2020/2021 LATEST NURS NURS-6512 C Exam - Week 11NURS-6512 C Advanced Health Assessment-Fin, Exams of Nursing

Download 2020/2021 LATEST NURS NURS-6512 C Exam - Week 11NURS-6512 C Advanced Health Assessment-Fin and more Exams Nursing in PDF only on Docsity! 2020/2021 LATEST NURS NURS- 6512 C Exam - Week 11NURS- 6512 C Advanced Health Assessment- Final Exam • Question 1 A cervical polyp usually appears as a: Selected Answer: bright-red soft protrusion from the endocervical canal. • Question 2 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: Selected Answer: lung consolidation. • Question 3 A common finding in markedly obese and pregnant women is: Selected Answer: lordosis. • Question 4 Tarry black stool should make you suspect: Selected Answer: upper intestinal bleeding. • Question 5 If your patient has nipple discharge, you will most likely need a: Selected Answer: glass slide and fixative. 2020/2021 LATEST NURS NURS- 6512 C Exam - Week 11NURS- 6512 C Advanced Health Assessment- Final Exam Inspection of the scrotum should reveal: Selected Answer: left scrotal sac lower than the right. Throughout the history and physical examination, the clinician should: Selected Answer: evaluate the whole patient. The family history for a patient with joint pain should include information about siblings with: Selected Answer: genetic disorders. The adnexa of the uterus are composed of the: Selected Answer: fallopian tubes and ovaries. 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: Selected Answer: hydrocele Kawasaki disease is suspected when assessments of a child reveal: Selected Answer: conjunctival injection, strawberry tongue, and edema of the hands and feet. When palpating breast tissue, the examiner should use the at each site. Selected Answer: finger pads, gliding • Question 6 • Question 7 • Question 8 • Question 9 • Question 10 • Question 11 • Question 12 • Question 13 2020/2021 LATEST NURS NURS- 6512 C Exam - Week 11NURS- 6512 C Advanced Health Assessment- Final Exam The finger-to-nose test allows assessment of: Selected Answer: coordination and fine motor function. 2020/2021 LATEST NURS NURS- 6512 C Exam - Week 11NURS- 6512 C Advanced Health Assessment- Final Exam 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. Which condition is considered progressive rather than reversible? Selected Answer: Dementia The rectal past medical history of all patients should include inquiry about: Selected Answer: hemorrhoid surgery. Your patient's chief complaint is repeated pencil-like stools. Further examination should include: Selected Answer: digital rectal examination (DRE). Examination of the patient in the lithotomy, or knee-chest, position includes: Selected Answer: palpation of anal sphincter tone. The physical assessment technique most frequently used to assess joint symmetry is: Selected Answer: inspection. In the most effective percussion technique of the posterior lung fields, the patient cooperates by: Selected Answer: folding the arms in front. While examining a 30-year-old woman, you note that one breast is slightly larger than the other. In • Question 21 • Question 22 • Question 23 • Question 24 • Question 25 • Question 26 • Question 27 • Question 28 2020/2021 LATEST NURS NURS- 6512 C Exam - Week 11NURS- 6512 C Advanced Health Assessment- Final Exam response to this finding, you should: Selected Answer: note the finding in the patient's record. 2020/2021 LATEST NURS NURS- 6512 C Exam - Week 11NURS- 6512 C Advanced Health Assessment- Final Exam • Question 37 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 38 The Mini-Mental State Examination: Selected Answer: may be used to quantitatively estimate cognitive changes. • Question 39 Diabetic peripheral neuropathy will likely produce: Selected Answer: diminished pain sensation. • Question 40 Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of: Selected Answer: older adults. • Question 41 When is the mental status portion of the neurologic system examination performed? Selected Answer: Constantly, throughout the entire interaction with a patient • Question 42 The goals of preparticipation sports evaluation include: Selected Answer: identifying risk of injury or death during sports participation. • Question 43 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 2020/2021 LATEST NURS NURS- 6512 C Exam - Week 11NURS- 6512 C Advanced Health Assessment- Final Exam • Question 44 The Denver II is a tool used to determine: 2020/2021 LATEST NURS NURS- 6512 C Exam - Week 11NURS- 6512 C Advanced Health Assessment- Final Exam Selected Answer: whether a child is developing as expected. • Question 45 When palpating joints, crepitus may occur when: Selected Answer: irregular bony surfaces rub together. • Question 46 The musculoskeletal examination should begin when: Selected Answer: the patient enters the examination room. • Question 47 For purposes of examination and communication of physical findings, the breast is divided into: Selected Answer: four quadrants plus a tail. • Question 48 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 49 The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the: Selected Answer: QRS complex. • Question 50 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 51 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 2020/2021 LATEST NURS NURS- 6512 C Exam - Week 11NURS- 6512 C Advanced Health Assessment- Final Exam Selected Answer: let the child hold the stethoscope while you listen. • Question 60 2020/2021 LATEST NURS NURS- 6512 C Exam - Week 11NURS- 6512 C Advanced Health Assessment- Final Exam The presence of cervical motion tenderness may indicate: Selected Answer: pelvic inflammatory disease. • Question 61 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. • Question 62 The difference in blood pressure readings between the right and the left arms is considered normal up to mm Hg. Selected Answer: 10 • Question 63 Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify: Selected Answer: uremia. • Question 64 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 65 Palpation of a normal prostate in an older adult is likely to feel: Selected Answer: rubbery. • Question 66 An apical PMI palpated beyond the left fifth intercostal space may indicate: Selected Answer: left ventricular hypertrophy. 2020/2021 LATEST NURS NURS- 6512 C Exam - Week 11NURS- 6512 C Advanced Health Assessment- Final Exam • Question 67 It is especially important to test for ankle clonus if: 2020/2021 LATEST NURS NURS- 6512 C Exam - Week 11NURS- 6512 C Advanced Health Assessment- Final Exam Selected Answer: Cervical spine radiograph • Question 83 2020/2021 LATEST NURS NURS- 6512 C Exam - Week 11NURS- 6512 C Advanced Health Assessment- Final Exam • Question 89 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. In the adult, the apical impulse should be most visible when the patient is in what position? Selected Answer: Upright 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: Selected Answer: perform the examination while the child is in the mother's lap. The strength of the trapezius muscle is evaluated by having the patient: Selected Answer: push her head against the examiner's hand. Bimanual examination of the uterus includes: Selected Answer: grasping the cervix between the examining fingers. Anterior cruciate ligament integrity is assessed via the test. Selected Answer: Lachman The foramen ovale should close: Selected Answer: within minutes of birth. The checkout station for preparticipation physical evaluation (PPE) is critical because at this point: • Question 84 • Question 85 • Question 86 • Question 87 • Question 88 • Question 90 2020/2021 LATEST NURS NURS- 6512 C Exam - Week 11NURS- 6512 C Advanced Health Assessment- Final Exam Selected Answer: coordination of follow-ups is reviewed. • Question 91