NURS 6512N-53 Advanced Health Assessment and Diagnostic Reasoning: Exam – Week 11 Final (May Term)

(NURS 6512N 53)

1. Question:When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?  NURS 6512N 53
2. Question:Breath sounds normally heard over the trachea are …:
3. Question:A 23-year-old white woman has come to the clinic because she has … two menstrual periods. She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is to:
4. Question:Throughout the history and physical examination, the clinician …:
5. Question:You are examining a patient in the emergency department who has recently sustained head trauma. In order to initially assess this patient’s neurologic status, you would:
6. Question:When palpating joints, crepitus may occur when:
7. Question: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:
8. Question:Which cranial nerves are usually … during the examination of the eyes?
9. Question:Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of:  NURS 6512N 53
10. Question:Ulnar deviation and boutonniere deformities are characteristic of:
11. Question:Inspection of the scrotum should reveal:
12. Question:The adnexa of the uterus are … of the:
13. Question:Montgomery tubercles are most prominent in the breasts of:
14. Question:In the adult, the apical impulse should be most visible when the patient is in what position?
15. Question:You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily …. You should:
16. Question:To assess spinal levels L2, L3, and L4, which deep tendon reflex should be …?
17. Question:A parent is advised to restrict contact or collision sports participation for their child. An example of a sport in which this child … participate is:  NURS 6512N 53
18. Question:To hear diastolic heart sounds, you … ask patients to:
19. Question:A patient in the deepest coma would be scored a _____ on the Glasgow Coma Scale.
20. Question:The goals of preparticipation sports evaluation include:
21. Question:The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the:
22. Question:A red, hot swollen joint in a 40-year-old man should lead you to suspect:
23. 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:
24. Question:At your first meeting with a patient, it is usually best to say:
25. Question:When is the mental status portion of the neurologic system examination …?
26. Question:The foramen ovale should close:    NURS 6512N 53
27. Question:Cranial nerve XII may be assessed in an infant by:
28. Question:To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with:
29. Question:Which condition is considered progressive rather than reversible?
30. Question:Normal changes of the aging brain include:
31. Question:Diabetic peripheral neuropathy will likely produce:
32. Question:The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:
33. Question:The presence of cervical motion tenderness may indicate:
34. Question: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 … of “heart trouble.” The most important follow-up question you should pose is which of the following?
35. Question:A common finding in markedly obese and pregnant women is:
36. Question:The difference in blood pressure readings between the right and the left arms is … normal up to _____ mm Hg.  NURS 6512N 53
37. Question:The strength of the trapezius muscle is evaluated by having the patient:
38. Question:Loss of immediate and recent memory with retention of remote memory suggests:
39. Question:A 12-year-old boy relates that his left scrotum has a soft swollen mass. The scrotum is not painful upon palpation. The left inguinal canal is without masses. The mass does transilluminate with a penlight. This collection of symptoms is consistent with:
40. Question:Bimanual examination of the uterus includes:
41. 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:  NURS 6512N 53
42. Question:Examination of the patient in the lithotomy, or knee-chest, position includes:
43. Question:Which one of the following techniques is … to detect a torn meniscus?
44. Question:Anterior cruciate ligament integrity is … via the _____ test.
45. 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:
46. Question:Kawasaki disease is suspected when assessments of a child reveal:
47. Question:To assess a cremasteric reflex, the examiner strokes the:
48. Question:If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation?
49. Question:One of the most important aspects to consider in the orthopedic screening examination is:
50. 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:
51. 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:
52. Question:Postural hypotension is defined as a _____ when the patient stands, … with sitting or supine readings.  NURS 6512N 53
53. Question:A positive straight leg raise test usually indicates:
54. Question:The best way to ease the apprehension of a 3-year-old child before a physical examination is to:
55. Question:An examiner has rotated a brush several times into the cervical os. The brush was … and stroked lightly on a glass slide. The slide was sprayed with fixative. Which type of specimen requires this technique for collection?
56. Question:The finger-to-nose test allows assessment of:
57. Question:Which medical condition would exclude a person from sports participation?
58. Question:Palpation of epitrochlear nodes is part of the:
59. Question:A grade IV mitral regurgitation murmur would:
60. Question:The musculoskeletal examination should begin when:
61. Question:Facial muscle or tongue weakness may result in:
62. Question:The physical assessment technique most frequently … to assess joint symmetry is:
63. Question:Part of the screening orthopedic component of the examination includes evaluating the person while he or she is:
64. 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:
65. Question:The Mini-Mental State Examination should be … for the patient who:
66. Question:The Mini-Mental State Examination:
67. Question:Which of the following statements is true regarding the examination of peripheral arteries?
68. Question:Which portion of the physical examination is best done with the patient standing?
69. Question:If your patient has nipple discharge, you will most likely need a:
70. Question:The reliability of health-related findings and observations is the responsibility of the:
71. Question:If pitting edema is unilateral, you would suspect occlusion of a:
72. Question:In the most effective percussion technique of the posterior lung fields, the patient cooperates by:
73. Question:While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding:
74. Question:When conducting a geriatric assessment, basic activities of daily living (ADLs) include:
75. Question:The family history for a patient with joint pain should include information about siblings with:
76. Question:An ophthalmoscopic eye examination involves:
77. 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:
78. Question:It is especially important to test for ankle clonus if:
79. 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:
80. Question:When the Goodenough-Harris Drawing Test is … to a child, the evaluator principally observes the:
81. Question:A cervical polyp usually appears as a:
82. 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?
83. 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:
84. Question:A pulsation that is … to the point of being barely palpable would be … as:
85. Question:The rectal past medical history of all patients should include inquiry about:
86. Question: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.  NURS 6512N 53
87. Question:For purposes of examination and communication of physical findings, the breast is divided into:
88. Question:Your older clinic patient is being … 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:
89. Question:Nancy Walker is a 16-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her mother reports that Nancy, apart from occasional colds, Nancy is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Nancy’s current problem?
90. Question:When palpating breast tissue, the examiner should use the _____ at each site.
91. Question: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:
92. Question:An apical PMI palpated beyond the left fifth intercostal space may indicate:
93. Question:Electrical activity … by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the:
94. Question:Palpation of a normal prostate in an older adult is likely to feel:
95. Question:Assessing orientation to person, place, and time helps determine:
96. Question:Temporalis and masseter muscles are … by:
97. Question:During a routine prenatal visit, Ms. T. was … as having dependent edema, varicosities of the legs, and hemorrhoids. She … concern about these symptoms. You explain to Ms. T. that her … uterus is compressing her pelvic veins and her inferior vena cava. You would further explain that these findings:
98. Question:Your patient’s chief complaint is … pencil-like stools. Further examination should include:
99. Question:When assessing superficial pain, touch, vibration, and position perceptions, you are testing:
100. Question:Recent unilateral inversion of a previously everted nipple suggests:
101. 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 be … for her?