MARYVILLE NURS 612 Advanced Health Assessment
Exam 2 2025/26 Latest 100% Accurate Fall -Spring
Graded A+
Which of the following findings indicates respiratory distress in an infant or toddler?
a. Respiratory rate of 30 breaths/minute
b. Hyperresonance of the chest
c. Observation of sternal retractions with breathing
d. Auscultation of bronchovesicular sounds throughout the lung field
c. Observation of sternal retractions with breathing
During percussion, the patient is asked to "fold your arms in front of you" in order to
a. Expose maximum lung area
b. Make the ribs protrude
c. Prevent attacks of coughing
d. Reduce discomfort
a. Expose maximum lung area
Which of the following examination techniques is not typically done when examining the
chest and lungs of a newborn?
a. Palpation
b. Inspection
c. Percussion
d. Auscultation
c. Percussion
The patient tells the examiner, "I have been coughing up a lot of yellowish-green phlegm."
The examiner should suspect
a. Viral infection
b. Tuberculosis
c. Pulmonary edema
d. Bacterial pneumonia
d. Bacterial pneumonia
,To best visualize subtle retractions on a patient, the examiner should
a. Place the patient in a supine position
b. Stand directly behind the patient
c. Ensure that the light source angles toward the patient
d. Position the patient directly under a bright examination light
c. Ensure that the light source angles toward the patient
Which of the following findings may indicate a pulmonary infection?
a. Malodorous breath
b. Protrusion of the clavicle
c. Clubbing of the nail beds
d. Kussmal respirations
a. Malodorous breath
Which finding is considered unusual for a newborn?
a. Sneezing
b. Coughing
c. Silent hiccupping
d. Nose breathing
b. Coughing
In an older adult, which finding can occur in the absence of a disease as a result of age-related
changes of the chest or lungs?
a. Barrel chest
b. Productive cough
c. Increased vital capacity
d. Pulmonary infiltrate
a. Barrel chest
In young and school-age children, the most common skin lesions are caused by
a. Communicable disease and bacterial infection
b. Changes in skin color and skin tone, which accompany puberty
c. Maturation of melanocytes, aging changes in skin color
d. Skin inflammation from sebaceous gland activity
a. Communicable disease and bacterial infection
,The examiner notes a large blue-black spot on the buttock of a 4-week-old black neonate. The
mother states that the infant was born with it. The examiner should recognize that this
a. Is a common finding
b. May indicate child abuse
c. Is related to birth trauma
d. Suggest a congenital defect
a. Is a common finding
Which of the following may be associated with neurofibromatosis or pulmonary stenosis?
a. Café au lait patches
b. Nevus vasculosus
c. Port-wine limb stain
d. Spider angioma
a. Café au lait patches
Which lesion is an expected finding on the skin of healthy older adults?
a. Acne vulgaris
b. Cherry angioma
c. Miliaria
d. Trichotillomania
b. Cherry angioma
When palpating skin surfaces for temperature, the examiner should use the
a. Palmar aspect of the hand
b. Fingertips of the dominant hand
c. Dorsal aspect of the hands or fingers
d. Ulnar surface of the hand
c. Dorsal aspect of the hands or fingers
Hyperkeratosis is noted on a patient's palms and soles. The examiner recognizes that this
a. May be a sign of systemic disorder
b. May be an indication of a congenital heart defect
c. Is common among individuals with Down syndrome
d. Is considered a normal finding
d. Is considered a normal finding
, A patient with diabetes presents to the clinic complaining of an infected foot. Upon removing
the patient's sock, the examiner notes an odor that resembles rotting apples. This finding is
consistent with what type of infection?
a. Pseudomonas aeruginosa
b. Proteus
c. Viridans streptococci
d. Clostridium perfringens
d. Clostridium perfringens
Which finding is consistent with a physical abuse injury in a toddler?
a. Burn to the skin with a splash pattern
b. Bruising of the skin over soft tissue
c. Bruising of the skin over a bony prominence
d. Café au lait patches
b. Bruising of the skin over soft tissue
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. Palpating
c. Transilluminating
d. Noting the odor of the lesion
c. Transilluminating
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. The nail plate is yellow and crumbling
During an examination, which of the following questions would be most appropriate for the
examiner to ask a patient to elicit information about the lymph system?
a. Are you aware of any lumps?
b. Have you had a change in appetite?
c. Do your lymph nodes hurt?
d. Where are your largest lymph nodes?
a. Are you aware of any lumps?
