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A final exam for an advanced health assessment nursing course (nu650), covering physical examination techniques like inspection, palpation, percussion, and auscultation. Exam questions address objective/subjective data, patient interviewing, and body system assessments. It includes questions on skin lesions, abdominal/head/neck exams, mental health (depression), and managing difficult patients. Pediatric considerations, such as developmental age and common childhood conditions, are also covered. Detailed solutions are provided, reinforcing essential health assessment principles and practices for nursing students preparing for exams and clinical practice.
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what || the || health || professional || observes || by || inspecting, || palpating, || percussing, || and || auscultating || during || the || physical || examination || - || Correct || answer || ✔objective || data things || a || person || tells || you || about || that || you || cannot || observe || through || your || senses; || symptoms || - || Correct || answer || ✔subjective || data The || most || effective || way || to || elicit || the || ROSs || is || for || the || NP || to || - || Correct || answer || ✔Start || with || general || questions || on || each || of || the || different || body || systems The || NP || can || determine || higher || cognitive || fxn || by || asking || the || patient || to || perform || which || of || the || following || tasks? || - || Correct || answer || ✔Explain || the || meaning || of || a || proverb The || NP || will || ask || the || patient || which || of || the || following || questions || to || assess || for || depression? || - || Correct || answer || ✔"Over || the || past || two || weeks, || have || you || felt || little || interest || or || pleasure || in || doing || things?" The || NP || will || document || the || reason || for || the || visit || in || which || of || the || following || sections || of || the || encounter || note? || - || Correct || answer || ✔Cheif || Complaint
The || primary || provider || will || anticipate || what || percent || of || outpatients || have || mental || health || disorders? || - || Correct || answer || ✔20% Which || of || the || following || actions || by || the || NP || demonstrates || patient-centered || interviewing || techniques? || - || Correct || answer || ✔Determine || the || personal || context || of || the || patient's || symptoms Which || of || the || following || strategies || is || most || effective || when || dealing || with || an || angry || or || disruptive || patient? || - || Correct || answer || ✔Validate || the || patient's || feelings || without || agreeing || with || their || reasons Which || of || the || following || variables || should || have || the || greatest || effect || as || to || how || the || NP || will || conduct || the || history || and || physical || examination || of || the || child? || - || Correct || answer || ✔The || child's || developmental || age Lesion || flat || and || - || Correct || answer || ✔Macule Lesion || is || raised || - || Correct || answer || ✔Papule Lesion || is || raised, || >1 || cm, || but || not || fluid || filled || - || Correct || answer || ✔Plaque Lesion || is || raised || - || Correct || answer || ✔Vesicle Lesion || is || raised || >1 || cm || and || fluid || filled || - || Correct || answer || ✔Bullae
Proper || position || for || NP || to || assess || the || patient's || abdomen || - || Correct || answer || ✔Stand || at || the || patient's || right || side || and || proceed || in || a || systematic || fashion The || correct || order || of || examination || for || the || abdomen || by || using || examination || techniques || as || follows: || - || Correct || answer || ✔Inspection-Auscultation- Percussion-Palpitation C/O || fever || and || back || pain || w/ || pain || when || percussed || over || the || left || costovertebral || angle || - || Correct || answer || ✔pyelonephritis The || liver || border || can || be || palpated || normally || below || the || coastal || margin || at || the || - || Correct || answer || ✔Left || mid-axillary || line Which || of || the || following || subjective || or || objective || findings || as || worrisome || for || an || abdominal || aneurysm || - || Correct || answer || ✔25-pack || year || smoking || history The || NP || will || use || which || examination || technique || to || determine || muscular || resistance, || superficial || organs, || and || masses || in || the || abdomen? || - || Correct || answer || ✔Light || palpitation How || to || help || patient || relax || during || an || abdomen || exam? || - || Correct || answer || ✔Palpate || the || abdomen || after || expiration The || parents || of || a || 4-month || old || infant || is || concerned || about || their || child's || umbilical || hernia || at || a || well-child || visit. || The || NP || should || inform || them || that: || - || Correct || answer || ✔Most || umbilical || hernias || disappear || by || 12 || months || of || age
