NURS 6512: ADVANCED HEALTH ASSESSMENT FINAL EXAM 2024/2025|VERIFIED QUESTIONS WITH 100%, Exams of Nursing

Download NURS 6512: ADVANCED HEALTH ASSESSMENT FINAL EXAM 2024/2025|VERIFIED QUESTIONS WITH 100% and more Exams Nursing in PDF only on Docsity! NURS 6512: ADVANCED HEALTH ASSESSMENT FINAL EXAM 2024/2025|VERIFIED QUESTIONS WITH 100% CORRECT ANSWERS| CHAMBERLAIN UNIVERSITY|GRADED A+ • Question 1 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? Selected Answer: Loss of hair over the extremity Selected Answer: fallopian tubes and ovaries. Selected Answer: Cervical spine radiograph Selected Answer: scapular line. Selected Answer: McMurray test • Question 6 1 out of 1 points 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 The brush was withdrawn and stroked lightly on a glass slide.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? • Question 3 1 out of 1 points 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 required for her? 1 out of 1 points • Question 2 1 out of 1 points The adnexa of the uterus are composed of the: • Question 4 1 out of 1 points The examiner percusses for diaphragmatic excursion along the: • Question 5 1 out of 1 points Which one of the following techniques is used to detect a torn meniscus? Selected Answer: Cytology smear Selected Answer: observing the infant suck and swallow. Selected Answer: Spin al Selected Answer: sensory function. Selected Answer: Raynaud disease. Selected Answer: test the six cardinal points of gaze. • Question 12 1 out of 1 points • Question 11 1 out of 1 points 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: • Question 9 1 out of 1 points When assessing superficial pain, touch, vibration, and position perceptions, you are testing: • Question 7 1 out of 1 points Cranial nerve XII may be assessed in an infant by: • Question 8 1 out of 1 points Which portion of the physical examination is best done with the patient standing? • Question 10 1 out of 1 points An idiopathic spasm of arterioles in the digits is termed: Throughout the history and physical examination, the clinician should: Selected Answer: evaluate the whole patient. Selected Answer: state of consciousness. Selected Answer: uremi a. Selected Answer: cance r. Selected Answer: let the child hold the stethoscope while you listen. Selected Answer: symmetr y. • Question 30 1 out of 1 points • Question 29 1 out of 1 points One of the most important aspects to consider in the orthopedic screening examination is: • Question 28 1 out of 1 points The best way to ease the apprehension of a 3-year-old child before a physical examination is to: • Question 26 1 out of 1 points Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify: • Question 25 1 out of 1 points Assessing orientation to person, place, and time helps determine: • Question 27 1 out of 1 points Recent unilateral inversion of a previously everted nipple suggests: 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: Kerni g Selected Answer: perform the examination while the child is in the mother's lap. Selected Answer: transilluminate the glans. Selected Answer: examination of the upper extremities. Selected Answer: systolic pressure drop of more than 15 mm Hg with a pulse rate increase Selected moderately • Question 35 1 out of 1 points 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: • Question 34 1 out of 1 points Postural hypotension is defined as a when the patient stands, compared with sitting or supine readings. • Question 32 0 out of 1 points You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should: • Question 31 1 out of 1 points 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: • Question 33 1 out of 1 points Palpation of epitrochlear nodes is part of the: • Question 38 1 out of 1 points Answer: loud. Selected Answer: Heberden nodes. Selected Answer: crania l. 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? Selected Answer: Cocaine use Selected Answer: older adult. Selected Answer: older adults. • Question 41 1 out of 1 points Which one of the following is a proper technique for use of a speculum during a vaginal examination? • Question 40 1 out of 1 points Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of: • Question 36 1 out of 1 points A finding that is indicative of osteoarthritis is: • Question 37 1 out of 1 points Nerves that arise from the brain rather than the spinal cord are called: • Question 39 1 out of 1 points Functional assessment is most important during the examination of a(n): • Question 56 1 out of 1 points • Question 58 1 out of 1 points Selected Answer: Selected Answer: inner thigh and observes whether the testicle and scrotum rise on the stroked side. grasping the cervix between the examining fingers. Selected Answer: professional and the patient. 