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NURS-6512N-53,
Advanced Health Assessment.
• Question
1 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 Ye
Answer: s
• Question 2
Breath sounds normally heard over the trachea are called:
1 out of 1
points
Selecte
d
Answer:
bronchi al.
• Question
3 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:
Selecte
d
Answer
suggest pregnancy testing.
• Question 4
Throughout the history and physical examination, the clinician should:
Selected evaluate^ the^ whole
1 out of 1
points
Answer: patient.
- Question 5
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:
Selecte
d
Answer
test the six cardinal points of gaze.
- Question 6 When palpating joints, crepitus may occur when:
1 out of 1
points
Selecte
d
Answer:
irregular bony surfaces rub together.
- Question (^7) 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:
Selecte
d
Answer:
moderately loud.
- Question (^8) 1 out of 1
points
Which cranial nerves are usually evaluated during the examination of the eyes?
Selecte
d
Answer:
III
and VI
- Question (^9) 1 out of 1
points
Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of:
Selecte
d
Answer:
older adults .
Inspection of the scrotum should reveal:
1 out of 1
points
Selecte
d
Answer:
left scrotal sac lower than the right.
- Question 12 The adnexa of the uterus are composed of the:
1 out of 1
points
Selecte
d
Answer:
fallopian tubes and ovaries.
- Question 13 Montgomery tubercles are most prominent in the breasts of:
1 out of 1
points
Selecte
d
Answer:
pregnan t women.
- Question (^14) 1 out of 1
points
In the adult, the apical impulse should be most visible when the patient is in what position?
Selecte
d
Answer:
Upri g ht
- Question (^15) 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:
Selecte
d
Answer:
inquire about previous penile infections.
- Question (^16) 1 out of 1
points
To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested?
Selecte
d
Answer:
Patel l ar
- Question (^17) 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:
- Question (^23) 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:
Selecte
d
Answer:
note the finding in the patient's record.
- Question 24
At your first meeting with a patient, it is usually best to say:
1 out of 1
points
Selecte
d
Answer:
"Tell me about yourself."
- Question (^25) 1 out of 1
points
When is the mental status portion of the neurologic system examination performed?
Selecte
d
Answer:
Constantly, throughout the entire interaction with a patient
- Question 26 The foramen ovale should close:
1 out of 1
points
Selecte
d
Answer:
within minutes of birth.
- Question 27 Cranial nerve XII may be assessed in an infant by:
1 out of 1
points
Selecte
d
Answer:
observing the infant suck and swallow.
- Question (^28) 1 out of 1
points
To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with:
Selecte
d
Answer:
one arm overhead and a pillow under her shoulder.
- Question 29 Which condition is considered progressive rather than reversible?
1 out of 1
points
- Question 31 Diabetic peripheral neuropathy will likely produce:
1 out of 1
points
Selecte
d
Answer:
diminished pain sensation.
- Question (^32) 1 out of 1
points
The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:
Selecte
d
Answer:
coordination of follow- ups is reviewed.
- Question 33 The presence of cervical motion tenderness may indicate:
1 out of 1
points
Selecte
d
Answer:
pelvic inflammatory disease.
- Question (^34) 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?
Selecte
d
Answer
"What age was your father at the time of his death?"
- Question 35 A common finding in markedly obese and pregnant women is:
1 out of 1
points
Selecte
d
Answer:
lordos i s.
- Question (^36) 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 1
Answer: 0
- Question 37
1 out of 1 points
Examination of the patient in the lithotomy, or knee-chest, position includes:
Selecte
d
Answer:
palpation of anal sphincter tone.
- Question (^43) 1 out of 1
points
Which one of the following techniques is used to detect a torn meniscus?
Selecte
d
Answer:
McMurray test
- Question 44 Anterior cruciate ligament integrity is assessed via the test.
1 out of 1
points
Selecte
d
Answer:
Lach m an
- Question (^45) 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 3
Answer: +.
- Question 46 Kawasaki disease is suspected when assessments of a child reveal:
0 out of 1
points
Selecte
d
Answer:
low-grade fever, strawberry tongue, and edema of the hands and feet.
- Question 47 To assess a cremasteric reflex, the examiner strokes the:
1 out of 1
points
Selecte
d
Answer:
inner thigh and observes whether the testicle and scrotum rise on the stroked side.
- Question (^48) 1 out of 1
points
If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation?
Selecte
d
Answer:
CN XI,
spinal accessory
- Question (^50) 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:
Selecte
d
Answer:
Mini-Mental State Examination.
- Question (^51) 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:
Selecte
d
Answer
fingerti p s.
- Question (^52) 1 out of 1
points
Postural hypotension is defined as a when the patient stands, compared with sitting or supine readings.
Selecte
d
Answer:
systolic pressure drop of more than 15 mm Hg with a pulse rate increase
- Question 53 A positive straight leg raise test usually indicates:
1 out of 1
points
Selecte
d
Answer:
lumbar nerve root irritation.
- Question (^54) 1 out of 1
points
The best way to ease the apprehension of a 3-year-old child before a physical examination is to:
Selecte
d
Answer:
let the child hold the stethoscope while you listen.
- Question (^55) 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?
Selecte
d
Answer
Cytolog y smear
a p hasi a.
- Question (^62) 1 out of 1
points
The physical assessment technique most frequently used to assess joint symmetry is:
Selecte
d
Answer
inspecti o n.
- Question (^63) 1 out of 1
points
Part of the screening orthopedic component of the examination includes evaluating the person while he or she is:
Selecte
d
Answer:
duck walking .
- Question (^64) 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:
Selecte
d
Answer:
cerebella r ataxia.
- Question (^65) 1 out of 1
points
The Mini-Mental State Examination should be administered for the patient who:
Selecte
d
Answer:
gets lost in her neighborhood.
- Question 66 The Mini-Mental State Examination:
1 out of 1
points
Selecte
d
Answer:
may be used to quantitatively estimate cognitive changes.
- Question (^67) 1 out of 1
points
Which of the following statements is true regarding the examination of peripheral arteries?