When || percussing || the || abdomen || in || a || patient || with || constipation, || which || of || the || following || sounds || would || you || expect || to || find || in || the || lower || quadrant? || - || Correct || answer || ✔Dull Percussing || over || the || intestines || normal || findings || equal || - || Correct || answer || ✔Tympanic Abdominal || exam || findings || = || cholecystitis || - || Correct || answer || ✔Positive || Murphy's || sign Symptom || from || young || adolescent || in || early || phase || of || appendicitis || - || Correct || answer || ✔Severe || RLQ || pain || with || pallor || and || sweating Pt || presents || with || sinus || pain, || pressure || and || yellow || nasal || discharge. || Assessment || would || include || palpitation || of || - || Correct || answer || ✔frontal || and || maxillary || sinuses 4-year-old || with || mother || & || c/o || frequent || bloody || nose. || Common || cause || of || epistaxis || for || this || age || group || - || Correct || answer || ✔Picking || at || their || nose 9 || month || old || and || do || not || see || the || red || reflex || on || the || fundoscopic || exam || - || Correct || answer || ✔Retinoblastoma 60-year-old || male || presents || w/ || 3-day || history || of || left || eye || irritation. || Which || finding || should || be || recorded || in || the || subjective || review || of || systems? || - || Correct || answer || ✔Patient || denies || eye || pain || or || change || in || vision
Examination || of || the || nasal || mucosa || and || septum, || this || would || most || likely || indicate || allergic || rhinitis || - || Correct || answer || ✔Pale || or || blue || nasal || mucosa || with || clear || drainage Normal || examination || of || the || oral || cavity || - || Correct || answer || ✔-Midline || lingual || frenum || extending || from || the || tongue || to || the || floor || of || the || mouth -Papillae || coverage || the || dorsum || of || the || tongue -Pink || buccal || mucosa || lining || the || cheeks How || to || examine || a || patient's || left || eye || w/ || an || ophthalmoscope || - || Correct || answer || ✔In || the || left || hand || and || examine || the || patient's || left || eye || w/ || your || left || eye ROS || question || to || determine || if || a || patient || is || experiencing || dyspnea || - || Correct || answer || ✔How || many || stairs || can || you || climb || before || pausing || to || catch || your || breath? Barrel || chest || is || an || abnormal || configuration || that || may || occur || with || what || disorder ||
Percussed || lung || fields || sound || - || Correct || answer || ✔Resonant Contraindication || and || cannot || receive || the || influenza || vaccine || - || Correct || answer || ✔A || healthy || 2-month-old || baby || girl How || to || assess || the || patient || for || tactile || fremitus || - || Correct || answer || ✔Place || the || ulnar || surface || of || your || hand || hand || firmly || against || the || posterior || thorax || and || ask || the || patient || to || repeat || the || words, || "ninety-nine" || comparing || the || right || and || left || sides || for || symmetry. Intermittent || and || discontinuous || sounds || - || Correct || answer || ✔crackles Sounds || normally || heard || over || the || sternal || notch || - || Correct || answer || ✔Bronchial Will || alert || NP || to || include || pneumonia || as || a || differential || diagnosis || - || Correct || answer || ✔Positive || bronchophony Expected || respiratory || change || with || aging || - || Correct || answer || ✔There || is || a || decreased || elasticity || property || in || the || lungs 2nd || intercostal || space, || right || sternal || border || - || Correct || answer || ✔Aortic 3rd || intercostal || space, || left || sternal || border || - || Correct || answer || ✔Erb's || point
Auscultating || heart || sounds || at || the || mitral || area || of || the || anterior || chest || what || sounds || would || you || hear || - || Correct || answer || ✔S1 || to || be || louder || than || S between || S2 || and || S1 || - || Correct || answer || ✔diastolic || murmur between || S1 || and || S2 || - || Correct || answer || ✔Systolic || murmur Builds || on || sound || - || Correct || answer || ✔crescendo || Murmur Positive || Allen || Test; || Potentially || indicating || an || occlusion || - || Correct || answer || ✔Palmar || pallor An || objective || finding || of || LE || for || chronic || venous || insufficiency || as || a || differential || diagnosis || - || Correct || answer || ✔Brownish || discoloration || or || ulcers || just above || the || malleolus Correct || assessment || for || the || examination || of || the || peripheral || vascular || system || - || Correct || answer || ✔Assess || the || temperature || of || the || feet || and || legs || with || the || dorsal || aspects || of || the || fingers pouches || of || synovial || fluid || that || cushion || the || movement || of || tendons || and || muscles || over || bone || or || other || joint || structures || - || Correct || answer || ✔Bursae Collagen || fibril || connects || bone || to || bone || - || Correct || answer || ✔Ligament
