NURS 6512N Week 11 Final Exam (100 out of 100 Points)

1. Question: You are examining Mr. S., a 79-year-old diabetic man complaining of claudication. Which of the following physical findings is consistent with the diagnosis of arterial occlusion? 2. Question: An idiopathic spasm of arterioles in the digits is termed: 3. Question: If pitting edema is unilateral, you would suspect occlusion of a: 4. Question: The physical assessment technique most frequently used to assess joint symmetry is: 5. Question: A common finding in markedly obese and pregnant women is: 6. Question: You are conducting an examination of Mr. Curtis's heart and blood vessels and auscultate a grade III murmur. The intensity of this murmur is: 7. Question: To hear diastolic heart sounds, you should ask patients to: 8. Question: When conducting a geriatric assessment, basic activities of daily living (ADLs) include: 9. Question: It is especially important to test for ankle clonus if: 10. Question: The Mini-Mental State Examination: 11. Question: Functional assessment is most important during the examination of a(n): 12. Question: The musculoskeletal examination should begin when: 13. Question: Your 15-year-old patient is athletic and thin. Radiography of an ankle injury reveals a stress fracture. You should question this patient about her: 14. Question: While interviewing a 70-year-old female clinic patient, she tells you that she takes ginkgo biloba and St. John's wort. You make a short note to check for results of the: 15. Question: If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation? 16. Question: When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the: 17. Question: Which medical condition would exclude a person from sports participation? 18. Question: The strength of the trapezius muscle is evaluated by having the patient: 19. Question: Examination of the patient in the lithotomy, or knee-chest, position includes: 20. Question: The Denver II is a tool used to determine: 21. Question: Temporalis and masseter muscles are evaluated by: 22. Question: The examiner percusses for diaphragmatic excursion along the: 23. Question: Bimanual examination of the uterus includes: 24. Question: When assessing superficial pain, touch, vibration, and position perceptions, you are testing: 25. Question: You are conducting a clinical breast examination for your 30-year-old patient. Her breasts are symmetrical with bilateral, multiple tender masses that are freely moveable with well-defined borders. You recognize that these symptoms and assessment findings are consistent with: 26. Question: A finding that is indicative of osteoarthritis is: 27. Question: A cervical polyp usually appears as a: 28. Question: Your patient's chief complaint is repeated pencil-like stools. Further examination should include: 29. Question: An ophthalmoscopic eye examination involves: 30. Question: A red, hot swollen joint in a 40-year-old man should lead you to suspect: 31. Question: The goals of preparticipation sports evaluation include: 32. Question: Which of the following statements is true regarding the examination of peripheral arteries? 33. Question: Anterior cruciate ligament integrity is assessedviathe test. 34. Question: Which portion of the physical examination is best done with the patient standing? 35. Question: Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the: 36. Question: In the most effective percussion technique of the posterior lung fields, the patient cooperates by: 37. Question: To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested? 38. Question: One of the most important aspects to consider in the orthopedic screening examination is: 39. Question: For purposes of examination and communication of physical findings, the breast is divided into: 40. Question: The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the: 41. Question: You are initially evaluating the equilibrium of Ms. Q. You ask her to stand with her feet together and arms at her sides. She loses her balance. Ms. Q. has a positive: 42. Question: The Mini-Mental State Examination should be administered for the patient who: 43. Question: You are examining a patient in the emergency department who has recently sustained head trauma. In order to initially assess this patient's neurologic status, you would: 44. Question: A patient in the deepest coma would bescoreda on the Glasgow Coma Scale. 45. Question: The reliability of health-related findings and observations is the responsibility of the: 46. Question: Darian is a 14-year-old adolescent who states his right testicle has a soft swollen mass. The testicle is not painful upon palpation. The right inguinal canal is without masses. The mass does transilluminate with a penlight. This collection of symptoms is consistent with: 47. Question: A grade IV mitral regurgitation murmur would: 48. Question: Thedifferenceinbloodpressurereadingsbetweentherightandtheleftarmsis considered normalupto mmHg. 49. Question: A positive straight leg raise test usually indicates: 50. Question: You are performing a two-point discrimination test as part of a well physical examination. The area with the ability to discern two points in the shortest distance is the: 51. Question: Cranial nerve XII may be assessed in an infant by: 52. Question: The rectal past medical history of all patients should include inquiry about: 53. Question: Facial muscle or tongue weakness may result in: 54. Question: Montgomery tubercles are most prominent in the breasts of: 55. Question: If your patient has nipple discharge, you will most likely need a: 56. Question: Which one of the following is a proper technique for use of a speculum during a vaginal examination? 