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

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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. Functional assessment is most important during the examination of a(n): Selected Answer: older adult. When palpating breast tissue, the examiner should use the at each site. Selected Answer: finger pads, gliding 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. Adrian Thomas is a 19-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her father reports that Adrian, apart from occasional sinus infections, Adrian 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 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?" 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. In the adult, the apical impulse should be most visible when the patient is in what position? Selected Answer: Uprig ht You are reviewing an ECG of a 43 year old new patient. The patient has a history of second-degree heart block. The ECG shows the PR interval is increases with each beat until a QRS is dropped. What is this type of block called? Selected Answer: Second degree heart block, type 1: Wenckebach/Mobitz 1 An idiopathic spasm of arterioles in the digits is termed: Selected Answer: Raynaud disease. Which portion of the physical examination is best done with the patient standing? Selected Spin Answer: al 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. To hear diastolic heart sounds, you should ask patients to: Selected Answer: lie on their left sides. 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 checkout station for preparticipation physical evaluation (PPE) is critical because at this point: Selected Answer:

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Voorbeeld van de inhoud

Course NURS-6512C-24/NURS-6512N-24-Advanced Health
Assessment-2021-Fall- QTR-Term-wks-1
Test Exam - Week 11
Status Completed
Attemp 100 out of 100 points
t Score
Time 1 hour, 3 minutes out of 2 hours
Elapse
d
Instructions Please answer each question below and click Submit when you
have completed the Exam.
Results Submitted Answers
Displaye
d
• Question 1
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 fibrocystic
Answer: changes.

• Question 2
Functional assessment is most important during the examination of a(n):


Selected older
Answer: adult.

• Question 3
When palpating breast tissue, the examiner should use the at each site.


Selected finger pads,
Answer: gliding

• Question 4
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 test the six cardinal points of
Answer: gaze.

• Question 5

, Adrian Thomas is a 19-year-old girl who presents to the clinic with complaints of severe,
acute chest pain. Her father reports that Adrian, apart from occasional
sinus infections, Adrian is not prone to respiratory problems. What potential risk factor is
most important to assess with regards to Adrian's current problem?

Selected Cocaine
Answer: use

• Question 6
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 "What age was your father at the time
Answer: of his death?"

• Question 7
Which one of the following is a proper technique for use of a speculum during a vaginal
examination?


Selected Press introitus downward; insert closed speculum
Answer: obliquely.

• Question 8
In the adult, the apical impulse should be most visible when the patient is in what
position?


Selected Uprig
Answer: ht

• Question 9
You are reviewing an ECG of a 43 year old new patient. The patient has a history of second-degree
heart block. The ECG shows the PR interval is increases with each beat until a QRS is dropped. What
is this type of block called?
Selected
Second degree heart block, type 1: Wenckebach/Mobitz 1
Answer:
• Question 10
An idiopathic spasm of arterioles in the digits is termed:


Selected Raynaud
Answer: disease.

• Question 11
Which portion of the physical examination is best done with the patient standing?


Selected Spin

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