NURS 6512 Week 11 Final Exam (Correct Solutions)

1. Question: The reliability of health-related findings and observations is the responsibility of the: 2. Question: You are examining a patient in the emergency department who has recently sustained head trauma. In order to initially assess this patient's neurologic status, you would: 3. Question: Bimanual examination of the uterus includes: 4. Question: An ophthalmo scopic eye examination involves: 5. Question: Palpation of epitrochlear nodes is part of the: 6. Question: A 25 yo AA female has come to the clinic because she has missed her menstrual period this month and 2 months before. She says her cycles are irregular and she wants to be on birth control to help regulate them. She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is to: 7. Question: As Mr. B. enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. You would document Mr. B.'s pattern as: 8. Question: When assessing superficial pain, touch, vibration, and position perceptions, you are testing: 9. Question: Part of the screening orthopedic component of the examination includes evaluating the person while he or she is: 10. Question: If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation? 11. Question: Functional assessment is most important during the examination of a(n): 12. Question: Adrian Thompson is a 19-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her mother reports that Andrian, apart from occasional sinus infections, Andrian is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Adrian's current problem? 13. Question: Which medical condition would exclude a person from sports participation? 14. Question: You are examining Mr. S., a 79-year-old diabetic man complaining of claudi cation. Which of the following physical findings is consistent with the diagnosis of arterial occlusion? 15. Question: Loss of immediate and recent memory with retention of remote memory suggests: 16. Question: Ulnar deviation and boutonniere deformities are characteristic of: 17. Question: A positive straight leg raise test usually indicates: 18. Question: A patient you are seeing in the emergency department for chest pain is suspected of having a myocardial infarction. During the health history interview of his family history, he relates that his father had died of "heart trouble." The most important follow-up question you should pose is which of the following? 19. Question: Kawasaki disease is suspected when assessments of a child reveal: 20. Question: Your older clinic patient is being seen today as a follow-up for a 2-day history of pneumonia. The patient continues to have a productive cough, shortness of breath, and lethargy and has been spending most of the day lying in bed. You should begin the chest examination by: 21. Question: You are assessing Mr. Z.'s fluid volume status as a result of heart failure. If your finger depresses a patient's edematous ankle to a depth of 6 mm, you should record this pitting 22. Question: At your first meeting with a patient, it is usually best to say: 23. Question: If your patient has nipple discharge, you will most likely need a: 24. Question: Your 15-year-old patient is athletic and thin. Radiography of an ankle injury reveals a stress fracture. You should question this patient about her: 25. Question: Your 15-year-old patient is athletic and thin. Radiography of an ankle injury reveals a stress fracture. You should question this patient about her: 26. Question: The family history for a patient with joint pain should include information about siblings with: 27. Question: Anterior cruciate ligament integrity is assessed via the test. 28. Question: The difference in blood pressure readings between the right and the left arms is considered normal up to mm Hg. While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding: 29. Question: In the adult, the apical impulse should be most visible when the patient is in what position? 30. Question: You are conducting a pre participation physical examination for a 10-year-old girl with Down syndrome who will be playing basketball. She has slight torticollis and mild ankle clonus. 31. Question: What additional diagnostic testing would be required for her? 32. Question: In the most effective percussion technique of the posterior lung fields, the patient cooperates by: 33. Question: The best way to ease the apprehension of a 3-year-old child before a physical examination is to: 34. Question: The rectal past medical history of all patients should include inquiry about: 35. Question: You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should: 36. Question: A parent is advised to restrict contact or collision sports participation for their child. An example of a sport in which this child could participate is: 37. Question: A patient in the deepest coma would be scored a on the Glasgow Coma Scale. 38. Question: Facial muscle or tongue weakness may result in: 39. Question: If pitting edema is unilateral, you would suspect occlusion of a: 40. Question: An idiopathic spasm of arterioles in the digits is termed: 41. Question: It is especially important to test for ankle clonus if: 42. Question: A 40 yr old female presents to the clinic with complaints of low back and buttock pain. Pt states the buttock pain radiates from one side to the other. On examination, the patient is noted to have limited ROM of the shoulders, chest wall, hips, and knees. Upon xray, you find gross postural changes and there is a severe deformity of the vertebral column. What is the most likely diagnosis for this patient? 43. Question: You are conducting an examination of Mr. Curtis's heart and blood vessels and auscultate a grade III murmur. The intensity of this murmur is: 44. Question: When conducting a geriatric assessment, basic activities of daily living (ADLs) include: 45. Question: Nerves that arise from the brain rather than the spinal cord are called: 46. Question: Which cranial nerves are usually evaluated during the examination of the eyes? 47. Question: A pulsation that is diminished to the point of being barely palpable would be graded as: 48. Question: Postural hypotension is defined as a when the patient stands, compared with sitting or supine readings. 