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FINAL EXAM TEST BANK
ADVANCED HEALTH ASSESSMENT
ADVANCED HEALTH ASSESSMENT FINAL
EXAM 3 NEWEST VERSION 2025 WITH
COMPLETE 350 VERIFIED QUESTIONS AND
ANSWERS WITH DETAILED RATIONALES
GRADED A+ GUARANTEED PASS SOLUTION
100% TEST BANK
1. Which is the best way to position a patient's neck for palpation of the thyroid?
Flexed away from the side being examined
Flexed directly forward
Flexed toward the side being examined
Hyperextended directly backward - ANS :ANS: C
The patient should be positioned so that the sternocleidomastoid muscle is relaxed and the
thyroid is easier to palpate. This is done by having the patient flex the neck slightly forward
and laterally toward the side being examined.
2. The thyroid gland should
a. be slightly left of midline.
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FINAL EXAM TEST BANK
ADVANCED HEALTH ASSESSMENT
have a clear vascular sound.
move when the patient swallows.
tug with each heartbeat. - ANS :ANS: C
It is a normal finding for the thyroid gland to move with swallowing; however, being off center
may indicate a nodular growth or enlargement. The thyroid gland should not be slightly left of
midline. Vascular sounds indicate hypermetabolic states such as hyperthyroidism, and a tug
with each heartbeat is a sign of an aortic aneurysm.
3. You are palpating a patient's thyroid and find that its broadest dimension measures 4
cm. The right lobe is 25% larger than the left. These data would indicate
a congenital anomaly.
a multinodular goiter.
a normal thyroid gland.
thyroiditis. - ANS :c
The situation described is most likely a normal finding; the right lobe of the thyroid gland is
typically 25% larger than the left and measures 4 cm. The other choices produce enlargements
beyond these normal findings.
4. When noting a bulging fontanel with marked pulsations in a 6-month-old, you suspect
normal development.
congenital anomaly.
increased intracranial pressure.
fever response to a viral infection. - ANS :ANS: C
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FINAL EXAM TEST BANK
ADVANCED HEALTH ASSESSMENT
A bulging fontanel with pulsations suggests increased intracranial pressure. A normal fontanel
feels slightly depressed, with mild pulsations.
5. You observe pupillary response as the patient looks at a distant object and then at an
object held 10 cm from the bridge of the nose. You are assessing for
confrontation reaction.
accommodation.
pupillary light reflex.
nystagmus. - ANS :ANS: B
Testing for accommodation involves asking the patient to look at an object at a distance
(pupils dilate) and then to look at another, much closer object (pupils constrict).
6. Examination to assess for extraocular muscle imbalance is conducted by
comparing pupillary responses to different shapes.
having the patient follow your finger through planes.
inspecting slightly closed lids for fasciculations.
transilluminating the cornea with tangential light. - ANS :ANS: B
The test for extraocular muscle function is to have the patient follow an object as you move it
through planes of vision while observing for nystagmus.
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FINAL EXAM TEST BANK
ADVANCED HEALTH ASSESSMENT
7. Cupping of the optic disc may be a result of
migraine headaches.
diabetes.
glaucoma.
dehydration. - ANS :c
Cupping is seen with causes of increased intraocular pressure, such as glaucoma. Migraine
headaches, diabetes, and dehydration do not cause cupping of the optic disc. Diabetes
results in cotton wool patches and hemorrhages.
1. Mr. Sprat is a 21-year-old patient who complains of nasal congestion. He admits to
using recreational drugs. On examination, you have noted a septal perforation. Which
of the following recreational drugs is commonly associated with nasal septum
perforation?a. Heroin
b. Cocaine c. PCPd. Ecstasy - ANS :ANS: B
Long-term cocaine snorting causes ischemic necrosis of the septal cartilage and leads to
perforation of the nasal septum.
2. Mr. and Mrs. Johnson have presented to the office with their infant son with
complaints of ear drainage. When examining an infant's middle ear, the nurse should
use one hand to stabilize
the otoscope against the head while using the other hand to
pull the auricle down and back.
