NURS 6512 Advanced Health Assessment
Final Exam 2023 - Walden University A+
Guide.
• Costovertebral angle tenderness should be assessed whenever you suspect the client may have:
- Polynephritis
• In older adults, overflow fecal incontinence is commonly due to: -Fecal impaction
• A 1 month old boy has been vomiting for 2 weeks. How is this symptom of GERD and pyloric
stenosis further differentiated in this child’s assessment? – The infant has regurgitation with pyloric
stenosis
• Auscultation of borborygmi is associated with: - Gastroenteritis, early intestinal obstruction, or hunger
• When auscultating the abdomen, which finding would indicate collateral circulation between
the portal and systemic venous systems? – Venous hum
• Conversion of fat-soluble wastes to water-soluble material for renal excretion is a function of
the: - Liver
• The major function of the large intestine is: -Water absorption
• Which structure is located in the hypogastric region of the abdomen? –Ileum, bladder, and
pregnant uterus
• A 45 year old man relates a several week history of severe intermittent abdominal burning
sensations. He relates that the pain is relieved with small amounts of food. Before starting the physical
examination, you review his laboratory work, anticipating a (n): -Positive Helicobacter pylori result
• You are caring for a client with trigeminal neuralgia. During the assessment, the client would
describe the pain as: - Burning or shocklike
• Your 85 year old client is complaining of right knee pain. She has a history of osteoarthritis for
which she is given anti-inflammatory medication. To assess her right knee pain, you should ask her
if: - The pain gets better when she sits
• A 5 year old is complaining of nondescriptive “belly pain.” Your next action should be to ask him
to: - Point to the area of pain
• The perception of pain: - Is variable and is affected by emotions, and cultural background
,• clients presenting with ascites, jaundice, cutaneous spider veins, and nonpalpable liver exhibit
signs of: - Cirrhosis
• A client presents to the emergency department after a motor vehicle accident. The client
sustained blunt trauma to the abdomen and complains of pain in the upper left quadrant that radiates
to the left shoulder. What organ is most likely injured? – Spleen
• Imaging studies reveal that a client has dilation of the renal pelvis from an obstruction in the
ureter, what condition will be documented in this client’s health record? – Hydronephrosis
• Visible intestinal peristalsis may indicate: - Intestinal obstruction
• Infants born weighing less than 1500g are at higher risk for: - Necrotizing enterocolitis
• Which of the following factors is not known to affect client compliance with his or her
treatment regimen? – The client’s age and social status
• One of the most important aspects to consider in the orthopedic screening examination
is: - Symmetry
• The sequence of the physical examination should be individualized to: - Minimize the number
of times the client has to change positions to conserve the client’s energy
• As you greet the client, which examination technique is first implemented? - Inspection
• Which of the following is most likely to enhance examiner reliability? – The examiner attempts
to qualify data
• A 7 year old boy is brought to your office with a chief complaint of possible fracture to his left
third finger. He jammed it while playing basketball 2 days ago. The mother states that she really does
not think it is broken because he can move it. What is your best response? – This is common
misconception, and the finger may be broken. An x-ray is indicated.
• A client presenting for the first time with typical low back pain should receive which of the
following diagnostic tests? – None of the above. X-ray is not indicated because lumbar pain is
usually musculoskeletal etiology.
• Skeletal changes in older adults are the result of: -Increased bone resorption
• A positive straight leg raise test usually indicates: - Lumbar nerve root irritation
• What technique is performed at every infant examination during the first year of life to detect
hip dislocation? – Barlow-Ortolani maneuvers
• Expected normal findings during inspection of spinal alignment include: - Convex lumbar curve
• Temporalis and masseter muscles are evaluated by: - Having the client clench his or her teeth
, • When palpating joints, crepitus may be caused when: - Irregular bony surfaces rub together
• A 3 year old is brought to the clinic complaining of a painful right elbow. He is holding the right
arm slightly flexed and pronated and refuses to move it. the mother states that symptoms started
right after his older brother had been swinging him around by his arms. This presentation supports a
diagnosis of: - Radial head subluxation
• Light skin and thin body habitus are risk factors for: - Osteoporosis
• Risk factors for sports-related injuries include: - Failure to warm up before activity
• Injuries to long bones and joints are more likely to result in fractures than in sprains
until: - Adolescence
• Ligaments are stronger than bone until: - Adolescence
• The family history for a client with joint pain should include information about siblings with:
-Genetic disorders
• The Thomas test is used to detect: - Flexion contractures of the hip
• A goniometer is used to assess: - Range of motion
• During a football game, a player was struck on the lateral side of the left leg while his feet were
firmly planted. He is complaining of left knee pain. To examine the left knee you should initially
perform the -
test. – Valgus stress
• You note that a child has a positive Gower Sign. You know that this indicates generalized: -
Muscle weakness
• The dowager hump is: - The hallmark of osteoporosis
• What temporary disorder may be experienced by pregnant women during the third
trimester because of fluid retention? –Carpal tunnel syndrome
• A common finding in markedly obese and pregnant women is: - Lordosis
• A 45 year old laborer presents with low back pain, stating that the pain comes from the right
buttock and shoots down and across the right anterior thigh, down the shin to the ankle. Which
examination finding is considered more indicative of nerve root compression? – Positive straight leg
raise result
• Mrs. Bower is a 57 year old client who comes in for an office visit. Which of the following disorders
is known to be hereditary? – Huntington chorea
• Testing of cranial nerve is not routinely performed unless a problem is suspected. – I
Final Exam 2023 - Walden University A+
Guide.
