NUR 6001-Advanced Health
Assessment Exam 2 Questions with
Complete Solutions.
Nurse practitioner is palpating for the apical pulse. An apical impulse palpated beyond the fifth
intercostal space may indicate - Answer Left ventricular hypertrophy/cardiac enlargement
During an assessment of a 68 yo man with a recent onset of right sided weakness, the NP hears
a blowing, swishing sound with the bell of the stethoscope over the left carotid artery. This
finding would indicate - Answer blood flow turbulence/atherosclerotic disease of the left
carotid artery
the patient complains of chest pain that comes on when he vacuums the house or mows the
lawn. it comes in a fairly consistent pattern, usually lasting about 1 minute. when he feels it, he
drinks a glass of water, sits quietly on the couch, and it typically goes away. What is the most
likely type of problem? - Answer Angina
the second heart sound (S2) occurs because of the closure of the - Answer aortic and
pulmonic valves
xanthelasma is a skin condition that should alert the clinician to - Answer familial
hyperlipidemia/dyslipidemia in a patient
the murmur of aortic stenosis is best heard in the - Answer right second intercostal space
right sternal border
the best diagnostic test that allows the analysis of a heart murmur is - Answer an
echocardiogram
the pain associated with pericarditis is - Answer worse with inspiration; sharp and stabbing
chest pains, pain radiating into the left shoulder and arm pain that gets worse if you're lying
down or taking deep breaths
the NP is assessing a patient with possible cardiomyopathy and assess the hepatojugular reflux.
if heart failure is present, the NP should see which finding while pushing on the right upper
quadrant of the patients abdomen just below the rib cage? - Answer jugular veins will
remain elevated, >3 cm, as long as pressure on the abdomen is maintained
, a patient presents with tenderness, warmth, swelling of his left calf after a 12 hour flight. this is
most likely? Or the question could be: Calf tenderness and warmth, swelling and ankle edema,
and an otherwise unexplained fever are symptoms of - Answer DVT
your patient complains of a feeling of heaviness in the lower legs daily. you note varicosities,
edema, and dusky color of both ankles and feet. which of the following is the most likely cause
for these symptoms? - Answer venous insufficiency/femoral vein thrombosis/peripheral
vascular disease
the medical record of your patient lists a grade III systolic murmur. this indicates the patient has
a heart murmur that is - Answer moderately load and after S1
a 75 year old patient c/o pain and paresthesia's in the right foot that worsens with exercise and
is relieved by rest. on PE, you note pallor of the right foot, capillary refill of 4 seconds in the
right foot, +1 dorsalis pedis pulse int he right foot, and +2 pulse in the left foot. which of the
following is a likely cause of the s/s? - Answer arterial insufficiency/intermittent claudication
gallop is commonly heard in - Answer young or athletic people
during an assessment of an adult, the NP has noted unequal chest expansion and recognizes
that this occurs in which situation? - Answer pneumothorax/lung consolidation/obstruction
when palpating the posterior chest, the clinician notes increased tactile fremitus over the left
lower lobe. this can be indicative of - Answer PNA/lung consolidation
if on PE the clinician auscultates rhonchi, the clinician should ask the patient to take a deep
breath and cough in order to - Answer mobilize secretions and distinguish lung sounds
which of the following details are not considered while staging asthma - Answer long-acting
beta agonist usage
while assessing auscultated spoken sounds, the auscultated sound is heard as "a-a-a" when the
patient is asked to repeat "e-e-e" this is indicative of - Answer PNA
a 24 year old patient presents to the ED after sustaining multiple traumatic injuries after a
motorcycle accident on examination you note tachypnea, use of intercostal muscles to breath,
asymmetric chest expansion, and no breath sounds over the left lower lobe, it is most important
to suspect - Answer pneumothorax
a patient with pleuritis has been admitted to the hospital and c/o pain with breathing. what
other key assessment findings would the NP expect to find upon auscultation? - Answer
Assessment Exam 2 Questions with
Complete Solutions.
