NURS-6512C-2/NURS-6512N-2-Advanced Health Assessment 2021 Winter QTR Term weeks 1 through, Exams of Nursing

Download NURS-6512C-2/NURS-6512N-2-Advanced Health Assessment 2021 Winter QTR Term weeks 1 through and more Exams Nursing in PDF only on Docsity! 1 NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 The Mini-Mental State Examination should be administered for the patient who: Selec ted Answ er: gets lost in her neighborhood. The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the: Selec ted Answ er: QRS complex. 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? NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 • Question 1 • Question 2 • Question 3 1 Selec ted Answ er: Loss of hair over the extremity 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? Selec ted Answ er: "What age was your father at the time of his death?" NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 • Question 4 1 Selec ted Answ er: professiona l and the patient. To hear diastolic heart sounds, you should ask patients to: NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 • Question 12 1 Selec ted Answ er: lie on their left sides. Anterior cruciate ligament integrity is assessed via the test. Selec ted Answ er: Lac hm an You order an ECG on a patient that c/o feeling heart palpitations, chest pain, shortness of breath. Your ECG shows irregular heart rate and you determine that you need to call EMS immediately because this rhythm can cause death. What rhythm would you suspect the ECG is showing? Selec ted Answ er: Ventricular Fibrillation The difference in blood pressure readings between the right and the left arms is NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 • Question 13 • Question 14 • Question 15 1 considered normal up to mm Hg. Selected 1 Answer: 0 Examination of the patient in the lithotomy, or knee-chest, position includes: Selec ted Answ er: palpation of anal sphincter tone. Which one of the following is a proper technique for use of a speculum during a vaginal examination? Selec ted Answ er: Press introitus downward; insert closed speculum obliquely. A red, hot swollen joint in a 40-year-old man should lead you to suspect: Selec ted Answ er: go u t. One of the most important aspects to consider in NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 • Question 19 • Question 18 • Question 17 • Question 16 1 fremitus. What is the most likely diagnosis? Selec ted Answ er: Pneumonia Normal changes of the aging brain include: Selec ted Answ er: diminished perception of touch. 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: +. A 56-year-old male presents to the clinic to see the nurse practitioner with complaints of shortness of breath for 1 months, 15-pound weight gain and lower extremity edema. Vitals are as follows: HR: 120, Respirations 30, Blood Pressure: 138/90, NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 • Question 25 • Question 23 • Question 24 1 BMI: 40; Oxygen saturation of 90%. On examination patient is noted to have jugular venous distention, enlarged liver, and crackles are noted on examination. A chest x-ray is completed and NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 1 shows findings consistent with which diagnosis? Based on this scenario and imaging what is the most likely diagnosis? Selec ted Answ er: Right Sided Congestive Heart Failure Which portion of the physical examination is best done with the patient standing? Selec ted Answ er: Sp in al An ophthalmoscopic eye examination involves: Selec ted Answ er: lens inspe ction. Your older clinic patient is being seen today as a follow-up for a 2-day history of pneumonia. The NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 • Question 26 • Question 27 • Question 28 1 Selec ted Answ er: lumbar nerve root irritation. Postural hypotension is defined as a when the patient stands, compared with sitting or supine readings. Selec ted Answ er: systolic pressure drop of more than 15 mm Hg with a pulse rate increase • Question 33 Kawasaki disease is suspected when assessments of a child reveal: Selec ted Answ er: conjunctival injection, strawberry tongue, and edema of the hands and feet. While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding: Selec ted Answer: NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 • Question 32 • Question 34 1 a l c o h ol, tobacco, and caffeine use. 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: Selec ted Answ er: riflery . To assess a cremasteric reflex, the examiner strokes the: Selec ted Answ er: inner thigh and observes whether the testicle and scrotum rise on the stroked side. 