NURS 5220 Advanced Health Assessment
NURS 5220 Exam 1 M2 Review Test Bank- 350
Correctly Answered Questions with Rationales/
NURS 5220 Exam 1 Advanced Health
Assessment Review Test Bank with 350
Questions and Correct Answers
You are seeing an elderly man with multiple complaints. He has chronic arthritis,
pain from an old war injury, and headaches. Today he complains of these pains,
as well as dull chest pain under his sternum. What would the order of priority be
for your problem list?
A+ TEST BANK 1
, NURS 5220 Advanced Health Assessment
Arthritis, war injury pain, headaches, chest pain
War injury pain, arthritis, headaches, chest pain
Headaches, arthritis, war injury pain, chest pain
Chest pain, headaches, arthritis, war injury pain –
Correct Answer :Chest pain, headaches, arthritis, war injury pain
The problem list should have the most active and serious problem first. This new
complaint of chest pain is almost certainly a higher priority than his other, more
chronic problems.
You are excited about a positive test finding you have just noticed on physical
examination of your patient. You go on to do more examination, laboratory
work, and diagnostic tests, only to find that there is no sign of the disease you
thought would correlate with the finding. This same experience happens several
times. What should you conclude?
Consider not doing this test routinely.
Use this test when you have a higher suspicion for a certain correlating
condition.
A+ TEST BANK 2
, NURS 5220 Advanced Health Assessment
Continue using the test, perhaps doing less laboratory work and diagnostics.
Omit this test from future examinations. –
Correct Answer :Continue using the test, perhaps doing less laboratory work and
diagnostics.
This is an example of a sensitive physical finding that lacks specificity. This does
not make this a useless test, because the purpose of a screening physical is to
find disease. This finding made you consider the associated condition as one of
your hypotheses, and this in itself has value. Other possibilities are that you may
be doing the maneuver incorrectly or using it on the wrong population. It is
important to ask for hands-on help from your instructor when you have a
question about a maneuver. Make sure that your information about the
maneuver comes from a reliable source as well. All of this information also
applies to history questions.
You are growing fatigued of performing a maneuver on examination because
you have never found a positive and are usually pressed for time. How should
you next approach this maneuver?
Use this test when you have a higher suspicion for a certain correlating
condition.
Omit this test from future examinations.
A+ TEST BANK 3
, NURS 5220 Advanced Health Assessment
Continue doing the test, but rely more heavily on laboratory work and
diagnostics.
Continue performing it on all future examinations. –
Correct Answer :Use this test when you have a higher suspicion for a certain
correlating condition.
This is an example of a specific test that lacks sensitivity. With this scenario,
when you finally find a positive, you might be very certain that a given condition
is present. We generally develop our examinations to fit our clinical experiences.
Sensitive tests are performed routinely on the screening examination, while
specific tests are usually saved for the detailed or branched examinations.
Branched examinations are further maneuvers we can perform to investigate
positive findings on our screening examinations. Save this type of maneuver to
confirm your hypothesis. All of this information also applies to history questions.
You have recently returned from a medical missions trip to sub-Saharan Africa,
where you learned a great deal about malaria. You decide to use some of the
same questions and maneuvers in your "routine" when examining patients in
the midwestern United States. You are disappointed to find that despite getting
some positive answers and findings, on further workup, none of your patients
has malaria except one, who recently emigrated from Ghana. How should you
next approach these questions and maneuvers?
Continue asking these questions in a more selective way.
Stop asking these questions, because they are low yield.
A+ TEST BANK 4
NURS 5220 Exam 1 M2 Review Test Bank- 350
Correctly Answered Questions with Rationales/
NURS 5220 Exam 1 Advanced Health
Assessment Review Test Bank with 350
Questions and Correct Answers
You are seeing an elderly man with multiple complaints. He has chronic arthritis,
pain from an old war injury, and headaches. Today he complains of these pains,
as well as dull chest pain under his sternum. What would the order of priority be
for your problem list?
A+ TEST BANK 1
, NURS 5220 Advanced Health Assessment
Arthritis, war injury pain, headaches, chest pain
War injury pain, arthritis, headaches, chest pain
Headaches, arthritis, war injury pain, chest pain
Chest pain, headaches, arthritis, war injury pain –
Correct Answer :Chest pain, headaches, arthritis, war injury pain
The problem list should have the most active and serious problem first. This new
complaint of chest pain is almost certainly a higher priority than his other, more
chronic problems.
You are excited about a positive test finding you have just noticed on physical
examination of your patient. You go on to do more examination, laboratory
work, and diagnostic tests, only to find that there is no sign of the disease you
thought would correlate with the finding. This same experience happens several
times. What should you conclude?
Consider not doing this test routinely.
Use this test when you have a higher suspicion for a certain correlating
condition.
A+ TEST BANK 2
, NURS 5220 Advanced Health Assessment
Continue using the test, perhaps doing less laboratory work and diagnostics.
Omit this test from future examinations. –
Correct Answer :Continue using the test, perhaps doing less laboratory work and
diagnostics.
This is an example of a sensitive physical finding that lacks specificity. This does
not make this a useless test, because the purpose of a screening physical is to
find disease. This finding made you consider the associated condition as one of
your hypotheses, and this in itself has value. Other possibilities are that you may
be doing the maneuver incorrectly or using it on the wrong population. It is
important to ask for hands-on help from your instructor when you have a
question about a maneuver. Make sure that your information about the
maneuver comes from a reliable source as well. All of this information also
applies to history questions.
You are growing fatigued of performing a maneuver on examination because
you have never found a positive and are usually pressed for time. How should
you next approach this maneuver?
Use this test when you have a higher suspicion for a certain correlating
condition.
Omit this test from future examinations.
A+ TEST BANK 3
, NURS 5220 Advanced Health Assessment
Continue doing the test, but rely more heavily on laboratory work and
diagnostics.
Continue performing it on all future examinations. –
Correct Answer :Use this test when you have a higher suspicion for a certain
correlating condition.
This is an example of a specific test that lacks sensitivity. With this scenario,
when you finally find a positive, you might be very certain that a given condition
is present. We generally develop our examinations to fit our clinical experiences.
Sensitive tests are performed routinely on the screening examination, while
specific tests are usually saved for the detailed or branched examinations.
Branched examinations are further maneuvers we can perform to investigate
positive findings on our screening examinations. Save this type of maneuver to
confirm your hypothesis. All of this information also applies to history questions.
You have recently returned from a medical missions trip to sub-Saharan Africa,
where you learned a great deal about malaria. You decide to use some of the
same questions and maneuvers in your "routine" when examining patients in
the midwestern United States. You are disappointed to find that despite getting
some positive answers and findings, on further workup, none of your patients
has malaria except one, who recently emigrated from Ghana. How should you
next approach these questions and maneuvers?
Continue asking these questions in a more selective way.
Stop asking these questions, because they are low yield.
A+ TEST BANK 4
