NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)202, Exams of Nursing

Download NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)202 and more Exams Nursing in PDF only on Docsity! NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ This is the latest Paper 2023 The following information belongs in which section of the Comprehensive Heath History (H&P)? "3 day history of rash and swelling" A. History of Present Illness B. Review of Systems C. Allergies D. Chief Complaint - correct answer ✅D. Chief Complaint A patient with abdominal pain describes "what" the pain feels like and "how long" it lasts. In which part of the H&P would you place this information? A. History of Present Illness B. Past Medical History NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ C. Sexual History D. Review of Systems - correct answer ✅A. History of present illness Which of the following best describes the patient record? A. describes the approach to a problem B. serves a dual purpose as it reflects your anaylsis of the patient's health status and documents examination findings C. shows your clinical thought process D. reflects you interpersonal skills with the patient - correct answer ✅B. serves a dual purpose as it reflects your anaylsis of the patient's health status and documents examination findings The consideration of culture and ethnicity during the interview process are important because: NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ A healthy BMI can best be described as: A. 18.5-24.9 B. 30.0-34.9 C. 25.0-29.9 D. 35.0-39.9 - correct answer ✅A. 18.5-24.9 The comprehensive health history: A. has a completely different format that varies with each institution B. varies from country to country C. follows the same general format regardless of the institution or geographical location NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ D. follows the exact same format across the world, except Europe - correct answer ✅C. follows the same general format regardless of the institution or geographical location Which of the following is not a common symptom of depression? A. Anhedonia B. Dry lips C. Appetite disturbance D. Worthlessness - correct answer ✅B. Dry lips During a mental status exam, which question might you ask to assess abstraction ability? A. What does a rolling stone gathers no moss mean? B. Start with 100 and keep subtracting by 7 NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ C How long have you been here? D. What's your mother's maiden name? - correct answer ✅A. What does a rolling stone gathers no moss mean? Dave, age 76, is brought in by his wife, who states that within the last 2 days Dave has become agitated and restless, has had few lucid moments, slept very poorly last night and can remember only recent events. Of the following differential diagnoses, which best fits the symptoms from this brief history? A. Depression B. Dementia C. Delirium D. Schizophrenia - correct answer ✅C. Delirium Which technique is applied throughout the entire examination and interview process? NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ C. for the focused assessment you perform a thorough head to toe examination D. for the comprehensive assessment you always refer the patient to a specialist at the end of the examination - correct answer ✅B. for the focused assessment you will select the methods relevant to thorough assessment of the targeted problem Which of the following is an example of subjective data: A. Mr. D's vital signs are BP 138/66 P 107 T 99.9 SPO2 92% RR 20 B. Mr. D has inspiratory and expiratory wheezes noted during auscultation of the lungs C. Mr D's CXR shows an infiltrate in the left lower lobe consistent with pneumonia D. Mr D is a 53 year old male who presents to the clinic complaining of shortness of breath and says "it hurts to take deep breaths." He reports this started 2 days ago and says he's been having fever and chills. - correct NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ answer ✅D. Mr D is a 53 year old male who presents to the clinic complaining of shortness of breath and says "it hurts to take deep breaths." He reports this started 2 days ago and says he's been having fever and chills. All of the following are included in the Review of Systems except: A. general B. Cardiovascular C. Psychiatric D. All of the above - correct answer ✅D. All of the above Which of the following is not a goal when developing a systematic sequence of examination: A. maximize the patients' comfort NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ B. perform invasive imaging first C. avoid unnecessary changes in position D. enhance clinical efficiency - correct answer ✅B. perform invasive imaging first All of the following are examples of health promotion except: A. using USPSTF guidelines for practice during the exam B. using American College of Chest Physicians grading criteria during the exam C. removing baby aspirin 81 mg from the medication list of a patient with know coronary artery disease during the exam D. using CDC recommendations for exercise during the exam - correct answer ✅C. removing baby aspirin 81 mg from the medication list of a patient with know coronary artery disease during the exam NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ A. self-awareness B. respectful communication C. collaborative partnership D. all of the above - correct answer ✅D. all of the above When performing the general survey which of the following is not considered a sign of distress: A. pain B. labored breathing C. large mole on forehead D. anxiety - correct answer ✅C. large mole on forehead You are speaking to an 8th grade class about health prevention and are preparing to discuss the ABCDEs of melanoma. Which of the following descriptions correctly defines the ABCDEs? NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E = evolution A = actinic; B = basal cell; C = color changes, especially blue; D = diameter >6 mm; E = evolution A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E = evolution A = asymmetry; B = regular borders; C = color changes, especially orange; D = diameter >6 mm; E = evolution - correct answer ✅A = asymmetry; B = NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ irregular borders; C = color changes, especially blue; D = diameter >6 mm; E = evolution A 28-year-old patient comes to the office for evaluation of a rash. At first there was only one large patch, but then more lesions erupted suddenly on the back and torso; the lesions itch. On physical examination, you note that the pattern of eruption is like a Christmas tree and that there are a variety of erythematous papules and macules on the cleavage lines of the back. Based on this description, what is the most likely diagnosis? Tinea versicolor Pityriasis rosea Psoriasis NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ Actinic keratoses Angiomas - correct answer ✅Actinic keratoses A 68-year-old retired farmer comes to your office for evaluation of a skin lesion. On the right temporal area of the forehead, you see a flattened papule the same color as his skin, covered by a dry scale that is round and feels hard. He has several more of these scattered on the forehead, arms, and legs. Based on this description, what is your most likely diagnosis? Seborrheic keratosis Actinic keratosis NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ Basal cell carcinoma Squamous cell carcinoma - correct answer ✅Actinic keratosis Which type of lesion often grows out of already present nevi that are changing or atypical, especially if the patient is over 50 years old: malignant melanoma basal cell carcinoma squamous cell carcinoma NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ karposi sarcoma - correct answer ✅malignant melanoma Nail involvement characterized by painless separation of the nail plate from the nail bed is termed: Hippocratic nails Onycholysis Koilonychia NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ Syphilis - correct answer ✅Alopecia Areata A basal cell carcinoma is: an epithelial tumor that originates from either the basal layer of the epidermis or cells in the surrounding dermal structures and are usually found in sun-exposed areas a malignant tumor of the squamous epithelium of the skin or mucous membranes an overgrowth and thickening of the cornified epithelium lined with epithelium and contains a fluid or semisolid material - correct answer ✅an epithelial tumor that originates from either the basal layer of NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ the epidermis or cells in the surrounding dermal structures and are usually found in sun-exposed areas You ask a patient to follow your finger laterally when evaluating extraocular movements. Which cranial nerves are you testing? IV, VII III, VI III, X II, III - correct answer ✅III, VI NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ The mental status examination enables the nurse practitioner to identify: Intelligence quotient and reasoning Abstract thinking and memory functioning Reasoning and psychomotor skills Memory functioning and intelligence - correct answer ✅Abstract thinking and memory functioning An assessment of a client experiencing hallucinations would most likely reveal all of the following except: NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ Warm, cuddling child with excessive need for interaction. - correct answer ✅Delay in language development A 38-year-old accountant comes to your clinic for evaluation of a headache. The throbbing sensation is located in the right temporal region and is an 8 on a scale of 1 to 10. It started a few hours ago, and she has noted nausea with sensitivity to light; she has had headaches like this in the past, usually less than one per week, but not as severe. She does not know of any inciting factors. There has been no change in the frequency of her headaches. She usually takes an over-the-counter analgesic and this results in resolution of the headache. Based on this description, what is the most likely diagnosis of the type of headache? Tension Cluster NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ Migraine Analgesic rebound - correct answer ✅Migraine A middle aged pateint presents with diffuse facial swelling. Upon further assessment of the face you note hair is dry, course and sparse; thinning of lateral eyebrows; periorbital edema. This represents a finding of: Cishing's syndrome Myxedema NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ Nephrotic syndrome Angioedema - correct answer ✅Myxedema Symptoms and assessment findings related to hypothyroidism include all of the following except: Palpitations Fatigue Dry, coarse skin NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ Assessing for Jugular Vein Distension - correct answer ✅Assessing for Jugular Vein Distension Tonsillar lymphnodes are located: at the angle of the mandible in the midline, a few centimeters behind the tip of the mandible behind the tonsilis in the oropharynx NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ superficial to the sternomastoid - correct answer ✅at the angle of the mandible A skin and tissue disorder