NURS 6512 FINAL EXAM (GRADED A) Questions and Answers | 100% correct solutions

Course NURS-6512N-27,Advanced Health Assessment. Test Exam - Week 11 Started 5/9/20 1:46 AM Submitted 5/9/20 3:01 AM Due Date 5/11/20 1:59 AM Status Completed Attempt Score 98 out of 100 poi nts Time Elapsed 1 hour, 14 minutes out of 2 hours Instructions Please answer each question below and click Submit when you have completed the Exam. Results Displayed Submitted Answers, Incorrectly Answered Questions • Question 1 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 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 Tarry black stool should make you suspect: 1 out of 1 points Selected Answer: upper intestinal bleeding. • Question 4 To assess a cremasteric reflex, the examiner strokes the: 1 out of 1 points Selected Answer: inner thigh and observes whether the testicle and scrotum rise on the stroked side. • 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 A finding that is indicative of osteoarthritis is: 1 out of 1 points Selected Answer: Heberden nodes. • Question 7 When palpating joints, crepitus may occur when: 1 out of 1 points Selected Answer: irregular bony surfaces rub together. • Question 8 Palpation of a normal prostate in an older adult is likely to feel: 1 out of 1 points 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 Montgomery tubercles are most prominent in the breasts of: 1 out of 1 points 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 At your first meeting with a patient, it is usually best to say: 1 out of 1 points 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 The examiner percusses for diaphragmatic excursion along the: 1 out of 1 points 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 Normal changes of the aging brain include: 0 out of 1 points 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 To hear diastolic heart sounds, you should ask patients to: 1 out of 1 points Selected Answer: lie on their left sides. • Question 26 Cranial nerve XII may be assessed in an infant by: 1 out of 1 points 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 The foramen ovale should close: 1 out of 1 points Selected Answer: within minutes of birth. • Question 29 Temporalis and masseter muscles are evaluated by: Selected having the patient clench his or her teeth. 1 out of 1 points Answer: • Question 30 A grade IV mitral regurgitation murmur would: 1 out of 1 points 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 3 Answer: +. • 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 Bimanual examination of the uterus includes: 1 out of 1 points 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 1 Answer: 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 Kawasaki disease is suspected when assessments of a child reveal: 1 out of 1 points Selected Answer: conjunctival injection, strawberry tongue, and edema of the hands and feet. • Question 44 Facial muscle or tongue weakness may result in: 1 out of 1 points 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 Assessing orientation to person, place, and time helps determine: 1 out of 1 points 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 1 Answer: • Question 48 Which condition is considered progressive rather than reversible? 1 out of 1 points Selected Answer: Demen tia • Question 49 An idiopathic spasm of arterioles in the digits is termed: 1 out of 1 points 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 An ophthalmoscopic eye examination involves: 1 out of 1 points Selected Answer: lens inspection. • Question 52 The adnexa of the uterus are composed of the: 1 out of 1 points Selected Answer: fallopian tubes and ovaries. • Question 53 Breath sounds normally heard over the trachea are called: 1 out of 1 points 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 A positive straight leg raise test usually indicates: 1 out of 1 points 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 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 62 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 63 A common finding in markedly obese and pregnant women is: 1 out of 1 points Selected Answer: lordosi s. • Question 64 1 out of 1 points During a routine prenatal visit, Ms. T. was noted as having dependent edema, varicosities of the legs, and hemorrhoids. She expressed concern about these symptoms. You explain to Ms. T. that her enlarged uterus is compressing her pelvic veins and her inferior vena cava. You would further explain that these findings: Selected Answer: are usual conditions during pregnancy. • Question 65 1 out of 1 points Which one of the following techniques is used to detect a torn meniscus? Selected Answer: McMurray test • Question 66 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 67 Ulnar deviation and boutonniere deformities are characteristic of: Selected Answer: osteoarthritis CORRECT ANSWER: RHEUMATOID ARTHRITIS • Question 68 0 out of 1 points 1 out of 1 points You are conducting a preparticipation physical examination for a 10-year-old girl with Down syndrome who will be playing basketball. She has slight torticollis and mild ankle clonus. What additional diagnostic testing would be required for her? Selected Answer: Cervical spine radiograph • Question 69 1 out of 1 points An apical PMI palpated beyond the left fifth intercostal space may indicate: Selected Answer: left ventricular hypertrophy. • Question 70 1 out of 1 points 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 71 1 out of 1 points When conducting a geriatric assessment, basic activities of daily living (ADLs) include: Selected Answer: bathin g. • Question 72 1 out of 1 points When assessing a 17-year-old for nuchal rigidity, you gently raise his head off the examination table. He involuntarily flexes his hips and knees. To confirm your suspicions associated with this positive test, you would also perform a test for the sign. Selected Answer: Kerni g • Question 73 The Denver II is a tool used to determine: 1 out of 1 points Selected Answer: whether a child is developing as expected. • Question 74 Palpation of epitrochlear nodes is part of the: 1 out of 1 points Selected Answer: examination of the upper extremities. • Question 75 A cervical polyp usually appears as a: 1 out of 1 points Selected Answer: bright-red soft protrusion from the endocervical canal. • Question 76 1 out of 1 points Your patient's chief complaint is repeated pencil-like stools. Further examination should include: Selected Answer: digital rectal examination (DRE). • Question 77 1 out of 1 points The finger-to-nose test allows assessment of: Selected Answer: coordination and fine motor function. • Question 78 1 out of 1 points When palpating breast tissue, the examiner should use the at each site. Selected Answer: finger pads, gliding • Question 79 It is especially important to test for ankle clonus if: 1 out of 1 points Selected Answer: deep tendon reflexes are hyperactive. • Question 80 If your patient has nipple discharge, you will most likely need a: 1 out of 1 points Selected Answer: glass slide and fixative. • Question 81 1 out of 1 points The rectal past medical history of all patients should include inquiry about: Selected Answer: hemorrhoid surgery. • Question 82 Throughout the history and physical examination, the clinician should: 1 out of 1 points Selected Answer: evaluate the whole patient. • Question 83 1 out of 1 points For purposes of examination and communication of physical findings, the breast is divided into: Selected four quadrants plus a tail. Answer: • Question 84 1 out of 1 points 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 85 1 out of 1 points Which portion of the physical examination is best done with the patient standing? Selected Answer: Spin al • Question 86 If pitting edema is unilateral, you would suspect occlusion of a: 1 out of 1 points Selected Answer: major vein. • Question 87 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 88 Nerves that arise from the brain rather than the spinal cord are called: 1 out of 1 points Selected Answer: crani al. • Question 89 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 90 The goals of preparticipation sports evaluation include: 1 out of 1 points Selected Answer: identifying risk of injury or death during sports participation. • Question 91 1 out of 1 points Functional assessment is most important during the examination of a(n): Selected Answer: older adult. • Question 92 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 93 Diabetic peripheral neuropathy will likely produce: 1 out of 1 points Selected Answer: diminished pain sensation. • Question 94 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 95 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 96 1 out of 1 points 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 97 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 98 Recent unilateral inversion of a previously everted nipple suggests: 1 out of 1 points Selected Answer: canc er. • Question 99 1 out of 1 points One of the most important aspects to consider in the orthopedic screening examination is: Selected Answer: symmet ry. • Question 100 The Mini-Mental State Examination: 1 out of 1 points Selected Answer: may be used to quantitatively estimate cognitive changes. • Question 101 0 out of 0 points When completing this exam, did you comply with Walden University's Code of Conduct including the expectations for academic integrity? Selected Ye Answer: s Saturday, May 9, 2020 3:01:53 AM EDT Show Less