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FINAL EXAM TEST BANK
ADVANCED HEALTH ASSESSMENT
ADVANCED HEALTH ASSESSMENT FINAL
EXAM 3 NEWEST VERSION 2025 WITH
COMPLETE 350 VERIFIED QUESTIONS AND
ANSWERS WITH DETAILED RATIONALES
GRADED A+ GUARANTEED PASS SOLUTION
100% TEST BANK
1. Which is the best way to position a patient's neck for palpation of the thyroid?
Flexed away from the side being examined
Flexed directly forward
Flexed toward the side being examined
Hyperextended directly backward - ANS :ANS: C
The patient should be positioned so that the sternocleidomastoid muscle is relaxed and the
thyroid is easier to palpate. This is done by having the patient flex the neck slightly forward
and laterally toward the side being examined.
2. The thyroid gland should
a. be slightly left of midline.
1|Page
, 2
FINAL EXAM TEST BANK
ADVANCED HEALTH ASSESSMENT
have a clear vascular sound.
move when the patient swallows.
tug with each heartbeat. - ANS :ANS: C
It is a normal finding for the thyroid gland to move with swallowing; however, being off center
may indicate a nodular growth or enlargement. The thyroid gland should not be slightly left of
midline. Vascular sounds indicate hypermetabolic states such as hyperthyroidism, and a tug
with each heartbeat is a sign of an aortic aneurysm.
3. You are palpating a patient's thyroid and find that its broadest dimension measures 4
cm. The right lobe is 25% larger than the left. These data would indicate
a congenital anomaly.
a multinodular goiter.
a normal thyroid gland.
thyroiditis. - ANS :c
The situation described is most likely a normal finding; the right lobe of the thyroid gland is
typically 25% larger than the left and measures 4 cm. The other choices produce enlargements
beyond these normal findings.
4. When noting a bulging fontanel with marked pulsations in a 6-month-old, you suspect
normal development.
congenital anomaly.
increased intracranial pressure.
fever response to a viral infection. - ANS :ANS: C
2|Page
, 3
FINAL EXAM TEST BANK
ADVANCED HEALTH ASSESSMENT
A bulging fontanel with pulsations suggests increased intracranial pressure. A normal fontanel
feels slightly depressed, with mild pulsations.
5. You observe pupillary response as the patient looks at a distant object and then at an
object held 10 cm from the bridge of the nose. You are assessing for
confrontation reaction.
accommodation.
pupillary light reflex.
nystagmus. - ANS :ANS: B
Testing for accommodation involves asking the patient to look at an object at a distance
(pupils dilate) and then to look at another, much closer object (pupils constrict).
6. Examination to assess for extraocular muscle imbalance is conducted by
comparing pupillary responses to different shapes.
having the patient follow your finger through planes.
inspecting slightly closed lids for fasciculations.
transilluminating the cornea with tangential light. - ANS :ANS: B
The test for extraocular muscle function is to have the patient follow an object as you move it
through planes of vision while observing for nystagmus.
3|Page
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FINAL EXAM TEST BANK
ADVANCED HEALTH ASSESSMENT
7. Cupping of the optic disc may be a result of
migraine headaches.
diabetes.
glaucoma.
dehydration. - ANS :c
Cupping is seen with causes of increased intraocular pressure, such as glaucoma. Migraine
headaches, diabetes, and dehydration do not cause cupping of the optic disc. Diabetes
results in cotton wool patches and hemorrhages.
1. Mr. Sprat is a 21-year-old patient who complains of nasal congestion. He admits to
using recreational drugs. On examination, you have noted a septal perforation. Which
of the following recreational drugs is commonly associated with nasal septum
perforation?a. Heroin
b. Cocaine c. PCPd. Ecstasy - ANS :ANS: B
Long-term cocaine snorting causes ischemic necrosis of the septal cartilage and leads to
perforation of the nasal septum.
2. Mr. and Mrs. Johnson have presented to the office with their infant son with
complaints of ear drainage. When examining an infant's middle ear, the nurse should
use one hand to stabilize
the otoscope against the head while using the other hand to
pull the auricle down and back.
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