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Advanced Health Assessment Final Exam and more Exams Nursing in PDF only on Docsity!
NURS-6512C-24/NURS-
6512N-
Advanced Health
Assessment Final Exam
Question 1 A cervical polyp usually appears as a: Selected Answer: bright-red^ soft^ protrusion^ from^ the^ endocervical^ canal. Question 2 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: Selected Answer: lung^ consolidation. Question 3 A common finding in markedly obese and pregnant women is: Selected Answer: lordosis. Question 4 Tarry black stool should make you suspect: Selected Answer: upper^ intestinal^ bleeding. Question 5 If your patient has nipple discharge, you will most likely need a: Selected Answer: glass^ slide^ and^ fixative.
Inspection of the scrotum should reveal: Selected Answer: left^ scrotal^ sac^ lower^ than^ the^ right. Throughout the history and physical examination, the clinician should: Selected Answer: evaluate^ the^ whole^ patient. The family history for a patient with joint pain should include information about siblings with: Selected Answer: genetic^ disorders. The adnexa of the uterus are composed of the: Selected Answer: fallopian^ tubes^ and^ ovaries. 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: Selected Answer: hydrocele Kawasaki disease is suspected when assessments of a child reveal: Selected Answer: conjunctival^ injection,^ strawberry^ tongue,^ and^ edema^ of^ the^ hands and feet. When palpating breast tissue, the examiner should use the at each site. Selected Answer: finger^ pads,^ gliding
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Question 14 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? Selected Answer: Cocaine^ use Question 15 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 The brush was withdrawn and stroked lightly on a glass slide.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? Selected Answer: Cytology^ smear Question 16 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: Selected Answer: Romberg^ sign. Question 17 Which one of the following is a proper technique for use of a speculum during a vaginal examination? Selected Answer: Press^ introitus^ downward;^ insert^ closed^ speculum^ obliquely. Question 18 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: Selected Answer: auscultating^ the^ lung^ bases. Question 19 Recent unilateral inversion of a previously everted nipple suggests: Selected Answer: cancer. Question 20 The finger-to-nose test allows assessment of: Selected Answer: coordination^ and^ fine^ motor^ function.
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: Selected Answer: menstrual^ cycles. Which condition is considered progressive rather than reversible? Selected Answer: Dementia The rectal past medical history of all patients should include inquiry about: Selected Answer: hemorrhoid^ surgery. Your patient's chief complaint is repeated pencil-like stools. Further examination should include: Selected Answer: digital^ rectal^ examination^ (DRE). Examination of the patient in the lithotomy, or knee-chest, position includes: Selected Answer: palpation^ of^ anal^ sphincter^ tone. The physical assessment technique most frequently used to assess joint symmetry is: Selected Answer: inspection. In the most effective percussion technique of the posterior lung fields, the patient cooperates by: Selected Answer: folding^ the^ arms^ in^ front.
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The reliability of health-related findings and observations is the responsibility of the: Selected Answer: professional^ and^ the^ patient. Loss of immediate and recent memory with retention of remote memory suggests: Selected Answer: dementia. To assess a cremasteric reflex, the examiner strokes the: Selected Answer: inner thigh and observes whether the testicle and scrotum rise on the stroked side. When assessing superficial pain, touch, vibration, and position perceptions, you are testing: Selected Answer: sensory^ function. Which one of the following techniques is used to detect a torn meniscus? Selected Answer: McMurray^ test To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with: Selected Answer: one^ arm^ overhead^ and^ a^ pillow^ under^ her^ shoulder. An ophthalmoscopic eye examination involves: Selected Answer: lens^ inspection.
