NURS-6512C-24/NURS-6512N-24 Advanced Health Assessment .QUESTION AND ANSWERS

• Question 1 A cervical polyp usually appears as a: Selected Answer: bright-red soft protrusion from the endocervical canal. • Question 2 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 A common finding in markedly obese and pregnant women is: Selected Answer: lordosis. • Question 4 Tarry black stool should make you suspect: Selected Answer: upper intestinal bleeding. • Question 5 If your patient has nipple discharge, you will most likely need a: Selected Answer: glass slide and fixative. Inspection of the scrotum should reveal: Selected Answer: left scrotal sac lower than the right. Throughout the history and physical examination, the clinician should: Selected Answer: evaluate the whole patient. The family history for a patient with joint pain should include information about siblings with: Selected Answer: genetic disorders. The adnexa of the uterus are composed of the: Selected Answer: fallopian tubes and ovaries. Darian is a 14-year-old adolescent who states his right testicle has a soft swollen mass. The testicle is not painful upon palpation. The right inguinal canal is without masses. The mass does transilluminate with a penlight. This collection of symptoms is consistent with: Selected Answer: hydrocele Kawasaki disease is suspected when assessments of a child reveal: Selected Answer: conjunctival injection, strawberry tongue, and edema of the hands and feet. When palpating breast tissue, the examiner should use the at each site. Selected Answer: finger pads, gliding Functional assessment is most important during the examination of a(n): Selected Answer: older adult. (correct answer: Adolescent) • Question 14 Adrian Thompson is a 19-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her mother reports that Andrian, apart from occasional sinus infections, Andrian is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Adrian's current problem? Selected Answer: Cocaine use • Question 15 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 The brush was withdrawn and stroked lightly on a glass slide.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 16 You are initially evaluating the equilibrium of Ms. Q. You ask her to stand with her feet together and arms at her sides. She loses her balance. Ms. Q. has a positive: Selected Answer: Romberg sign. • Question 17 Which one of the following is a proper technique for use of a speculum during a vaginal examination? Selected Answer: Press introitus downward; insert closed speculum obliquely. • Question 18 Your older clinic patient is being seen today as a follow-up for a 2-day history of pneumonia. The patient continues to have a productive cough, shortness of breath, and lethargy and has been spending most of the day lying in bed. You should begin the chest examination by: Selected Answer: auscultating the lung bases. • Question 19 Recent unilateral inversion of a previously everted nipple suggests: Selected Answer: cancer. • Question 20 The finger-to-nose test allows assessment of: Selected Answer: coordination and fine motor function. Your 15-year-old patient is athletic and thin. Radiography of an ankle injury reveals a stress fracture. You should question this patient about her: Selected Answer: menstrual cycles. Which condition is considered progressive rather than reversible? Selected Answer: Dementia The rectal past medical history of all patients should include inquiry about: Selected Answer: hemorrhoid surgery. Your patient's chief complaint is repeated pencil-like stools. Further examination should include: Selected Answer: digital rectal examination (DRE). Examination of the patient in the lithotomy, or knee-chest, position includes: Selected Answer: palpation of anal sphincter tone. The physical assessment technique most frequently used to assess joint symmetry is: Selected Answer: inspection. In the most effective percussion technique of the posterior lung fields, the patient cooperates by: Selected Answer: folding the arms in front. 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. The reliability of health-related findings and observations is the responsibility of the: Selected Answer: professional and the patient. Loss of immediate and recent memory with retention of remote memory suggests: Selected Answer: dementia. 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. When assessing superficial pain, touch, vibration, and position perceptions, you are testing: