Exam (elaborations) NURS 6512 FINAL EXAM

Exam (elaborations) NURS 6512 FINAL EXAM Part of the screening orthopedic component of the examination includes evaluating the person while he or she is: Selected Answer: duck walking.  Question 2 1 out of 1 points 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 1 out of 1 points Tarry black stool should make you suspect: Selected Answer: upper intestinal bleeding.  Question 4 1 out of 1 points To assess a cremasteric reflex, the examiner strokes the: Selected Answer: inner thigh and observes whether the testicle and scrotum rise on the stroked side. NURS 6512 FINAL EXAM  Question 5 1 out of 1 points The family history for a patient with joint pain should include information about siblings with: Selected Answer: genetic disorders.  Question 6 1 out of 1 points A finding that is indicative of osteoarthritis is: Selected Answer: Heberden nodes.  Question 7 1 out of 1 points When palpating joints, crepitus may occur when: Selected Answer: irregular bony surfaces rub together.  Question 8 1 out of 1 points Palpation of a normal prostate in an older adult is likely to feel: Selected Answer: rubber y.  Question 9 1 out of 1 points 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: Selected Answer: cerebellar ataxia.  Question 10 1 out of 1 points Montgomery tubercles are most prominent in the breasts of: Selected Answer: pregnant women.  Question 11 1 out of 1 points 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.  Question 12 1 out of 1 points Which medical condition would exclude a person from sports participation? Selected Answer: Fev er  Question 13 1 out of 1 points The strength of the trapezius muscle is evaluated by having the patient: Selected Answer: push her head against the examiner's hand.  Question 14 1 out of 1 points At your first meeting with a patient, it is usually best to say: Selected Answer: "Tell me about yourself."  Question 15 1 out of 1 points The best way to ease the apprehension of a 3-year-old child before a physical examination is to: Selected Answer: let the child hold the stethoscope while you listen.  Question 16 1 out of 1 points The examiner percusses for diaphragmatic excursion along the: Selected Answer: scapular line.  Question 17 1 out of 1 points Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the: Selected Answer: P wave.  Question 18 1 out of 1 points When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the: Selected Answer: presence and form of body parts.  Question 19 1 out of 1 points 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  Question 20 1 out of 1 points The Mini-Mental State Examination should be administered for the patient who: Selected Answer: gets lost in her neighborhood.  Question 21 0 out of 1 points Normal changes of the aging brain include: Selected Answer: increased velocity of nerve conduction. CORRECT ANSWER: DIMINISHED PERCEPTION OF TOUCH  Question 22 1 out of 1 points When assessing superficial pain, touch, vibration, and position perceptions, you are testing: Selected Answer: sensory function.  Question 23 1 out of 1 points Anterior cruciate ligament integrity is assessed via the _____ test. Selected Answer: Lachm an  Question 24 1 out of 1 points Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify: Selected Answer: uremi a.  Question 25 1 out of 1 points To hear diastolic heart sounds, you should ask patients to: Selected Answer: lie on their left sides.  Question 26 1 out of 1 points Cranial nerve XII may be assessed in an infant by: Selected Answer: observing the infant suck and swallow.  Question 27 1 out of 1 points Which cranial nerves are usually evaluated during the examination of the eyes? Selected Answer: III and VI  Question 28 1 out of 1 points The foramen ovale should close: Selected Answer: within minutes of birth.  Question 29 1 out of 1 points Temporalis and masseter muscles are evaluated by: Selected having the patient clench his or her teeth. Answer:  Question 30 1 out of 1 points A grade IV mitral regurgitation murmur would: Selected Answer: radiate to the axilla.  Question 31 1 out of 1 points The checkout station for preparticipation physical evaluation (PPE) is critical because at this point: Selected Answer: coordination of follow-ups is reviewed.  Question 32 1 out of 1 points 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 Answer: 3 +.  Question 33 1 out of 1 points 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 34 1 out of 1 points To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested? Selected Answer: Patell ar  Question 35 1 out of 1 points A 12-year-old boy relates that his left scrotum has a soft swollen mass. The scrotum is not painful upon palpation. The left inguinal canal is without masses. The mass does transilluminate with a penlight. This collection of symptoms is consistent with: Selected Answer: hydroce le.  Question 36 1 out of 1 points Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of: Selected Answer: older adults.  Question 37 1 out of 1 points Bimanual examination of the uterus includes: Selected Answer: grasping the cervix between the examining fingers.  Question 38 1 out of 1 points The difference in blood pressure readings between the right and the left arms is considered normal up to _____ mm Hg. Selected Answer: 1 0  Question 39 1 out of 1 points 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: Selected Answer: fingerti ps.  Question 40 1 out of 1 points 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.  Question 41 1 out of 1 points 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: Selected Answer: note the finding in the patient's record.  Question 42 1 out of 1 points 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 43 1 out of 1 points Kawasaki disease is suspected when assessments of a child reveal: Selected Answer: conjunctival injection, strawberry tongue, and edema of the hands and feet.  Question 44 1 out of 1 points Facial muscle or tongue weakness may result in: Selected Answer: aphas ia.  Question 45 1 out of 1 points In the most effective percussion technique of the posterior lung fields, the patient cooperates by: Selected Answer: folding the arms in front.  Question 46 1 out of 1 points Assessing orientation to person, place, and time helps determine: Selected Answer: state of consciousness.  Question 47 1 out of 1 points A pulsation that is diminished to the point of being barely palpable would be graded as: Selected Answer: 1  Question 48 1 out of 1 points Which condition is considered progressive rather than reversible? Selected Answer: Demen tia  Question 49 1 out of 1 points An idiopathic spasm of arterioles in the digits is termed: Selected Answer: Raynaud disease.  Question 50 1 out of 1 points 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 of: Selected Answer: schizophre nia.  Question 51 1 out of 1 points An ophthalmoscopic eye examination involves: Selected Answer: lens inspection.  Question 52 1 out of 1 points The adnexa of the uterus are composed of the: Selected Answer: fallopian tubes and ovaries.  Question 53 1 out of 1 points Breath sounds normally heard over the trachea are called: Selected Answer: bronchi al.  Question 54 1 out of 1 points Loss of immediate and recent memory with retention of remote memory suggests: Selected Answer: dement ia.  Question 55 1 out of 1 points The reliability of health-related findings and observations is the responsibility of the: Selected Answer: professional and the patient.  Question 56 1 out of 1 points In the adult, the apical impulse should be most visible when the patient is in what position? Selected Answer: Uprig ht  Question 57 1 out of 1 points A positive straight leg raise test usually indicates: Selected Answer: lumbar nerve root irritation.  Question 58 1 out of 1 points 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 59 1 out of 1 points Examination of the patient in the lithotomy, or knee-chest, position includes: Selected Answer: palpation of anal sphincter tone.  Question 60 1 out of 1 points The physical assessment technique most frequently used to assess joint symmetry is: Selected Answer: inspecti on.  Question 61 1