Advanced Health Assessment Final (USF FNP) Questions
With Complete Solutions
AAA Correct Answers US men 65-75/smokers/past smokers
ABCD of skin lesions Correct Answers *A*symmetry,
*B*order irregularity, *C*olor variation, *D*iameter
Asymmetry, Border-note if irregular, ragged, notched, blurred;
Color- blue and black mixed with white and red, changing,
bleeding; Diameter > 6 mm; Evolution or change in morphology
accommodation Correct Answers pupils constrict, look in
corner, look at finger
actinic keratosis Correct Answers grayish, flakey, scaly plaque
precursor to Squamous cell carcinoma, and is in mostly sun
exposed areas
Ball of hand? Correct Answers
Be able to differentiate between S 1 through S 4 Correct
Answers S1 end of diastole, beginning of systole
S2 end of systole, beginning of diastole
S3 CHF, Kentucky, ventricular gallop heard at beginning of
diastole, increased atrial pressure
S4 stiff ventricles atrial gallop Tennessee, Seen in patients with
stiffened left ventricles, resulting from conditions such as
,hypertension, aortic stenosis, ischemic or hypertrophic
cardiomyopathy. In patient with mitral regurgitation, suggestive
of acute onset of regurgitation due to the rupture of the chorda
tendinae that anchor the Valvular leaflets. After diastole
immediately before systole
BMI Correct Answers BMI 18.5-24.9 normal 25-29.9
overweight >30 obese >35 morbidly obese
bouchard's node Correct Answers Bouchard's node
BULLA Correct Answers a large fluid filldedblister that is
usually more than 0.5 cm in diameter
C-scope Correct Answers start at 50 unless history, start at 40
in that case. FOBT yearly or sigmoid q5, or c-scope q 10.
Cherry Angioma Correct Answers A small, round, bright-red
blood vessel tumor on the skin, often on the trunk of the elderly
Common skin lesions in elderly Correct Answers Actinic
keratosis, seborrheic keratosis, senile lentigines, cherry angioma
confrontation, Correct Answers visual fields test, optic disc
abnormalities (neuritis)
convergence Correct Answers come in to nose, eyes cross,
checks muscles of the eye
cranial nerves Correct Answers OOOTTAFAGVSH
, crust Correct Answers a slightly elevated area of variable size;
consists of dried serum, blood, or purulent exudate
cystocele Correct Answers a hernia of the bladder through the
vaginal wall; also called a fallen bladder
denver 2 test Correct Answers assessment for examining the
developmental progress of children from birth until the age of 6
Determine alterations that may need to be made in elder
assessment. Correct Answers Room, temp, lighting, volume,
speech volume and rate, keep face to them, sit down
DEXA scan Correct Answers post-menopausal, q 2 years
DIP joint Correct Answers distal Interphalangeal joint,
associated with osteoarthritis , herbden's node (sign of OA)
Dorsal surface? Correct Answers Dorsal surface-temperature
During the assessment of an elderly client's skin, the nurse notes
small areas of hyperpigmentation on the dorsal aspect of the
client's hands. The client states, "I've been getting more of these
big freckles as I get older." The nurse realizes this finding is due
to: Correct Answers senile lentigines
EOMs Correct Answers III, IV, VI, 6 cardinal gazes, checking
nystagmus
excoriation Correct Answers linear scratches that may or may
not be denuded
With Complete Solutions
AAA Correct Answers US men 65-75/smokers/past smokers
ABCD of skin lesions Correct Answers *A*symmetry,
*B*order irregularity, *C*olor variation, *D*iameter
Asymmetry, Border-note if irregular, ragged, notched, blurred;
Color- blue and black mixed with white and red, changing,
bleeding; Diameter > 6 mm; Evolution or change in morphology
accommodation Correct Answers pupils constrict, look in
corner, look at finger
actinic keratosis Correct Answers grayish, flakey, scaly plaque
precursor to Squamous cell carcinoma, and is in mostly sun
exposed areas
Ball of hand? Correct Answers
Be able to differentiate between S 1 through S 4 Correct
Answers S1 end of diastole, beginning of systole
S2 end of systole, beginning of diastole
S3 CHF, Kentucky, ventricular gallop heard at beginning of
diastole, increased atrial pressure
S4 stiff ventricles atrial gallop Tennessee, Seen in patients with
stiffened left ventricles, resulting from conditions such as
,hypertension, aortic stenosis, ischemic or hypertrophic
cardiomyopathy. In patient with mitral regurgitation, suggestive
of acute onset of regurgitation due to the rupture of the chorda
tendinae that anchor the Valvular leaflets. After diastole
immediately before systole
BMI Correct Answers BMI 18.5-24.9 normal 25-29.9
overweight >30 obese >35 morbidly obese
bouchard's node Correct Answers Bouchard's node
BULLA Correct Answers a large fluid filldedblister that is
usually more than 0.5 cm in diameter
C-scope Correct Answers start at 50 unless history, start at 40
in that case. FOBT yearly or sigmoid q5, or c-scope q 10.
Cherry Angioma Correct Answers A small, round, bright-red
blood vessel tumor on the skin, often on the trunk of the elderly
Common skin lesions in elderly Correct Answers Actinic
keratosis, seborrheic keratosis, senile lentigines, cherry angioma
confrontation, Correct Answers visual fields test, optic disc
abnormalities (neuritis)
convergence Correct Answers come in to nose, eyes cross,
checks muscles of the eye
cranial nerves Correct Answers OOOTTAFAGVSH
, crust Correct Answers a slightly elevated area of variable size;
consists of dried serum, blood, or purulent exudate
cystocele Correct Answers a hernia of the bladder through the
vaginal wall; also called a fallen bladder
denver 2 test Correct Answers assessment for examining the
developmental progress of children from birth until the age of 6
Determine alterations that may need to be made in elder
assessment. Correct Answers Room, temp, lighting, volume,
speech volume and rate, keep face to them, sit down
DEXA scan Correct Answers post-menopausal, q 2 years
DIP joint Correct Answers distal Interphalangeal joint,
associated with osteoarthritis , herbden's node (sign of OA)
Dorsal surface? Correct Answers Dorsal surface-temperature
During the assessment of an elderly client's skin, the nurse notes
small areas of hyperpigmentation on the dorsal aspect of the
client's hands. The client states, "I've been getting more of these
big freckles as I get older." The nurse realizes this finding is due
to: Correct Answers senile lentigines
EOMs Correct Answers III, IV, VI, 6 cardinal gazes, checking
nystagmus
excoriation Correct Answers linear scratches that may or may
not be denuded
