ADVANCED HEALTH ASSESSMENT TEST 1 QUESTIONS
WITH ACCURATE ANSWERS
1. 29.ID: 18659195769
When palpating enlarged lymph nodes in a patient with tuberculosis, which
finding would you expect?
A. Warm, tender nodes
B. Pulsating irregular nodes
C. Body temperature, nontender nodes
D. Hard, matted nodes correct answer C. Body temperature, nontender nodes
In tuberculosis, the lymph nodes, often felt in the cervical chains, are usually body
temperature, soft, matted, and not tender or painful.
1. 63.ID: 18659201348
Diaphragmatic excursion may be slightly elevated on the right side because of the
presence of:
A. the spleen.
B. the right middle lobe.
C. the liver.
D. the stomach. correct answer C. the liver.
The diaphragmatic excursion is the movement of the thoracic diaphragm that
occurs with inhalation and exhalation. The diaphragm is usually higher on the
right than on the left because it sits over the bulk of the liver.
,1. Mrs. Black is bringing her adolescent daughter in for her follow-up visit. Which
of the following statements is true about sexual maturation?
A. Breast and pubic hair development are not related to a growth spurt.
B. Sexual maturation occurs later in girls than boys.
C. Mexican American girls enter puberty later than blacks and earlier than whites.
D. Sexual maturation occurs later in taller girls. correct answer C. Mexican
American girls enter puberty later than blacks and earlier than whites.
Sexual maturation begins earlier in girls with a higher body mass index. On
average, black girls enter puberty first, followed by Mexican American girls, and
then white girls.
1. Mrs. Jones has brought her 4-month-old female infant in for her routine
physical. Which statement is true about the baby's expected weight?
A. Weight doubles during the first 3 months, then triples by 1 year.
B. Weight doubles during the first 4 to 5 months, then triples by 1 year.
C. Weight doubles during the first 6 months, and doubles again by 1 year.
D. Weight doubles during the first 6 months, and then triples by 18 months.
correct answer B. Weight doubles during the first 4 to 5 months, then triples by 1
year.
In general, infants double their birth weight by 4 to 5 months of age and triple
their birth weight by 12 months of age. The remaining answers are not true.
1. The appearance of secondary sexual characteristics in an 8-year-old boy
followed by progressive sexual maturation can be indicative of which problem?
A. Cushing syndrome
,B. Klinefelter syndrome
C. Testicular tumor
D. Brain tumor correct answer D. Brain tumor
A brain tumor or lesion (e.g., hypothalamic hamartoma) may activate the
hypothalamic-pituitary-gonadal axis, with gonadotropins triggering the growth of
the gonads, secretion of the sex hormones, and progressive sexual maturation.
Answers a, b, and c result in different characteristics.
A "rubbing" that can be felt and heard is most closely associated with:
A. pleurisy.
B. pneumonia.
C. emphysema.
D. asthma. correct answer A. pleurisy.
Pleurisy is an inflammatory process involving the visceral and parietal pleura
characterized by patients reporting subjective rubbing of the pleural surfaces.
A 2-month-old infant is brought to the clinic for immunizations. The examiner
palpates enlarged inguinal nodes. What additional finding might explain the
enlarged nodes?
A. The mother reports that the infant suffers from colic.
B. The infant's length and weight are above the 85th percentile.
C. The infant has a severe diaper rash.
D. A port wine stain is present on the infant's left thigh. correct answer C. The
infant has a severe diaper rash.
, Enlargement of the inguinal nodes suggests infection or metastatic carcinoma in
the associated anatomic area.
A 4-month-old infant is brought to the clinic. At birth, the baby weighed 6 pounds
8 ounces. If the baby is gaining weight at a desired rate, the examiner should
expect the baby to now weigh about:
A. 8 pounds.
B. 9½ pounds.
C. 12 pounds.
D. 15 pounds. correct answer C. 12 pounds.
Most term newborns vary in weight between 2500 and 4000 g (5 lb and 8 oz to 8
lb and 13 oz). After losing up to 10% of their birth weight, newborns regain that
weight within 2 weeks, and then gain weight at a rate of approximately 30 g (1 oz)
per day. In general, infants double their birth weight by 4 to 5 months of age and
triple their birth weight by 12 months of age.
A 6-month-old infant is brought to the clinic for immunizations. While examining
the baby, the examiner notes that the anterior fontanel has not closed. What is
the significance of this finding?
