NURS 6512 Final Exam Final Exam

• Question 1 1 out of 1 points During chest assessment, you note the patient's voice quality while auscultating the lung 昀椀elds. The voice sound is intensi昀椀ed, there is a nasal quality to the voice, and the e's sound like a s. This sound is indicative of: Selected Answer: lung consolidation. • Question 2 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: Selected Answer: cerebellar ataxia. • Question 3 1 out of 1 points Diabetic peripheral neuropathy will likely produce: Selected Answer: diminished pain sensation. • Question 4 Montgomery tubercles are most prominent in the breasts of: Selected Answer: pregnant women. • Question 5 Which one of the following techniques is used to detect a torn meniscus? Selected Answer: McMurray test • Question 6 Ulnar deviation and boutonniere deformities are characteristic of: lOMoARcPSD| Selected Answer: rheumatoid arthritis. • Question 7 A pulsation that is diminished to the point of being barely palpable would be graded as: Selected Answer: 1 • Question 8 In the most effective percussion technique of the posterior lung 昀椀elds, the patient cooperates by: Selected Answer: folding the arms in front. Question 9 When palpating joints, crepitus may occur when: Selected Answer: irregular bony surfaces rub together. • Question 10 While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding: Selected Answer: alcohol, tobacco, and caffeine use. • Question 11 Postural hypotension is de昀椀ned as a when the patient stands, compared with sitting or supine readings. Selected Answer: systolic pressure drop of more than 15 mm Hg with a pulse rate increase • Question 12 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: Selected Answer: test the six cardinal points of gaze. • Question 13 lOMoARcPSD| Temporalis and masseter muscles are evaluated by: Selected Answer: having the patient clench his or her teeth. • Question 14 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: Selected Answer: ri昀氀ery. • Question 15 Cranial nerve XII may be assessed in an infant by: Selected Answer: observing the infant suck and swallow. • Question 16 The reliability of health-related 昀椀ndings and observations is the responsibility of the: Selected Answer: professional and the patient. • Question 17 Normal changes of the aging brain include: Selected Answer: diminished perception of touch. • Question 18 The adnexa of the uterus are composed of the: Selected Answer: fallopian tubes and ovaries. • Question 19 For purposes of examination and communication of physical 昀椀ndings, the breast is divided into: Selected Answer: four quadrants plus a tail. • Question 20 A patient in the deepest coma would be scored a on the Glasgow Coma Scale. Selected Answer: 3 lOMoARcPSD| • Question 21 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? Selected Answer: "What age was your father at the time of his death?" • Question 22 Nerves that arise from the brain rather than the spinal cord are called: Selected Answer: cranial. • Question 23 While examining a 30-year-old woman, you note that one breast is slightly larger than the other. In response to this 昀椀nding, you should: Selected Answer: note the 昀椀nding in the patient’s record. • Question 24 In the adult, the apical impulse should be most visible when the patient is in what position? Selected Answer: Upright • Question 25 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 昀椀nding is to: Selected Answer: suggest pregnancy testing. • Question 26 Tarry black stool should make you suspect: Selected Answer: upper intestinal bleeding. • Question 27 To assess spinal levels L2, L3, and L4, which deep tendon re昀氀ex should be tested? lOMoARcPSD| Selected Answer: Patellar • Question 28 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: Selected Answer: moderately loud. • Question 29 To assess a cremasteric re昀氀ex, the examiner strokes the: Selected Answer: inner thigh and observes whether the testicle and scrotum rise on the stroked side. • Question 30 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 昀椀xative. Which type of specimen requires this technique for collection? Selected Answer: Cytology smear • Question 31 Functional assessment is most important during the examination of a(n): Selected Answer: older adult. • Question 32 To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with: Selected Answer: one arm overhead and a pillow under her shoulder. • Question 33 Part of the screening orthopedic component of the examination includes evaluating the person while he or she is: Selected Answer: duck walking. • Question 34 When is the mental status portion of the neurologic system examination performed? lOMoARcPSD| Selected Answer: Constantly, throughout the entire interaction with a patient • Question 35 If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation? Selected Answer: CN XI, spinal accessory • Question 36 One of the most important aspects to consider in the orthopedic screening examination is: Selected Answer: symmetry. • Question 37 Mini-Mental State Examination should be administered for the patient who: Selected Answer: gets lost in her neighborhood. • Question 38 If pitting edema is unilateral, you would suspect occlusion of a: Selected Answer: The major vein. • Question 40 The best way to ease the apprehension of a 3-year-old child before a physical examination is to: Selected Answer: let the child hold the stethoscope while you listen. • Question 39 You are examining Mr. S., a 79-year-old diabetic man complaining of claudication. Which of the following physical 昀椀ndings is consistent with the diagnosis of arterial occlusion? Selected Answer: Loss of hair over the extremity Question 41 lOMoARcPSD| 1 out of 1 points Nancy Walker is a 16-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her mother reports that Nancy, apart from occasional colds, Nancy is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Nancy’s current problem? Selected Answer: Cocaine use • Question 42 Your patient’s chief complaint is repeated pencil-like stools. Further examination should include: Selected Answer: digital rectal examination (DRE). • Question 43 To hear diastolic heart sounds, you should ask patients to: Selected Answer: lie on their left sides. • Question 44 The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the: Selected Answer: QRS complex. • Question 45 Kawasaki disease is suspected when assessments of a child reveal: Selected Answer: conjunctival injection, strawberry tongue, and edema of the hands and feet. • Question 46 Which one of the following is a proper technique for use of a speculum during a vaginal examination? Selected Press introitus downward; insert closed speculum obliquely.