EXAM 2
Advanced Health Assessment
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Wilkes University
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,Table of Contents
NSG 500 EXAM 2 ............................................................................ 2
NSG 500 Exam 2 ........................................................................... 34
NSG 500 Exam 2 Study Guide .................................................... 66
NSG 500 EXAM 2
1. A 72-year-old client presents for a routine physical examination. The nurse
practitioner notes normal age-related changes. Which findings are consistent with
normal aging? (Select All That Apply)
A. Decreased taste sensation
B. Thinning skin with wrinkles
C. Difficulty swallowing (dysphagia)
D. Dry eyes
E. Thicker, coarse hair on eyebrows, nose, and ears
F. Muscle atrophy and gait abnormalities
Correct Answers: A, B, D, E
Rationale: Normal aging findings include sensory deficits (taste, smell, sight, hearing),
wrinkles with thinning skin, dry eyes, and thicker/coarse hair on the face (eyebrows,
nose, ear hair) with thinning on the scalp. Difficulty swallowing (dysphagia) and motor
deficits such as muscle atrophy and gait abnormalities are abnormal findings requiring
further evaluation, not normal age-related changes.
, 2. A 45-year-old client reports a "band-like" pressure sensation around the entire head
that is bilateral and non-throbbing. The nurse practitioner recognizes this as most
consistent with which type of headache?
A. Migraine
B. Cluster
C. Tension
D. Sinus
Correct Answer: C
Rationale: Tension headaches are characterized by a band-like tension around the head,
bilateral distribution, and pressure or throbbing sensation. Migraines are typically
unilateral with photosensitivity and nausea/vomiting. Cluster headaches present with
intense pain behind one eye with increased lacrimation. Sinus headaches involve
pressure around the frontal sinuses with URI symptoms.
3. A 16-year-old adolescent reports unilateral head pain accompanied by nausea,
vomiting, and sensitivity to light. The client states, "I know what my normal headache
feels like, and this is different." The nurse practitioner recognizes these findings as most
consistent with:
A. Tension headache
B. Cluster headache
C. Migraine
D. Sinus headache
Correct Answer: C
Rationale: Migraines are characterized by unilateral pain, photosensitivity,
nausea/vomiting, and typically have onset in adolescence or early adulthood. Clients
with migraines often can distinguish their "normal" headache pattern from other types.
The unilateral nature, photophobia, and N/V differentiate this from tension (bilateral,
band-like) and cluster (periorbital, tearing) headaches.