A. This indicates a slight developmental delay.
B. This suggests a nutritional deficiency.
C. This is consistent with hydrocephaly.
D. This is a normal finding. correct answer D. This is a normal finding.
WITH ACCURATE ANSWERS
1. 29.ID: 18659195769
When palpating enlarged lymph nodes in a patient with tuberculosis, which
finding would you expect?
A. Warm, tender nodes
B. Pulsating irregular nodes
C. Body temperature, nontender nodes
D. Hard, matted nodes correct answer C. Body temperature, nontender nodes
In tuberculosis, the lymph nodes, often felt in the cervical chains, are usually body
temperature, soft, matted, and not tender or painful.
1. 63.ID: 18659201348
Diaphragmatic excursion may be slightly elevated on the right side because of the
presence of:
A. the spleen.
B. the right middle lobe.
C. the liver.
D. the stomach. correct answer C. the liver.
The diaphragmatic excursion is the movement of the thoracic diaphragm that
occurs with inhalation and exhalation. The diaphragm is usually higher on the
right than on the left because it sits over the bulk of the liver.
,1. Mrs. Black is bringing her adolescent daughter in for her follow-up visit. Which
of the following statements is true about sexual maturation?
A. Breast and pubic hair development are not related to a growth spurt.
B. Sexual maturation occurs later in girls than boys.
C. Mexican American girls enter puberty later than blacks and earlier than whites.
D. Sexual maturation occurs later in taller girls. correct answer C. Mexican
American girls enter puberty later than blacks and earlier than whites.
Sexual maturation begins earlier in girls with a higher body mass index. On
average, black girls enter puberty first, followed by Mexican American girls, and
then white girls.
1. Mrs. Jones has brought her 4-month-old female infant in for her routine
physical. Which statement is true about the baby's expected weight?
A. Weight doubles during the first 3 months, then triples by 1 year.
B. Weight doubles during the first 4 to 5 months, then triples by 1 year.
C. Weight doubles during the first 6 months, and doubles again by 1 year.
D. Weight doubles during the first 6 months, and then triples by 18 months.
correct answer B. Weight doubles during the first 4 to 5 months, then triples by 1
year.
In general, infants double their birth weight by 4 to 5 months of age and triple
their birth weight by 12 months of age. The remaining answers are not true.
1. The appearance of secondary sexual characteristics in an 8-year-old boy
followed by progressive sexual maturation can be indicative of which problem?
A. Cushing syndrome
,B. Klinefelter syndrome
C. Testicular tumor
D. Brain tumor correct answer D. Brain tumor
A brain tumor or lesion (e.g., hypothalamic hamartoma) may activate the
hypothalamic-pituitary-gonadal axis, with gonadotropins triggering the growth of
the gonads, secretion of the sex hormones, and progressive sexual maturation.
Answers a, b, and c result in different characteristics.
A "rubbing" that can be felt and heard is most closely associated with:
A. pleurisy.
B. pneumonia.
C. emphysema.
D. asthma. correct answer A. pleurisy.
Pleurisy is an inflammatory process involving the visceral and parietal pleura
characterized by patients reporting subjective rubbing of the pleural surfaces.
A 2-month-old infant is brought to the clinic for immunizations. The examiner
palpates enlarged inguinal nodes. What additional finding might explain the
enlarged nodes?
A. The mother reports that the infant suffers from colic.
B. The infant's length and weight are above the 85th percentile.
C. The infant has a severe diaper rash.
D. A port wine stain is present on the infant's left thigh. correct answer C. The
infant has a severe diaper rash.
, Enlargement of the inguinal nodes suggests infection or metastatic carcinoma in
the associated anatomic area.
A 4-month-old infant is brought to the clinic. At birth, the baby weighed 6 pounds
8 ounces. If the baby is gaining weight at a desired rate, the examiner should
expect the baby to now weigh about:
A. 8 pounds.
B. 9½ pounds.
C. 12 pounds.
D. 15 pounds. correct answer C. 12 pounds.
Most term newborns vary in weight between 2500 and 4000 g (5 lb and 8 oz to 8
lb and 13 oz). After losing up to 10% of their birth weight, newborns regain that
weight within 2 weeks, and then gain weight at a rate of approximately 30 g (1 oz)
per day. In general, infants double their birth weight by 4 to 5 months of age and
triple their birth weight by 12 months of age.
A 6-month-old infant is brought to the clinic for immunizations. While examining
the baby, the examiner notes that the anterior fontanel has not closed. What is
the significance of this finding?
A. This indicates a slight developmental delay.
B. This suggests a nutritional deficiency.
C. This is consistent with hydrocephaly.
D. This is a normal finding. correct answer D. This is a normal finding.
