NR6512/NURS 6512/Advanced Health Awareness/ Final Exam
Questions & Answers (All Correct)
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
,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:
lef t 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
, 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.
Questions & Answers (All Correct)
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
,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:
lef t 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
, 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.
