Advanced Health Assessment final examination

NURS 6630N|Advanced Health Assessment final examination|NURS 6630N: Advanced Health Assessment final examination 1. Which portion of the physical examination is best done with the patient standing? spinal 2. To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested? patellar 3. To assess a cremasteric reflex, the examiner strokes the: lightly stroking the inner thigh 4. Which condition is considered progressive rather than reversible? dementia 5. When palpating breast tissue, the examiner should use the pads of the fingers at each site. 6. Palpation of a normal prostate in an older adult is likely to feel: rubbery 7. The difference in blood pressure readings between the right and the left arms is considered normal up to 5 mm Hg. 8. 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: menstrual cycles 9. Cranial nerve XII may be assessed in an infant by: sucking and swallowing 10. While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding: Alcohol, tobacco and caffeine. 11. An idiopathic spasm of arterioles in the digits is termed: Reynaud’s 12. 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: pregnancy 13. Assessing orientation to person, place, and time helps determine: state of consciousness 14. The rectal past medical history of all patients should include inquiry about: hemorrhoid surgery 15. To hear diastolic heart sounds, you should ask patients to: lie on their left sides 17. Your patient's chief complaint is repeated pencil-like stools. Further examination should include: a digital rectal exam. 18. Kawasaki disease is suspected when assessments of a child reveal: conjunctival injection, strawberry tongue, and edema of the hands and feet. 19. The examiner percusses for diaphragmatic excursion along the: scapular line 20. If pitting edema is unilateral, you would suspect occlusion of a: major vein 21. Which medical condition would exclude a person from sports participation? fever 22. The Mini-Mental State Examination: Getting lost in familiar territory is a sign of possible cognitive impairment. 23. An ophthalmoscopic eye examination involves: Lens age 25. A common finding in markedly obese and pregnant women is: Lordosis 26. When conducting a geriatric assessment, basic activities of daily living (ADLs) include: Bathing 27. The finger-to-nose test allows assessment of: coordination 28. Inspection of the scrotum should reveal: left lower than the right 29. Part of the screening orthopedic component of the examination includes evaluating the person while he or she is: duck walking. 30. In the most effective percussion technique of the posterior lung fields, the patient cooperates by: crossing arms in front 31. Normal changes of the aging brain include: Diminished touch and pain 32. Ulnar deviation and boutonniere deformities are characteristic of: Rheumatoid arthritis 33. A cervical polyp usually appears as a: bright red, soft protrusion from the endocervical canal. 34. Bimanual examination of the uterus includes: using two hands and external and internal exam? 35. If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation? XI 36. Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the: p wave 37. Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of: Older adults 38. The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the: QRS 39. 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: cerebellar ataxia 40. The reliability of health-related findings and observations is the responsibility of the: patient and examiner or professional 41. The physical assessment technique most frequently used to assess joint symmetry is: inspection 42. The presence of cervical motion tenderness may indicate: pelvic inflammatory disease. 43. The goals of preparticipation sports evaluation include: determining the risk of injury or death during sports participation. 44. A patient in the deepest coma would be scored a 3 on the Glasgow Coma Scale. 45. The adnexa of the uterus are composed of the: fallopian tubes and the ovaries 46. Montgomery tubercles are most prominent in the breasts of: pregnant women 47. Palpation of epitrochlear nodes is part of the: upper extremities 48. 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: bronchial obstruction 49. When palpating joints, crepitus may occur when: irregular bony surfaces rub together 50. Examination of the patient in the lithotomy, or knee-chest, position includes: anal sphincter