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: Selected Answer: hydrocel e. Selected Answer: Uprig ht 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: Selected Answer: fibrocystic changes. • Question 57 1 out of 1 points In the adult, the apical impulse should be most visible when the patient is in what position? • Question 55 1 out of 1 points The reliability of health-related findings and observations is the responsibility of the: • Question 54 1 out of 1 points Bimanual examination of the uterus includes: • Question 60 1 out of 1 points Selected Answer: The thumb should never be used to assess pulses. During a routine prenatal visit, Ms. T. was noted 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: Selected Answer: are usual conditions during pregnancy. Selected Answer: lie on their left sides. Selected Answer: irregular bony surfaces rub together. Selected Answer: gou t. Selected Feve • Question 59 0 out of 1 points Which of the following statements is true regarding the examination of peripheral arteries? • Question 61 1 out of 1 points To hear diastolic heart sounds, you should ask patients to: • Question 62 1 out of 1 points When palpating joints, crepitus may occur when: • Question 63 1 out of 1 points A red, hot swollen joint in a 40-year-old man should lead you to suspect: • Question 64 1 out of 1 points Which medical condition would exclude a person from sports participation? Answer: r Selected Answer: Mini-Mental State Examination. Selected Answer: dementi a. Selected Answer: presence and form of body parts. Selected Answer: rubber y. Selected Answer: pelvic inflammatory disease. If your patient has nipple discharge, you will most likely need a: • Question 70 1 out of 1 points • Question 67 1 out of 1 points When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the: • Question 66 1 out of 1 points Loss of immediate and recent memory with retention of remote memory suggests: • Question 68 1 out of 1 points Palpation of a normal prostate in an older adult is likely to feel: • Question 69 1 out of 1 points The presence of cervical motion tenderness may indicate: • Question 65 1 out of 1 points 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: An apical PMI palpated beyond the left fifth intercostal space may indicate: Selected Answer: left ventricular hypertrophy. Selected Answer: Dement ia Selected Answer: rheumatoid arthritis. Selected Answer: within minutes of birth. Selected Answer: diminished pain sensation. Selected Answer: schizophren ia. • Question 88 1 out of 1 points • Question 87 1 out of 1 points 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: 1 out of 1 points • Question 83 1 out of 1 points Which condition is considered progressive rather than reversible? • Question 84 1 out of 1 points Ulnar deviation and boutonniere deformities are characteristic of: • Question 85 1 out of 1 points The foramen ovale should close: • Question 86 1 out of 1 points Diabetic peripheral neuropathy will likely produce: A positive straight leg raise test usually indicates: Selected Answer: lumbar nerve root irritation. Selected Answer: alcohol, tobacco, and caffeine use. Selected Answer: CN XI, spinal accessory Selected Answer: push her head against the examiner's hand. Selected Answer: radiate to the axilla. Selected Answer: amphori c. • Question 94 1 out of 1 points • Question 90 1 out of 1 points If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation? • Question 89 1 out of 1 points While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding: • Question 91 1 out of 1 points The strength of the trapezius muscle is evaluated by having the patient: • Question 92 1 out of 1 points A grade IV mitral regurgitation murmur would: • Question 93 0 out of 1 points Breath sounds normally heard over the trachea are called: • Question 98 1 out of 1 points A cervical polyp usually appears as a: Selected Answer: bright-red soft protrusion from the endocervical canal. Selected Answer: deep tendon reflexes are hyperactive. Selected 1 Answer: Selected Answer: QRS complex. 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?" Selected Answer: Romberg sign. • Question 99 1 out of 1 points 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: • Question 96 1 out of 1 points A pulsation that is diminished to the point of being barely palpable would be graded as: • Question 95 1 out of 1 points It is especially important to test for ankle clonus if: • Question 97 1 out of 1 points The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the: