NURS 6521 Final Exam with Answers – Health Assessment

• Question 1 1 out of 1 points If pitting edema is unilateral, you would suspect occlusion of a: Selected Answer: major vein. • Question 2 1 out of 1 points Which cranial nerves are usually evaluated during the examination of the eyes? Selected Answer: III and VI • Question 3 It is especially important to test for ankle clonus if: 1 out of 1 points Selected Answer: deep tendon reflexes are hyperactive. • Question 4 A finding that is indicative of osteoarthritis is: 1 out of 1 points Selected Answer: Heberden nodes. • Question 5 A grade IV mitral regurgitation murmur would: 1 out of 1 points Selected Answer: radiate to the axilla. • Question 6 The adnexa of the uterus are composed of the: Selected fallopian tubes and 1 out of 1 points Answer: ovaries. • Question 7 1 out of 1 points The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the: Selected Answer: QRS complex. • Question 8 1 out of 1 points During chest assessment, you note the patient's voice quality while auscultating the lung fields. The voice sound is intensified, there is a nasal quality to the voice, and the e's sound like a s. This sound is indicative of: Selected Answer: lung consolidation. • Question 9 1 out of 1 points To hear diastolic heart sounds, you should ask patients to: Selected Answer: lie on their left sides. • Question 10 1 out of 1 points The rectal past medical history of all patients should include inquiry about: Selected Answer: hemorrhoid surgery. • Question 11 1 out of 1 points Ulnar deviation and boutonniere deformities are characteristic of: Selected Answer: rheumatoid arthritis. • Question 12 1 out of 1 points If your patient has nipple discharge, you will most likely need a: Selected Answer: glass slide and fixative. • Question 13 1 out of 1 points The examiner percusses for diaphragmatic excursion along the: Selected Answer: scapular line. • Question 14 1 out of 1 points An apical PMI palpated beyond the left fifth intercostal space may indicate: Selected Answer: left ventricular hypertrophy. • Question 15 1 out of 1 points The difference in blood pressure readings between the right and the left arms is considered normal up to mm Hg. Selected 1 Answer: 0 • Question 16 1 out of 1 points Montgomery tubercles are most prominent in the breasts of: Selected Answer: pregnant women. • Question 17 1 out of 1 points Postural hypotension is defined as a when the patient stands, compared with sitting or supine readings. Selected Answer: systolic pressure drop of more than 15 mm Hg with a pulse rate increase • Question 18 1 out of 1 points Which of the following statements is true regarding the examination of peripheral arteries? Selected Answer: The pulses are most readily felt over bony prominences. • Question 19 Normal changes of the aging brain include: 1 out of 1 points Selected Answer: diminished perception of touch. • Question 20 0 out of 1 points Breath sounds normally heard over the trachea are called: Selected Answer: vesicul ar. • Question 21 1 out of 1 points To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with: Selected Answer: one arm overhead and a pillow under her shoulder. • Question 22 1 out of 1 points 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: Selected Answer: cerebellar ataxia. • Question 23 1 out of 1 points 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. Selected Answer: Kerni g • Question 24 Inspection of the scrotum should reveal: 1 out of 1 points Selected Answer: left scrotal sac lower than the right. • Question 25 1 out of 1 points 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: Selected Answer: riflery . • Question 26 1 out of 1 points Which one of the following is a proper technique for use of a speculum during a vaginal examination? Selected Answer: Press introitus downward; insert closed speculum obliquely. • Question 27 Part of the screening orthopedic component of the 1 out of 1 points examination includes evaluating the person while he or she is: Selected Answer: duck walking. • Question 28 1 out of 1 points You are conducting a preparticipation physical examination for a 10-year-old girl with Down syndrome who will be playing basketball. She has slight torticollis and mild ankle clonus. What additional diagnostic testing would be required for her? Selected Answer: Cervical spine radiograph • Question 29 Functional assessment is most important during the examination of a(n): 1 out of 1 points Selected Answer: older adult. • Question 30 1 out of 1 points Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify: Selected Answer: uremi a. • Question 31 1 out of 1 points Anterior cruciate ligament integrity is assessed via the test. Selected Answer: Lachm an • Question 32 1 out of 1 points 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: Selected Answer: schizophren ia. • Question 33 1 out of 1 points 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: Selected Answer: fingertip s. • Question 34 1 out of 1 points 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: Selected Answer: auscultating the lung bases. • Question 35 Diabetic peripheral neuropathy will likely produce: 1 out of 1 points Selected Answer: diminished