NURS 612 FINAL EXAM MARYVILLE UNIVERSITY ADVANCED HEALTH ASSESSMENT 150
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
ALREADY GRADED A+
Which of the Following disorders is known to be heredity?
Peripheral neuropathy
Meningitis
Huntington Chorea
Seizure disorder - CORRECT ANSWERS-Huntington Chorea
Galactorrhea - CORRECT ANSWERS-Administration of phenothiazines
Mastitis - CORRECT ANSWERS-clogged milk duct
fibrocystic disease - CORRECT ANSWERS-Ductal enlargement
Dimpling in breast - CORRECT ANSWERS-Malignant breast tumor
Nipple retraction - CORRECT ANSWERS-Possible sign of breast malignancy
2 to 3cm subareolar duct lesion - CORRECT ANSWERS-intraductal papillomas
Paget disease - CORRECT ANSWERS-Red, scaling, crusty, patch
Mammary duct estasia - CORRECT ANSWERS-Blocked subareolar ducts
The Examiner asks the patient to close her eyes and then place a vibrating tuning fork on the patients
ankle and asks her to indicate what is felt. What is being assessed? - CORRECT ANSWERS-
Primary sensory function
, Multiple sclerosis - CORRECT ANSWERS-Fatigue, bowel and bladder dysfunction, sexual
dysfunction, sensory changes, muscle weakness
Myasthenia gravis - CORRECT ANSWERS-An autoimmune disorder of neuromuscular junction
involved with muscle activation.
Whisper Test - CORRECT ANSWERS-CN V111 acoustic
Patient sticks out tongue and moves it from side to side - CORRECT ANSWERS-CN X11
Hypoglossal
Taste test with sugar, salt, and lemon - CORRECT ANSWERS-CN V11 and CN 1X Facial and
glossopharyngeal
Under what conditions should a patient be tested for clonus? - CORRECT ANSWERS-When
deep tendon reflexes are hyperactive
Clonus, repeated reflex muscle movement, is tested when a patient has hyperactive reflexes. It is found
with diseases of the upper motor neuron. Nuchal rigidity, neck stiffness, is a sign of meningeal irritation.
Absent reflexes are associated with lower motor neuron diseases. Decorticate positioning, a state of
flexion with the arms adducted, occurs with hemispheric lesion of the cerebral cortex.
The abdominal reflexes are tested to assess functioning of the nerves in which location of the spine? -
CORRECT ANSWERS-Thoracic
Which change is most commonly observed in aging patients? - CORRECT ANSWERS-Kyphosis,
advanced posterior curvature of the thoracic spine, occurs commonly with age. Lordosis, scoliosis, and
ankylosis are not as commonly associated with age.
While palpating the patient's knee, the nurse finds effusion in the joint. What further assessment will
support this finding? - CORRECT ANSWERS-Testing for ballottement is a test to detect fluid in
the joint
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
ALREADY GRADED A+
Which of the Following disorders is known to be heredity?
Peripheral neuropathy
Meningitis
Huntington Chorea
Seizure disorder - CORRECT ANSWERS-Huntington Chorea
Galactorrhea - CORRECT ANSWERS-Administration of phenothiazines
Mastitis - CORRECT ANSWERS-clogged milk duct
fibrocystic disease - CORRECT ANSWERS-Ductal enlargement
Dimpling in breast - CORRECT ANSWERS-Malignant breast tumor
Nipple retraction - CORRECT ANSWERS-Possible sign of breast malignancy
2 to 3cm subareolar duct lesion - CORRECT ANSWERS-intraductal papillomas
Paget disease - CORRECT ANSWERS-Red, scaling, crusty, patch
Mammary duct estasia - CORRECT ANSWERS-Blocked subareolar ducts
The Examiner asks the patient to close her eyes and then place a vibrating tuning fork on the patients
ankle and asks her to indicate what is felt. What is being assessed? - CORRECT ANSWERS-
Primary sensory function
, Multiple sclerosis - CORRECT ANSWERS-Fatigue, bowel and bladder dysfunction, sexual
dysfunction, sensory changes, muscle weakness
Myasthenia gravis - CORRECT ANSWERS-An autoimmune disorder of neuromuscular junction
involved with muscle activation.
Whisper Test - CORRECT ANSWERS-CN V111 acoustic
Patient sticks out tongue and moves it from side to side - CORRECT ANSWERS-CN X11
Hypoglossal
Taste test with sugar, salt, and lemon - CORRECT ANSWERS-CN V11 and CN 1X Facial and
glossopharyngeal
Under what conditions should a patient be tested for clonus? - CORRECT ANSWERS-When
deep tendon reflexes are hyperactive
Clonus, repeated reflex muscle movement, is tested when a patient has hyperactive reflexes. It is found
with diseases of the upper motor neuron. Nuchal rigidity, neck stiffness, is a sign of meningeal irritation.
Absent reflexes are associated with lower motor neuron diseases. Decorticate positioning, a state of
flexion with the arms adducted, occurs with hemispheric lesion of the cerebral cortex.
The abdominal reflexes are tested to assess functioning of the nerves in which location of the spine? -
CORRECT ANSWERS-Thoracic
Which change is most commonly observed in aging patients? - CORRECT ANSWERS-Kyphosis,
advanced posterior curvature of the thoracic spine, occurs commonly with age. Lordosis, scoliosis, and
ankylosis are not as commonly associated with age.
While palpating the patient's knee, the nurse finds effusion in the joint. What further assessment will
support this finding? - CORRECT ANSWERS-Testing for ballottement is a test to detect fluid in
the joint
