NURS 5220 ADVANCED HEALTH ASSESSMENT FINAL EXAM ACTUAL
QUESTIONS AND COMPREHENSIVE ANSWERS (VERIFIED ANSWERS) GRADED
A+
In which age group are milia an expected finding?
A. Newborns
B. Young children
C. Adolescents
D. Older adults
A
On palpation of an older individual's skin, you observe "tenting." Which of the following
would be most appropriate for you to do in regard to this condition?
A. Have the individual further evaluated for dehydration.
B. Refer the client for punch biopsy of the skin.
C. Inform the individual to be especially vigilant in self-screening for skin cancer.
D. Observe the skin carefully for other manifestations of loss of skin integrity.
A
Skin color is dependent on which of the following cells?
A. Carotenocytes
B. Melanocytes
C. Dermatocytes
D. Keratinocytes
B
Wrinkling of the skin is less marked in individuals who:
A. are obese.
B. demonstrate premature graying.
C. are white.
D. have overactive sebaceous and sweat gland activity.
A
Molding of the infant's head is caused by:
A. premature closure of the fontanels.
B. shifting and overlapping of the skull bones during birth.
C. subperiosteal edema.
D. increased cerebrospinal fluid.
B
In addition to the head, neck, axilla, and inguinal areas, the examiner may also assess
lymph nodes:
A. on the palmar aspect of the hands.
,B. in the popliteal region.
C. in the patellar region.
D. on the dorsum of the foot.
B
When you ask the patient to clench the teeth and then to smile, which cranial nerve are you
testing?
A. Trochlear
B. Abducens
C. Facial
D. Vagus
C
The color of the nasal mucosa should appear:
A. deep pink.
B. red.
C. bluish gray.
D. pale pink.
A
The pneumatic attachment to the otoscope is used to evaluate which characteristic of the
tympanic membrane?
A.Vibrations
B.Mobility
C.Tension
D. Strength
B
A skin lesion that may be associated with neurofibromatosis or pulmonary stenosis is:
A. café au lait spots.
B. nevus vasculosus.
C. port wine limb stain.
D. spider angioma.
A
Which of the following techniques helps the examiner determine whether a palpable skin
mass is filled with fluid?
A. Using a Wood's lamp
B. Biopsy
C Transillumination
D. Noting the odor of the lesion
C
Which of the following findings suggests that a patient has a fungal infection of the nail
beds?
A. The nail bed is wide and thick.
B The nail plate has a central depression, causing a spoon appearance.
C. Superficial white spots are present in the nail plate.
D. The nail plate is yellow and crumbling.
,D
On palpation of an older individual's skin, you observe "tenting." Which of the following
would be most appropriate for you to do in regard to this condition?
A. Have the individual further evaluated for dehydration.
B. Refer the client for punch biopsy of the skin.
C. Inform the individual to be especially vigilant in self-screening for skin cancer.
D. Observe the skin carefully for other manifestations of loss of skin integrity.
A
Mr. Jones is a 55-year-old gentleman with diabetes. To visualize his macula, the examiner
should ask Mr. Jones to:
A. blink the eye several times quickly.
B. lie in a supine position.
C. look directly into the light of the ophthalmoscope.
D. direct eye gaze on an object to the left and then to the right.
C
Which is the correct technique for performing a fundoscopic examination with a
traditional ophthalmoscope? Examine the patient's:
A. right eye with your right eye, and the left eye with your left eye.
B. right eye with your left eye, and the left eye with your right eye.
C. right and left eyes with your dominant eye.
D. right and left eyes with your nondominant eye.
A
Which of the following cranial nerves directly connects the eye to the brain?
A. Abducens
B. Trochlear
C. Optic
D. Oculomotor
C
Which finding is most likely to cause an examiner to suspect a foreign object in the nose of
a young child?
A. There is a purulent discharge from the child's nose.
B. The turbinates appear bluish gray and boggy.
C. The child cries when the soft tissue of the nose is palpated.
D. Unilateral nasal flaring is present.
A
A function of cerumen in the ear canal is to provide:
A. vibration.
B. lubrication.
C. sound transmission.
D. adhesiveness.
B
To which problem are older individuals more prone?
A. Increased sensitivity to tastes
B. Hyperactivity of the salivary glands
C. Decreased salivation
D. Edema of the tongue
, C
A tympanic membrane that is retracted is also more:
A. concave.
B. convex.
C. impacted.
D. dilated.
A
Which type of breath sounds are normally auscultated over most of the lung fields?
A. Vesicular
B. Bronchovesicular
C. Bronchial
D. Tubular
A
Breath sounds normally heard over the trachea are called:
A. bronchovesicular.
B. amphoric.
C. bronchial.
D. vesicular
C
A tympanic membrane that is retracted is also more:
A. concave.
B. convex.
C. impacted.
D. dilated.
A
To which problem are older individuals more prone?
A. Increased sensitivity to tastes
B. Hyperactivity of the salivary glands
C. Decreased salivation
D. Edema of the tongue
C
During the course of the interview, a patient indicates that he has been given the drug
gentamicin (an aminoglycoside antibiotic) for an upper respiratory infection. Based on this
information, you would check for which type of problem?
