NURS 6512 Final Practice Questions

NURS 6512 Final Practice Questions 2. When assessing superficial pain, touch, vibration, and position perceptions, you are testing: Cerebellar function Motor function Sensory function Tendon reflex 3. It is especially important to test for ankle clonus if deep tendon reflexes are hyperactive the patient has a positive Kernig sign. the Romberg sign is positive the patient has peripheral neuropathy. 4. Palpation of epitrochlear nodes is part of the: Examination of the upper extremities Examination of the head and neck Assessment of the chest and thorax Palpation of the abdomen 5. You are conducting a clinical breast examination for a 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 a. fibrocystic changes b. Paget disease. c. cancer. d. mammary duct ectasia. 6. 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: Kernig sign. Homan sign. McMurray test. Romberg sign. 7. A 23-year-old white woman has come to the clinic because she has missed two menstrual periods. She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is to A. instruct her that this is a side effect of birth control injection therapy. B. suggest pregnancy testing. C. question her use of tanning beds. D. schedule an appointment with a surgeon. 8. pulsation that is diminished to the point of being barely palpable would be graded as: 1 3 2 0 9. Red, hot swollen joint in a 40-year-old man should lead you to suspect A. trauma. B. bursitis. C. gout. D. cellulitis. 10. To assess a cremasteric reflex, the examiner strokes the A. skin around the anus and observes for the anal wink. B. abdomen and observes whether the umbilicus moves away from the stimulus. C. inner thigh and observes whether the testicle and scrotum rise on the stroked side. D. palm and observes whether the fingers attempt to grasp. 11. A 12-year-old boy says that his left scrotum has a soft swollen mass. The scrotum is not painful upon palpation. The left inguinal canal is without masses. The mass does transilluminate with a penlight. This collection of symptoms is consistent with A. orchitis. B. hydrocele. C. rectocele. D. scrotal hernia 12. 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 a. are usual conditions during pregnancy. b. indicate a need for hospitalization. c. indicate the need for amniocentesis. d. suggest that she is having twins. 13. The best way to ease the apprehension of a 3-year-old child before a physical examination is to: a. explain that you will be gentle. b. hand the child a picture book. c. let the child hold the stethoscope while you listen. d. tell the child that he or she will get a lollipop for good behavior. 14. Which portion of the physical examination is best done with the patient standing? Neurologic Musculoskeletal Spinal Rectal 15. Cranial nerve XII may be assessed in an infant by A. watching the infant's facial expressions when crying. B. observing the infant suck and swallow. C. clapping hands and watching the infant blink. D. observing the infant's rooting reflex. 16. If pitting edema is unilateral, you would suspect occlusion of a A. lymphatic duct. B. major vein. C. surface capillary. D. superficial artery. 17. For purposes of examination and communication of physical findings, the breast is divided into A. halves (upper and lower). B. thirds (left, middle, and right). C. four quadrants plus a tail. D. circles (six consecutive rings, each 1 inch farther away from nipple). 18. A parent is advised to restrict contact sports participation for their child. An example of a sport in which this child could participate is: a. hockey. b. roller skating. c. riflery. d. skateboarding. 19. The presence of cervical motion tenderness may indicate: a. pregnancy. b. nulliparity. c. pelvic inflammatory disease. d. vulvovaginitis. 20. Facial muscle or tongue weakness may result in: a. aphasia. b. impaired comprehension. c. neologisms. d. echolalia. 21. An ophthalmoscopic eye examination involves Visual field assessment Lens inspection. Sclera observation Near vision evaluation 22. A patient in the deepest coma would be scored on the Glasgow Coma Scale. 3 1 15 10