NURS 6512 Health Assessment Final Exam Review 2024

Health Assessment Final Exam Review 1. The reliability of health-related findings and observations is the responsibility of the: Selected Answer: Professional and the patient. 2. Which of the following statements is true regarding the examination of peripheral arteries? Selected Answer: The pulses are most readily felt over bony prominences. 3. 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. 4. 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: Fibrocystic changes. 5. 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. 6. When is the mental status portion of the neurologic system examination performed? Selected Answer: Constantly, throughout the entire interaction with a patient 7. Normal changes of the aging brain include: Selected Answer: Diminished perception of touch. 8. The finger-to-nose test allows assessment of: Selected Answer: Coordination and fine motor function. 9. The difference in blood pressure readings between the right and the left arms is considered normal up to _____ mm Hg. 10 10 Tarry black stool should make you suspect: Upper intestinal bleeding. 11. Anterior cruciate ligament integrity is assessed via the _____ test. Selected Answer: Lachman 12. Examination of the patient in the lithotomy, or knee-chest, position includes: Selected Answer: Palpation of anal sphincter tone. 13. Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of: Selected Answer: Older adults. 14. Which cranial nerves are usually evaluated during the examination of the eyes? Selected Answer: III and VI Health Assessment Final Exam Review 15. Assessing orientation to person, place, and time helps determine: state of consciousness. 16. To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with: one arm overhead and a pillow under her shoulder. 17. Cranial nerve XII may be assessed in an infant by: observing the infant suck and swallow. 18. Diabetic peripheral neuropathy will likely produce: diminished pain sensation. 19. Nerves that arise from the brain rather than the spinal cord are called: cranial. 20. Inspection of the scrotum should reveal: left scrotal sac lower than the right. 21. Postural hypotension is defined as a _____ when the patient stands, compared with sitting or supine readings. : systolic pressure drop of more than 15 mm Hg with a pulse rate increase 22. The rectal past medical history of all patients should include inquiry about: hemorrhoid surgery. 23. 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: Romberg sign. 24. 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. Kernig 25. You are conducting an examination of Mr. Curtis's heart and blood vessels and auscultate a grade III murmur. The intensity of this murmur is: moderately loud. 26. 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: Schizophrenia 27. The best way to ease the apprehension of a 3-year-old child before a physical let the child hold the stethoscope while you listen. 28. 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: perform the examination while the child is in the mother's lap. 29. 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? Cervical spine radiograph Health Assessment Final Exam Review 30. A 23 year old white woman has come to the clinic because she has missed two menstrual cycles. She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is to: Suggest pregnancy testing 31. A positive straight leg raise test usually indicates: Selected Answer: lumbar nerve root irritation. 32. Loss of immediate and recent memory with retention of remote memory suggests dementia. 33. Bimanual examination of the uterus includes: WRONG grasping the vaginal wall and pulling it downward. grasping the cervix between the examining fingers. 34. While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding: alcohol, tobacco, and caffeine use. 35. When assessing superficial pain, touch, vibration, and position perceptions, you are testing sensory function. 36. 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: fingertips. 37. If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation? CN XI, spinal accessory 38. The Mini-Mental State Examination: may be used to quantitatively estimate cognitive changes. 39. When palpating joints, crepitus may occur when: Selected Answer: irregular bony surfaces rub together. 40. Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the: Selected Answer: P wave. 41. When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the: presence and form of body parts. 42. A pulsation that is diminished to the point of being barely palpable would be graded as: 1 43. 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: are usual conditions during pregnancy. 44. The examiner percusses for diaphragmatic excursion along the: Selected Answer: scapular line.