Nurs 5220 Advanced Health Assessment Exam 3 Newest
2025 Actual Exam Complete 200 Questions And Correct
Answers(Verified Answers)|Already Graded A+
On rectal examination, you note a lax anal sphincter. This is an
indication of which problem?
A. Meckel diverticulum
B. Volvulus
C. Polyps
D. Neurologic deficit - ANSWER-D: CorrectA lax sphincter
may indicate neurologic deficit or sexual abuse.
ou are teaching a parent how to check for pinworms. When is
the best time to have the parent assess the child?
A. Right after the child wakes up
B. While the child is sleeping
C. Early afternoon
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D. Right before the child goes to bed - ANSWER-B: CorrectThe
best time to visualize pinworms in children is after they fall
asleep.
A patient presents to your clinic with rectal pain. On
examination, you note a tender, swollen mass in the superficial
subcutaneous tissue just adjacent to the anus. Of what is this an
indication?
A. Pilonidal cyst
B. Enlarged prostate
C. Perianal abcess
D. Hemorrhoids - ANSWER-C: CorrectPerianal abscess
presents as a tender, swollen, fluctuant mass in the superficial
subcutaneous tissue just adjacent to the anus.
ou are planning to assess range of motion (ROM) in a 56-year-
old patient with a complaint of joint pain. Which is an important
fact related to this assessment that must be considered?
A. The reverse tailor position is encouraged in adults with
limited ROM to the hip.
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B. Active ROM is used to assess extremities with complete
paralysis.
C. Full muscle strength can be maintained with up to 75% of
ROM to the related joint.
D. Passive ROM is normally 5 degrees greater than active ROM.
- ANSWER-D:CorrectWhen assessing joint motion, both active
and passive range of motion are examined. Passive range of
motion often exceeds active range of motion by 5 degrees.
The spine of a newborn infant is palpated and a split is noted in
one of the spinal processes. Which problem does the examiner
suspect?
A. Bifid defect
B. Lordosis
C. Down syndrome
D. Spina bifida - ANSWER-A: CorrectPosition the baby with
the trunk flexed, and palpate each spinal process. Feel the shape
of each, noting whether it is thin and well formed, as expected,
or whether it is split, possibly indicating a bifid defect.
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For what are you testing when you hold an infant in vertical
suspension with your hands under the axillae?
A. Fracture of the clavicle
B. Degree of muscle tone
C. General muscle strength
D. Hip dislocation - ANSWER-C: CorrectGeneral muscle
strength is evaluated by holding the infant in vertical suspension
with your hands under the axillae. Adequate shoulder muscle
strength is present if the infant maintains the upright position. If
the infant begins to slip through your fingers, proximal muscle
weakness is present.
With an infant lying supine on the examining table, both knees
flexed, feet flat on table, and femurs aligned, you note that one
knee is higher than the other. Which would be a correct
documentation of this finding?
A. Negative Neer test
B. Positive Allis sign
C. Negative Gower sign
D. Positive McMurray test - ANSWER-B: CorrectThe test for
the Allis sign is used to detect hip dislocation or a shortened