lOMoAR cPSD| 7293922
Page 1
NURSING 6512 / WALDEN UNIVERSITY
Final Exam Advanced Health Assessment and Diagnostic
Reasoning
1. Costovertebral angle tenderness should be assessed whenever you suspect the patient
may have: - Polynephritis
2. In older adults, overflow fecal incontinence is commonly due to: -Fecal impaction
3. A 1 month old boy has been vomiting for 2 weeks. How is this symptom of GERD and
pyloric stenosis further differentiated in this child’s assessment? – The infant has
regurgitation with pyloric stenosis
4. Auscultation of borborygmi is associated with: - Gastroenteritis, early intestinal
obstruction, or hunger
5. When auscultating the abdomen, which finding would indicate collateral circulation
between the portal and systemic venous systems? – Venous hum
6. Conversion of fat-soluble wastes to water-soluble material for renal excretion is a function
of the: - Liver
7. The major function of the large intestine is: -Water absorption
8. Which structure is located in the hypogastric region of the abdomen? –Ileum, bladder,
and pregnant uterus
9. A 45 year old man relates a several week history of severe intermittent abdominal burning
sensations. He relates that the pain is relieved with small amounts of food. Before starting
the physical examination, you review his laboratory work, anticipating a (n): -Positive
Helicobacter pylori result
10. You are caring for a patient with trigeminal neuralgia. During the assessment, the
patient would describe the pain as: - Burning or shocklike
11. Your 85 year old patient is complaining of right knee pain. She has a history of
osteoarthritis for which she is given anti-inflammatory medication. To assess her right knee
pain, you should ask her if: - The pain gets better when she sits
12. A 5 year old is complaining of nondescriptive “belly pain.” Your next action should be to
ask him to: - Point to the area of pain
13. The perception of pain: - Is variable and is affected by emotions, and cultural background
14. Patients presenting with ascites, jaundice, cutaneous spider veins, and nonpalpable
liver exhibit signs of: - Cirrhosis
,lOMoAR cPSD| 7293922
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[Date]
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, lOMoAR cPSD| 7293922
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15. A patient presents to the emergency department after a motor vehicle accident.
The patient sustained blunt trauma to the abdomen and complains of pain in the
upper left quadrant that radiates to the left shoulder. What organ is most likely
injured? – Spleen
16. Imaging studies reveal that a patient has dilation of the renal pelvis from an obstruction
in the ureter, what condition will be documented in this patient’s health record? –
Hydronephrosis
17. Visible intestinal peristalsis may indicate: - Intestinal obstruction
18. Infants born weighing less than 1500g are at higher risk for: - Necrotizing enterocolitis
19. Which of the following factors is not known to affect patient compliance with his or
her treatment regimen? – The patient’s age and social status
20. One of the most important aspects to consider in the orthopedic screening examination is:
- Symmetry
21. 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
22. As you greet the patient, which examination technique is first implemented? - Inspection
23. Which of the following is most likely to enhance examiner reliability? – The
examiner attempts to qualify data
24. 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.
25. 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.
26. Skeletal changes in older adults are the result of: -Increased bone resorption
27. A positive straight leg raise test usually indicates: - Lumbar nerve root irritation
28. What technique is performed at every infant examination during the first year of life
to detect hip dislocation? – Barlow-Ortolani maneuvers
29. Expected normal findings during inspection of spinal alignment include: - Convex
lumbar curve
Downloaded by jane murage ()
, lOMoAR cPSD| 7293922
Page 4
30. Temporalis and masseter muscles are evaluated by: - Having the patient clench his or
her teeth
31. When palpating joints, crepitus may be caused when: - Irregular bony surfaces rub together
32. A 3 year old is brought to the clinic complaining of a painful right elbow. He is holding the
right arm slightly flexed and pronated and refuses to move it. the mother states that
symptoms started right after his older brother had been swinging him around by his arms. This
presentation supports a diagnosis of: - Radial head subluxation
33. Light skin and thin body habitus are risk factors for: - Osteoporosis
34. Risk factors for sports-related injuries include: - Failure to warm up before activity
35. Injuries to long bones and joints are more likely to result in fractures than in sprains until:
- Adolescence
36. Ligaments are stronger than bone until: - Adolescence
37. The family history for a patient with joint pain should include information about
siblings with: -Genetic disorders
38. The Thomas test is used to detect: - Flexion contractures of the hip
39. A goniometer is used to assess: - Range of motion
40. 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
41. You note that a child has a positive Gower Sign. You know that this indicates generalized:
- Muscle weakness
42. The dowager hump is: - The hallmark of osteoporosis
43. What temporary disorder may be experienced by pregnant women during the
third trimester because of fluid retention? –Carpal tunnel syndrome
44. A common finding in markedly obese and pregnant women is: - Lordosis
