NU650 Regis Nursing Advanced Health Assessment 2025

what the health professional observes by inspecting, palpating, percussing, and auscultating during the physical examination - Correct Ans-objective data things a person tells you about that you cannot observe through your senses; symptoms - Correct Ans-subjective data The most effective way to elicit the ROSs is for the NP to - Correct Ans-Start with general questions on each of the different body systems The NP can determine higher cognitive fxn by asking the patient to perform which of the following tasks? - Correct Ans-Explain the meaning of a proverb The NP will ask the patient which of the following questions to assess for depression? - Correct Ans-"Over the past two weeks, have you felt little interest or pleasure in doing things?" The NP will document the reason for the visit in which of the following sections of the encounter note? - Correct Ans-Cheif Complaint The primary provider will anticipate what percent of outpatients have mental health disorders? - Correct Ans-20% Which of the following actions by the NP demonstrates patient-centered interviewing techniques? - Correct Ans-Determine the personal context of the patient's symptoms Which of the following strategies is most effective when dealing with an angry or disruptive patient? - Correct Ans-Validate the patient's feelings without agreeing with their reasons Which of the following variables should have the greatest effect as to how the NP will conduct the history and physical examination of the child? - Correct Ans-The child's developmental age Lesion flat and - Correct Ans-Macule Lesion is raised - Correct Ans-Papule Lesion is raised, 1 cm, but not fluid filled - Correct Ans-Plaque Lesion is raised - Correct Ans-Vesicle Lesion is raised 1 cm and fluid filled - Correct Ans-Bullae A linear arrangement along a nerve distribution is a description of which type of skin lesion? - Correct Ans-Zosteriform A wood's lamp is especially using in diagnosing - Correct Ans-tine versicolor Which of the following questions will help the NP determine if the rash - Correct Ans-Does the rash include mucous membranes? The NP has identified a solid, elevated, circumscribed lesion that is less than 1 cm in diameter and palpable into the dermis. The NP will correctly document this finding as a - Correct Ans-nodule Which of the following findings would alert the the NP to consider skin cancer in the following differential diagnoses? - Correct Ans-Blurred edges to a raised lesion The patient's chart reveals a history of atopic dermatitis. The NP that the patient will say "yes" to which of the following subjective questions? - Correct Ans-Does anyone in your family have chronic skin problems? You have just read in a patient's chart that she has a lesion that is congruent in nature. On examination, you would expect to find: - Correct Ans-Lesions that run together Proper position for NP to assess the patient's abdomen - Correct Ans-Stand at the patient's right side and proceed in a systematic fashion The correct order of examination for the abdomen by using examination techniques as follows: - Correct Ans-Inspection-Auscultation-Percussion-Palpitation C/O fever and back pain w/ pain when percussed over the left costovertebral angle - Correct Ans-pyelonephritis The liver border can be palpated normally below the coastal margin at the - Correct Ans-Left mid-axillary line Which of the following subjective or objective findings as worrisome for an abdominal aneurysm - Correct Ans-25-pack year smoking history The NP will use which examination technique to determine muscular resistance, superficial organs, and masses in the abdomen? - Correct Ans-Light palpitation How to help patient relax during an abdomen exam? - Correct Ans-Palpate the abdomen after expiration The parents of a 4-month old infant is concerned about their child's umbilical hernia at a well-child visit. The NP should inform them that: - Correct Ans-Most umbilical hernias disappear by 12 months of age When percussing the abdomen in a patient with constipation, which of the following sounds would you expect to find in the lower quadrant? - Correct Ans-Dull Percussing over the intestines normal findings equal - Correct Ans-Tympanic Abdominal exam findings = cholecystitis - Correct Ans-Positive Murphy's sign Symptom from young adolescent in early phase of appendicitis - Correct Ans-Severe RLQ pain with pallor and sweating Pt presents with sinus pain, pressure and yellow nasal discharge. Assessment would include palpitation of - Correct Ans-frontal and maxillary sinuses 4-year-old with mother & c/o frequent bloody nose. Common cause of epistaxis for this age group - Correct Ans-Picking at their nose 9 month old and do not see the red reflex on the fundoscopic exam - Correct Ans-Retinoblastoma 60-year-old male presents w/ 3-day history of left eye irritation. Which finding should be recorded in the subjective review of systems? - Correct Ans-Patient denies eye pain or change in vision Test done by placing the stem of a vibrating tuning fork on the midline of the head and having the patient indicate in which ear the tone can be heard. - Correct Ans-Weber test During a physical exam of the throat, which part of the following structures of the mouth/throat should rise when the patient says "Ahh"? - Correct Ans-soft palate Tonsils bilaterally extending just past the anterior and posterior pillars - Correct Ans-Tonsils visualized grade 1 Assess visual acuity - Correct Ans-Snellen test These warrants follow up when assessing the lymph nodes in the head and neck - Correct Ans-Enlarged Supraclavicular nodes 3-year-old presents with right ear pain; order of assessment - Correct Ans-Neck, Lungs, Heart, Mouth, Nose, Left ear, and Right ear Examination of the ear canal and drum for a 2-yr-old child - Correct Ans-Use the largest speculum that will fit the canal Hold the otoscope upside-down along your fingers and brace the dorsal aspect of your hand on the patient's head, pull the ear lobe down and back, slightly away from the head Examination of the nasal mucosa and septum, this would most likely indicate allergic rhinitis - Correct Ans-Pale or blue nasal mucosa with clear drainage Normal examination of the oral cavity - Correct Ans--Midline lingual frenum extending from the tongue to the floor of the mouth -Papillae coverage the dorsum of the tongue -Pink buccal mucosa lining the cheeks How to examine a patient's left eye w/ an ophthalmoscope - Correct Ans-In the left hand and examine the patient's left eye w/ your left eye ROS question to determine if a patient is experiencing dyspnea - Correct Ans-How many stairs can you climb before pausing to catch your breath? Barrel chest is an abnormal configuration that may occur with what disorder - Correct Ans-COPD Based on normal anatomy, adventitious sounds will most likely be heard where, with possible aspiration pneumonia - Correct Ans-right middle and lower lobes Where bronchovesicular sounds are normally heard - Correct Ans-Second intercostal space anteriorly and bilaterally Percussed lung fields sound - Correct Ans-Resonant Contraindication and cannot receive the influenza vaccine - Correct Ans-A healthy 2-month-old baby girl How to assess the patient for tactile fremitus - Correct Ans-Place the ulnar surface of your hand hand firmly against the posterior thorax and ask the patient to repeat the words, "ninety-nine" comparing the right and left sides for symmetry. Intermittent and discontinuous sounds - Correct Ans-crackles Sounds normally heard over the sternal notch - Correct Ans-Bronchial Will alert NP to include pneumonia as a differential diagnosis - Correct Ans-Positive bronchophony Expected respiratory change with aging - Correct Ans-There is a decreased elasticity property in the lungs 2nd intercostal space, right sternal border - Correct Ans-Aortic 3rd intercostal space, left sternal border - Correct Ans-Erb's point 2nd intercostal space, left sternal border - Correct Ans-Pulmonic 4th intercoastal space, left sternal border - Correct Ans-Tricupsid 5th intercoastal space, midclavicular line - Correct Ans-Mitral Where would you expect to palpate an apical pulse? - Correct Ans-Fifth intercostal space at the midclavicular line Ask the patient to assume what position to assess for mitral stenosis - Correct Ans-Left lateral decubitus