NURS6512 Week 11 Final Exam Latest 2020 September

NURS6512 Advanced Health Assessment and Diagnostic Reasoning

Week 11 Final Exam

•     Question 1          Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of:                                  

•     Question 2          Tarry black stool should make you suspect:                                         

•     Question 3          The best way to ease the apprehension of a 3-year-old child before a physical examination is to:       

•     Question 4          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 5 One of the most important aspects to consider in the orthopedic screening examination is:        

•     Question 6          Assessing orientation to person, place, and time helps determine:                                          

•     Question 7          An idiopathic spasm of arterioles in the digits is termed:                                               

•     Question 8          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:                                               

•     Question 9          Montgomery tubercles are most prominent in the breasts of:                                   

•     Question 10        When assessing superficial pain, touch, vibration, and position perceptions, you are testing:      

•     Question 11        Which medical condition would exclude a person from sports participation?                                       

•     Question 12        The family history for a patient with joint pain should include information about siblings with:    

•     Question 13        The foramen ovale should close:                                             

•     Question 14        The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:                                       

•     Question 15        Darian is a 14-year-old adolescent who states his right testicle has a soft swollen mass. The testicle is not painful upon palpation. The right inguinal canal is without masses. The mass does transilluminate with a penlight. This collection of symptoms is consistent with:                                          

•     Question 16        Loss of immediate and recent memory with retention of remote memory suggests:      

•     Question 17        A 25 yo AA female has come to the clinic because she has missed her menstrual period this month and 2 months before. She says her cycles are irregular and she wants to be on birth control to help regulate them.  She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is to:                                              

•     Question 18        The Mini-Mental State Examination should be administered for the patient who:                                    

•     Question 19        Postural hypotension is defined as a _____ when the patient stands, compared with sitting or supine readings.                                      

Question 20                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 21        Palpation of epitrochlear nodes is part of the:                                   

•     Question 22        Part of the screening orthopedic component of the examination includes evaluating the person while he or she is:                                   

Question 23                To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with:                                              

•     Question 24        If your patient has nipple discharge, you will most likely need a:                                               

Question 25                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:                                           

•     Question 26        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?                                        

•     Question 27        It is especially important to test for ankle clonus if:                                          

•     Question 28        To hear diastolic heart sounds, you should ask patients to:                                          

•     Question 29        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:                                     

•     Question 30        Which one of the following techniques is used to detect a torn meniscus?                                           

•     Question 31        A grade IV mitral regurgitation murmur would:                                 

•     Question 32        The presence of cervical motion tenderness may indicate:                                          

•     Question 33        The reliability of health-related findings and observations is the responsibility of the:                     

•     Question 34        Adrian Thomas  is a 19-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her father reports that Adrian, apart from occasional sinus infections, Adrian is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Adrian's current problem?                

•     Question 35        A finding that is indicative of osteoarthritis is:                                    

Question 36                Which of the following statements is true regarding the examination of peripheral arteries?       

•     Question 37        Diabetic peripheral neuropathy will likely produce:                                         

•     Question 38        If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation?                                               

•     Question 39        To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested?                           

•     Question 40        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?                                       

Question 41                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?                                            

Question 42                A positive straight leg raise test usually indicates:                                             

•     Question 43        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:                                             

•     Question 44        Functional assessment is most important during the examination of a(n):                                            

•     Question 45        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:                            

Question 46                A common finding in markedly obese and pregnant women is:                                 

•     Question 47        To assess a cremasteric reflex, the examiner strokes the:                                            

•     Question 48        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:                                   

•     Question 49        The Denver II is a tool used to determine:                                           

•     Question 50        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 51        The Mini-Mental State Examination:                                      

•     Question 52        Which cranial nerves are usually evaluated during the examination of the eyes?                                       

•     Question 53        Palpation of a normal prostate in an older adult is likely to feel:                                 

Question 54                Anterior cruciate ligament integrity is assessed via the _____ test.                                          

•     Question 55        Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the:                                     

•     Question 56        Which one of the following is a proper technique for use of a speculum during a vaginal examination?                                           

•     Question 57        The physical assessment technique most frequently used to assess joint symmetry is:                  

•     Question 58        Nerves that arise from the brain rather than the spinal cord are called:                                  

•     Question 59        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.                                           

•     Question 60        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:

•     Question 61        Throughout the history and physical examination, the clinician should:                                  

•     Question 62        When palpating breast tissue, the examiner should use the _____ at each site.                                

•     Question 63        Facial muscle or tongue weakness may result in:                                              

•     Question 64        Which portion of the physical examination is best done with the patient standing?                          

•     Question 65        Examination of the patient in the lithotomy, or knee-chest, position includes:                                   

•     Question 66        The examiner percusses for diaphragmatic excursion along the:                                               

•     Question 67        At your first meeting with a patient, it is usually best to say:                                        

•     Question 68        The goals of preparticipation sports evaluation include:                                

•     Question 69        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 70                When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the:                                      

•     Question 71        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 72        For purposes of examination and communication of physical findings, the breast is divided into:       

•     Question 73        Ulnar deviation and boutonniere deformities are characteristic of:                                          

•     Question 74        Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify:                                              

•     Question 75        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 76        Adrian Thompson is a 19-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her mother reports that Andrian, apart from occasional sinus infections, Andrian is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Adrian's current problem?•        Question 77        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:                                               

•     Question 78        The musculoskeletal examination should begin when:                                  

•     Question 79        The difference in blood pressure readings between the right and the left arms is considered normal up to _____ mm Hg.                                             

•     Question 80        A patient in the deepest coma would be scored a _____ on the Glasgow Coma Scale.                   

•     Question 81        In the most effective percussion technique of the posterior lung fields, the patient cooperates by:                                       

•     Question 82        Inspection of the scrotum should reveal:                                             

•     Question 83        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:                                

•     Question 84        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:                                

•     Question 85        The strength of the trapezius muscle is evaluated by having the patient:                                              

Question 86                Recent unilateral inversion of a previously everted nipple suggests:                                       

•     Question 87        When is the mental status portion of the neurologic system examination performed?                   

•     Question 88        When palpating joints, crepitus may occur when:                                            

•     Question 89        Breath sounds normally heard over the trachea are called:                                          

Question 90                Bimanual examination of the uterus includes:                                   

•     Question 91        The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the:                                

•     Question 92        The adnexa of the uterus are composed of the:                                               

•     Question 93        Cranial nerve XII may be assessed in an infant by:                                            

•     Question 94        When conducting a geriatric assessment, basic activities of daily living (ADLs) include:             •             Question 95        Your patient's chief complaint is repeated pencil-like stools. Further examination should include:                                        

•     Question 96        Kawasaki disease is suspected when assessments of a child reveal:                                        

•     Question 97        You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should:                                              

•     Question 98        While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding:                                

•     Question 99        A red, hot swollen joint in a 40-year-old man should lead you to suspect:                                             

•     Question 100     The finger-to-nose test allows assessment of:                                  

•             Question 101     When completing this exam, did you comply with Walden University's Code of Conduct including the expectations for academic integrity?