Nurse practitioner is palpating for the apical pulse. An apical impulse palpated beyond the fifth
intercostal space may indicate - Answer Left ventricular hypertrophy/cardiac enlargement
During an assessment of a 68 yo man with a recent onset of right sided weakness, the NP hears
a blowing, swishing sound with the bell of the stethoscope over the left carotid artery. This
finding would indicate - Answer blood flow turbulence/atherosclerotic disease of the left
carotid artery
the patient complains of chest pain that comes on when he vacuums the house or mows the
lawn. it comes in a fairly consistent pattern, usually lasting about 1 minute. when he feels it, he
drinks a glass of water, sits quietly on the couch, and it typically goes away. What is the most
likely type of problem? - Answer Angina
the second heart sound (S2) occurs because of the closure of the - Answer aortic and
pulmonic valves
xanthelasma is a skin condition that should alert the clinician to - Answer familial
hyperlipidemia/dyslipidemia in a patient
the murmur of aortic stenosis is best heard in the - Answer right second intercostal space
right sternal border
the best diagnostic test that allows the analysis of a heart murmur is - Answer an
echocardiogram
the pain associated with pericarditis is - Answer worse with inspiration; sharp and stabbing
chest pains, pain radiating into the left shoulder and arm pain that gets worse if you're lying
down or taking deep breaths
the NP is assessing a patient with possible cardiomyopathy and assess the hepatojugular reflux.
if heart failure is present, the NP should see which finding while pushing on the right upper
quadrant of the patients abdomen just below the rib cage? - Answer jugular veins will
remain elevated, >3 cm, as long as pressure on the abdomen is maintained
, a patient presents with tenderness, warmth, swelling of his left calf after a 12 hour flight. this is
most likely? Or the question could be: Calf tenderness and warmth, swelling and ankle edema,
and an otherwise unexplained fever are symptoms of - Answer DVT
your patient complains of a feeling of heaviness in the lower legs daily. you note varicosities,
edema, and dusky color of both ankles and feet. which of the following is the most likely cause
for these symptoms? - Answer venous insufficiency/femoral vein thrombosis/peripheral
vascular disease
the medical record of your patient lists a grade III systolic murmur. this indicates the patient has
a heart murmur that is - Answer moderately load and after S1
a 75 year old patient c/o pain and paresthesia's in the right foot that worsens with exercise and
is relieved by rest. on PE, you note pallor of the right foot, capillary refill of 4 seconds in the
right foot, +1 dorsalis pedis pulse int he right foot, and +2 pulse in the left foot. which of the
following is a likely cause of the s/s? - Answer arterial insufficiency/intermittent claudication
gallop is commonly heard in - Answer young or athletic people
during an assessment of an adult, the NP has noted unequal chest expansion and recognizes
that this occurs in which situation? - Answer pneumothorax/lung consolidation/obstruction
when palpating the posterior chest, the clinician notes increased tactile fremitus over the left
lower lobe. this can be indicative of - Answer PNA/lung consolidation
if on PE the clinician auscultates rhonchi, the clinician should ask the patient to take a deep
breath and cough in order to - Answer mobilize secretions and distinguish lung sounds
which of the following details are not considered while staging asthma - Answer long-acting
beta agonist usage
while assessing auscultated spoken sounds, the auscultated sound is heard as "a-a-a" when the
patient is asked to repeat "e-e-e" this is indicative of - Answer PNA
a 24 year old patient presents to the ED after sustaining multiple traumatic injuries after a
motorcycle accident on examination you note tachypnea, use of intercostal muscles to breath,
asymmetric chest expansion, and no breath sounds over the left lower lobe, it is most important
to suspect - Answer pneumothorax
a patient with pleuritis has been admitted to the hospital and c/o pain with breathing. what
other key assessment findings would the NP expect to find upon auscultation? - Answer
