Test Bank: NURS 612 Advanced
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*If the patient has a history of asthma and is exposed to allergens, what s/s would you expect if the patient
comes in with wheezing?
*what would the dx be?
*dx for allergen exposure & fever? - Correct Answers-*SOB, coughing
*Acute asthma exacerbation
*Pneumonia
10 types of heart murmurs - Correct Answers-1. mitral stenosis
2. aortic stenosis
3. subaortic stenosis
4. pulmonic stenosis
5. tricuspid stenosis
6. mitral regurgitation
7. mitral valve prolapse
8. aortic regurgitation
9. pulmonic regurgitation
10. tricuspid regurgitation
5 areas of auscultation - cardiac - Correct Answers-* Aortic valve should be heard at the second right
intercostal space at the right sternal border
*Pulmonic valve area: second left intercostal space at the left sternal border
* Second pulmonic area: third left intercostal space at the left sternal border
*Tricuspid area: fourth left intercostal space along the lower left sternal border
* Mitral (apical) area: at the apex of the heart in the fifth intercostal space at the midclavicular line
A 16 y/o female comes in saying that her periods are irregular. What are you going to do? - Correct
Answers-Start by checking her thyroid levels (TSH)
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?
,a. Radial aspect of the right wrist
b. Palmar aspect of the right hand
c. Lateral aspect of the right forearm
d. Medial aspect of the right elbow - Correct Answers-d. Medial aspect of the right elbow
A 2-month-old infant is brought to the clinic for immunizations. The examiner palpates enlarged inguinal
nodes. What additional findings might explain the enlarged nodes?
a. The mother reports that the infant has colic
b. The infant's length and weight are about the 85th percentile
c. The infant has a severe diaper rash
d. A port-wine stain is present on the infant's left thigh - Correct Answers-c. The infant has a severe
diaper rash
A 26 y/o female presents with complaints of fatigue and hair falling out, You would check for what? -
Correct Answers-Check TSH first and then if it is abnormal, then check a T3 and T4
A 6-month-old infant is brought to the clinic for immunizations. While examining the baby, the examiner
notes that the anterior fontanel has not closed. What is the significance of this finding?
a. This indicates a slight developmental delay
b. There may be a nutritional deficiency
c. This finding is consistent with hydrocephaly
d. This is a normal finding - Correct Answers-d. This is a normal finding
A 6-year-old girl has freckles over her nose and cheeks. Freckles are a type of
a. Macule
b. Papule
c. Nodule
d. Petechiae - Correct Answers-a. Macule
A bounding pulse would be expected in an infant with what condition?
a. Coarctation of the aorta
b. Patent ductus arteriosus
c. Venous hum
d. Right-sided heart failure - Correct Answers-b. Patent ductus arteriosus
A condition that results in progressive ischemia caused by insufficient perfusion is
a. Raynaud phenomenon
,b. Peripheral atherosclerotic disease
c. Venous thrombosis
d. Arterial aneurysm - Correct Answers-b. Peripheral atherosclerotic disease
A healthcare professional is examining the chest of a 22-year-old woman who is 8 months pregnant. The
patient has a wide thoracic cage. Which of the following best explains this finding?
a. She may have lung disease, such as emphysema
b. She may be hypoxic and require oxygen supplementation
c. She may be pregnant with twins, causing abdominal contents to be forced up and out
d. This is considered a normal finding with advanced pregnancy - Correct Answers-d. This is
considered a normal finding with advanced pregnancy
A mother tells the examiner that her 2-year-old child has a cough that "sounds just like a bark". Given this
history, what other findings should the examiner anticipate during respiratory examination?
a. Wheezing and coarse crackles bilaterally
b. Labored breathing and inspiratory stridor
c. Hyperresonance with percussion
d. Productive, blood-tinged, or "rusty" sputum - Correct Answers-b. Labored breathing and inspiratory
stridor
A newborn infant has a small chest-to-head size ratio. This finding is usually associated with
a. Maternal diabetes
b. Cocaine use during pregnancy
c. Intrauterine growth restriction
d. A normal variation of chest-to-head ratio - Correct Answers-c. Intrauterine growth restriction
A patient demonstrates asymmetry of the mouth. The examiner suspects a problem with the
a. Inferior facial nerve
b. Thyroid gland
c. Peripheral trigeminal nerve
d. Salivary duct - Correct Answers-c. Peripheral trigeminal nerve
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 - Correct Answers-d. Clostridium perfringens
A thrill generally indicates which of the following?