pain sensation. • Question 36 1 out of 1 points To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested? Selected Answer: Patell ar • Question 37 1 out of 1 points Nerves that arise from the brain rather than the spinal cord are called: Selected Answer: crania l. • Question 38 Bimanual examination of the uterus includes: 1 out of 1 points Selected Answer: grasping the cervix between the examining fingers. • Question 39 1 out of 1 points While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding: Selected Answer: alcohol, tobacco, and caffeine use. • Question 40 Palpation of epitrochlear nodes is part of the: 1 out of 1 points Selected Answer: examination of the upper extremities. • Question 41 1 out of 1 points When palpating breast tissue, the examiner should use the at each site. Selected Answer: finger pads, gliding • Question 42 1 out of 1 points If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation? Selected Answer: CN XI, spinal accessory • Question 43 1 out of 1 points Kawasaki disease is suspected when assessments of a child reveal: Selected Answer: conjunctival injection, strawberry tongue, and edema of the hands and feet. • Question 44 1 out of 1 points The presence of cervical motion tenderness may indicate: Selected Answer: pelvic inflammatory disease. • Question 45 1 out of 1 points You are initially evaluating the equilibrium of Ms. Q. You ask her to stand with her feet together and arms at her sides. She loses her balance. Ms. Q. has a positive: Selected Answer: Romberg sign. • Question 46 1 out of 1 points Which one of the following techniques is used to detect a torn meniscus? Selected Answer: McMurray test • Question 47 1 out of 1 points You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should: Selected inquire about previous penile Answer: infections. • Question 48 A cervical polyp usually appears as a: 1 out of 1 points Selected Answer: bright-red soft protrusion from the endocervical canal. • Question 49 1 out of 1 points A red, hot swollen joint in a 40-year-old man should lead you to suspect: Selected Answer: gou t. • Question 50 1 out of 1 points Recent unilateral inversion of a previously everted nipple suggests: Selected Answer: cance r. • Question 51 1 out of 1 points An examiner has rotated a brush several times into the cervical os. The brush was withdrawn and stroked lightly on a glass slide. The slide was sprayed with fixative. Which type of specimen requires this technique for collection? Selected Answer: Cytology smear • Question 52 1 out of 1 points Examination of the patient in the lithotomy, or knee-chest, position includes: Selected Answer: palpation of anal sphincter tone. • Question 53 0 out of 1 points Your patient's chief complaint is repeated pencil-like stools. Further examination should include: Selected Answer: prostate examination. • Question 54 1 out of 1 points A common finding in markedly obese and pregnant women is: Selected Answer: lordosi s. • Question 55 1 out of 1 points Loss of immediate and recent memory with retention of remote memory suggests: Selected Answer: dementi a. • Question 56 1 out of 1 points To assess a cremasteric reflex, the examiner strokes the: Selected Answer: inner thigh and observes whether the testicle and scrotum rise on the stroked side. • Question 57 Temporalis and masseter muscles are evaluated by: 1 out of 1 points Selected Answer: having the patient clench his or her teeth. • Question 58 Facial muscle or tongue weakness may result in: Selected aphasi 1 out of 1 points Answer: a. • Question 59 1 out of 1 points When conducting a geriatric assessment, basic activities of daily living (ADLs) include: Selected Answer: bathin g. • Question 60 1 out of 1 points While examining a 30-year-old woman, you note that one breast is slightly larger than the other. In response to this finding, you should: Selected Answer: note the finding in the patient's record. • Question 61 1 out of 1 points 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 as: Selected 3 Answer: +. • Question 62 1 out of 1 points 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: Selected Answer: Mini-Mental State Examination. • Question 63 1 out of 1 points Assessing orientation to person, place, and time helps determine: Selected Answer: state of consciousness. • Question 64 1 out of 1 points The physical assessment technique most frequently used to assess joint symmetry is: Selected Answer: inspectio n. • Question 65 When palpating joints, crepitus may occur when: 1 out of 1 points Selected Answer: irregular bony surfaces rub together. • Question 66 1 out of 1 points The best way to ease the apprehension of a 3-year-old child before a physical examination is to: Selected Answer: let the child hold the stethoscope while you listen. • Question 67 1 out of 1 points At your first meeting with a patient, it is usually best to say: Selected Answer: "Tell me about yourself." • Question 68 The finger-to-nose test allows assessment of: 1 out of 1 points Selected Answer: coordination and fine motor function. • Question 69 1 out of 1 points A 23-year-old white woman has come to the clinic because she has missed two menstrual periods. She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is