NURS 6512 FINAL EXAM / NURS6512 FINAL EXAM LATEST UPDATE 2021/2022 100%CORRECT QUESTIONS A, Exams of Nursing

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NURS-6512N-49,Advanced Health

Assessment.2020 Spring Qtr 02/24-

05/17-

Test Exam - Week 11

Due Date 5/11/20 1:59 AM

Status Completed

Attempt Score 100 out of 100 points

Time Elapsed 1 hour, 21 minutes out of 2 hours

Instructions Please answer each question below and

click Submit when you have completed the Exam.

Results Displayed Submitted Answers, Incorrectly

Answered Questions

 Question 1

1 out of 1 points

One of the most important aspects to consider in the orthopedic screening examination is:

Selected

Answer:

symmetr y.

 Question 2

1 out of 1 points

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.

 Question 3

1 out of 1 points

Loss of immediate and recent memory with retention of remote memory suggests:

Selected

Answer:

dementi a.

 Question 4

1 out of 1 points

The rectal past medical history of all patients should include inquiry about:

Selected

Answer:

hemorrhoid surgery.

 Question 5

1 out of 1 points

A common finding in markedly obese and pregnant women is:

Selected

Answer:

lordosi s.

 Question 6

1 out of 1 points

Kawasaki disease is suspected when assessments of a child reveal:

Selected

Answer:

conjunctival injection, strawberry tongue, and edema of the hands and feet.

 Question 7

1 out of 1 points

The musculoskeletal examination should begin when:

Selected

Answer:

the patient enters the examination room.

 Question 8

1 out of 1 points

At your first meeting with a patient, it is usually best to say:

Selected

Answer:

"Tell me about yourself."

 Question 9

1 out of 1 points

A pulsation that is diminished to the point of being barely palpable would be graded as:

Selected

Answer:

 Question 10

1 out of 1 points

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:

Selected

Answer:

note the finding in the patient's record.

 Question 11

1 out of 1 points

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

 Question 12

1 out of 1 points

Which of the following statements is true regarding the examination of peripheral arteries?

Selected

Answer:

The pulses are most readily felt over bony prominences.

 Question 13

1 out of 1 points

Which one of the following techniques is used to detect a torn meniscus?

Selected

Answer:

McMurray test

 Question 14

1 out of 1 points

The finger-to-nose test allows assessment of:

Selected

Answer:

coordination and fine motor function.

 Question 15

1 out of 1 points

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:

Selected

Answer:

fingertip s.

 Question 16

1 out of 1 points

Postural hypotension is defined as a _____ when the patient stands, compared with sitting or supine readings.

Selected

Answer:

systolic pressure drop of more than 15 mm Hg with a pulse rate increase

 Question 17

1 out of 1 points

A 23-year-old white woman has come to the clinic because she has missed 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:

Selected

Answer:

suggest pregnancy testing.

 Question 18

1 out of 1 points

Montgomery tubercles are most prominent in the breasts of:

Selected

Answer:

pregnant women.

 Question 19

1 out of 1 points

When palpating joints, crepitus may occur when:

Selected

Answer:

irregular bony surfaces rub together.

 Question 20

1 out of 1 points

The Mini-Mental State Examination should be administered for the patient who:

Selected

Answer:

gets lost in her neighborhood.

 Question 21

1 out of 1 points

Breath sounds normally heard over the trachea are called:

Selected

Answer:

bronchi al.

 Question 22

1 out of 1 points

When assessing superficial pain, touch, vibration, and position perceptions, you are testing:

Selected

Answer:

sensory function.

 Question 23

1 out of 1 points

In the most effective percussion technique of the posterior lung fields, the patient cooperates by:

Selected

Answer:

folding the arms in front.

 Question 24

1 out of 1 points

Diabetic peripheral neuropathy will likely produce:

Selected

Answer:

diminished pain sensation.

 Question 25

1 out of 1 points

Which cranial nerves are usually evaluated during the examination of the eyes?

Selected

Answer:

III and VI

 Question 26

1 out of 1 points

To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested?

Selected

Answer:

Patell ar

 Question 27

1 out of 1 points

Nerves that arise from the brain rather than the spinal cord are called:

Selected

Answer:

crania l.

 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:

Selected

Answer:

let the child hold the stethoscope while you listen.

 Question 29

1 out of 1 points

Which condition is considered progressive rather than reversible?