57. Question: Adrian Thompson is a 19-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her mother reports that Andrian, apart from occasional sinus infections, Andrian is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Adrian's current problem? 58. Question: Inspection of the scrotum should reveal: 59. Question: You are interviewing a 20-year-old patient with a new-onset psychotic disorder. The patient is apathetic and has disturbed thoughts and language patterns. The nurse recognizes this behavior pattern as consistent with a diagnosis of: 60. Question: When assessing a 17-year-old for nuchal rigidity, you gently raise his head off the examination table. He involuntarily flexes his hips and knees. To confirm your suspicions associated with this positive test, you would also perform a test for the sign. 61. Question: Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify: 62. Question: Postural hypotension is defined as a when the patient stands, compared with sitting or supine readings. 63. Question: Palpation of epitrochlear nodes is part of the: 64. Question: During a routine prenatal visit, Ms. T. was noted as having dependent edema, varicosities of the legs, and hemorrhoids. She expressed concern about these symptoms. You explain to Ms. T. that her enlarged uterus is compressing her pelvic veins and her inferior vena cava. You would further explain that these findings: 65. Question: In the adult, the apical impulse should be most visible when the patient is in what position? 66. Question: Which one of the following techniques is used to detect a torn meniscus? 67. Question: Palpation of a normal prostate in an older adult is likely to feel: 68. Question: To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with: 69. Question: While examining a 30-year-old woman, you note that one breast is slightly larger than the other. In response to this finding, you should: 70. Question: Adrian Thomas is a 19-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her father reports that Adrian, apart from occasional sinus infections, Adrian is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Adrian's current problem? 71. Question: The family history for a patient with joint pain should include information about siblings with: 72. Question: Kawasaki disease is suspected when assessments of a child reveal: 73. Question: You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should: 74. Question: To assess a cremasteric reflex, the examiner strokes the: 75. Question: When you attempt to move a 10-month-old child from his mother's lap to the examination table, he screams loudly. Your best action is to: 76. Question: An examiner has rotated a brush several times into the cervical os. The brush was withdrawn and stroked lightly on a glass slide. The slide was sprayed with fixative. Which type of specimen requires this technique for collection? 77. Question: As Mr. B. enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. You would document Mr. B.'s pattern as: 78. Question: Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of: 79. Question: Recent unilateral inversion of a previously everted nipple suggests: 80. Question: The presence of cervical motion tenderness may indicate: 81. Question: At your first meeting with a patient, it is usually best to say: 82. Question: A parent is advised to restrict contact or collision sports participation for their child. An example of a sport in which this child could participate is: 83. Question: A 25 yo AA female has come to the clinic because she has missed her menstrual period this month and 2 months before. She says her cycles are irregular and she wants to be on birth control to help regulate them. She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is to: 84. Question: Part of the screening orthopedic component of the examination includes evaluating the person while he or she is: 85. Question: Throughout the history and physical examination, the clinician should: 86. Question: During chest assessment, you note the patient's voice quality while auscultating the lung fields. The voice sound is intensified, there is a nasal quality to the voice, and the e's sound like a s. This sound is indicative of: 87. Question: Normal changes of the aging brain include: 88. Question: When is the mental status portion of the neurologic system examination performed? 89. Question: Assessing orientation to person, place, and time helps determine: 90. Question: Tarry black stool should make you suspect: 91. Question: Diabetic peripheral neuropathy will likely produce: 92. Question: Breath sounds normally heard over the trachea are called: 93. Question: You are conducting a pre participation physical examination for a 10-year-old girl with Down syndrome who will be playing basketball. She has slight torticollis and mild ankle clonus. What additional diagnostic testing would be required for her? 94. Question: While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding: 95. Question: A patient you are seeing in the emergency department for chest pain is suspected of having a myocardial infarction. During the health history interview of his family history, he relates that his father had died of "heart trouble." The most important follow-up question you should pose is which of the following? 96. Question: The for a men ovale should close: 97. Question: Loss of immediate and recent memory with retention of remote memory suggests: 98. Question: Which condition is considered progressive rather than reversible? 99. Question: An apical PMI palpated beyond the left fifth inter costal space may indicate: 100. Question: When palpating breast tissue, the examiner should use the _____ at each site.