NURS-6512C/NURS-6512N Final Exam Fall 2022, Exams of Nursing

Download NURS-6512C/NURS-6512N Final Exam Fall 2022 and more Exams Nursing in PDF only on Docsity! NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) • Question 1 NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) 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? Select e d Answ er : Loss of hair over the extremity • Question 2 Cranial nerve XII may be assessed in an infant by: Select e d Answ er : observing the infant suck and swallow. (100/100) Question 4 NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) Answer: of gaze. 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: Select e d Answ er : fing er ti ps. • Question 5 The family history for a patient with joint pain should include information about siblings with: Select e d Answ er : gene ti c disor d ers. • Question 6 Normal changes of the aging brain include: Select e d Answer: NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) Selecte d Answer: NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) • Question 10 NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) e mination of the x upper a extremities. To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with: Select e d Answ er : one arm overhead and a pillow under her shoulder. • Question 11 You order an ECG on a patient that c/o feeling heart palpitations, chest pain, shortness of breath. NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) • Question 14 examination performed? Selecte d Answer : Constantly, throughout the entire interaction with a patient Question 15 A patient in the deepest coma would be scored aon the Glasgow Coma Scale. • Question 16 NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) a scultating the u lung bases. When is the mental status portion of the neurologic system Selected 3 Answer: Temporalis and masseter muscles are evaluated by: NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) Select e d • Answer having the patient clench his or her Question 17 : teeth. Which portion of the physical examination is best done with the patient standing? Select e d • Answer Sp i n Question 18 : al An elderly female was recently diagnosed with osteoporosis 2 weeks ago. What is the hallmark appearance of a patient with this diagnosis? Selec te d Ankylosing Spondylitis • Question 19 Answer : While collecting personal and social history data from a woman complaining of breast NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) Select e d Answ er : Hebe r den node s. • Question 22 Assessing orientation to person, place, and time helps determine: Select e d Answ er : state of conscio us ness. • Question 23 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. 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? NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) • Question 26 Selecte d Answer : CN XI, spinal accesso ry 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 28 Question 27 NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) Answer: If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation? 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 NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) problems. What potential risk factor is most important to assess with regards to Adrian's current problem? Select e d Answ er : Covi d- 19 cont a ct • Question 29 Recent unilateral inversion of a previously everted nipple suggests: Select e d Answ er : ca nc er . • Question 30 Functional assessment is most important during the examination of a(n): Select e d Answ er : old er ad ul t. (100/100) Selecte d Answer : Cervical spine radiograph Examination of the patient in the lithotomy, or knee-chest, position includes: Selecte d Answer : palpation of anal sphincter tone. Question 35 Question 34 NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) 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? Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the: NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) Select e d Answ er : inspe c ti on. • Question 39 Inspection of the scrotum should reveal: Select e d Answ er : left scrotal sac lower than the right. • Question 40 Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of: Select e d Answ er : old e r ad ul ts. NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) • Question 41 NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) In the adult, the apical impulse should be most visible when the patient is in what position? Select e d Answ er : Up r ig ht • Question 42 The checkout station for preparticipation physical evaluation (PPE) is critical because at this point: Select e d Answ er : coordination of follow- ups is reviewed. • Question 43 The best way to ease the apprehension of a 3- year-old child before a physical examination is to: Select e d Answer Answ • Question 47 The reliability of health-related findings and observations is the responsibility of the: Selecte d professional • Questi and the on 48 : patient. Facial muscle or tongue weakness may result in: NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) Selected 1 Answ r: NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) Select e d Answ er : aph a s ia. • Question 49 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: Select e d Answ er : mode ra tely loud. • Question 50 Nerves that arise from the brain rather than the spinal cord are called: Select e d Answ er : c r a ni al. NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) • Question 53 NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) C caine o use Montgomery tubercles are most prominent in the breasts of: Select e d Answ er : preg n ant wom e n. • Question 54 The rectal past medical history of all patients should include inquiry about: Select e d Answ er : hemor r hoid surger y. • Question 55 You are initially evaluating the equilibrium of Ms. Q. You ask her to stand with her feet NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) together and arms at her sides. She loses her balance. Ms. Q. has a positive: Select e d Answ er : Rom b erg sign . • Question 56 An idiopathic spasm of arterioles in the digits is termed: Select e d Answ er : Ray n aud dise a se. • Question 57 Anterior cruciate ligament integrity is assessed via the test. Select e d Answ er : Answe r: NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) • Question 61 Selecte d Answer : fallopian tubes and ovaries. The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the: Selecte d Answer : QRS complex. Question 62 NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) s apular c line. The adnexa of the uterus are composed of the: NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) • Question 63 NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) A grade IV mitral regurgitation murmur would: Select e d Answ er : radiate to the axilla. • Question 64 The Mini-Mental State Examination should be administered for the patient who: Select e d Answ er : gets lost in her neighborho od. • Question 65 It is especially important to test for ankle clonus if: Select e d Answ er : deep tendon reflexes are hyperacti • Question 69 To hear diastolic heart sounds, you should ask patients to: NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) Select e d Answ er : lie on their left sides. • Question 70 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: Select e d Answ er : note the finding in the patient's record. • Question 71 NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) • Question 74 NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) p sence and r form of body e parts. An apical PMI palpated beyond the left fifth intercostal space may indicate: Selected Answer: NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) Question 75 If your patient has nipple discharge, you will most likely need a: Selecte d Answer : glass slide and fixative. Question 76 One of the most important aspects to consider in the orthopedic screening examination is: Selecte d Answer symm et ry. • Question 77 NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) left ventricular hypertrophy . : During a routine prenatal visit, Ms. T. was noted as having dependent edema, varicosities of the legs, and NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) Select e d Answ er : ri fl er y. • Question 79 The goals of preparticipation sports evaluation include: Select e d Answ er : identifying risk of injury or death during sports participation. • Question 80 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: Select e d Answ er : Mini- Mental State Examinati on. NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) • Question 81 collection? Selecte d Answer : Cytol ogy smea r The presence of cervical motion tenderness may indicate: Selecte d Answer : pelvic inflammatory disease. Question 83 Question 82 NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) 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 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: NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) Selected irregular bony surfaces rub NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) • Question 87 NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) Answer: together. 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: Select e d Answ er : cereb e llar ataxi a. • Question 88 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: Select e d Answ er : sugges t a pregna nc y weight gain and lower extremity edema. Vitals are as follows: HR: 120, Respirations 30, Blood Pressure: 138/90, BMI: 40; Oxygen saturation of NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) Selecte d Answer : Left Sided Congestive Heart Failure An ophthalmoscopic eye examination involves: Selected lens Question 92 NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) 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 shows findings consistent with which diagnosis? Based on this scenario and imaging what is the most likely diagnosis? NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) • Question 96 of: Selecte d Answer : rheuma toid arthritis . The Denver II is a tool used to determine: Selecte d Answer : whether a child is developing as expected. Question 98 Question 97 NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) b thin a g. Ulnar deviation and boutonniere deformities are characteristic Which one of the following is a proper technique for use of a speculum during a vaginal examination? Selecte d Answer: NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) Part of the screening orthopedic component of the examination includes evaluating the person while he or she is: Selecte d Answer : duck walki ng. If pitting edema is unilateral, you would suspect occlusion Question 100 Question 99 NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100) P ss introitus downward; r insert closed speculum e obliquely. of a: NURS-6512C/NURS-6512N FINAL EXAM FALL 2022 (100/100)