NURS 6512 Final Exam – Question and Answers

NURS 6512 Final Exam – Question and Answers 1. 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: 2. Nerves that arise from the brain rather than the spinal cord are called: 3. The checkout station for preparticipation physical evaluation (PPE) is critical because at this point: 4. Temporalis and masseter muscles are evaluated by: 5. To assess a cremasteric reflex, the examiner strokes the: 6. 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: 7. The goals of preparticipation sports evaluation include: 8. The difference in blood pressure readings between the right and the left arms is considered normal up to________mm Hg. 9. A finding that is indicative of osteoarthritis is: 10. The rectal past medical history of all patients should include inquiry about: 11. When conducting a geriatric assessment, basic activities of daily living (ADLs) include: 12. A 62 year old female presents to the clinic with complains of chest pain and heart palpitations that started 3 days ago. Patient states she is healthy and only has a history of hypertension and tachycardia. Patient is currently taking Norvasc 10mg daily and Coreg 6.25 mg BID. You order an EKG and it shows heart rate above 200 beats/min and the ECG may look like a sawtooth cog. What is the most likely diagnosis of this patient? 13. You order an ECG on a patient that c/o feeling heart palpitations, chest pain, shortness of breath. Your ECG shows irregular heart rate and you determine that you need to call EMS immediately because this rhythm can cause death. What rhythm would you suspect the ECG is showing? 14. 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: 15. 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. 16. Examination of the patient in the lithotomy, or knee-chest, position includes: 17. A patient in the deepest coma would be scored a__________on the Glasgow Coma Scale. 18. Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of: 19. Which medical condition would exclude a person from sports participation? 20. Which one of the following techniques is used to detect a torn meniscus? 21. A grade IV mitral regurgitation murmur would: 22. If pitting edema is unilateral, you would suspect occlusion of a: 23. 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: 24. 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: 25. Breath sounds normally heard over the trachea are called: 26. For purposes of examination and communication of physical findings, the breast is divided into: 27. Bimanual examination of the uterus includes: 28. To hear diastolic heart sounds, you should ask patients to: 29. The presence of cervical motion tenderness may indicate: