NURS 6512 FINAL
EXAM PREP
ADVANCED HEALTH
ASSESSMENT AND
DIAGNOSTIC
REASONING
ANSWERED
2023/2024
,1. The sequence of the physical examination should be individualized to: - Minimize the number of
times the patient has to change positions to conserve the patient’s energy
2. As you greet the patient, which examination technique is first implemented? - Inspection
3. Which of the following is most likely to enhance examiner reliability? – The examiner attempts to
qualify data
4. 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.
5. A patient 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.
6. Skeletal changes in older adults are the result of: -Increased bone resorption
7. A positive straight leg raise test usually indicates: - Lumbar nerve root irritation
8. What technique is performed at every infant examination during the first year of life to detect hip
dislocation? – Barlow-Ortolani maneuvers
9. Expected normal findings during inspection of spinal alignment include: - Convex lumbar curve
10. Temporalis and masseter muscles are evaluated by: - Having the patient clench his or her teeth
11. When palpating joints, crepitus may be caused when: - Irregular bony surfaces rub together
12. Ligaments are stronger than bone until: - Adolescence
13. The family history for a patient with joint pain should include information about siblings with:
-Genetic disorders
14. The Thomas test is used to detect: - Flexion contractures of the hip
15. A goniometer is used to assess: - Range of motion
16. 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
17. You note that a child has a positive Gower Sign. You know that this indicates generalized: - Muscle
weakness
18. The dowager hump is: - The hallmark of osteoporosis
19. What temporary disorder may be experienced by pregnant women during the third trimester
because of fluid retention? –Carpal tunnel syndrome
20. A common finding in markedly obese and pregnant women is: - Lordosis
,21. 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
22. Mrs. Bower is a 57 year old patient who comes in for an office visit. Which of the following disorders
is known to be hereditary? – Huntington chorea
23. Testing of cranial nerve is not routinely performed unless a problem is suspected. – I
24. The patient is able to rapidly touch each finger to his thumb in rapid sequence. What does this
finding mean? – The patient has appropriate cerebellar function
25. Which question asked by the examiner may hellp to determine prevention strategies for seizures that
a patient is experiencing? – “Are there any factors or activities that seem to start the seizures?”
26. A patient has a complaint of dizziness. The patient makes the following statement: “I sometimes feel
as if the whole room is spinning.” What type of neurologic dysfunction should the examiner suspect? –
Inner ear dysfunction affecting the acoustic nerve
, 27. The examiner asks the patient to close her eyes, then places a vibrating tuning fork on the patient’s
ankle and asks her to indicate what is felt. What is being assessed? – Peripheral nerve sensory function
28. Which of the following findings should an examiner consider a normal finding if associated with
pregnancy? – Acroparesthesia
52. Jack is a 52 year old obese man with a history of poorly controlled diabetes. He also smokes. Based
on the above data, the examiner should recognize that Jack has several risk factors for: - Cerebrovascular
accident
53. Mrs. Jones is a 24 year old patient who presents to your office 2 days postpartum. She complains that
she is experiencing foot drop. Which of the following problems should the examiner consider? –
Lumbosacral plexopathy
54. The examiner is assessing deep tendon reflex response in a 12 year old boy. The response is an
expected reflex response. Which of the following scores should be documented? – 2+
55. A 68 year old patient presents to your office for follow-up. He tells you, “I have a hard time finding
the right words when I am talking;” he also is experiencing numbness. On examination, you note
postural instability. This symptom may be: - A late symptom of Parkinson’s disease
56. Motor maturation proceeds in an orderly progression from: - Head to toe
57. The thalamus is the major integration center for perception of: - Pain
58. The examiner should be concerned about neurologic competence if a social smile cannot be elicited
by the time a child is old. – 3 months
59. Normal changes of the aging brain include: - Diminished perception of touch. -- this is by process of
elimination/educated guess. I could not find direct information addressing this in Seidel
60. When 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: -Mini-mental state examination
61. The area of body surface innervated by a particular spinal nerve is called a: - Dermatome
62. If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further
evaluation? – CN XI, spinal accessory
63. The finger-to-nose test allows assessment of: - Coordination and fine motor function
64. You ask the patient to follow a series of short commands to assess: - Attention span
65. 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: - Cerebellar ataxia
EXAM PREP
ADVANCED HEALTH
ASSESSMENT AND
DIAGNOSTIC
REASONING
ANSWERED
2023/2024
,1. The sequence of the physical examination should be individualized to: - Minimize the number of
times the patient has to change positions to conserve the patient’s energy
2. As you greet the patient, which examination technique is first implemented? - Inspection
3. Which of the following is most likely to enhance examiner reliability? – The examiner attempts to
qualify data
4. 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.