usually caused by increased adrenal cortisol production; characterized by round or "moon" face appearance is: myxedema acromegaly cushing's syndrome nephrotic syndrome - correct answer ✅cushing's syndrome NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ The test that compares air conduction and bone conduction is known as: Weber test Whispered voice test Tug tes Rinne test - correct answer ✅Rinne test A 12-year-old presents to the clinic with his father for evaluation of a painful lump in the left eye. It started this morning. He denies any trauma or injury. NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ shotty fluctuant matted fixed - correct answer ✅shotty A 29-year-old physical therapist presents for evaluation of an eyelid problem. On observation, the right eyeball appears to be protruding forward. Based on this description, what is the most likely diagnosis? NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ Ptosis Ectropion Epicanthus Exophthalmos - correct answer ✅Exophthalmos The thyroid gland is best assessed: above the hyoid bone NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ behind the cricoid below the suprasternal notch The thyroid gland is best assessed: above the hyoid bone behind the cricoid below the suprasternal notch NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ stand next to the client and have the cliient lean away from the side being examined and take a swallow of water - correct answer ✅stand behind the client, have the client flex the neck slightly forward to relax the sternomastoid muscles When a client sips water and swallows, the thyroid isthmus: moves down and slightly posterior and feels smooth on palpation elongates and enlarges during the swallow and immediately returns to a resting position moves slightly out during the sipping and backward during the swallowing NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ moves upward during the swallow and feels symmetric and smooth to palpation - correct answer ✅moves upward during the swallow and feels symmetric and smooth to palpation Types of ocular discharge found in the setting of conjunctivitis include all of the following except: hemorrhagic mucoid mucoidpurulent NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ watery - correct answer ✅hemorrhagic Which of the following are common characteristics of acute otitis media: gray, retracted TM chalky, white patches with irregular margins on the surface of the TM erythema of the external ear canal erythema, bulging TM with loss of bony landmarks - correct answer ✅erythema, bulging TM with loss of bony landmarks NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ medical history is remarkable only for a broken foot. His parents are both healthy. He has a paternal uncle who had similar symptoms in college. The patient admits to smoking cigarettes and drinking alcohol. He also admits to marijuana use but none in the last week. He denies using any other substances. He denies any feelings of depression or anxiety. While speaking with Todd and his mother you do a complete physical examination, which is essentially normal. When you question him on how he is feeling, he says that he is very worried that Microsoft has stolen his software for creating a better browser. He tells you he has seen a black van in his neighborhood at night and he is sure that it is full of computer tech workers stealing his work through special gamma waves. You ask him why he believes they are trying to steal his programs. He replies that the technicians have been telepathing their intents directly into his head. He says he hears these conversations at night so he knows this is happening. Todd's mother then tells you, "See, I told you . . . he's crazy. What do I do about it?" While arranging for a psychiatry consult, what psychotic disorder do you think Todd has? NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ This is normal teenaged behavior Psychotic disorder due to a medical illness Substance-induced psychotic disorder Schizophrenia - correct answer ✅Schizophrenia A 32-year-old white female comes to your clinic, complaining of overwhelming sadness. She says for the past 2 months she has had crying episodes, difficulty sleeping, and problems with overeating. She says she used to go out with her friends from work but now she just wants to go home and be by herself. She also thinks that her work productivity has been dropping because she just is too tired to care or concentrate. She denies any NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ feelings of guilt or any suicidal ideation. She states that she has never felt this way in the past. She denies any recent illness or injuries. Her past medical history consists of an appendectomy when she was a teenager; otherwise, she has been healthy. She is single and works as a clerk in a medical office. She denies tobacco, alcohol, or illegal drug use. Her mother has high blood pressure and her father has had a history of mental illness. On examination you see a woman appearing her stated age who seems quite sad. Her facial expression does not change while you talk to her and she makes little eye contact. She speaks so softly you cannot always understand her. Her thought processes and content seem unremarkable. What type of mood disorder do you think she has? Dysthymic disorder Manic (bipolar) disorder NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ Vesicular Tracheal - correct answer ✅Bronchial A patient complains of shortness of breath for the past few days. On examination, you note late inspiratory