45. 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
Downloaded by jane murage ()
Page 1
NURSING 6512 / WALDEN UNIVERSITY
Final Exam Advanced Health Assessment and Diagnostic
Reasoning
1. Costovertebral angle tenderness should be assessed whenever you suspect the patient
may have: - Polynephritis
2. In older adults, overflow fecal incontinence is commonly due to: -Fecal impaction
3. A 1 month old boy has been vomiting for 2 weeks. How is this symptom of GERD and
pyloric stenosis further differentiated in this child’s assessment? – The infant has
regurgitation with pyloric stenosis
4. Auscultation of borborygmi is associated with: - Gastroenteritis, early intestinal
obstruction, or hunger
5. When auscultating the abdomen, which finding would indicate collateral circulation
between the portal and systemic venous systems? – Venous hum
6. Conversion of fat-soluble wastes to water-soluble material for renal excretion is a function
of the: - Liver
7. The major function of the large intestine is: -Water absorption
8. Which structure is located in the hypogastric region of the abdomen? –Ileum, bladder,
and pregnant uterus
9. A 45 year old man relates a several week history of severe intermittent abdominal burning
sensations. He relates that the pain is relieved with small amounts of food. Before starting
the physical examination, you review his laboratory work, anticipating a (n): -Positive
Helicobacter pylori result
10. You are caring for a patient with trigeminal neuralgia. During the assessment, the
patient would describe the pain as: - Burning or shocklike
11. Your 85 year old patient is complaining of right knee pain. She has a history of
osteoarthritis for which she is given anti-inflammatory medication. To assess her right knee
pain, you should ask her if: - The pain gets better when she sits
12. A 5 year old is complaining of nondescriptive “belly pain.” Your next action should be to
ask him to: - Point to the area of pain
13. The perception of pain: - Is variable and is affected by emotions, and cultural background
14. Patients presenting with ascites, jaundice, cutaneous spider veins, and nonpalpable
liver exhibit signs of: - Cirrhosis
,lOMoAR cPSD| 7293922
Page 2
[Date]
1
, lOMoAR cPSD| 7293922
Page 3
15. A patient presents to the emergency department after a motor vehicle accident.
The patient sustained blunt trauma to the abdomen and complains of pain in the
upper left quadrant that radiates to the left shoulder. What organ is most likely
injured? – Spleen
16. Imaging studies reveal that a patient has dilation of the renal pelvis from an obstruction
in the ureter, what condition will be documented in this patient’s health record? –
Hydronephrosis
17. Visible intestinal peristalsis may indicate: - Intestinal obstruction
18. Infants born weighing less than 1500g are at higher risk for: - Necrotizing enterocolitis
19. Which of the following factors is not known to affect patient compliance with his or
her treatment regimen? – The patient’s age and social status
20. One of the most important aspects to consider in the orthopedic screening examination is:
- Symmetry
21. 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
22. As you greet the patient, which examination technique is first implemented? - Inspection
23. Which of the following is most likely to enhance examiner reliability? – The
examiner attempts to qualify data
24. 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.
25. 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.
26. Skeletal changes in older adults are the result of: -Increased bone resorption
27. A positive straight leg raise test usually indicates: - Lumbar nerve root irritation
28. What technique is performed at every infant examination during the first year of life
to detect hip dislocation? – Barlow-Ortolani maneuvers
29. Expected normal findings during inspection of spinal alignment include: - Convex
lumbar curve
Downloaded by jane murage ()
, lOMoAR cPSD| 7293922
Page 4
30. Temporalis and masseter muscles are evaluated by: - Having the patient clench his or
her teeth
31. When palpating joints, crepitus may be caused when: - Irregular bony surfaces rub together
32. A 3 year old is brought to the clinic complaining of a painful right elbow. He is holding the
right arm slightly flexed and pronated and refuses to move it. the mother states that
symptoms started right after his older brother had been swinging him around by his arms. This
presentation supports a diagnosis of: - Radial head subluxation
33. Light skin and thin body habitus are risk factors for: - Osteoporosis
34. Risk factors for sports-related injuries include: - Failure to warm up before activity
35. Injuries to long bones and joints are more likely to result in fractures than in sprains until:
- Adolescence
36. Ligaments are stronger than bone until: - Adolescence
37. The family history for a patient with joint pain should include information about
siblings with: -Genetic disorders
38. The Thomas test is used to detect: - Flexion contractures of the hip
39. A goniometer is used to assess: - Range of motion
40. 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
41. You note that a child has a positive Gower Sign. You know that this indicates generalized:
- Muscle weakness
42. The dowager hump is: - The hallmark of osteoporosis
43. What temporary disorder may be experienced by pregnant women during the
third trimester because of fluid retention? –Carpal tunnel syndrome
44. A common finding in markedly obese and pregnant women is: - Lordosis
45. 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
Downloaded by jane murage ()