a. A disturbance in the electrical conductivity of the heart
b. A fine, rushing vibration related to disruption of blood flow in the heart
c. The presence of significant infection of the myocardium
d. Forceful apical impulse felt below the left sternal border - Correct Answers-b. A fine, rushing
vibration related to disruption of blood flow in the heart
ABCDE of lesions - Correct Answers-A= asymmetry; one half is unlike the other half
B= border; an irregular, scalloped or poorly defined border
C= color; is varied from one area to another; has shades of tan, brown, or black, or is sometimes white,
red, or blue
D= diameter; melanomas are usually greater than 6mm (size of a pencil eraser) when diagnosed, but they
can be smaller
E= evolving; a mole or skin lesion that looks different from the rest or is changing in size, shape or color
An adolescent patient asks the examiner why teens have more problems with acne than children. Which
of the following would be an appropriate response?
a. Children have better hygiene habits than adolescents because of parental guidance
b. Adolescents have reduced blood flow to the epidermal layer of the skin, making them more susceptible
to infections
c. At puberty, adolescents begin to secrete more oil from their sebaceous glands
d. Children have very little skin mass, which prevents development of acne - Correct Answers-c. At
puberty, adolescents begin to secrete more oil from their sebaceous glands
An infant with an alcoholic other is admitted to the hospital with fetal alcohol syndrome. What
assessment finding is consistent with this syndrome?
a. Ear dysplasia
b. Moon face
c. Torticollis
d. Thin upper lip - Correct Answers-d. Thin upper lip
An older patient asks the examiner, "Is this spot on my chin a cancer?" Which of the following would
indicate a need for further medical investigation?
a. Reddish-brown color of the lesion
Health Exam Latest Update Graded
A+ Key Download
*If the patient has a history of asthma and is exposed to allergens, what s/s would you expect if the patient
comes in with wheezing?
*what would the dx be?
*dx for allergen exposure & fever? - Correct Answers-*SOB, coughing
*Acute asthma exacerbation
*Pneumonia
10 types of heart murmurs - Correct Answers-1. mitral stenosis
2. aortic stenosis
3. subaortic stenosis
4. pulmonic stenosis
5. tricuspid stenosis
6. mitral regurgitation
7. mitral valve prolapse
8. aortic regurgitation
9. pulmonic regurgitation
10. tricuspid regurgitation
5 areas of auscultation - cardiac - Correct Answers-* Aortic valve should be heard at the second right
intercostal space at the right sternal border
*Pulmonic valve area: second left intercostal space at the left sternal border
* Second pulmonic area: third left intercostal space at the left sternal border
*Tricuspid area: fourth left intercostal space along the lower left sternal border
* Mitral (apical) area: at the apex of the heart in the fifth intercostal space at the midclavicular line
A 16 y/o female comes in saying that her periods are irregular. What are you going to do? - Correct
Answers-Start by checking her thyroid levels (TSH)
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?
,a. Radial aspect of the right wrist
b. Palmar aspect of the right hand
c. Lateral aspect of the right forearm
d. Medial aspect of the right elbow - Correct Answers-d. Medial aspect of the right elbow
A 2-month-old infant is brought to the clinic for immunizations. The examiner palpates enlarged inguinal
nodes. What additional findings might explain the enlarged nodes?
a. The mother reports that the infant has colic
b. The infant's length and weight are about the 85th percentile
c. The infant has a severe diaper rash
d. A port-wine stain is present on the infant's left thigh - Correct Answers-c. The infant has a severe
diaper rash
A 26 y/o female presents with complaints of fatigue and hair falling out, You would check for what? -
Correct Answers-Check TSH first and then if it is abnormal, then check a T3 and T4
A 6-month-old infant is brought to the clinic for immunizations. While examining the baby, the examiner
notes that the anterior fontanel has not closed. What is the significance of this finding?
