NURS6512/NURS 6512: Advanced Health
Assessment Final Exam Version 1 (latest
2020/2021) Walden University
1. Costovertebral angle tenderness should be assessed whenever you suspect
the patient may have: - Polynephritis
2. In older adults, overflow fecal incontinence is commonly due to: -Fecal impaction
3. A 1-month-old boy has been vomiting for 2 weeks. How is this symptom of GERD
and pyloric stenosis further differentiated in this child’s assessment? – The infant
has regurgitation with pyloric stenosis
4. Auscultation of borborygmi is associated with: - Gastroenteritis, early intestinal
obstruction, or hunger
5. When auscultating the abdomen, which finding would indicate collateral
circulation between the portal and systemic venous systems? – Venous hum
6. Conversion of fat-soluble wastes to water-soluble material for renal excretion
is a function of the: - Liver
7. The major function of the large intestine is: -Water absorption
8. Which structure is located in the hypogastric region of the abdomen? –Ileum,
bladder, and pregnant uterus
9. A 45-year-old man relates a several week history of severe intermittent
abdominal burning sensations. He relates that the pain is relieved with small
amounts of food. Before starting the physical examination, you review his
laboratory work, anticipating a (n): -Positive Helicobacter pylori result
10. You are caring for a patient with trigeminal neuralgia. During the
assessment, the patient would describe the pain as: - Burning or shocklike
11. Your 85-year-old patient is complaining of right knee pain. She has a history of
osteoarthritis for which she is given anti-inflammatory medication. To assess her
right knee pain, you should ask her if: - The pain gets better when she sits
12. A 5-year-old is complaining of nondescriptive “belly pain.” Your next action
should be to ask him to: - Point to the area of pain
13. The perception of pain: - Is variable and is affected by emotions, and cultural
background
14. Patients presenting with ascites, jaundice, cutaneous spider veins, and
nonpalpable liver exhibit signs of: - Cirrhosis
15. A patient presents to the emergency department after a motor vehicle accident.
The patient sustained blunt trauma to the abdomen and complains of pain in the
,upper left quadrant that radiates to the left shoulder. What organ is most likely
injured? – Spleen
,16. Imaging studies reveal that a patient has dilation of the renal pelvis from an
obstruction in the ureter, what condition will be documented in this patient’s health
record? – Hydronephrosis
17. Visible intestinal peristalsis may indicate: - Intestinal obstruction
18. Infants born weighing less than 1500g are at higher risk for: - Necrotizing
enterocolitis
19. Which of the following factors is not known to affect patient compliance with
his or her treatment regimen? – The patient’s age and social status
20. One of the most important aspects to consider in the orthopedic
screening examination is: - Symmetry
21. The sequence of the physical examination should be individualized to: -
Minimize the number of times the patient has to change positions to conserve
the patient’s energy
22. As you greet the patient, which examination technique is first implemented? -
Inspection
23. Which of the following is most likely to enhance examiner reliability? – The
examiner attempts to qualify data
24. A 7-year-old boy is brought to your office with a chief complaint of possible
fracture to his left third finger. He jammed it while playing basketball 2 days ago.
The mother states that she really does not think it is broken because he can move
it. What is your best response? – This is common misconception, and the finger may
be broken. An x-ray is indicated.
25. A patient presenting for the first time with typical low back pain should
receive which of the following diagnostic tests? – None of the above. X-ray is not
indicated because lumbar pain is usually musculoskeletal etiology.
26. Skeletal changes in older adults are the result of: -Increased bone resorption
27. A positive straight leg raise test usually indicates: - Lumbar nerve root irritation
28. What technique is performed at every infant examination during the first year
of life to detect hip dislocation? – Barlow-Ortolani maneuvers
29. Expected normal findings during inspection of spinal alignment include: - Convex
lumbar curve
30. Temporalis and masseter muscles are evaluated by: - Having the patient clench
his or her teeth
31. When palpating joints, crepitus may be caused when: - Irregular bony surfaces
rub together
32. A 3-year-old is brought to the clinic complaining of a painful right elbow. He is
holding the right arm slightly flexed and pronated and refuses to move it. the
, mother states that symptoms started right after his older brother had been
swinging him around by his arms. This presentation supports a diagnosis of: -
Radial head subluxation
Assessment Final Exam Version 1 (latest
2020/2021) Walden University
1. Costovertebral angle tenderness should be assessed whenever you suspect
the patient may have: - Polynephritis
2. In older adults, overflow fecal incontinence is commonly due to: -Fecal impaction
3. A 1-month-old boy has been vomiting for 2 weeks. How is this symptom of GERD
and pyloric stenosis further differentiated in this child’s assessment? – The infant
has regurgitation with pyloric stenosis
4. Auscultation of borborygmi is associated with: - Gastroenteritis, early intestinal
obstruction, or hunger
5. When auscultating the abdomen, which finding would indicate collateral
circulation between the portal and systemic venous systems? – Venous hum
6. Conversion of fat-soluble wastes to water-soluble material for renal excretion
is a function of the: - Liver
7. The major function of the large intestine is: -Water absorption
8. Which structure is located in the hypogastric region of the abdomen? –Ileum,
bladder, and pregnant uterus
9. A 45-year-old man relates a several week history of severe intermittent
abdominal burning sensations. He relates that the pain is relieved with small
amounts of food. Before starting the physical examination, you review his
laboratory work, anticipating a (n): -Positive Helicobacter pylori result
10. You are caring for a patient with trigeminal neuralgia. During the
assessment, the patient would describe the pain as: - Burning or shocklike
11. Your 85-year-old patient is complaining of right knee pain. She has a history of
osteoarthritis for which she is given anti-inflammatory medication. To assess her
right knee pain, you should ask her if: - The pain gets better when she sits
12. A 5-year-old is complaining of nondescriptive “belly pain.” Your next action
should be to ask him to: - Point to the area of pain
13. The perception of pain: - Is variable and is affected by emotions, and cultural
background
14. Patients presenting with ascites, jaundice, cutaneous spider veins, and
nonpalpable liver exhibit signs of: - Cirrhosis
15. A patient presents to the emergency department after a motor vehicle accident.
The patient sustained blunt trauma to the abdomen and complains of pain in the
,upper left quadrant that radiates to the left shoulder. What organ is most likely
injured? – Spleen
,16. Imaging studies reveal that a patient has dilation of the renal pelvis from an
obstruction in the ureter, what condition will be documented in this patient’s health
record? – Hydronephrosis
17. Visible intestinal peristalsis may indicate: - Intestinal obstruction
18. Infants born weighing less than 1500g are at higher risk for: - Necrotizing
enterocolitis
19. Which of the following factors is not known to affect patient compliance with
his or her treatment regimen? – The patient’s age and social status
20. One of the most important aspects to consider in the orthopedic
screening examination is: - Symmetry
21. The sequence of the physical examination should be individualized to: -
Minimize the number of times the patient has to change positions to conserve
the patient’s energy
22. As you greet the patient, which examination technique is first implemented? -
Inspection
23. Which of the following is most likely to enhance examiner reliability? – The
examiner attempts to qualify data
24. A 7-year-old boy is brought to your office with a chief complaint of possible
fracture to his left third finger. He jammed it while playing basketball 2 days ago.
The mother states that she really does not think it is broken because he can move
it. What is your best response? – This is common misconception, and the finger may
be broken. An x-ray is indicated.
25. A patient presenting for the first time with typical low back pain should
receive which of the following diagnostic tests? – None of the above. X-ray is not
indicated because lumbar pain is usually musculoskeletal etiology.
26. Skeletal changes in older adults are the result of: -Increased bone resorption
27. A positive straight leg raise test usually indicates: - Lumbar nerve root irritation
28. What technique is performed at every infant examination during the first year
of life to detect hip dislocation? – Barlow-Ortolani maneuvers
29. Expected normal findings during inspection of spinal alignment include: - Convex
lumbar curve
30. Temporalis and masseter muscles are evaluated by: - Having the patient clench
his or her teeth
31. When palpating joints, crepitus may be caused when: - Irregular bony surfaces
rub together
32. A 3-year-old is brought to the clinic complaining of a painful right elbow. He is
holding the right arm slightly flexed and pronated and refuses to move it. the
, mother states that symptoms started right after his older brother had been
swinging him around by his arms. This presentation supports a diagnosis of: -
Radial head subluxation