• Costovertebral angle tenderness should be assessed whenever you suspect the client may have:
- Polynephritis
• In older adults, overflow fecal incontinence is commonly due to: -Fecal impaction
• A 1 month old boy has been vomiting for 2 weeks. How is this symptom of GERD and pyloric
stenosis further differentiated in this child’s assessment? – The infant has regurgitation with pyloric
stenosis
• Auscultation of borborygmi is associated with: - Gastroenteritis, early intestinal obstruction, or hunger
• When auscultating the abdomen, which finding would indicate collateral circulation between
the portal and systemic venous systems? – Venous hum
• Conversion of fat-soluble wastes to water-soluble material for renal excretion is a function of
the: - Liver
• The major function of the large intestine is: -Water absorption
• Which structure is located in the hypogastric region of the abdomen? –Ileum, bladder, and
pregnant uterus
• A 45 year old man relates a several week history of severe intermittent abdominal burning
sensations. He relates that the pain is relieved with small amounts of food. Before starting the physical
examination, you review his laboratory work, anticipating a (n): -Positive Helicobacter pylori result
• You are caring for a client with trigeminal neuralgia. During the assessment, the client would
describe the pain as: - Burning or shocklike
• Your 85 year old client is complaining of right knee pain. She has a history of osteoarthritis for
which she is given anti-inflammatory medication. To assess her right knee pain, you should ask her
if: - The pain gets better when she sits
• A 5 year old is complaining of nondescriptive “belly pain.” Your next action should be to ask him
to: - Point to the area of pain
• The perception of pain: - Is variable and is affected by emotions, and cultural background
,• clients presenting with ascites, jaundice, cutaneous spider veins, and nonpalpable liver exhibit
signs of: - Cirrhosis
• A client presents to the emergency department after a motor vehicle accident. The client
sustained blunt trauma to the abdomen and complains of pain in the upper left quadrant that radiates
to the left shoulder. What organ is most likely injured? – Spleen
• Imaging studies reveal that a client has dilation of the renal pelvis from an obstruction in the
ureter, what condition will be documented in this client’s health record? – Hydronephrosis
• Visible intestinal peristalsis may indicate: - Intestinal obstruction
• Infants born weighing less than 1500g are at higher risk for: - Necrotizing enterocolitis
• Which of the following factors is not known to affect client compliance with his or her
treatment regimen? – The client’s age and social status
• One of the most important aspects to consider in the orthopedic screening examination
is: - Symmetry
• The sequence of the physical examination should be individualized to: - Minimize the number
of times the client has to change positions to conserve the client’s energy
• As you greet the client, which examination technique is first implemented? - Inspection
• Which of the following is most likely to enhance examiner reliability? – The examiner attempts
to qualify data
• A 7 year old boy is brought to your office with a chief complaint of possible fracture to his left
third finger. He jammed it while playing basketball 2 days ago. The mother states that she really does
not think it is broken because he can move it. What is your best response? – This is common
misconception, and the finger may be broken. An x-ray is indicated.
• A client presenting for the first time with typical low back pain should receive which of the
following diagnostic tests? – None of the above. X-ray is not indicated because lumbar pain is
usually musculoskeletal etiology.
• Skeletal changes in older adults are the result of: -Increased bone resorption
• A positive straight leg raise test usually indicates: - Lumbar nerve root irritation
• What technique is performed at every infant examination during the first year of life to detect
hip dislocation? – Barlow-Ortolani maneuvers
• Expected normal findings during inspection of spinal alignment include: - Convex lumbar curve
• Temporalis and masseter muscles are evaluated by: - Having the client clench his or her teeth
, • When palpating joints, crepitus may be caused when: - Irregular bony surfaces rub together
• A 3 year old is brought to the clinic complaining of a painful right elbow. He is holding the right
arm slightly flexed and pronated and refuses to move it. the mother states that symptoms started
right after his older brother had been swinging him around by his arms. This presentation supports a
diagnosis of: - Radial head subluxation
• Light skin and thin body habitus are risk factors for: - Osteoporosis
• Risk factors for sports-related injuries include: - Failure to warm up before activity
• Injuries to long bones and joints are more likely to result in fractures than in sprains
until: - Adolescence
• Ligaments are stronger than bone until: - Adolescence
• The family history for a client with joint pain should include information about siblings with:
-Genetic disorders
• The Thomas test is used to detect: - Flexion contractures of the hip
• A goniometer is used to assess: - Range of motion
• During a football game, a player was struck on the lateral side of the left leg while his feet were
firmly planted. He is complaining of left knee pain. To examine the left knee you should initially
perform the -
test. – Valgus stress
• You note that a child has a positive Gower Sign. You know that this indicates generalized: -
Muscle weakness
• The dowager hump is: - The hallmark of osteoporosis
• What temporary disorder may be experienced by pregnant women during the third
trimester because of fluid retention? –Carpal tunnel syndrome
• A common finding in markedly obese and pregnant women is: - Lordosis
• A 45 year old laborer presents with low back pain, stating that the pain comes from the right
buttock and shoots down and across the right anterior thigh, down the shin to the ankle. Which
examination finding is considered more indicative of nerve root compression? – Positive straight leg
raise result
• Mrs. Bower is a 57 year old client who comes in for an office visit. Which of the following disorders
is known to be hereditary? – Huntington chorea
• Testing of cranial nerve is not routinely performed unless a problem is suspected. – I