a. This indicates a slight developmental delay
b. There may be a nutritional deficiency
c. This finding is consistent with hydrocephaly
d. This is a normal finding - Correct Answers-d. This is a normal finding
A 6-year-old girl has freckles over her nose and cheeks. Freckles are a type of
a. Macule
b. Papule
c. Nodule
d. Petechiae - Correct Answers-a. Macule
A bounding pulse would be expected in an infant with what condition?
a. Coarctation of the aorta
b. Patent ductus arteriosus
c. Venous hum
d. Right-sided heart failure - Correct Answers-b. Patent ductus arteriosus
A condition that results in progressive ischemia caused by insufficient perfusion is
a. Raynaud phenomenon
,b. Peripheral atherosclerotic disease
c. Venous thrombosis
d. Arterial aneurysm - Correct Answers-b. Peripheral atherosclerotic disease
A healthcare professional is examining the chest of a 22-year-old woman who is 8 months pregnant. The
patient has a wide thoracic cage. Which of the following best explains this finding?
a. She may have lung disease, such as emphysema
b. She may be hypoxic and require oxygen supplementation
c. She may be pregnant with twins, causing abdominal contents to be forced up and out
d. This is considered a normal finding with advanced pregnancy - Correct Answers-d. This is
considered a normal finding with advanced pregnancy
A mother tells the examiner that her 2-year-old child has a cough that "sounds just like a bark". Given this
history, what other findings should the examiner anticipate during respiratory examination?
a. Wheezing and coarse crackles bilaterally
b. Labored breathing and inspiratory stridor
c. Hyperresonance with percussion
d. Productive, blood-tinged, or "rusty" sputum - Correct Answers-b. Labored breathing and inspiratory
stridor
A newborn infant has a small chest-to-head size ratio. This finding is usually associated with
a. Maternal diabetes
b. Cocaine use during pregnancy
c. Intrauterine growth restriction
d. A normal variation of chest-to-head ratio - Correct Answers-c. Intrauterine growth restriction
A patient demonstrates asymmetry of the mouth. The examiner suspects a problem with the
a. Inferior facial nerve
b. Thyroid gland
c. Peripheral trigeminal nerve
d. Salivary duct - Correct Answers-c. Peripheral trigeminal nerve
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 - Correct Answers-d. Clostridium perfringens
A thrill generally indicates which of the following?
a. A disturbance in the electrical conductivity of the heart
b. A fine, rushing vibration related to disruption of blood flow in the heart
c. The presence of significant infection of the myocardium
d. Forceful apical impulse felt below the left sternal border - Correct Answers-b. A fine, rushing
vibration related to disruption of blood flow in the heart
ABCDE of lesions - Correct Answers-A= asymmetry; one half is unlike the other half
B= border; an irregular, scalloped or poorly defined border
C= color; is varied from one area to another; has shades of tan, brown, or black, or is sometimes white,
red, or blue
D= diameter; melanomas are usually greater than 6mm (size of a pencil eraser) when diagnosed, but they
can be smaller
E= evolving; a mole or skin lesion that looks different from the rest or is changing in size, shape or color
An adolescent patient asks the examiner why teens have more problems with acne than children. Which
of the following would be an appropriate response?
a. Children have better hygiene habits than adolescents because of parental guidance
b. Adolescents have reduced blood flow to the epidermal layer of the skin, making them more susceptible
to infections
c. At puberty, adolescents begin to secrete more oil from their sebaceous glands
d. Children have very little skin mass, which prevents development of acne - Correct Answers-c. At
puberty, adolescents begin to secrete more oil from their sebaceous glands
An infant with an alcoholic other is admitted to the hospital with fetal alcohol syndrome. What
assessment finding is consistent with this syndrome?
a. Ear dysplasia
b. Moon face
c. Torticollis
d. Thin upper lip - Correct Answers-d. Thin upper lip
An older patient asks the examiner, "Is this spot on my chin a cancer?" Which of the following would
indicate a need for further medical investigation?
a. Reddish-brown color of the lesion
