NURS 612 EXAM 4 MARYVILLE UNIVERSITY ADVANCED HEALTH ASSESSMENT
EXAM 4 NEWEST 2025 ACTUAL EXAM 300 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
Montgomery tubercles are most prominent in the breasts of
a. adult males.
b. patients with lung disease.
c. pregnant women.
d. pubertal females.
c. pregnant women.
On a scale of 1+ to 4+, which deep tendon reflex score is appropriate for a finding of clonus in a
patient?
a. 1+
b. 2+
c. 3+
d. 4+
d. 4+
Most women with breast cancer
a. lack the BRCA1 or BRCA2 gene.
b. risk increases with aging.
c. have an aunt who had breast cancer.
d. continue to menstruate after age 52.
b. risk increases with aging.
Flatulence, diarrhea, dysuria, and tenderness with abdominal palpation are findings usually
associated with
a. diverticulitis.
b. pancreatitis.
c. ruptured ovarian cyst.
d. splenic rupture.
a. diverticulitis.
,A 51-year-old woman calls with complaints of weight loss and constipation. She reports enlarged
hemorrhoids and rectal bleeding. You advise her to
a. use a topical, over-the-counter hemorrhoid treatment for 1 week.
b. exercise and eat more fiber.
c. come to the laboratory for a stool guaiac test.
d. eat six small meals a day.
c. come to the laboratory for a stool guaiac test.
A 50-year-old woman presents as a new patient. Which finding in her personal and social history
would increase her risk profile for developing breast cancer?
a. Drinking three glasses of wine per week
b. Early menopause
c. Nulliparity
d. Late menarche
c. Nulliparity
Mrs. James is 7 months' pregnant and states that she has developed a problem with constipation.
She eats a well-balanced diet and is usually regular. You should explain that constipation is
common during pregnancy because of changes in the colorectal areas, such as
a. decreased movement through the colon and increased water absorption from the stool.
b. increased movement through the colon and increased salt taken from foods.
c. looser anal sphincter and fewer nutrients taken from foods.
d. tighter anal sphincter and less iron eliminated in the stool.
a. decreased movement through the colon and increased water absorption from the stool.
When assessing abdominal pain in a college-age woman, one must include
a. history of interstate travel.
b. food likes and dislikes.
c. age at completion of toilet training.
d. the first day of the last menstrual period.
d. the first day of the last menstrual period.
Infants born weighing less than 1500 g are at higher risk for
a. hepatitis A.
b. necrotizing enterocolitis.
,c. urinary urgency.
d. pancreatitis.
b. necrotizing enterocolitis.
You are completing a general physical examination on Mr. Rock, a 39-year-old man with
complaints of constipation. When examining a patient with tense abdominal musculature, a
helpful technique is to have the patient
a. hold his or her breath.
b. sit upright.
c. flex his or her knees.
d. raise his or her head off the pillow.
c. flex his or her knees.
Mrs. Little is a 44-year-old patient who presents to the office with abdominal pain and fever.
During your examination, you ask the patient to raise her head and shoulders while she lies in a
supine position. A midline abdominal ridge rises. You document this observation as a(n)
a. small inguinal hernia.
b. large epigastric hernia.
c. abdominal lipoma.
d. diastasis recti.
d. diastasis recti.
Mr. Robins is a 45-year-old man who presents to the emergency department with a complaint of
constipation. During auscultation, you note borborygmi sounds. This is associated with
a. gastroenteritis.
b. peritonitis.
c. satiety.
d. paralytic ileus.
a. gastroenteritis.
To document absent bowel sounds correctly, one must listen continuously for
a. 30 seconds.
b. 1 minute.
c. 3 minutes.
d. 5 minutes.
d. 5 minutes.
, Percussion of the abdomen begins with establishing
a. liver dullness.
b. spleen dullness.
c. gastric bubble tympany.
d. overall dullness and tympany in all quadrants.
d. overall dullness and tympany in all quadrants.
When percussing a spleen, Traube space is a
a. semilunar region.
b. splenic percussion sign.
c. left-sided pleural effusion.
d. solid mass.
a. semilunar region.
Costovertebral angle tenderness should be assessed whenever you suspect that the patient may
have
a. cholecystitis.
b. pancreatitis.
c. pyelonephritis.
d. ulcerative colitis.
c. pyelonephritis.
The family history of a patient with diarrhea and abdominal pain should include inquiry about
cystic fibrosis because it is
a. a common genetic disorder.
b. one cause of malabsorption syndrome.
c. a curable condition with medical intervention.
d. the most frequent cause of diarrhea in general practice.
b. one cause of malabsorption syndrome.
A mother brings her 2-year-old child for you to assess. The mother feels a lump whenever she
fastens the child's diaper. Nephroblastoma is a likely diagnosis for this child when your physical
examination of the abdomen reveals a(n)
a. fixed mass palpated in the hypogastric area.
b. tender, midline abdominal mass.
