advanced health assessment practice questions and answers 2024 100% verified

Your middle-aged patient has a BMI of 29. You would tell him that... Hyperlipidemia & weight gain are a problem - He is at risk for CAD & DM You realize that as an Advanced Practice Nurse you must ask questions regarding sensitive topics. To be most effective you employ the basic principles that guide responses to sensitive topics. All of these are important which is the most... - Be nonjudgmental Susie Lee presents for a checkup to your office. You have not seen her before but she was last seen by the MD in your group for a URI 2 years ago. According to the CPT definition she is classified as... - Established Ms. Waters is being assessed for a job physical. You ask her about her exercise regimen. She responds that she uses the treadmill every day for 30 minutes. What would be your next question? - How long have you been doing this? Which of the following would a woman age 19 need screened ? - dental screen- no pap till 21 Shirley age 56 presents with a blood pressure of 156/94 mmhg. Your history taking should: - Be directed toward symptoms suggesting causes of HTN. Include an evaluation of dietary intake & physical activity. evaluate all OTC drugs, herbal remedies or illicit drug use. Correct answer: all of the above Screening is considered a form of: - secondary prevention You are planning to promote the flu vaccine with your patients. This is an example of... - primary prevention When performing a clinical breast examination, you take special care to examine the upper outer quadrants and axillae because: - the upper outer quadrant is the most frequent location of breast cancer. While examining a patient's breast, you palpate a mass in the upper outer quadrant of the right breast. To assess this mass further, you would: - Determine the contour and mobility of the mass A positive clinical sign on the physical exam indicating pneumonia is: - Dullness on percussion Which physical finding is most suggestive of bronchitis? - Scattered wheezing or rhonchi A 63-year-old mail carrier presents to your clinic because he has had a cough productive of green sputum for 2 weeks, accompanied by a fever as high as 103°F over the past 3 days. You make a diagnosis of lobar pneumonia. What type of sound would you expect to hear with percussion? - Dull Resonant While auscultating the lungs of an obese patient, you would expect the breath sounds to be: - Softer and more distant Expected examination findings in the healthy adult lung include: - Muffled voice sounds and symmetric tactile fremitus A mucous plug over a mainstem bronchus would produce: Whispered pectoriloquy - Absent breath sounds A 52 yr old female with known CHF reports dyspnea with minimal exertion (walking from room to room). In what NYHA functional class is she? - Class III Which of the following physical exam findings would lead you to suspect hyperlipidemia? - Xanthoma of inner canthus A 58-year-old dentist presents to your office for a routine checkup. He has been healthy. He is a nonsmoker and does not drink alcohol. On physical examination of the heart, you hear a moderately loud murmur, and there is no palpable thrill. What is the appropriate grade for this murmur? - Grade 3 A 57-year-old college professor is hospitalized for shortness of breath. You are asked to examine her as part of your hospital rotation. You perform a cardiac examination and measure the jugular venous pressure (JVP). To obtain a more accurate measurement of her JVP, you have to elevate the patient s head to 75 degrees. You obtain a measurement of 7 cm above the sternal angle. This finding is most consistent with which one of the following diagnoses? - Right-sided heart failure A 60-year-old landscaper presents to your office to establish care. He has a history of congestive heart failure that is well controlled on his medications. He denies current symptoms of chest pain, pressure, or dyspnea; he denies swelling in his lower