5. A patient 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.
6. Skeletal changes in older adults are the result of: -Increased bone resorption
7. A positive straight leg raise test usually indicates: - Lumbar nerve root irritation
8. What technique is performed at every infant examination during the first year of life to detect hip
dislocation? – Barlow-Ortolani maneuvers
9. Expected normal findings during inspection of spinal alignment include: - Convex lumbar curve
10. Temporalis and masseter muscles are evaluated by: - Having the patient clench his or her teeth
11. When palpating joints, crepitus may be caused when: - Irregular bony surfaces rub together
12. Ligaments are stronger than bone until: - Adolescence
13. The family history for a patient with joint pain should include information about siblings with:
-Genetic disorders
14. The Thomas test is used to detect: - Flexion contractures of the hip
15. A goniometer is used to assess: - Range of motion
16. 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
17. You note that a child has a positive Gower Sign. You know that this indicates generalized: - Muscle
weakness
18. The dowager hump is: - The hallmark of osteoporosis
19. What temporary disorder may be experienced by pregnant women during the third trimester
because of fluid retention? –Carpal tunnel syndrome
20. A common finding in markedly obese and pregnant women is: - Lordosis
,21. 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
22. Mrs. Bower is a 57 year old patient who comes in for an office visit. Which of the following disorders
is known to be hereditary? – Huntington chorea
23. Testing of cranial nerve is not routinely performed unless a problem is suspected. – I
24. The patient is able to rapidly touch each finger to his thumb in rapid sequence. What does this
finding mean? – The patient has appropriate cerebellar function
25. Which question asked by the examiner may hellp to determine prevention strategies for seizures that
a patient is experiencing? – “Are there any factors or activities that seem to start the seizures?”
26. A patient has a complaint of dizziness. The patient makes the following statement: “I sometimes feel
as if the whole room is spinning.” What type of neurologic dysfunction should the examiner suspect? –
Inner ear dysfunction affecting the acoustic nerve
, 27. The examiner asks the patient to close her eyes, then places a vibrating tuning fork on the patient’s
ankle and asks her to indicate what is felt. What is being assessed? – Peripheral nerve sensory function
28. Which of the following findings should an examiner consider a normal finding if associated with
pregnancy? – Acroparesthesia
52. Jack is a 52 year old obese man with a history of poorly controlled diabetes. He also smokes. Based
on the above data, the examiner should recognize that Jack has several risk factors for: - Cerebrovascular
accident
53. Mrs. Jones is a 24 year old patient who presents to your office 2 days postpartum. She complains that
she is experiencing foot drop. Which of the following problems should the examiner consider? –
Lumbosacral plexopathy
54. The examiner is assessing deep tendon reflex response in a 12 year old boy. The response is an
expected reflex response. Which of the following scores should be documented? – 2+
55. A 68 year old patient presents to your office for follow-up. He tells you, “I have a hard time finding
the right words when I am talking;” he also is experiencing numbness. On examination, you note
postural instability. This symptom may be: - A late symptom of Parkinson’s disease
56. Motor maturation proceeds in an orderly progression from: - Head to toe
57. The thalamus is the major integration center for perception of: - Pain
58. The examiner should be concerned about neurologic competence if a social smile cannot be elicited
by the time a child is old. – 3 months
59. Normal changes of the aging brain include: - Diminished perception of touch. -- this is by process of
elimination/educated guess. I could not find direct information addressing this in Seidel
60. When 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: -Mini-mental state examination
61. The area of body surface innervated by a particular spinal nerve is called a: - Dermatome
62. If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further
evaluation? – CN XI, spinal accessory
63. The finger-to-nose test allows assessment of: - Coordination and fine motor function
64. You ask the patient to follow a series of short commands to assess: - Attention span
65. 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: - Cerebellar ataxia
