NURS 612 EXAM 2 MARYVILLE UNIVERSITY
ADVANCED HEALTH ASSESSMENT EXAM 2
NEWEST 2024 ACTUAL EXAM 250 QUESTIONS
AND CORRECT DETAILED ANSWERS
1) In addition to severe respiratory distress, which finding may be indicative of a
pneumothorax with mediastinal shift - ANSWER>>tracheal deviation from midline
2) The examiner should expect the ratio of respiratory rate to heart rate to be
approximately - ANSWER>>1 to 4
3) A patient with long-standing chronic obstructive pulmonary disease has come to
the clinic complaining that his breathing has been getting more difficult over the
past couple of weeks. Which question would best help the examiner understand
the hypoxia this patient is experiencing - ANSWER>>"in what way has your
activity level been affected"
4) A patient has atelectasis. What finding would lead the examiner to suspect that
an undiagnosed tumor in the middle lobe of the right lung has caused this
problem? - ANSWER>>diminished or absent breath sounds in the middle lobe
5) Which examination finding is consistent with emphysema -
ANSWER>>Decreased tactile fremitus
6) The most important clinical signs for pleural effusion include what? -
ANSWER>>Dull percussion and decreased tactile fremitus
7) 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 - ANSWER>>" are you aware of any lumps"
,8) While palpating lymph nodes on an adult, the examiner should remember that -
ANSWER>>Easily palpable nodes are generally not found in healthy adults
9) In comparison with those of a young adult, the lymph nodes of an older adult will
be - ANSWER>>small and fatty
10) A 19-year-old man has a severe infection involving the fifth digit of his right hand.
Where should the examiner expect to palpate enlarged and tender lymph nodes -
ANSWER>>medial condyle of the humerus
11) Which of the following lymph examination findings is cause for concern in an
adult - ANSWER>>palpable node fixed in its setting
12) The most common cause of acute suppurative lymphadenitis are which
organisms - ANSWER>>staph and strep
13) The examiner typically assesses the lymph system using which of the following
methods - ANSWER>>region by region as each body system is assessed
14) As the examiner palpates an enlarged lymph node, the patient complains of pain.
This is an indication of - ANSWER>>an inflammatory process
15) Which examination method is used to differentiate an enlarged lymph node from
a cyst - ANSWER>>Palpitation
16) Which of the following methods best describes how to assess supraclavicular
lymph nodes - ANSWER>>palpate deeply behind the clavicals as pt takes a
deep breath
17) In addition to the head, neck, axillae, and inguinal area, the examiner may also
assess lymph nodes in which location? - ANSWER>>popliteal
,18) A patient with tuberculosis is most likely to have which finding -
ANSWER>>"cold" lymph nodes
19) Which of the following is an assessment technique that can differentiate mumps
from cervical adenitis - ANSWER>>Palpating the angle of the jaw
20) Mrs. Alberts presents to the office with a complaint of a swelling in her neck.
What would you expect to feel if the lymph node was cancerous -
ANSWER>>Matted, firm, almost rubbery lymph node
21) Normal cervical lymph nodes are - ANSWER>>
22) coronary arteries supply... - ANSWER>>oxygenated blood to the myocardium
23) left coronary artery bifurcates... - ANSWER>>to anterior portion of the heart;
circumflex and LAD
24) LAD innervates the - ANSWER>>septum
25) right coronary artery supplies... - ANSWER>>the right side of the heart
26) is released by coronary endothelium in response to shear forces -
ANSWER>>nitric oxide
27) nitric oxide is produced by , when it crosses into subQ tissues it causes
- ANSWER>>endothelial cells; vasodilation
28) blood flow and shear stress may also lead to vasoconstriction via... -
ANSWER>>1. endothelial-1
29) 2. ang II
30) 3. thromboxane
, 31) 4. prostaglandin
32) cardiac metabolites that cause vasodilation - ANSWER>>1. K+
33) 2. Lactic acid
34) 3. CO2
35) 4. Adenosine
36)adenosine dilates coronary arteries which affects the and activity -
ANSWER>>SA node; beta adrenergic receptor
37) vasodilation causes increased... - ANSWER>>heart work
38) ischemia occurs when oxygen demand by the heart... - ANSWER>>exceeds
oxygen supply by the coronary arteries
39) x2 causes of ischemia - ANSWER>>1. atherosclerosis
40) 2. coronary artery vasospasm
41) x3 that affect myocardial oxygen supply (how much it gets) - ANSWER>>1.
coronary vessel patency
42) 2. ventricular wall compression
43) 3. diastolic filling time (heart rate)
44) x3 that affect myocardial oxygen demand (how much it needs) - ANSWER>>1.
myocardial contractility
45) 2. heart rate
46) 3. wall stress - preload, afterload
47) right coronary artery obstruction causes ischemia in the... - ANSWER>>inferior
wall
ADVANCED HEALTH ASSESSMENT EXAM 2
NEWEST 2024 ACTUAL EXAM 250 QUESTIONS
AND CORRECT DETAILED ANSWERS
1) In addition to severe respiratory distress, which finding may be indicative of a
pneumothorax with mediastinal shift - ANSWER>>tracheal deviation from midline
2) The examiner should expect the ratio of respiratory rate to heart rate to be
approximately - ANSWER>>1 to 4
3) A patient with long-standing chronic obstructive pulmonary disease has come to
the clinic complaining that his breathing has been getting more difficult over the
past couple of weeks. Which question would best help the examiner understand
the hypoxia this patient is experiencing - ANSWER>>"in what way has your
activity level been affected"
4) A patient has atelectasis. What finding would lead the examiner to suspect that
an undiagnosed tumor in the middle lobe of the right lung has caused this
problem? - ANSWER>>diminished or absent breath sounds in the middle lobe
5) Which examination finding is consistent with emphysema -
ANSWER>>Decreased tactile fremitus
6) The most important clinical signs for pleural effusion include what? -
ANSWER>>Dull percussion and decreased tactile fremitus
7) 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 - ANSWER>>" are you aware of any lumps"
,8) While palpating lymph nodes on an adult, the examiner should remember that -
ANSWER>>Easily palpable nodes are generally not found in healthy adults
9) In comparison with those of a young adult, the lymph nodes of an older adult will
be - ANSWER>>small and fatty
10) A 19-year-old man has a severe infection involving the fifth digit of his right hand.
Where should the examiner expect to palpate enlarged and tender lymph nodes -
ANSWER>>medial condyle of the humerus
11) Which of the following lymph examination findings is cause for concern in an
adult - ANSWER>>palpable node fixed in its setting
12) The most common cause of acute suppurative lymphadenitis are which
organisms - ANSWER>>staph and strep
13) The examiner typically assesses the lymph system using which of the following
methods - ANSWER>>region by region as each body system is assessed
14) As the examiner palpates an enlarged lymph node, the patient complains of pain.
This is an indication of - ANSWER>>an inflammatory process
15) Which examination method is used to differentiate an enlarged lymph node from
a cyst - ANSWER>>Palpitation
16) Which of the following methods best describes how to assess supraclavicular
lymph nodes - ANSWER>>palpate deeply behind the clavicals as pt takes a
deep breath
17) In addition to the head, neck, axillae, and inguinal area, the examiner may also
assess lymph nodes in which location? - ANSWER>>popliteal
,18) A patient with tuberculosis is most likely to have which finding -
ANSWER>>"cold" lymph nodes
19) Which of the following is an assessment technique that can differentiate mumps
from cervical adenitis - ANSWER>>Palpating the angle of the jaw
20) Mrs. Alberts presents to the office with a complaint of a swelling in her neck.
What would you expect to feel if the lymph node was cancerous -
ANSWER>>Matted, firm, almost rubbery lymph node
21) Normal cervical lymph nodes are - ANSWER>>
22) coronary arteries supply... - ANSWER>>oxygenated blood to the myocardium
23) left coronary artery bifurcates... - ANSWER>>to anterior portion of the heart;
circumflex and LAD
24) LAD innervates the - ANSWER>>septum
25) right coronary artery supplies... - ANSWER>>the right side of the heart
26) is released by coronary endothelium in response to shear forces -
ANSWER>>nitric oxide
27) nitric oxide is produced by , when it crosses into subQ tissues it causes
- ANSWER>>endothelial cells; vasodilation
28) blood flow and shear stress may also lead to vasoconstriction via... -
ANSWER>>1. endothelial-1
29) 2. ang II
30) 3. thromboxane
, 31) 4. prostaglandin
32) cardiac metabolites that cause vasodilation - ANSWER>>1. K+
33) 2. Lactic acid
34) 3. CO2
35) 4. Adenosine
36)adenosine dilates coronary arteries which affects the and activity -
ANSWER>>SA node; beta adrenergic receptor
37) vasodilation causes increased... - ANSWER>>heart work
38) ischemia occurs when oxygen demand by the heart... - ANSWER>>exceeds
oxygen supply by the coronary arteries
39) x2 causes of ischemia - ANSWER>>1. atherosclerosis
40) 2. coronary artery vasospasm
41) x3 that affect myocardial oxygen supply (how much it gets) - ANSWER>>1.
coronary vessel patency
42) 2. ventricular wall compression
43) 3. diastolic filling time (heart rate)
44) x3 that affect myocardial oxygen demand (how much it needs) - ANSWER>>1.
myocardial contractility
45) 2. heart rate
46) 3. wall stress - preload, afterload
47) right coronary artery obstruction causes ischemia in the... - ANSWER>>inferior
wall