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If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation? Selected Answer: CN^ XI,^ spinal^ accessory
Selected Answer: whether^ a^ child^ is^ developing^ as^ expected. Question 45 When palpating joints, crepitus may occur when: Selected Answer: irregular^ bony^ surfaces^ rub^ together. Question 46 The musculoskeletal examination should begin when: Selected Answer: the^ patient^ enters^ the^ examination^ room. Question 47 For purposes of examination and communication of physical findings, the breast is divided into: Selected Answer: four^ quadrants^ plus^ a^ tail. Question 48 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: Selected Answer: moderately^ loud. Question 49 The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the: Selected Answer: QRS^ complex. Question 50 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? Selected Answer: "What^ age^ was^ your^ father^ at^ the^ time^ of^ his^ death?" Question 51 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. Selected Answer: Kernig
The examiner percusses for diaphragmatic excursion along the: Selected Answer: scapular^ line. Nerves that arise from the brain rather than the spinal cord are called: Selected Answer: cranial. Ulnar deviation and boutonniere deformities are characteristic of: Selected Answer: rheumatoid^ arthritis. A pulsation that is diminished to the point of being barely palpable would be graded as: Selected Answer: 1 A finding that is indicative of osteoarthritis is: Selected Answer: Heberden^ nodes. A patient in the deepest coma would be scored a on the Glasgow Coma Scale. Selected Answer: 3 Facial muscle or tongue weakness may result in: Selected Answer: aphasia. The best way to ease the apprehension of a 3-year-old child before a physical examination is to: Selected Answer: let^ the^ child^ hold^ the^ stethoscope^ while^ you^ listen.
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Selected Answer: deep^ tendon^ reflexes^ are^ hyperactive. 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: Selected Answer: Mini-Mental^ State^ Examination. A grade IV mitral regurgitation murmur would: Selected Answer: radiate^ to^ the^ axilla. Normal changes of the aging brain include: Selected Answer: diminished^ perception^ of^ touch. Cranial nerve XII may be assessed in an infant by: Selected Answer: observing^ the^ infant^ suck^ and^ swallow. A red, hot swollen joint in a 40-year-old man should lead you to suspect: Selected Answer: gout. Assessing orientation to person, place, and time helps determine: Selected Answer: state^ of^ consciousness. 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
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infections, Adrian is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Adrian's current problem? Selected Answer: Cocaine^ use
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Down syndrome who will be playing basketball. She has slight torticollis and mild ankle clonus. What additional diagnostic testing would be required for her? Selected Answer: Cervical^ spine^ radiograph
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You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should: Selected Answer: inquire^ about^ previous^ penile^ infections. In the adult, the apical impulse should be most visible when the patient is in what position? Selected Answer: Upright 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: Selected Answer: perform^ the^ examination^ while^ the^ child^ is^ in^ the^ mother's^ lap. The strength of the trapezius muscle is evaluated by having the patient: Selected Answer: push^ her^ head^ against^ the^ examiner's^ hand. Bimanual examination of the uterus includes: Selected Answer: grasping^ the^ cervix^ between^ the^ examining^ fingers. Anterior cruciate ligament integrity is assessed via the test. Selected Answer: Lachman The foramen ovale should close: Selected Answer: within^ minutes^ of^ birth.
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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: Selected Answer: schizophrenia. Question 92 Part of the screening orthopedic component of the examination includes evaluating the person while he or she is: Selected Answer: duck^ walking. Question 93 A positive straight leg raise test usually indicates: Selected Answer: lumbar^ nerve^ root^ irritation. Question 94 The Mini-Mental State Examination should be administered for the patient who: Selected Answer: gets^ lost^ in^ her^ neighborhood. Question 95 When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the: Selected Answer: presence^ and^ form^ of^ body^ parts. Question 96 Palpation of epitrochlear nodes is part of the: Selected Answer: examination^ of^ the^ upper^ extremities. Question 97 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: Selected Answer: fingertips. Question 98 An idiopathic spasm of arterioles in the digits is termed:
Selected Answer: arteriosclerosis^ obliterans. Question 99 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: Selected Answer: 3+. Question 100 Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the: Selected Answer: P^ wave. Question 101 When completing this exam, did you comply with Walden University's Code of Conduct including the expectations for academic integrity? Selected Answer: Yes