Collagen || fibers || connects || muscle || to || bone || - || Correct || answer || ✔Tendon Signs || of || inflammation || - || Correct || answer || ✔Warmth, || swelling, || erythema To || move || arm || out || away || from || the || body || - || Correct || answer || ✔Abduction To || move || head || forward || to || touch || chin || to || chest || - || Correct || answer || ✔Flexion Point || foot || down || to || the || floor || - || Correct || answer || ✔Plantar || flexion A || grating || or || grinding || sensation || caused || by || fractured || bone || ends || or || joints || rubbing || together; || also || air || bubbles || under || the || skin || that || produce || a || crackling || sound || or || crinkly || feeling. || - || Correct || answer || ✔Crepitus Patient || moves || their || forearm || so || their || palms || are || facing || up || - || Correct || answer || ✔Supination If || patient's || MSK || problems || are || r/t || trauma || what || would || be || helpful || in || leading || to || the || differential || diagnosis || - || Correct || answer || ✔Mechanism || of || injury 33 || Vertebrae || of || the || Spinal || Column || - || Correct || answer || ✔ 5 || lumbar || vertebrae 7 || cervical || vertebrae 12 || thoracic || vertebrae
Have || the || client || to || shrug || his || shoulders || upward || against || your || hands || - || Correct || answer || ✔CN || XI Ask || the || patient || to || lick || out || his || tongue || - || Correct || answer || ✔CN || XII flexion || at || the || elbow || - || Correct || answer || ✔Biceps || reflex flexion || at || the || forearm || - || Correct || answer || ✔Brachioradialis || reflex flexion || at || the || ankle || - || Correct || answer || ✔Achilles || reflex extension || at || the || elbow || - || Correct || answer || ✔Triceps || reflex extension || at || the || knee || - || Correct || answer || ✔Quadriceps/Patellar || Reflex One || week || old: || Touch || cheek || lightly || and || head || turn || - || Correct || answer || ✔Rooting || reflex Problem || with || balance/unsteady || gait; || represents || a || disturbance || in || - || Correct || answer || ✔Cerebellum || function Rapid || alternating || movements || are || used || to || assess || - || Correct || answer || ✔Balance, || Coordination
6 || month || old || Well || visit || should || still || have || this || reflex || present || - || Correct || answer || ✔Parachute || reflex Timed || Get || Up || and || Go || should || equal || - || Correct || answer || ✔ 10 || seconds Normal || average || reflex || score || - || Correct || answer || ✔2+ A || significant || sway || when || the || client || stands || erect || with || feet || together, || arms || at || the || side, || and || the || eyes || closed || - || Correct || answer || ✔Positive || Romberg's || Sign Dorsiflexion || of || the || great || toe || - || Correct || answer || ✔Plantar || response || (Worrisome) Place || a || quarter || in || a || person's || hand || with || their || eyes || closed || and || ask || them || to || identify || it. || - || Correct || answer || ✔Graphestesia Neurologic || test || used || to || assess || the || sensory || system || - || Correct || answer || ✔vibration || and || position Muscle || strength || grade || 4 || - || Correct || answer || ✔Full || ROM || against || gravity || and || some || resistance excessive || menstrual || flow || - || Correct || answer || ✔menorrhagia
Proper || order || of || examining || the || female || genitalia || - || Correct || answer || ✔Speculum || examination, || bimanual || examination, || rectovaginal || examination Swelling || around || the || inguinal || ring || alongside || the || pubic || hair || that || is || not || painful || and || reduces || without || difficulty || when || in || the || supine || position || - || Correct || answer || ✔A || direct || inguinal || hernia Breast || palpitation || that || is || most || suggestive || of || cancer || - || Correct || answer || ✔Firm, || nontender || lump || that || is || fixed || to || underlying || tissue To || prepare || female || patient || for || a || pelvic || exam || and || pap || smear || - || Correct || answer || ✔Assure || the || woman || that || she || can || stop || the || exam || at || anytime || she || feels || discomfort Associated || with || increased || breast || cancer || risk || - || Correct || answer || ✔Heavy || alcohol || use first || degree || relative || with || breast || cancer advancing || age Assessment || of || normal || prostate || - || Correct || answer || ✔It || is || heart || shaped || with || a || palpable || groove It || surface || is || smooth It || has || a || elasticity, || rubbery || consistency To || determine || the || patient's || gender || identity || the || NP || should || - || Correct || answer || ✔Incorporate || open-ended, || neutral || questions || into || the || sexual || history
Normal || testicular || exam || - || Correct || answer || ✔Testes || that || feel || ovoid || and || mobile, || and || slight || sensation || is || felt || by || the || patient || upon || compression Rectal || examination || = || firm, || irregularly || shaped || mass || - || Correct || answer || ✔Report || the || finding || and || refer || the || patient || to || GI || for || further || examination. Pelvic || Inflammatory || Disease || - || Correct || answer || ✔Cervical || Motion || Tenderness || (CMT)