Exam (elaborations) NURS 6630 Advanced Health Assessment FINAL EXAM

Exam (elaborations) NURS 6630 Advanced Health Assessment FINAL EXAM When completing this exam, did you comply with Walden University's Code of Conduct including the expectations for academic integrity? Selected Answer: Ye s  Question 2 1 out of 1 points Breath sounds normally heard over the trachea are called: Selected Answer: bronchi al.  Question 3 1 out of 1 points A 23-year-old white woman has come to the clinic because she has missed two menstrual periods. She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is to: Selected Answer: suggest pregnancy testing.  Question 4 1 out of 1 points Throughout the history and physical examination, the clinician should: Selected evaluate the whole NURS 6630 Advanced Health Assessment FINAL EXAM Answer: patient.  Question 5 1 out of 1 points You are examining a patient in the emergency department who has recently sustained head trauma. In order to initially assess this patient's neurologic status, you would: Selected Answer: test the six cardinal points of gaze.  Question 6 1 out of 1 points When palpating joints, crepitus may occur when: Selected Answer: irregular bony surfaces rub together.  Question 7 1 out of 1 points 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: Selected Answer: moderately loud.  Question 8 1 out of 1 points Which cranial nerves are usually evaluated during the examination of the eyes? Selected Answer: III and VI  Question 9 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 10 1 out of 1 points Ulnar deviation and boutonniere deformities are characteristic of: Selected Answer: rheumatoid arthritis.  Question 11 1 out of 1 points Inspection of the scrotum should reveal: Selected Answer: left scrotal sac lower than the right.  Question 12 1 out of 1 points The adnexa of the uterus are composed of the: Selected Answer: fallopian tubes and ovaries.  Question 13 1 out of 1 points Montgomery tubercles are most prominent in the breasts of: Selected Answer: pregnant women.  Question 14 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 15 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 16 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 17 1 out of 1 points 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: Selected Answer: riflery .  Question 18 1 out of 1 points To hear diastolic heart sounds, you should ask patients to: Selected Answer: lie on their left sides.  Question 19 1 out of 1 points A patient in the deepest coma would be scored a _____ on the Glasgow Coma Scale. Selected Answer: 3  Question 20 1 out of 1 points The goals of preparticipation sports evaluation include: Selected Answer: identifying risk of injury or death during sports participation.  Question 21 1 out of 1 points The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the: Selected Answer: QRS complex.  Question 22 1 out of 1 points A red, hot swollen joint in a 40-year-old man should lead you to suspect: Selected Answer: gou t.  Question 23 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 24 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 25 1 out of 1 points When is the mental status portion of the neurologic system examination performed? Selected Answer: Constantly, throughout the entire interaction with a patient  Question 26 1 out of 1 points The foramen ovale should close: Selected Answer: within minutes of birth.  Question 27 1 out of 1 points Cranial nerve XII may be assessed in an infant by: Selected Answer: observing the infant suck and swallow.  Question 28 1 out of 1 points To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with: Selected Answer: one arm overhead and a pillow under her shoulder.  Question 29 1 out of 1 points Which condition is considered progressive rather than reversible? Selected Answer: Dement ia  Question 30 1 out of 1 points Normal changes of the aging brain include: Selected Answer: diminished perception of touch.  Question 31 1 out of 1 points Diabetic peripheral neuropathy will likely produce: Selected Answer: diminished pain sensation.  Question 32 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 33 1 out of 1 points The presence of cervical motion tenderness may indicate: Selected Answer: pelvic inflammatory disease.  Question 34 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 35 1 out of 1 points A common finding in markedly obese and pregnant women is: Selected Answer: lordosi s.  Question 36 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 37 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 38 1 out of 1 points Loss of immediate and recent memory with retention of remote memory suggests: Selected Answer: dementi a.  Question 39 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: hydrocel e.  Question 40 1 out of 1 points Bimanual examination of the uterus includes: Selected Answer: grasping the cervix between the examining fingers.  Question 41 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 42 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 43 1 out of 1 points Which one of the following techniques is used to detect a torn meniscus? Selected Answer: McMurray test  Question 44 1 out of 1 points Anterior cruciate ligament integrity is assessed via the _____ test. Selected Answer: Lachm an  Question 45 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 46 0 out of 1 points Kawasaki disease is suspected when assessments of a child reveal: Selected Answer: low-grade fever, strawberry tongue, and edema of the hands and feet.  Question 47 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.  Question 48 1 out of 1 points If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation? Selected Answer: CN XI, spinal accessory  Question 49 1 out of 1 points One of the most important aspects to consider in the orthopedic screening examination is: Selected Answer: symmetr y.  Question 50 1 out of 1 points 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: Selected Answer: Mini-Mental State Examination.  Question 51 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: fingertip s.  Question 52 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 53 1 out of 1 points A positive straight leg raise test usually indicates: Selected Answer: lumbar nerve root irritation.  Question 54 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 55 1 out of 1 points 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 collection? Selected Answer: Cytology smear  Question 56 1 out of 1 points The finger-to-nose test allows assessment of: Selected Answer: coordination and fine motor function.  Question 57 1 out of 1 points Which medical condition would exclude a person from sports participation? Selected Answer: Feve r  Question 58 1 out of 1 points Palpation of epitrochlear nodes is part of the: Selected Answer: examination of the upper extremities.  Question 59 1 out of 1 points A grade IV mitral regurgitation murmur would: Selected Answer: radiate to the axilla.  Question 60 1 out of 1 points The musculoskeletal examination should begin when: Selected Answer: the patient enters the examination room.  Question 61 1 out of 1 points Facial muscle or tongue weakness may result in: Selected Answer: aphasi a.  Question 62 1 out of 1 points The physical assessment technique most frequently used to assess joint symmetry is: Selected Answer: inspectio n.  Question 63 1 out of 1 points Part of the screening orthopedic component of the examination includes evaluating the person while he or she is: Selected Answer: duck walking.  Question 64 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 65 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 66 1 out of 1 points The Mini-Mental State Examination: Selected Answer: may be used to quantitatively estimate cognitive changes.  Question 67 1 out of 1 points Which of the following statements is true regarding the examination of peripheral arteries? Selected Answer: The pulses are most readily felt over bony prominences.  Question 68 1 out of 1 points Which portion of the physical examination is best done with the patient standing? Selected Answer: Spin al  Question 69 1 out of 1 points If your patient has nipple discharge, you will most likely need a: Selected Answer: glass slide and fixative.  Question 70 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 71 1 out of 1 points If pitting edema is unilateral, you would suspect occlusion of a: Selected Answer: major vein.  Question 72 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 73 1 out of 1 points While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding: Selected Answer: alcohol, tobacco, and caffeine use.  Question 74 1 out of 1 points When conducting a geriatric assessment, basic activities of daily living (ADLs) include: Selected Answer: bathin g.  Question 75 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 76 1 out of 1 points An ophthalmoscopic eye examination involves: Selected Answer: lens inspection.  Question 77 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 78 1 out of 1 points It is especially important to test for ankle clonus if: Selected Answer: deep tendon reflexes are