Exam 2 2025/26 Latest 100% Accurate Fall -Spring
Graded A+
Which of the following findings indicates respiratory distress in an infant or toddler?
a. Respiratory rate of 30 breaths/minute
b. Hyperresonance of the chest
c. Observation of sternal retractions with breathing
d. Auscultation of bronchovesicular sounds throughout the lung field
c. Observation of sternal retractions with breathing
During percussion, the patient is asked to "fold your arms in front of you" in order to
a. Expose maximum lung area
b. Make the ribs protrude
c. Prevent attacks of coughing
d. Reduce discomfort
a. Expose maximum lung area
Which of the following examination techniques is not typically done when examining the
chest and lungs of a newborn?
a. Palpation
b. Inspection
c. Percussion
d. Auscultation
c. Percussion
The patient tells the examiner, "I have been coughing up a lot of yellowish-green phlegm."
The examiner should suspect
a. Viral infection
b. Tuberculosis
c. Pulmonary edema
d. Bacterial pneumonia
d. Bacterial pneumonia
,To best visualize subtle retractions on a patient, the examiner should
a. Place the patient in a supine position
b. Stand directly behind the patient
c. Ensure that the light source angles toward the patient
d. Position the patient directly under a bright examination light
c. Ensure that the light source angles toward the patient
Which of the following findings may indicate a pulmonary infection?
a. Malodorous breath
b. Protrusion of the clavicle
c. Clubbing of the nail beds
d. Kussmal respirations
a. Malodorous breath
Which finding is considered unusual for a newborn?
a. Sneezing
b. Coughing
c. Silent hiccupping
d. Nose breathing
b. Coughing
In an older adult, which finding can occur in the absence of a disease as a result of age-related
changes of the chest or lungs?
a. Barrel chest
b. Productive cough
c. Increased vital capacity
d. Pulmonary infiltrate
a. Barrel chest
In young and school-age children, the most common skin lesions are caused by
a. Communicable disease and bacterial infection
b. Changes in skin color and skin tone, which accompany puberty
c. Maturation of melanocytes, aging changes in skin color
d. Skin inflammation from sebaceous gland activity
a. Communicable disease and bacterial infection
,The examiner notes a large blue-black spot on the buttock of a 4-week-old black neonate. The
mother states that the infant was born with it. The examiner should recognize that this
a. Is a common finding
b. May indicate child abuse
c. Is related to birth trauma
d. Suggest a congenital defect
a. Is a common finding
Which of the following may be associated with neurofibromatosis or pulmonary stenosis?
a. Café au lait patches
b. Nevus vasculosus
c. Port-wine limb stain
d. Spider angioma
a. Café au lait patches
Which lesion is an expected finding on the skin of healthy older adults?
a. Acne vulgaris
b. Cherry angioma
c. Miliaria
d. Trichotillomania
b. Cherry angioma
When palpating skin surfaces for temperature, the examiner should use the
a. Palmar aspect of the hand
b. Fingertips of the dominant hand
c. Dorsal aspect of the hands or fingers
d. Ulnar surface of the hand
c. Dorsal aspect of the hands or fingers
Hyperkeratosis is noted on a patient's palms and soles. The examiner recognizes that this
a. May be a sign of systemic disorder
b. May be an indication of a congenital heart defect
c. Is common among individuals with Down syndrome
d. Is considered a normal finding
d. Is considered a normal finding
, A patient with diabetes presents to the clinic complaining of an infected foot. Upon removing
the patient's sock, the examiner notes an odor that resembles rotting apples. This finding is
consistent with what type of infection?
a. Pseudomonas aeruginosa
b. Proteus
c. Viridans streptococci
d. Clostridium perfringens
d. Clostridium perfringens
Which finding is consistent with a physical abuse injury in a toddler?
a. Burn to the skin with a splash pattern
b. Bruising of the skin over soft tissue
c. Bruising of the skin over a bony prominence
d. Café au lait patches
b. Bruising of the skin over soft tissue
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. Palpating
c. Transilluminating
d. Noting the odor of the lesion
c. Transilluminating
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. The nail plate is yellow and crumbling
During an examination, which of the following questions would be most appropriate for the
examiner to ask a patient to elicit information about the lymph system?
a. Are you aware of any lumps?
b. Have you had a change in appetite?
c. Do your lymph nodes hurt?
d. Where are your largest lymph nodes?
a. Are you aware of any lumps?
