ADVANCED HEALTH ASSESSMENT NSG 500 EXAM 3
UPDATED ACTUAL QUESTIONS AND CORRECT
ANSWERS
Question:
1. What is the correct position when performing a rectal/prostate exam?
Answer:
side-lying position
Question:
2. When doing your prostate exam, what area are you palpating?
Answer:
Posterior surface
Question:
3. What should a normal prostate feel like?
Answer:
Rubbery and smooth
Question:
4. How do you know that someone has rectal prolapse?
Answer:
When the patient is experiencing sliding of the rectum, occurs during straining
Question:
5. What do external hemorrhoids look like?
Answer:
small masses that are pink/red and beefy.
....If it's purple/really dark in color; that is a concern for a thrombus or necrotic tissue and a bad finding!!
Question:
6. What do internal hemorrhoids feel like?
Answer:
soft masses.
....Hard is a concern and a bad finding!
Question:
7. What are some causes of rectal bleeding?
,Answer:
1) Cancer - change in bowel habits, pain, blood in stool.
2) hemorrhoid's
3) Constipation/straining
4) colitis/inflammation or infection of the bowel
5) Fissures
6) GI bleed
7) NSAIDS, aspirin (NOT TYLENOL)
8) Chrohn's
Question:
8. Constipation and hemorroids
Answer:
Small amounts of bright red blood
Intermittent or during straining
Symptoms: Pain, itching, bleeding
Question:
9. What color is the blood of a Lower GI bleed?
Answer:
Bright red
Question:
10. What color is the blood of an upper GI bleed?
Answer:
Dark red/tarry/melanotic
Question:
11. Sequence of musculoskeletal exam
Answer:
Inspect, Palpate, Passive/Active ROM, and Joint Stability/Assess
-Stability tests; if your pt has knee pain and you're concerned about an ACL tear, you'll do stability testing
and load joint to see if joint is stable
Question:
12. Normal musculoskeletal changes in aging
Answer:
decreased ROM, joint pain, stiffness, increased risk of osteoarthritis, increased bone reabsorption—this
can cause instability
Question:
13. What is the best way to assess for joint symmetry?
Answer:
inspection by comparing joint from one side to the other
Question:
14. What is the best way to assess for joint effusion?
, Answer:
Palpate; it will be feel soft an spongy (that's the fluid in the joint you are feeling)
Boggy
Question:
15. Carpel tunnel; What is the tinel test?
Answer:
-tapping on ulnar side and indicates if medial nerve is involved
Question:
16. What is the phalen test?
Answer:
An exam that assess for carpal tunnel syndrome.
-Inverse praying hands.
-Tingling will indicate compression of carpal tunnel nerve
Question:
17. Lachman test
Answer:
A stability test that can indicate an ACL tear
UPDATED ACTUAL QUESTIONS AND CORRECT
ANSWERS
Question:
1. What is the correct position when performing a rectal/prostate exam?
Answer:
side-lying position
Question:
2. When doing your prostate exam, what area are you palpating?
Answer:
Posterior surface
Question:
3. What should a normal prostate feel like?
Answer:
Rubbery and smooth
Question:
4. How do you know that someone has rectal prolapse?
Answer:
When the patient is experiencing sliding of the rectum, occurs during straining
Question:
5. What do external hemorrhoids look like?
Answer:
small masses that are pink/red and beefy.
....If it's purple/really dark in color; that is a concern for a thrombus or necrotic tissue and a bad finding!!
Question:
6. What do internal hemorrhoids feel like?
Answer:
soft masses.
....Hard is a concern and a bad finding!
Question:
7. What are some causes of rectal bleeding?
,Answer:
1) Cancer - change in bowel habits, pain, blood in stool.
2) hemorrhoid's
3) Constipation/straining
4) colitis/inflammation or infection of the bowel
5) Fissures
6) GI bleed
7) NSAIDS, aspirin (NOT TYLENOL)
8) Chrohn's
Question:
8. Constipation and hemorroids
Answer:
Small amounts of bright red blood
Intermittent or during straining
Symptoms: Pain, itching, bleeding
Question:
9. What color is the blood of a Lower GI bleed?
Answer:
Bright red
Question:
10. What color is the blood of an upper GI bleed?
Answer:
Dark red/tarry/melanotic
Question:
11. Sequence of musculoskeletal exam
Answer:
Inspect, Palpate, Passive/Active ROM, and Joint Stability/Assess
-Stability tests; if your pt has knee pain and you're concerned about an ACL tear, you'll do stability testing
and load joint to see if joint is stable
Question:
12. Normal musculoskeletal changes in aging
Answer:
decreased ROM, joint pain, stiffness, increased risk of osteoarthritis, increased bone reabsorption—this
can cause instability
Question:
13. What is the best way to assess for joint symmetry?
Answer:
inspection by comparing joint from one side to the other
Question:
14. What is the best way to assess for joint effusion?
, Answer:
Palpate; it will be feel soft an spongy (that's the fluid in the joint you are feeling)
Boggy
Question:
15. Carpel tunnel; What is the tinel test?
Answer:
-tapping on ulnar side and indicates if medial nerve is involved
Question:
16. What is the phalen test?
Answer:
An exam that assess for carpal tunnel syndrome.
-Inverse praying hands.
-Tingling will indicate compression of carpal tunnel nerve
Question:
17. Lachman test
Answer:
A stability test that can indicate an ACL tear
