NURS-6512N-50,Advanced Health Assessment.2021 Winter

• Question 1 In the adult, the apical impulse should be most visible when the patient is in what position? Selected Answer: Upright • Question 2 A pulsation that is diminished to the point of being barely palpable would be graded as: Selected Answer: 1 • Question 3 The goals of preparticipation sports evaluation include: Selected Answer: identifying risk of injury or death during sports participation. • Question 4 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 The brush was withdrawn and stroked lightly on a glass slide.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 5 If your patient has nipple discharge, you will most likely need a: Selected Answer: glass slide and fixative. • Question 6 The difference in blood pressure readings between the right and the left arms is considered normal up to _____ mm Hg. Selected Answer: 10 • Question 7 The Mini-Mental State Examination: Selected Answer: may be used to quantitatively estimate cognitive changes. • Question 8 An ophthalmoscopic eye examination involves: Selected Answer: lens inspection. • Question 9 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: Covid-19 contact • Question 10 If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation? Selected Answer: CN XI, spinal accessory • Question 11 When palpating joints, crepitus may occur when: Selected Answer: irregular bony surfaces rub together. • Question 12 The checkout station for preparticipation physical evaluation (PPE) is critical because at this point: Selected Answer: coordination of follow-ups is reviewed. • Question 13 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 14 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. • Question 15 Tarry black stool should make you suspect: Selected Answer: upper intestinal bleeding. • Question 16 The examiner percusses for diaphragmatic excursion along the: Selected Answer: scapular line. • Question 17 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 18 An apical PMI palpated beyond the left fifth intercostal space may indicate: Selected Answer: left ventricular hypertrophy. • Question 19 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 20 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 21