Symptoms of venous insufficiency Edema Pulses = 2+ Brawny Color Normal Temperature Symptoms of arterial insufficiency Pallor Pulses= 1+
Loss of hair growth cool temperature The Allen Test is used to: Assess for venous sufficiency when there is edema Determine the risk of deep vein thrombosis Assess the patency of radical and ulnar arteries Determine the ankle-brachial blood pressure ratio Assess the patency of radical and ulnar arteries Please select which exam findings of the breast are concerning for breast cancer. (Select all that apply) Hair growth on breast Nipple retraction and deviation of the nipple Dimpling of the breast or Peau D'orange appearance of pores on breast
