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NSG 6020 / NURS 6020 Advanced Health Assessment Final Exam Review: Comprehensive Q&A with Verified Answers

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This comprehensive document is a complete review for the NSG 6020 / NURS 6020 Advanced Health Assessment final exam. It contains over 150 questions and verified answers covering the essential topics needed to succeed in a graduate-level nursing program. What's included in this study guide: · Neurological System: Cranial nerves, reflexes (superficial vs. deep), mental status assessment, stroke risk factors, and seizure disorders. · Head, Eyes, Ears, Nose, and Throat (HEENT): Corneal abrasion evaluation (fluorescein stain), Weber test interpretation, and assessment of the optic nerve. · Pulmonary System: Normal vs. abnormal findings (rhonchi, pursed-lip breathing), obstructive pulmonary diseases (asthma, COPD), and inspection techniques. · Cardiovascular System: Apical pulse location (5th ICS MCL), PMI assessment, arterial vs. venous insufficiency, Homan's sign, and ankle-brachial index (ABI) interpretation. · Abdomen & Gastrointestinal: RUQ/RLQ anatomy, proper examination sequence (inspect, auscultate, percuss, palpate), and identification of peritoneal signs. · Genitourinary & Reproductive: STI screening (HPV, gonorrhea, chlamydia), pelvic exam techniques, breast examination, testicular assessment, and prostate cancer risk factors. · Musculoskeletal: Joint disorders (osteoarthritis, gout, rheumatoid arthritis), carpal tunnel syndrome, rotator cuff injuries, and scoliosis assessment. · Skin & Wound Care: Identification of common lesions (herpes zoster, impetigo, basal cell carcinoma, melanoma) and documentation of edema. · Special Populations: Pediatric reflexes, geriatric assessment changes, and pregnancy-related physiological adaptations. · SOAP Note Documentation: Correct format, placement of subjective/objective data, history of present illness, and differential diagnosis formulation.

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The brain and spinal cord are included in which of the following?

Central nervous sytsem

The cranial nerves 31 pairs of spinal nerves, and branches make up which of the

Following?

Peripheral nervous system

A rotational sensation of spinning is considered to be which of the following?

Vertigo

A sensation of numbness and or tingling of the extremities is referred to as

Which of the following?

Paresthesia

Lightly touching the cornea with a cotton ball would be examining which type

Of reflex?

Superficial reflex

Which of the following is Cranial Nerve XI?

Spinal accessory

Which of the following is not considered a primary headache?

Meningitis

Which of the following may be noted in patient with a migraine headache?

Aura

An unsteady gait or difficulty balancing referred to as which of the following?

Ataxia

Which of the following is not considered a short-term stroke risk?

Age >50 years

Pinpoint pupils may be a result of which of the following?

Heroin use

Which of the following contraindicated when assessing the comatose patient?

,Dilate the patient’s pupils to assess optic nerve

Which of the following is not associated with a diagnosis of possible

Meningitis?

Neck supple with full ROM.

Which of the following refers to the patient’s ability to identify an object by

Feeling it with eyes closed?

Stereognosis.

Risk factors for stroke include all of the following except:

Hypotension

Which category should this information be placed in the SOAP note:

“Abdominal pain 3 days, Intermittent with a pain score of 7/10 accompanied by

Nausea and vomiting”.

History of present illness

Where is the differential diagnoses located?

Assessment

Which of the following statements regarding the differential diagnoses is true?

A group of 3 evidence- based diagnoses that do not include the primary

Diagnosis as one of the differential diagnoses in which a clinician must be aware of

If the client does not improve.

Which of the following would not be identified as a portion of the History of

Present.

“My father died of a stroke 3 years ago”.

Which of the following would be considered a “Focused SOAP Note”

“I think I have the flu or strep throat”

Which of the following quotations would be considered a comprehensive

Health history?

, “My neck looks swollen and I have had a history of thyroid problems”

The patient states I smoke 2 packs per day for the past 15 years. Which portion

Of the SOAP note would this be placed?

Social history

Which of the following is the appropriate format for documenting a chief

Complaint in a SOAP note?

I have been vomiting for 2 days

Identify the correct order in which the clinician note should be written:

Subjective, Objective, Assessment, Plan, Refection

A fifteen-year-old student presents to the clinic for evaluation of a three-week

History of sneezing, itchy, watery eyes, clear nasal discharge, and nonproductive

Cough. What is the most likely pathological process?

Allergic

Which of the following is a symptom of the eye?

Scotoma

What is the best procedure for evaluating a corneal abrasion?

Fluorescein Stain

The Weber test is considered normal in which of the following exams.

Client verbalizes that sound is heard bilaterally.

What is considered a common cause of acute epistaxis?

Foreign Body

When assessing the client pupil for constriction, the clinician notes that the

Other pupil contracts as well. Which medical terminology describes this reflex?

Consensual Reaction

Which of the following lymph nodes are not located in the head and neck

Regions?

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