NUR 634 FINAL EXAM 2023/NUR-634 PHYSICAL ASSESSMENT
FINAL 100 QUESTIONS AND CORRECT ANSWERS|AGRADE
72-year-old M pt complains of bilateral knee pain. the NP assess stumbling during
heel strike suggestive of? - ANSWER: quadracep weakness or abnormal patellar
tracking
14 y/o student comes to clinical for a 3-month hx of dyspnea when playing
basketball. the dyspnea resolves shortly after resting. There is no fever, chills, cough
sputum, chest pain, or serious illness. Asthma is suspected. Which of the following
sounds heard on exhalation would suggest asthma? - ANSWER: wheezing
75 y/o F in good health presents to a NP. she takes no medications but has been told
in the past her BP is high. which one of the following findings is consistent with
normal aging process and is not a sign of CV disease? - ANSWER: murmur, stiffened
ventricles (valvular changes)
An older adult M complains of feeling something in his L scrotum. On palpitation,
soft, and moveable blood vessels that feel like a bag of warms are noted underneath
the scrotal skin. the testicles are not swollen or red; what is likely the diagnosis? -
ANSWER: varicocele-varicose vein of spermatic cord
Parents generally bring children for health. At what age should the provider begin to
question the child him or herself regarding presenting symptoms? - ANSWER: >6 ?
The bulge sign and the balloon sign may be present where there is a/an? - ANSWER:
Patellar effusion-fluid in the knee. Swelling in suprapatellar pouch, bulge confirms
presence of fluid as you move join from side to side.
The cremasteric reflex is elicited by: - ANSWER: Cremasteric reflex is a superficial
reflex seen in males, light stroking or poking the medical part of thigh regardless of
the direction of the stroke.
Stimulation of moro reflex? - ANSWER: Scare in baby. Spread of arms (abduct),
fingers spread, legs extend. Gently lift head and release babv so that they feel like
they are falling. Absence of this suggest damage to brain or spinal cord. one side
absent-brachial plexus injury.
The two most important components of the eye exam for young child? - ANSWER: I
think: motility, hirschberg light reflex. use toys and make it fun.
Indication of crepitus - ANSWER: common sign of bone fx or RA. in lungs-
subcutaneous emphysema (trapped air under skin)
, Retention Cysts - ANSWER: tumor like accumulation of secretions formed when the
outlet of secreting gland is obstructed. can develop in breast, pancreas, kidney,
mucus membrane. Small sac of mucus that forms when mucus duct becomes
blocked. yellowish blge and should be drained
GCS - ANSWER: measures LOC, eye opening, motor response, verbal response. 3-15
Assessment of CN XI - ANSWER: Spinal accessory nerve, shrug shoulders
Assessment of egophony? - ANSWER: Say "e" and sounds like "a"= egophony.
Suggests consolidation, pleural effusion, pneumonia.
The FNP will be able to assess the splitting of s2 in which location? - ANSWER: 2nd
ICS L sternal boarder
A 42 y/o healthy F requests an MRI rather than mammogram. no hx of family ca.
which of the following is true about MRI as a screening modality for breast ca in the
general population? - ANSWER: accurate by high false positive rate
Assessment of PAD - ANSWER: pain with walking but better at rest
Evaluation of corneal abrasion - ANSWER: Slit lamp exam= stain in eye.
Assessment of urine analysis of UTI - ANSWER: there would NOT be proteins
assessment of stereognosis and graphesthesia - ANSWER: stereognosis: identify
object without seeing or hearing but by touch
graphesthesia: draw figure 8 on hand and can identify what was written
Assessment of risk factors for melanoma - ANSWER: ABCDE
A 35 y/o soccer player presents to urgent care with complain of swelling and pain on
medial aspect of right knee. on exam the knee is swollen and tender on the joint. to
assess for possible injury to meniscus, which maneuver will yield the best
information for the NP. - ANSWER: mcMurrarys test, fully bend leg and pull outward
bow legged while externally rotating as you extend knee. Click or pain=+
The NP begins the exam of a 29 y/o female presenting for cough. noted is depression
of the lower part of the sternum. Which of the following best describes the
appearance of the chest. - ANSWER: Pectus excavatum "sunken in appearance".
birth defect, cup shaped.