EXAM 4 NEWEST 2025 ACTUAL EXAM 300 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
Montgomery tubercles are most prominent in the breasts of
a. adult males.
b. patients with lung disease.
c. pregnant women.
d. pubertal females.
c. pregnant women.
On a scale of 1+ to 4+, which deep tendon reflex score is appropriate for a finding of clonus in a
patient?
a. 1+
b. 2+
c. 3+
d. 4+
d. 4+
Most women with breast cancer
a. lack the BRCA1 or BRCA2 gene.
b. risk increases with aging.
c. have an aunt who had breast cancer.
d. continue to menstruate after age 52.
b. risk increases with aging.
Flatulence, diarrhea, dysuria, and tenderness with abdominal palpation are findings usually
associated with
a. diverticulitis.
b. pancreatitis.
c. ruptured ovarian cyst.
d. splenic rupture.
a. diverticulitis.
,A 51-year-old woman calls with complaints of weight loss and constipation. She reports enlarged
hemorrhoids and rectal bleeding. You advise her to
a. use a topical, over-the-counter hemorrhoid treatment for 1 week.
b. exercise and eat more fiber.
c. come to the laboratory for a stool guaiac test.
d. eat six small meals a day.
c. come to the laboratory for a stool guaiac test.
A 50-year-old woman presents as a new patient. Which finding in her personal and social history
would increase her risk profile for developing breast cancer?
a. Drinking three glasses of wine per week
b. Early menopause
c. Nulliparity
d. Late menarche
c. Nulliparity
Mrs. James is 7 months' pregnant and states that she has developed a problem with constipation.
She eats a well-balanced diet and is usually regular. You should explain that constipation is
common during pregnancy because of changes in the colorectal areas, such as
a. decreased movement through the colon and increased water absorption from the stool.
b. increased movement through the colon and increased salt taken from foods.
c. looser anal sphincter and fewer nutrients taken from foods.
d. tighter anal sphincter and less iron eliminated in the stool.
a. decreased movement through the colon and increased water absorption from the stool.
When assessing abdominal pain in a college-age woman, one must include
a. history of interstate travel.
b. food likes and dislikes.
c. age at completion of toilet training.
d. the first day of the last menstrual period.
d. the first day of the last menstrual period.
Infants born weighing less than 1500 g are at higher risk for
a. hepatitis A.
b. necrotizing enterocolitis.
,c. urinary urgency.
d. pancreatitis.
b. necrotizing enterocolitis.
You are completing a general physical examination on Mr. Rock, a 39-year-old man with
complaints of constipation. When examining a patient with tense abdominal musculature, a
helpful technique is to have the patient
a. hold his or her breath.
b. sit upright.
c. flex his or her knees.
d. raise his or her head off the pillow.
c. flex his or her knees.
Mrs. Little is a 44-year-old patient who presents to the office with abdominal pain and fever.
During your examination, you ask the patient to raise her head and shoulders while she lies in a
supine position. A midline abdominal ridge rises. You document this observation as a(n)
a. small inguinal hernia.
b. large epigastric hernia.
c. abdominal lipoma.
d. diastasis recti.
d. diastasis recti.
Mr. Robins is a 45-year-old man who presents to the emergency department with a complaint of
constipation. During auscultation, you note borborygmi sounds. This is associated with
a. gastroenteritis.
b. peritonitis.
c. satiety.
d. paralytic ileus.
a. gastroenteritis.
To document absent bowel sounds correctly, one must listen continuously for
a. 30 seconds.
b. 1 minute.
c. 3 minutes.
d. 5 minutes.
d. 5 minutes.
, Percussion of the abdomen begins with establishing
a. liver dullness.
b. spleen dullness.
c. gastric bubble tympany.
d. overall dullness and tympany in all quadrants.
d. overall dullness and tympany in all quadrants.
When percussing a spleen, Traube space is a
a. semilunar region.
b. splenic percussion sign.
c. left-sided pleural effusion.
d. solid mass.
a. semilunar region.
Costovertebral angle tenderness should be assessed whenever you suspect that the patient may
have
a. cholecystitis.
b. pancreatitis.
c. pyelonephritis.
d. ulcerative colitis.
c. pyelonephritis.
The family history of a patient with diarrhea and abdominal pain should include inquiry about
cystic fibrosis because it is
a. a common genetic disorder.
b. one cause of malabsorption syndrome.
c. a curable condition with medical intervention.
d. the most frequent cause of diarrhea in general practice.
b. one cause of malabsorption syndrome.
A mother brings her 2-year-old child for you to assess. The mother feels a lump whenever she
fastens the child's diaper. Nephroblastoma is a likely diagnosis for this child when your physical
examination of the abdomen reveals a(n)
a. fixed mass palpated in the hypogastric area.
b. tender, midline abdominal mass.
