NURS 6512N-19, NURS-6512C-19, NURS-6512F-19, Advanced Health Assessment: Week 11 Final Exam (August 2022)

(NURS 6512N19)

1. Question: portion of the physical examination is best done with the patient standing?
2. Question: Which cranial nerves are usually … during the examination of the eyes?
3. Question: A cervical polyp usually appears as a:
4. Question: An apical PMI … beyond the left fifth intercostal space may indicate:
5. Question: Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify:
6. Question: Which medical condition would exclude a person from sports participation?
7. Question: The spread of the impulse through the ventricles (ventricular depolarization) is … on the ECG as the:
8. Question: Breath sounds normally heard over the trachea are called:
9. Question: Kawasaki disease is … when assessments of a child reveal:
10. Question: One of the most important aspects to consider in the orthopedic screening examination is:
11. Question: The musculoskeletal examination should begin when:
12. Question: The presence of cervical motion tenderness may indicate:
13. Question: Your patient’s chief complaint is … pencil-like stools. Further examination should include:
14. Question: The adnexa of the uterus are … of the:
15. Question: A 25 yo AA female has come to the clinic because she has … her menstrual period this month and 2 months before. She says her cycles are irregular and she wants to be on birth control to help regulate them. 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. Question: A 40 yr old female presents to the clinic with complaints of low back and buttock pain. Pt states the buttock pain radiates from one side to the other. On examination, the patient is … ROM of the shoulders, chest wall, hips, and knees. Upon xray, you find gross postural changes and there is a severe deformity of the vertebral column. What is the most likely diagnosis for this patient?
17. Question: If pitting edema is unilateral, you would suspect occlusion of a:
18. Question: Examination of the patient in the lithotomy, or knee-chest, position includes:
19. Question: 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:
20. Question: Recent unilateral inversion of a previously … nipple suggests:
21. Question: A common finding in … obese and pregnant women is:
22. Question: The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:
23. Question: Temporalis and masseter muscles are … by:
24. Question: During a routine prenatal visit, Ms. T. was … 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:
25. Question: Inspection of the scrotum should reveal:
26. Question: When palpating breast tissue, the examiner should use the at each site.
27. Question: Ulnar deviation and boutonniere deformities are characteristic of:
28. Question: 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:
29. Question: A red, hot swollen joint in a 40-year-old man should lead you to suspect:
30. Question: An idiopathic spasm of arterioles in the digits is termed:
31. Question: When assessing superficial pain, touch, vibration, and position perceptions, you are testing:
32. Question: A pulsation that is … to the point of being barely palpable would … as:
33. Question: 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?
34. Question: The finger-to-nose test allows assessment of:
35. Question: If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation?.
36. Question: The Mini-Mental State Examination:
37. Question: The goals of preparticipation sports evaluation include:
38. Question: Diabetic peripheral neuropathy will likely produce:
39. Question: 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:
40. Question: 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:
41. Question: The foramen ovale should close:
42. Question: You are interviewing a 20-year-old patient with a new-onset psychotic disorder. The patient is apathetic and has … thoughts and language patterns. The nurse recognizes this behavior pattern as consistent with a diagnosis of:
43. Question: A parent is … to restrict contact or collision sports participation for their child. An example of a sport in which this child could participate is:
44. Question: While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding:
45. Question: The reliability of health-related findings and observations is the responsibility of the:
46. Question: Throughout the history and physical examination, the clinician should:
47. Question: 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 infections, Adrian is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Adrian’s current problem?
48. Question: Nerves that arise from the brain rather than the spinal cord are called:
49. Question: When is the mental status portion of the neurologic system examination performed?
50. Question: The physical assessment technique most frequently … to assess joint symmetry is:
51. Question: 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:
52. Question: A patient in the deepest coma would … _______on the Glasgow Coma Scale.
53. Question: Anterior cruciate ligament integrity is … via the __________ test.
54. Question: An examiner has … a brush several times into the cervical os. The brush was withdrawn and stroked lightly on a glass slide. The slide was … with fixative. Which type of specimen requires this technique for collection?