49. Question: A common finding in markedly obese and pregnant women is: 50. Question: You are interviewing a 20-year-old patient with a new-onset psychotic disorder. The patient is apathetic and has disturbed thoughts and language patterns. The nurse recognizes this behavior pattern as consistent with a diagnosis of: 51. Question: To hear diastolic heart sounds, you should ask patients to: 52. Question: You are reviewing an ECG of a 43 year old new patient. The patient has a history of second-degree heart block. The ECG shows the PR interval is increases with each beat until a QRS is dropped. What is this type of block called? 53. Question: The examiner percusses for diaphragmatic excursion along the: 54. Question: When palpating joints, crepitus may occur when: 55. Question: A cervical polyp usually appears as a: 56. Question: A 62 year old female presents to the clinic with complains of chest pain and heart palpitations that started 3 days ago. Patient states she is healthy and only has a history of hypertension and tachycardia. Patient is currently taking Norvasc 10mg daily and Coreg 6.25 mg BID. You order an EKG and it shows heart rate above 200 beats/min and the ECG may look like a sawtooth cog. 57. Question: What is the most likely diagnosis of this patient? To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested? 58. Question: For purposes of examination and communication of physical findings, the breast is divided into: 59. Question: You are performing a two-point discrimination test as part of a well physical examination. The area with the ability to discern two points in the shortest distance is the: 60. Question: You order an ECG on a patient that c/o feeling heart palpitations, chest pain, shortness of breath. Your ECG shows irregular heart rate and you determine that you need to call EMS immediately because this rhythm can cause death. What rhythm would you suspect the ECG is showing? 61. Question: Examination of the patient in the lithotomy, or knee-chest, position includes: 62. Question: When palpating breast tissue, the examiner should use the at each site. 63. Question: When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the: 64. Question: The musculoskeletal examination should begin when: 65. Question: Assessing orientation to person, place, and time helps determine: 66. Question: Which portion of the physical examination is best done with the patient standing? 67. Question: Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify: 68. Question: When assessing a 17-year-old for nuchal rigidity, you gently raise his head off the examination table. He involuntarily flexes his hips and knees. To confirm your suspicions associated with this positive test, you would also perform a test for the sign. 69. Question: Which condition is considered progressive rather than reversible? 70. Question: When you attempt to move a 10-month-old child from his mother's lap to the examination table, he screams loudly. Your best action is to: 71. Question: During a routine prenatal visit, Ms. T. was noted as having dependent edema, varicosities of the legs, and hemorrhoids. She expressed concern about these symptoms. You explain to Ms. T. that her enlarged uterus is compressing her pelvic veins and her inferior vena cava. You would further explain that these findings: 72. Question: While interviewing a 70-year-old female clinic patient, she tells you that she takes ginkgo biloba and St. John's wort. You make a short note to check for results of the: 73. Question: The strength of the trapezius muscle is evaluated by having the patient: 74. Question: A grade IV mitral regurgitation murmur would: 75. Question: To assess a cremasteric reflex, the examiner strokes the: 76. Question: The Mini-Mental State Examination should be administered for the patient who: 77. Question: A chest radiography is performed on your patient that complains of having dyspnea, coughing productive sputum and chest pain. The image results shows consolidation and infiltrates. You compare this to your physical exam findings of distant or absent breath sounds and absent vocal fremitus. What is the most likely diagnosis? 78. Question: Diabetic peripheral neuropathy will likely produce: 79. Question: Which one of the following techniques is used to detect a torn meniscus? 80. Question: An elderly female was recently diagnosed with osteoporosis 2 weeks ago. What is the hallmark appearance of a patient with this diagnosis? 81. Question: When is the mental status portion of the neurologic system examination performed? 82. Breath sounds normally heard over the trachea are called: 83. Question: The adnexa of the uterus are composed of the: 84. Question: Montgomery tubercles are most prominent in the breasts of: 85. Question: The Denver II is a tool used to determine: 86. Question: The Denver II is a tool used to determine: 87. Question: The physical assessment technique most frequently used to assess joint symmetry is: 88. Question: Which one of the following is a proper technique for use of a speculum during a vaginal examination? 89. Question: Tarry black stool should make you suspect: 90. Question: The goals of preparticipation sports evaluation include: 91. Question: To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with: 92. Adrian Thomas is a 19-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her father reports that Adrian, apart from occasional sinus infections, Adrian is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Adrian's current problem? 93. Question: Cranial nerve XII may be assessed in an infant by: 94. Question: Normal changes of the aging brain include: 95. Question: Your patient's chief complaint is repeated pencil-like stools. Further examination should include: 96. Question: A 56-year-old male presents to the clinic to see the nurse practitioner with complaints of shortness of breath for 1 months, 15-pound weight gain and lower extremity edema. Vitals are as follows: HR: 120, Respirations 30, Blood Pressure: 138/90, BMI: 40; Oxygen saturation of 90%. On examination patient is noted to have jugular venous distention, enlarged liver, and crackles are noted on examination. A chest x-ray is completed and shows findings consistent with which diagnosis? Based on this scenario and imaging what is the most likely diagnosis? 97. Question: An apical PMI palpated beyond the left fifth intercostal space may indicate: 98. Question: Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the: 99. Question: A finding that is indicative of osteoarthritis is: 100. Question: Throughout the history and physical examination, the clinician should: 101. Question: Functional assessment is most important during the examination of a(n):