crackles in the lower third of the chest that were not present a week ago. What is the most likely explanation for these? Heart failure Asthma NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ COPD Bronchiectasis - correct answer ✅Heart failure A 21-year-old college senior presents to your clinic, complaining of shortness of breath and a nonproductive nocturnal cough. She states she used to feel this way with extreme exercise a few years ago and used to have to use some kind of inhaler 20 minutes before exercise. She denies any other upper respiratory symptoms, chest pain, gastrointestinal symptoms, or urinary tract symptoms. Her past medical history is significant only for seasonal allergies, for which she takes a nasal steroid spray but is otherwise on no other medications. She has had no surgeries. Her mother has allergies and eczema and her father has high blood pressure. She is an only child. She denies smoking and illegal drug use but drinks three to four alcoholic beverages per weekend. She is a junior in finance at a local university and she has recently started a job as a bartender in town. On examination she is in no acute distress and her temperature is 98.6. Her blood pressure is 120/80, her pulse is 80, and her respirations are 20. Her head, eyes, ears, NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ nose, and throat examinations are essentially unremarkable. Inspection of her anterior and posterior chest shows no abnormalities. On auscultation of her chest, there is decreased air movement and a high-pitched whistling on expiration in all lobes. Percussion reveals resonant lungs. Which disorder of the thorax or lung does this best describe? Spontaneous pneumothorax Chronic obstructive pulmonary disease (COPD) Asthma NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ Maintain a stiff wrist and hand. Leave the plexor finger on the pleximeter after each strike. Strike the pleximeter over the distal interphalangeal joint. - correct answer ✅Strike the pleximeter over the distal interphalangeal joint. The following are examples of transmitted voice sounds except: ask the patient to say their name and then repeat it again backwards NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ ask the patient to say "ninety-nine" ask the patient to whisper "one-two-three" as the patient to say "ee" - correct answer ✅ask the patient to say their name and then repeat it again backwards A client is complaining of dyspnea. During your subjective assessment, you are able to best assess the degree the patient's dyspnea by asking about: age severity based on the patient's daily activities NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ body weight height - correct answer ✅severity based on the patient's daily activities CDC guidelines recommend smoking prevention and cessation should begin when a patient is: A middle-aged female A geriatric male NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ Orthopnea is differentiated from other forms of dyspnea as it: occurs when the patient is lying down and improves when the patient sits up occurs when the patient is lying down and improves when the rolls over occurs when the patient is sitting up and improves when the patient lays down is always accompanied by heart palpitations - correct answer ✅occurs when the patient is lying down and improves when the patient sits up When assessing a patient for cardiovascular disease, you are aware that it strikes a disproportionate number of: NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ hispanics and women native americans and men african americans and women african americans and men - correct answer ✅african americans and women A 25-year-old optical technician comes to your clinic for evaluation of fatigue. As part of your physical examination, you listen to her heart and hear a murmur only at the cardiac apex. Which valve is most likely to be involved, based on the location of the murmur? NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ Mitral Tricuspid Aortic Pulmonic - correct answer ✅Mitral Where is the point of maximal impulse (PMI) normally located? In the left 5th intercostal space, 7 to 9 cm lateral to the sternum NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ Judge the relative length of systole and diastole by auscultation. Correlate the murmur with a bedside heart monitor. - correct answer ✅Palpate the carotid pulse. Which of the following best describes a grade 4-intensity murmur? It is moderately loud. It can be heard with the stethoscope off the chest. It can be heard with the stethoscope partially off the chest. NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ It is associated with a "thrill." - correct answer ✅It is associated with a "thrill." When assessing a patient for peripheal arterial disease (PAD), it is important to ask about all of the following except: leg coldness leg numbness leg length NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ loss of hair over the anterior tibial surfaces - correct answer ✅leg length An abnormal finding during the peripheal arterial examination would include: symmetric pulses symmetric blood pressures asymmetric blood pressures abscence of claudication - correct answer ✅asymmetric blood pressures NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ Which of the following best describes the assessment findings of chronic venous insufficiency: swollen foot, pitting swollen foot, ulcer swollen foot, no pitting, thick skin swollen foot, swollen calf and inflammation - correct answer ✅swollen foot, ulcer NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ A 72-year-old teacher comes to your clinic for an annual examination. She is concerned about her risk for peripheral vascular disease and states that there is a place in town that does tests to let her know her if she has this or not. Which of the following disease processes is a risk factor for peripheral vascular disease? Gastroesophageal reflux disease Coronary artery disease Migraine headaches Osteoarthritis - correct answer ✅Coronary artery disease NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ When assessing for DVT using Homan sign you understand that evaluating for discomfort behind the knee with forced dorsiflexion on the foot is neither sensitive or specific and discredited by Homan himself. True False - correct answer ✅True You suspect that a patient has actue cholecystitis, you would expect to find which of the following to be positive upon exam: murphy sign grey-turner sign NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ pain that is felt in distant sites pain that is felt after a loose bowel movement - correct answer ✅pain that occurs when organs contract unusually and forcefully or are distended and stretched A 52-year-old secretary comes to your office, complaining about accidentally leaking urine when she coughs or sneezes. She says this has been going on for about a year now. She relates that she has not had a period for 2 years. She denies any recent illness or injuries. Her past medical history is significant for four spontaneous vaginal deliveries. She is married and has four children. She denies alcohol, tobacco, or drug use. During her pelvic examination you note some atrophic vaginal tissue, but the remainder of her pelvic, abdominal, and rectal examinations are unremarkable. Which type of urinary incontinence does she have? NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ stress urge overflow neurologic - correct answer ✅stress What is the most common origination of melena: esophagus NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ stomach duodenum all of the above - correct answer ✅all of the above You are assessing a patient who reports a history of a positive Helicobacter Pylori test. You interpret this finding as an infection associated with: GERD irritable bowel syndrome NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ irritable bowel syndrome pancreatitis - correct answer ✅diverticulitis Mr. Patel is a 64-year-old man who was told by another care provider that his liver is enlarged. Although he is a life-long smoker, he has never used drugs or alcohol and has no knowledge of liver disease. Indeed, on examination, a liver edge is palpable 4 centimeters below the costal arch. Which of the following would you do next? order a liver ultrasound order a hepatitis panel NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ determine liver span by percussion oder a stat GI referral - correct answer ✅determine liver span by percussion A 27-year-old policewoman comes to your clinic, complaining of severe left- sided back pain radiating down into her groin. It began in the middle of the night and woke her up suddenly. It hurts in her bladder to urinate but she has no burning on the outside. She has had no frequency or urgency with urination but she has seen blood in her urine. She has had nausea with the pain but no vomiting or fever. She denies any other recent illness or injuries. Her past medical history is unremarkable. She denies tobacco or drug use and drinks alcohol rarely. Her mother has high blood pressure and her father is healthy. On examination she looks her stated age and is in obvious pain. She is lying on her left side trying to remain very still. Her cardiac, pulmonary, and abdominal examinations are unremarkable. She has NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ tenderness just inferior to the left costovertebral angle. Her urine pregnancy test is negative and her urine analysis shows red blood cells. What type of urinary tract pain is she most likely to have? pain from the cervix ureteral pain from a stone musculoskeletal pain ischemic bowel pain - correct answer ✅ureteral pain from a stone NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ test for a gas wave test for tenderness at McBurney's point test for hematuria - correct answer ✅test for a fluid wave Which of the following is true regarding breast self-examination? It has been shown to reduce mortality from breast cancer. It is recommended unanimously by organizations making screening recommendations. NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ A high proportion of breast masses are detected by breast self-examination. The undue fear caused by finding a mass justifies omitting instruction in breast self-examination. - correct answer ✅A high proportion of breast masses are detected by breast self-examination. Which is the most effective pattern of palpation for breast cancer? Beginning at the nipple, make an ever-enlarging spiral. Examine in lines resembling the back and forth pattern of mowing a lawn. NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+ Divide the breast into quadrants and inspect each systematically. Beginning at the nipple, palpate outward in a stripe pattern. - correct answer ✅Examine in lines resembling the back and forth pattern of mowing a lawn. Which of the following lymph node groups is most commonly involved in breast cancer? Incorrect Response lateral subscapular NURS 634 Advanced Health Assessment Midterm Review of Quiz Questions (Verified Answers)2023 GRADED A+