55. Question: As Mr. B. enters the room, you observe that his gait is wide … and he staggers from side to side while swaying his trunk. You would document Mr. B.’s pattern as:
56. Question: You are reviewing an ECG of a 43 year old new patient. The patient has a history of second-degree heart block. The ECG shows the PR interval is increases with each beat until a QRS is dropped. What is this type of block called?
57. Question: To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with:
58. Question: For purposes of examination and communication of physical findings, the breast is … into:
59. Question: Which one of the following techniques is … to detect a torn meniscus?
60. Question: Postural hypotension is … as a when the patient stands, … with sitting or supine readings.
61. Question: Assessing orientation to person, place, and time helps determine:
62. Question: In the most effective percussion technique of the posterior lung fields, the patient cooperates by:
63. Question: A patient you are seeing in the emergency department for chest pain is … 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?
64. Question: Facial muscle or tongue weakness may result in:
65. Question: When the Goodenough-Harris Drawing Test is … to a child, the evaluator principally observes the:
66. Question: Which of the following statements is true regarding the examination of peripheral arteries?
67. Question: 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 … for her?
68. Question: When conducting a geriatric assessment, basic activities of daily living (ADLs) include:
69. Question: 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?
70. Question: When palpating joints, crepitus may occur when:
71. Question: The best way to ease the apprehension of a 3-year-old child before a physical examination is to:.
72. Question: Cranial nerve XII may … in an infant by:
73. Question: You order an ECG on a patient that c/o feeling heart palpitations, chest pain, shortness of breath. Your ECG shows irregular heart rate and you determine that you need to call EMS immediately because this rhythm can cause death. What rhythm would you suspect the ECG is showing?
74. Question: A positive straight leg raise test usually indicates:
75. Question: The Denver II is a tool … to determine:
76. Question: If your patient has nipple discharge, you will most likely need a:
77. Question: In the adult, the apical impulse should be most visible when the patient is in what position?
78. Question: At your first meeting with a patient, it is usually best to say:
79. Question: An elderly female was recently … with osteoporosis 2 weeks ago. What is the hallmark appearance of a patient with this diagnosis?
80. Question: Part of the screening orthopedic component of the examination includes evaluating the person while he or she is:
81. Question: The examiner percusses for diaphragmatic excursion along the:
82. Question: A 56-year-old male presents to the clinic to see the nurse practitioner with complaints of shortness of breath for 1 months, 15-pound weight gain and lower extremity edema. Vitals are as follows: HR: 120, Respirations 30, Blood Pressure: 138/90, BMI: 40; Oxygen saturation of 90%. On examination patient is … to have jugular venous distention, … liver, and crackles are … on examination. A chest x-ray is … and shows findings consistent with which diagnosis? Based on this scenario and imaging what is the most likely diagnosis?
83. Question: Normal changes of the aging brain include:
84. Question: To assess spinal levels L2, L3, and L4, which deep tendon reflex should … ?
85. Question: The Mini-Mental State Examination should … for the patient who:.
86. Question: Loss of immediate and recent memory with retention of remote memory suggests:
87. Question: 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:
88. Question: It is especially important to test for ankle clonus if:
89. Question: To hear diastolic heart sounds, you should ask patients to:
90. Question: 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:
91. Question: A finding that is indicative of osteoarthritis is:
92. Question: You are examining a patient in the emergency department who has recently … head trauma. In order to initially assess this patient’s neurologic status, you would:
93. Question: 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:
94. Question: Montgomery tubercles are most prominent in the breasts of:
95. Question: Electrical activity … by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the:
96. Question: You are inspecting the genitalia of an … adult male. The foreskin is tight and cannot … easily retracted. You should:
97. Question: Palpation of a normal prostate in an older adult is likely to feel:
98. Question: The strength of the trapezius muscle is … by having the patient:
99. Question: 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:
100. Question: A chest radiography is … on your patient that complains of having dyspnea, coughing productive sputum and chest pain. The image results shows consolidation and infiltrates. You compare this to your physical exam findings of distant or absent breath sounds and absent vocal fremitus. What is the most likely diagnosis?
101. Question: When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?

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