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 NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 • Question 35 • Question 36 • Question 37 1 of: Selec ted Answ er: schizo phren ia. In the adult, the apical impulse should be most visible when the patient is in what position? NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 • Question 38 1 If pitting edema is unilateral, you would suspect occlusion of a: Selec ted Answ er: majo r vein. NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 1 Tarry black stool should make you suspect: Selec ted Answ er: upper intestina l bleeding . Diabetic peripheral neuropathy will likely produce: Selec ted Answ er: diminishe d pain sensation. To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with: Selec ted Answ er: one arm overhead and a pillow under her shoulder. The best way to ease the apprehension of a 3- year-old child before a physical examination is to: NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 • Question 46 • Question 47 • Question 48 • Question 49 1 Selec ted Answ er: let the child hold the stethoscope while you listen. Cranial nerve XII may be assessed in an infant by: Selec ted Answ er: observing the infant suck and swallow. Part of the screening orthopedic component of the examination includes evaluating the person while he or she is: Selec ted Answ er: duck walk ing. When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the: Selec ted Answ er: NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 • Question 50 • Question 51 • Question 52 1 Selec ted Answ er: whether a child is developing as expected. If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation? Selec ted Answ er: CN XI, spinal access ory Recent unilateral inversion of a previously everted nipple suggests: Selec ted Answ er: ca nc e r. Functional assessment is most important during the examination of a(n): Selec ted Answ er: NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 • Question 57 • Question 58 • Question 59 1 o l d er ad ult. Which medical condition would exclude a person from sports participation? Selected Fe ve r NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 • Question 60 1 Answer: An idiopathic spasm of arterioles in the digits is termed: Selec ted Answ er: Ray nau d dise ase. Facial muscle or tongue weakness may result in: Selec ted Answ er: aph asi a. The rectal past medical history of all patients should include inquiry about: Selec ted Answ er: hemorr hoid surgery. In the most effective percussion technique of the NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 • Question 61 • Question 62 • Question 63 • Question 64 1 stress fracture. You should question this patient about her: Selec ted Answ er: menstr ual cycles. The musculoskeletal examination should begin when: Selec ted Answ er: the patient enters the examination room. The finger-to-nose test allows assessment of: Selec ted Answ er: coordination and fine motor function. A 62 year old female presents to the clinic with complains of chest pain and heart palpitations that started 3 days ago. Patient states she is healthy and only has a history of hypertension and tachycardia. Patient is currently taking Norvasc 10mg daily and Coreg 6.25 mg BID. NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 • Question 68 • Question 69 • Question 70 1 You order an EKG and it shows heart rate above 200 beats/min and the ECG may look like a sawtooth cog.What is the most likely diagnosis of this patient? Selec ted Answ er: Atrial Flutter Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify: Selec ted Answ er: ure mi a. 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? Selec ted Answer: NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 • Question 71 • Question 72 1 C o c aine use Bimanual examination of the uterus includes: NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 • Question 73 1 Selected Second degree heart block, type 1: Wenckebach/Mobitz 1 NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 1 Answer: Which one of the following techniques is used to detect a torn meniscus? Selec ted Answ er: McMu rray test 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? Selec ted Answ er: Coca ine use When conducting a geriatric assessment, basic activities of daily living (ADLs) include: Selec ted Answ er: NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 • Question 81 • Question 82 • Question 83 1 b a t hin g. Which of the following statements is true regarding the examination of peripheral arteries? Selec ted Answ er: The pulses are most readily felt over bony prominences. Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of: Selec ted Answ er: old er adu lts. Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the: Selec ted Answ er: NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 • Question 84 • Question 85 • Question 86 1 Assessing orientation to person, place, and time helps determine: Selec ted Answ er: state of conscious ness. The family history for a patient with joint pain should include information about siblings with: Selec ted Answ er: gene tic disor ders. The Mini-Mental State Examination: Selec ted Answ er: may be used to quantitatively estimate cognitive changes. 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 NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 • Question 92 • Question 93 • Question 94 1 borders. You recognize that these symptoms and assessment findings are consistent with: NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 1 Selec ted Answ er: fibroc ystic chan ges. The adnexa of the uterus are composed of the: Selec ted Answ er: fallopian tubes and ovaries. • Question 96 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: Selec ted Answ er: Mini-Mental State Examination. Ulnar deviation and boutonniere deformities are characteristic of: Selec ted Answ er: NURS-6512C-2/NURS-6512N-2-Advanced   Health Assessment 2021 Winter QTR Term weeks 1 through 11 Latest Exam 2022 • Question 95 • Question 97