to: Selected Answer: suggest pregnancy testing. • Question 70 1 out of 1 points The musculoskeletal examination should begin when: Selected Answer: the patient enters the examination room. • Question 71 1 out of 1 points For purposes of examination and communication of physical findings, the breast is divided into: Selected Answer: four quadrants plus a tail. • Question 72 1 out of 1 points One of the most important aspects to consider in the orthopedic screening examination is: Selected Answer: symmetr y. • Question 73 0 out of 1 points Which medical condition would exclude a person from sports participation? Selected Answer: Asthm a • Question 74 1 out of 1 points You are conducting a clinical breast examination for your 30- year-old patient. Her breasts are symmetrical with bilateral, multiple tender masses that are freely moveable with well- defined borders. You recognize that these symptoms and assessment findings are consistent with: Selected Answer: fibrocystic changes. • Question 75 Cranial nerve XII may be assessed in an infant by: 1 out of 1 points Selected Answer: observing the infant suck and swallow. • Question 76 1 out of 1 points The family history for a patient with joint pain should include information about siblings with: Selected Answer: genetic disorders. • Question 77 1 out of 1 points A patient in the deepest coma would be scored a on the Glasgow Coma Scale. Selected 3 Answer: • Question 78 1 out of 1 points 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: Selected Answer: perform the examination while the child is in the mother's lap. • Question 79 1 out of 1 points The Mini-Mental State Examination should be administered for the patient who: Selected Answer: gets lost in her neighborhood. • Question 80 1 out of 1 points The strength of the trapezius muscle is evaluated by having the patient: Selected Answer: push her head against the examiner's hand. • Question 81 The foramen ovale should close: 0 out of 1 points Selected Answer: by 12 months of age. • Question 82 1 out of 1 points A pulsation that is diminished to the point of being barely palpable would be graded as: Selected 1 Answer: • Question 83 1 out of 1 points The goals of preparticipation sports evaluation include: Selected Answer: identifying risk of injury or death during sports participation. • Question 84 A positive straight leg raise test usually indicates: 1 out of 1 points Selected Answer: lumbar nerve root irritation. • Question 85 1 out of 1 points 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: Selected Answer: menstrual cycles. • Question 86 1 out of 1 points A 12-year-old boy relates that his left scrotum has a soft swollen mass. The scrotum is not painful upon palpation. The left inguinal canal is without masses. The mass does transilluminate with a penlight. This collection of symptoms is consistent with: Selected Answer: hydrocel e. • Question 87 1 out of 1 points The checkout station for preparticipation physical evaluation (PPE) is critical because at this point: Selected Answer: coordination of follow-ups is reviewed. • Question 88 1 out of 1 points Palpation of a normal prostate in an older adult is likely to feel: Selected Answer: rubber y. • Question 89 You are examining Mr. S., a 79-year-old diabetic man 1 out of 1 points complaining of claudication. Which of the following physical findings is consistent with the diagnosis of arterial occlusion? Selected Loss of hair over the Answer: extremity • Question 90 1 out of 1 points Nancy Walker is a 16-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her mother reports that Nancy, apart from occasional colds, Nancy is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Nancy's current problem? Selected Answer: Cocaine use • Question 91 1 out of 1 points When assessing superficial pain, touch, vibration, and position perceptions, you are testing: Selected Answer: sensory function. • Question 92 1 out of 1 points 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: Selected Answer: moderately loud. • Question 93 1 out of 1 points 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? Selected Answer: "What age was your father at the time of his death?" • Question 94 1 out of 1 points The reliability of health-related findings and observations is the responsibility of the: Selected Answer: professional and the patient. • Question 95 1 out of 1 points In the most effective percussion technique of the posterior lung fields, the patient cooperates by: Selected Answer: folding the arms in front. • Question 96 The Mini-Mental State Examination: 0 out of 1 points Selected Answer: will determine the cause of memory loss. • Question 97 Tarry black stool should make you suspect: 1 out of 1 points Selected Answer: upper intestinal bleeding. • Question 98 0 out of 1 points An idiopathic spasm of arterioles in the digits is termed: Selected Answer: arteriosclerosis obliterans. • Question 99 The Denver II is a tool used to determine: Selected whether a child is developing as 1 out of 1 points Answer: expected. • Question 100 1 out of 1 points Which portion of the physical examination is best done with the patient standing? Selected Answer: Spin al