A. Dizziness and vertigo
B. Recurrent nosebleeds
C. Hearing loss
D. Oral lesions
C
A function of cerumen in the ear canal is to provide:
A. vibration.
QUESTIONS AND COMPREHENSIVE ANSWERS (VERIFIED ANSWERS) GRADED
A+
In which age group are milia an expected finding?
A. Newborns
B. Young children
C. Adolescents
D. Older adults
A
On palpation of an older individual's skin, you observe "tenting." Which of the following
would be most appropriate for you to do in regard to this condition?
A. Have the individual further evaluated for dehydration.
B. Refer the client for punch biopsy of the skin.
C. Inform the individual to be especially vigilant in self-screening for skin cancer.
D. Observe the skin carefully for other manifestations of loss of skin integrity.
A
Skin color is dependent on which of the following cells?
A. Carotenocytes
B. Melanocytes
C. Dermatocytes
D. Keratinocytes
B
Wrinkling of the skin is less marked in individuals who:
A. are obese.
B. demonstrate premature graying.
C. are white.
D. have overactive sebaceous and sweat gland activity.
A
Molding of the infant's head is caused by:
A. premature closure of the fontanels.
B. shifting and overlapping of the skull bones during birth.
C. subperiosteal edema.
D. increased cerebrospinal fluid.
B
In addition to the head, neck, axilla, and inguinal areas, the examiner may also assess
lymph nodes:
A. on the palmar aspect of the hands.
,B. in the popliteal region.
C. in the patellar region.
D. on the dorsum of the foot.
B
When you ask the patient to clench the teeth and then to smile, which cranial nerve are you
testing?
A. Trochlear
B. Abducens
C. Facial
D. Vagus
C
The color of the nasal mucosa should appear:
A. deep pink.
B. red.
C. bluish gray.
D. pale pink.
A
The pneumatic attachment to the otoscope is used to evaluate which characteristic of the
tympanic membrane?
A.Vibrations
B.Mobility
C.Tension
D. Strength
B
A skin lesion that may be associated with neurofibromatosis or pulmonary stenosis is:
A. café au lait spots.
B. nevus vasculosus.
C. port wine limb stain.
D. spider angioma.
A
Which of the following techniques helps the examiner determine whether a palpable skin
mass is filled with fluid?
A. Using a Wood's lamp
B. Biopsy
C Transillumination
D. Noting the odor of the lesion
C
Which of the following findings suggests that a patient has a fungal infection of the nail
beds?
A. The nail bed is wide and thick.
B The nail plate has a central depression, causing a spoon appearance.
C. Superficial white spots are present in the nail plate.
D. The nail plate is yellow and crumbling.
,D
On palpation of an older individual's skin, you observe "tenting." Which of the following
would be most appropriate for you to do in regard to this condition?
A. Have the individual further evaluated for dehydration.
B. Refer the client for punch biopsy of the skin.
C. Inform the individual to be especially vigilant in self-screening for skin cancer.
D. Observe the skin carefully for other manifestations of loss of skin integrity.
A
Mr. Jones is a 55-year-old gentleman with diabetes. To visualize his macula, the examiner
should ask Mr. Jones to:
A. blink the eye several times quickly.
B. lie in a supine position.
C. look directly into the light of the ophthalmoscope.
D. direct eye gaze on an object to the left and then to the right.
C
Which is the correct technique for performing a fundoscopic examination with a
traditional ophthalmoscope? Examine the patient's:
A. right eye with your right eye, and the left eye with your left eye.
B. right eye with your left eye, and the left eye with your right eye.
C. right and left eyes with your dominant eye.
D. right and left eyes with your nondominant eye.
A
Which of the following cranial nerves directly connects the eye to the brain?
A. Abducens
B. Trochlear
C. Optic
D. Oculomotor
C
Which finding is most likely to cause an examiner to suspect a foreign object in the nose of
a young child?
A. There is a purulent discharge from the child's nose.
B. The turbinates appear bluish gray and boggy.
C. The child cries when the soft tissue of the nose is palpated.
D. Unilateral nasal flaring is present.
A
A function of cerumen in the ear canal is to provide:
A. vibration.
B. lubrication.
C. sound transmission.
D. adhesiveness.
B
To which problem are older individuals more prone?
A. Increased sensitivity to tastes
B. Hyperactivity of the salivary glands
C. Decreased salivation
D. Edema of the tongue
, C
A tympanic membrane that is retracted is also more:
A. concave.
B. convex.
C. impacted.
D. dilated.
A
Which type of breath sounds are normally auscultated over most of the lung fields?
A. Vesicular
B. Bronchovesicular
C. Bronchial
D. Tubular
A
Breath sounds normally heard over the trachea are called:
A. bronchovesicular.
B. amphoric.
C. bronchial.
D. vesicular
C
A tympanic membrane that is retracted is also more:
A. concave.
B. convex.
C. impacted.
D. dilated.
A
To which problem are older individuals more prone?
A. Increased sensitivity to tastes
B. Hyperactivity of the salivary glands
C. Decreased salivation
D. Edema of the tongue
C
During the course of the interview, a patient indicates that he has been given the drug
gentamicin (an aminoglycoside antibiotic) for an upper respiratory infection. Based on this
information, you would check for which type of problem?
A. Dizziness and vertigo
B. Recurrent nosebleeds
C. Hearing loss
D. Oral lesions
C
A function of cerumen in the ear canal is to provide:
A. vibration.
