Maryville NURS 612 Exam 2 Advanced Health Assessment
Questions And Answers Updated Set
mi systolic murmur that radiates to left sternal border with a medium pitch; a coarse thrill is palpated as well?
ANS Aortic stenosis
During percussion, the patient holds his or her arms in front in order to? ANS Expose maximum lung area
List 2 HPI questions for Chest pain ANS 1. does the pain radiate to the arm or jaw
2. Are there associated symptoms such as SOB, sweating or N/V
List 2 patient educations regarding sun exposure ANS 1. Apply SPF of 30 or after and reapply every 30
min to an hour
2. wear long sleeves and hat and avoid peak sun hours
When looking for skin cancer what does 'ABCDE' stand for ANS A - Asymmetry - halves do not match
and not equal
B - Borders - are they irregular, ragged, blurred
C - Color - is it the same throughout or varying in shades across area
D - Diameter - is it > 6mm
E - evolving/elavation
What is a skin lesion that resembles a lipoma and is > 1.5 mm considered? ANS Nodule
What would you ask a young woman with possible thyroid issues? ANS Have you been fatigued or had a
change in your sleep patterns
Pt c/o allergies and wheezing what would you suspect? ANS Asthma
How do you assess for epitrochlear nodes ANS palpated the groove between the tricep and bicep found
proximal and slightly anterior to the medial epicondyle of the humerous
, What type of headache starts in the morning and eases up throughout the day? ANS Hypertension HA
18 y/o with skin irritation that just started shaving? ANS folliculitis
List 2 normal findings of when palpating the precordium ANS 1. No heaves or thrills
2. Apical pulse is at midclavicular line and 5th IC space <1cm
If the patient has a history of asthma and is exposed to allergens, what would you expect if the patient comes in
with wheezing? diagnosis? ANS SOB, coughing, chest tightness; Acute asthma exacerbation;
patient says I was exposed to allergens and now I have a fever, what would the diagnosis be ANS
pnuemonia
What are some physical findings of a patient that is SOB? ANS use of accessory muscles, are they able to
perform ADLs, tripoding
What are you looking for if murmur is heard ANS T-DIPQ-LRV (timing, duration, intensity, pitch, quality,
location, radiation, variation with resp phase
HA with rapid and sudden onset, what are some of the differential diagnoses that you would think of ANS
Intracranial bleed or subarachnoid hemorrhage
HA with rapid and sudden onset in patient with cardiac issues what differential diagnosis ANS CVA
What cranial nerves should always be assessed with HA ANS 2 (optic) & 12 (Hypoglossal)
HA with fever, chills, and neck pain could indicate what ANS meningitis
Important HPI questions for HA ANS Onset and location
A 26 y/o female presents with complaints of fatigue and hair falling out what lab would you check ANS
TSH
Questions And Answers Updated Set
mi systolic murmur that radiates to left sternal border with a medium pitch; a coarse thrill is palpated as well?
ANS Aortic stenosis
During percussion, the patient holds his or her arms in front in order to? ANS Expose maximum lung area
List 2 HPI questions for Chest pain ANS 1. does the pain radiate to the arm or jaw
2. Are there associated symptoms such as SOB, sweating or N/V
List 2 patient educations regarding sun exposure ANS 1. Apply SPF of 30 or after and reapply every 30
min to an hour
2. wear long sleeves and hat and avoid peak sun hours
When looking for skin cancer what does 'ABCDE' stand for ANS A - Asymmetry - halves do not match
and not equal
B - Borders - are they irregular, ragged, blurred
C - Color - is it the same throughout or varying in shades across area
D - Diameter - is it > 6mm
E - evolving/elavation
What is a skin lesion that resembles a lipoma and is > 1.5 mm considered? ANS Nodule
What would you ask a young woman with possible thyroid issues? ANS Have you been fatigued or had a
change in your sleep patterns
Pt c/o allergies and wheezing what would you suspect? ANS Asthma
How do you assess for epitrochlear nodes ANS palpated the groove between the tricep and bicep found
proximal and slightly anterior to the medial epicondyle of the humerous
, What type of headache starts in the morning and eases up throughout the day? ANS Hypertension HA
18 y/o with skin irritation that just started shaving? ANS folliculitis
List 2 normal findings of when palpating the precordium ANS 1. No heaves or thrills
2. Apical pulse is at midclavicular line and 5th IC space <1cm
If the patient has a history of asthma and is exposed to allergens, what would you expect if the patient comes in
with wheezing? diagnosis? ANS SOB, coughing, chest tightness; Acute asthma exacerbation;
patient says I was exposed to allergens and now I have a fever, what would the diagnosis be ANS
pnuemonia
What are some physical findings of a patient that is SOB? ANS use of accessory muscles, are they able to
perform ADLs, tripoding
What are you looking for if murmur is heard ANS T-DIPQ-LRV (timing, duration, intensity, pitch, quality,
location, radiation, variation with resp phase
HA with rapid and sudden onset, what are some of the differential diagnoses that you would think of ANS
Intracranial bleed or subarachnoid hemorrhage
HA with rapid and sudden onset in patient with cardiac issues what differential diagnosis ANS CVA
What cranial nerves should always be assessed with HA ANS 2 (optic) & 12 (Hypoglossal)
HA with fever, chills, and neck pain could indicate what ANS meningitis
Important HPI questions for HA ANS Onset and location
A 26 y/o female presents with complaints of fatigue and hair falling out what lab would you check ANS
TSH