Selected

Answer:

Dement ia

 Question 30

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:

Selected

Answer:

moderately loud.

 Question 31

1 out of 1 points

Inspection of the scrotum should reveal:

Selected

Answer:

left scrotal sac lower than the right.

 Question 32

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?

Selected

Answer:

Cervical spine radiograph

 Question 33

1 out of 1 points

If pitting edema is unilateral, you would suspect occlusion of a:

Selected

Answer:

major vein.

 Question 34

1 out of 1 points

The physical assessment technique most frequently used to assess joint symmetry is:

Selected

Answer:

inspectio n.

 Question 35

1 out of 1 points

The foramen ovale should close:

Selected

Answer:

within minutes of birth.

 Question 36

1 out of 1 points

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

 Question 37

1 out of 1 points

Ulnar deviation and boutonniere deformities are characteristic of:

Selected

Answer:

rheumatoid arthritis.

 Question 38

1 out of 1 points

A grade IV mitral regurgitation murmur would:

Selected

Answer:

radiate to the axilla.

 Question 39

1 out of 1 points

Anterior cruciate ligament integrity is assessed via the _____ test.

Selected

Answer:

Lachm an

 Question 40

1 out of 1 points

Bimanual examination of the uterus includes:

Selected

Answer:

grasping the cervix between the examining fingers.

 Question 41

1 out of 1 points

A red, hot swollen joint in a 40-year-old man should lead you to suspect:

Selected

Answer:

gou t.

 Question 42

1 out of 1 points

A parent is advised to restrict contact or collision sports participation for their child. An example of a sport in which this child could participate is:

Selected

Answer:

riflery .

 Question 43

1 out of 1 points

Normal changes of the aging brain include:

Selected

Answer:

diminished perception of touch.

 Question 44

1 out of 1 points

The reliability of health-related findings and observations is the responsibility of the:

Selected

Answer:

professional and the patient.

 Question 45

1 out of 1 points

Temporalis and masseter muscles are evaluated by:

Selected

Answer:

having the patient clench his or her teeth.

 Question 46

1 out of 1 points

The Denver II is a tool used to determine:

Selected

Answer:

whether a child is developing as expected.

 Question 47

1 out of 1 points

When conducting a geriatric assessment, basic activities of daily living (ADLs) include:

Selected

Answer:

bathin g.

 Question 48

1 out of 1 points

A positive straight leg raise test usually indicates:

Selected

Answer:

lumbar nerve root irritation.

 Question 49

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:

Selected

Answer:

schizophren ia.

 Question 50

1 out of 1 points

An idiopathic spasm of arterioles in the digits is termed:

Selected Raynaud

Answer: disease.

 Question 51

1 out of 1 points

Assessing orientation to person, place, and time helps determine:

Selected

Answer:

state of consciousness.

 Question 52

1 out of 1 points

An ophthalmoscopic eye examination involves:

Selected

Answer:

lens inspection.

 Question 53

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?

Selected

Answer:

Cytology smear

 Question 54

1 out of 1 points

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:

Selected

Answer:

menstrual cycles.

 Question 55

1 out of 1 points

The goals of preparticipation sports evaluation include:

Selected

Answer:

identifying risk of injury or death during sports participation.

 Question 56

1 out of 1 points

Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of:

Selected

Answer:

older adults.

 Question 57

1 out of 1 points

Palpation of a normal prostate in an older adult is likely to feel:

Selected

Answer:

rubber y.

 Question 58

1 out of 1 points

As Mr. B. enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. You would document Mr. B.'s pattern as:

Selected

Answer:

cerebellar ataxia.

 Question 59

1 out of 1 points

For purposes of examination and communication of physical findings, the breast is divided into:

Selected

Answer:

four quadrants plus a tail.

 Question 60

1 out of 1 points

The difference in blood pressure readings between the right and the left arms is considered normal up to _____ mm Hg.

Selected

Answer:

0

 Question 61

1 out of 1 points

A patient in the deepest coma would be scored a _____ on the Glasgow Coma Scale.

Selected

Answer:

 Question 62

1 out of 1 points

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

 Question 63

1 out of 1 points

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:

Selected

Answer:

auscultating the lung bases.

 Question 64

1 out of 1 points

Recent unilateral inversion of a previously everted nipple suggests:

Selected

Answer:

cance r.

 Question 65

1 out of 1 points

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 66

1 out of 1 points

Which medical condition would exclude a person from sports participation?