When examining the cervix of a 20 y/o female you note that most of the cervix is
pink but there is a small ring of dark red tissue surrounding the os. This is most
likely? - ANSWER: Strawberry cervix- not linked to Ca. Causes: hormones, pregnancy,
PO birth control, and age (young,puberty)
FINAL 100 QUESTIONS AND CORRECT ANSWERS|AGRADE
72-year-old M pt complains of bilateral knee pain. the NP assess stumbling during
heel strike suggestive of? - ANSWER: quadracep weakness or abnormal patellar
tracking
14 y/o student comes to clinical for a 3-month hx of dyspnea when playing
basketball. the dyspnea resolves shortly after resting. There is no fever, chills, cough
sputum, chest pain, or serious illness. Asthma is suspected. Which of the following
sounds heard on exhalation would suggest asthma? - ANSWER: wheezing
75 y/o F in good health presents to a NP. she takes no medications but has been told
in the past her BP is high. which one of the following findings is consistent with
normal aging process and is not a sign of CV disease? - ANSWER: murmur, stiffened
ventricles (valvular changes)
An older adult M complains of feeling something in his L scrotum. On palpitation,
soft, and moveable blood vessels that feel like a bag of warms are noted underneath
the scrotal skin. the testicles are not swollen or red; what is likely the diagnosis? -
ANSWER: varicocele-varicose vein of spermatic cord
Parents generally bring children for health. At what age should the provider begin to
question the child him or herself regarding presenting symptoms? - ANSWER: >6 ?
The bulge sign and the balloon sign may be present where there is a/an? - ANSWER:
Patellar effusion-fluid in the knee. Swelling in suprapatellar pouch, bulge confirms
presence of fluid as you move join from side to side.
The cremasteric reflex is elicited by: - ANSWER: Cremasteric reflex is a superficial
reflex seen in males, light stroking or poking the medical part of thigh regardless of
the direction of the stroke.
Stimulation of moro reflex? - ANSWER: Scare in baby. Spread of arms (abduct),
fingers spread, legs extend. Gently lift head and release babv so that they feel like
they are falling. Absence of this suggest damage to brain or spinal cord. one side
absent-brachial plexus injury.
The two most important components of the eye exam for young child? - ANSWER: I
think: motility, hirschberg light reflex. use toys and make it fun.
Indication of crepitus - ANSWER: common sign of bone fx or RA. in lungs-
subcutaneous emphysema (trapped air under skin)
, Retention Cysts - ANSWER: tumor like accumulation of secretions formed when the
outlet of secreting gland is obstructed. can develop in breast, pancreas, kidney,
mucus membrane. Small sac of mucus that forms when mucus duct becomes
blocked. yellowish blge and should be drained
GCS - ANSWER: measures LOC, eye opening, motor response, verbal response. 3-15
Assessment of CN XI - ANSWER: Spinal accessory nerve, shrug shoulders
Assessment of egophony? - ANSWER: Say "e" and sounds like "a"= egophony.
Suggests consolidation, pleural effusion, pneumonia.
The FNP will be able to assess the splitting of s2 in which location? - ANSWER: 2nd
ICS L sternal boarder
A 42 y/o healthy F requests an MRI rather than mammogram. no hx of family ca.
which of the following is true about MRI as a screening modality for breast ca in the
general population? - ANSWER: accurate by high false positive rate
Assessment of PAD - ANSWER: pain with walking but better at rest
Evaluation of corneal abrasion - ANSWER: Slit lamp exam= stain in eye.
Assessment of urine analysis of UTI - ANSWER: there would NOT be proteins
assessment of stereognosis and graphesthesia - ANSWER: stereognosis: identify
object without seeing or hearing but by touch
graphesthesia: draw figure 8 on hand and can identify what was written
Assessment of risk factors for melanoma - ANSWER: ABCDE
A 35 y/o soccer player presents to urgent care with complain of swelling and pain on
medial aspect of right knee. on exam the knee is swollen and tender on the joint. to
assess for possible injury to meniscus, which maneuver will yield the best
information for the NP. - ANSWER: mcMurrarys test, fully bend leg and pull outward
bow legged while externally rotating as you extend knee. Click or pain=+
The NP begins the exam of a 29 y/o female presenting for cough. noted is depression
of the lower part of the sternum. Which of the following best describes the
appearance of the chest. - ANSWER: Pectus excavatum "sunken in appearance".
birth defect, cup shaped.
When examining the cervix of a 20 y/o female you note that most of the cervix is
pink but there is a small ring of dark red tissue surrounding the os. This is most
likely? - ANSWER: Strawberry cervix- not linked to Ca. Causes: hormones, pregnancy,
PO birth control, and age (young,puberty)