Selected

Answer:

Feve r

 Question 67

1 out of 1 points

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:

Selected

Answer:

+.

 Question 68

1 out of 1 points

Examination of the patient in the lithotomy, or knee-chest, position includes:

Selected

Answer:

palpation of anal sphincter tone.

 Question 69

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:

Selected

Answer:

Mini-Mental State Examination.

 Question 70

1 out of 1 points

Your patient's chief complaint is repeated pencil-like stools. Further examination should include:

Selected

Answer:

digital rectal examination (DRE).

 Question 71

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:

Selected

Answer:

Romberg sign.

 Question 72

1 out of 1 points

To hear diastolic heart sounds, you should ask patients to:

Selected

Answer:

lie on their left sides.

 Question 73

1 out of 1 points

The Mini-Mental State Examination:

Selected

Answer:

may be used to quantitatively estimate cognitive changes.

 Question 74

1 out of 1 points

The family history for a patient with joint pain should include information about siblings with:

Selected

Answer:

genetic disorders.

 Question 75

1 out of 1 points

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 are usual conditions during

Answer: pregnancy.

 Question 76

1 out of 1 points

When palpating breast tissue, the examiner should use the _____ at each site.

Selected

Answer:

finger pads, gliding

 Question 77

1 out of 1 points

It is especially important to test for ankle clonus if:

Selected

Answer:

deep tendon reflexes are hyperactive.

 Question 78

1 out of 1 points

If your patient has nipple discharge, you will most likely need a:

Selected

Answer:

glass slide and fixative.

 Question 79

1 out of 1 points

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?"

 Question 80

1 out of 1 points

Tarry black stool should make you suspect:

Selected

Answer:

upper intestinal bleeding.

 Question 81

1 out of 1 points

Functional assessment is most important during the examination of a(n):

Selected

Answer:

older adult.

 Question 82

1 out of 1 points

When is the mental status portion of the neurologic system examination performed?

Selected

Answer:

Constantly, throughout the entire interaction with a patient

 Question 83

1 out of 1 points

A finding that is indicative of osteoarthritis is:

Selected

Answer:

Heberden nodes.

 Question 84

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:

Selected

Answer:

uremi a.

 Question 85

1 out of 1 points

A cervical polyp usually appears as a:

Selected

Answer:

bright-red soft protrusion from the endocervical canal.

 Question 86

1 out of 1 points

The examiner percusses for diaphragmatic excursion along the:

Selected

Answer:

scapular line.

 Question 87

1 out of 1 points

The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the:

Selected

Answer:

QRS

complex.

 Question 88

1 out of 1 points

The adnexa of the uterus are composed of the:

Selected

Answer:

fallopian tubes and ovaries.

 Question 89

1 out of 1 points

Facial muscle or tongue weakness may result in:

Selected

Answer:

aphasi a.

 Question 90

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:

Selected

Answer:

test the six cardinal points of gaze.

 Question 91

1 out of 1 points

Which portion of the physical examination is best done with the patient standing?

Selected

Answer:

Spin al

 Question 92

1 out of 1 points

When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the:

Selected

Answer:

presence and form of body parts.

 Question 93

1 out of 1 points

If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation?

Selected

Answer:

CN XI, spinal accessory

 Question 94

1 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:

Selected

Answer:

inquire about previous penile infections.

 Question 95

1 out of 1 points

An apical PMI palpated beyond the left fifth intercostal space may indicate:

Selected

Answer:

left ventricular hypertrophy.

 Question 96

1 out of 1 points

Palpation of epitrochlear nodes is part of the:

Selected

Answer:

examination of the upper extremities.

 Question 97

1 out of 1 points

The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:

Selected

Answer:

coordination of follow-ups is reviewed.

 Question 98

1 out of 1 points

Which one of the following is a proper technique for use of a speculum during a vaginal examination?

Selected

Answer:

Press introitus downward; insert closed speculum obliquely.

 Question 99

1 out of 1 points

The presence of cervical motion tenderness may indicate:

Selected

Answer:

pelvic inflammatory disease.

 Question 100

1 out of 1 points

Throughout the history and physical examination, the clinician should:

Selected

Answer:

evaluate the whole patient.

 Question 101

0 out of 0 points

When completing this exam, did you comply with Walden University's Code of Conduct including the expectations for academic integrity?

Selected

Answer:

Ye s