NURS 6512 Final Exam Final Exam

1 out of 1 points During chest assessment, you note the patient's voice quality while auscultating the lung 昀椀elds. The voice sound is intensi昀椀ed, there is a nasal quality to the voice, and the e's sound like a s. This sound is indicative of: Selected Answer: lung consolidation. • Question 2 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: Selected Answer: cerebellar ataxia. • Question 3 1 out of 1 points Diabetic peripheral neuropathy will likely produce: Selected Answer: diminished pain sensation. • Question 4 Montgomery tubercles are most prominent in the breasts of: Selected Answer: pregnant women. • Question 5 Which one of the following techniques is used to detect a torn meniscus? Selected Answer: McMurray test • Question 6 Ulnar deviation and boutonniere deformities are characteristic of: lOMoARcPSD| Selected Answer: rheumatoid arthritis. • Question 7 A pulsation that is diminished to the point of being barely palpable would be graded as: Selected Answer: 1 • Question 8 In the most effective percussion technique of the posterior lung 昀椀elds, the patient cooperates by: Selected Answer: folding the arms in front. Question 9 When palpating joints, crepitus may occur when: Selected Answer: irregular bony surfaces rub together. • Question 10 While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding: Selected Answer: alcohol, tobacco, and caffeine use. • Question 11 Postural hypotension is de昀椀ned as a when the patient stands, compared with sitting or supine readings. Selected Answer: systolic pressure drop of more than 15 mm Hg with a pulse rate increase • Question 12 You are examining a patient in the emergency department who has recently sustained head trauma. In order to initially assess this patient's neurologic status, you would: Selected Answer: test the six cardinal points of gaze. • Question 13 lOMoARcPSD| Temporalis and masseter muscles are evaluated by: Selected Answer: having the patient clench his or her teeth. • Question 14 A parent is advised to restrict contact or collision sports participation for their child. An example of a sport in which this child could participate is: Selected Answer: ri昀氀ery. • Question 15 Cranial nerve XII may be assessed in an infant by: Selected Answer: observing the infant suck and swallow. • Question 16 The reliability of health-related 昀椀ndings and observations is the responsibility of the: Selected Answer: professional and the patient. • Question 17 Normal changes of the aging brain include: Selected Answer: diminished perception of touch. • Question 18 The adnexa of the uterus are composed of the: Selected Answer: fallopian tubes and ovaries. • Question 19 For purposes of examination and communication of physical 昀椀ndings, the breast is divided into: Selected Answer: four quadrants plus a tail. • Question 20 A patient in the deepest coma would be scored a on the Glasgow Coma Scale. Selected Answer: 3 lOMoARcPSD| • Question 21 A patient you are seeing in the emergency department for chest pain is suspected of having a myocardial infarction. During the health history interview of his family history, he relates that his father had died of "heart trouble." The most important follow-up question you should pose is which of the following? Selected Answer: "What age was your father at the time of his death?" • Question 22 Nerves that arise from the brain rather than the spinal cord are called: Selected Answer: cranial. • Question 23 While examining a 30-year-old woman, you note that one breast is slightly larger than the other. In response to this 昀椀nding, you should: Selected Answer: note the 昀椀nding in the patient’s record. • Question 24 In the adult, the apical impulse should be most visible when the patient is in what position? Selected Answer: Upright • Question 25 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 昀椀nding is to: Selected Answer: suggest pregnancy testing. • Question 26 Tarry black stool should make you suspect: Selected Answer: upper intestinal bleeding. • Question 27 To assess spinal levels L2, L3, and L4, which deep tendon re昀氀ex should be tested? lOMoARcPSD| Selected Answer: Patellar • Question 28 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: Selected Answer: moderately loud. • Question 29 To assess a cremasteric re昀氀ex, the examiner strokes the: Selected Answer: inner thigh and observes whether the testicle and scrotum rise on the stroked side. • Question 30 An examiner has rotated a brush several times into the cervical os. The brush was withdrawn and stroked lightly on a glass slide. The slide was sprayed with 昀椀xative. Which type of specimen requires this technique for collection? Selected Answer: Cytology smear • Question 31 Functional assessment is most important during the examination of a(n): Selected Answer: older adult. • Question 32 To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with: Selected Answer: one arm overhead and a pillow under her shoulder. • Question 33 Part of the screening orthopedic component of the examination includes evaluating the person while he or she is: Selected Answer: duck walking. • Question 34 When is the mental status portion of the neurologic system examination performed? lOMoARcPSD| Selected Answer: Constantly, throughout the entire interaction with a patient • Question 35 If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation? Selected Answer: CN XI, spinal accessory • Question 36 One of the most important aspects to consider in the orthopedic screening examination is: Selected Answer: symmetry. • Question 37 Mini-Mental State Examination should be administered for the patient who: Selected Answer: gets lost in her neighborhood. • Question 38 If pitting edema is unilateral, you would suspect occlusion of a: Selected Answer: The major vein. • Question 40 The best way to ease the apprehension of a 3-year-old child before a physical examination is to: Selected Answer: let the child hold the stethoscope while you listen. • Question 39 You are examining Mr. S., a 79-year-old diabetic man complaining of claudication. Which of the following physical 昀椀ndings is consistent with the diagnosis of arterial occlusion? Selected Answer: Loss of hair over the extremity Question 41 lOMoARcPSD| 1 out of 1 points Nancy Walker is a 16-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her mother reports that Nancy, apart from occasional colds, Nancy is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Nancy’s current problem? Selected Answer: Cocaine use • Question 42 Your patient’s chief complaint is repeated pencil-like stools. Further examination should include: Selected Answer: digital rectal examination (DRE). • Question 43 To hear diastolic heart sounds, you should ask patients to: Selected Answer: lie on their left sides. • Question 44 The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the: Selected Answer: QRS complex. • Question 45 Kawasaki disease is suspected when assessments of a child reveal: Selected Answer: conjunctival injection, strawberry tongue, and edema of the hands and feet. • Question 46 Which one of the following is a proper technique for use of a speculum during a vaginal examination? Selected Press introitus downward; insert closed speculum obliquely. • Question 47 lOMoARcPSD| You are interviewing a 20-year-old patient with a new-onset psychotic disorder. The patient is apathetic and has disturbed thoughts and language patterns. The nurse recognizes this behavior pattern as consistent with a diagnosis of: Selected Answer: schizophrenia. • Question 48 Inspection of the scrotum should reveal: Selected Answer: left scrotal sac lower than the right. • Question 49 The 昀椀nger-to-nose test allows assessment of: Selected Answer: coordination and 昀椀ne motor function. • Question 50 Bimanual examination of the uterus includes: Selected Answer: grasping the cervix between the examining 昀椀ngers. • Question 51 You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should: Selected Answer: inquire about previous penile infections. • Question 52 The difference in blood pressure readings between the right and the left arms is considered normal up to _10 mm Hg. Selected Answer: 1 0 • Question 53 When you attempt to move a 10-month-old child from his mother’s lap to the examination table, he screams loudly. Your best action is to: Selected Answer: perform the examination while the child is in the mother’s lap. lOMoARcPSD| • Question 54 It is especially important to test for ankle clonus if: Selected Answer: deep tendon re昀氀exes are hyperactive. • Question 55 The checkout station for preparticipation physical evaluation (PPE) is critical because at this point: Selected Answer: coordination of follow-ups is reviewed. • Question 56 A 昀椀nding that is indicative of osteoarthritis is: Selected Answer: Heberden nodes. • Question 57 When palpating breast tissue, the examiner should use the at each site. Selected 昀椀nger pads, gliding • Question 58 Which portion of the physical examination is best done with the patient standing? Answer: Spinal • Question 59 Throughout the history and physical examination, the clinician should: Selected Answer: evaluate the whole patient. • Question 60 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: Selected Answer: Romberg sign. lOMoARcPSD| • Question 61 Anterior cruciate ligament integrity is assessed via the test. Selected Answer: Lachman • Question 62 Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify: Selected Answer: uremia • Question 63 The Mini-Mental State Examination: Selected Answer: may be used to quantitatively estimate cognitive changes. • Question 65 Answer: A common 昀椀nding in markedly obese and pregnant women is: Selected Answer: lordosis. • Question 66 The strength of the trapezius muscle is evaluated by having the patient: Selected Answer: push her head against the examiner’s hand. • Question 64 The Denver II is a tool used to determine: Selected Answer: whether a child is developing as expected. • Question 67 A red, hot swollen joint in a 40-year-old man should lead you to suspect: lOMoARcPSD| Selected Answer: gout. • Question 68 Examination of the patient in the lithotomy, or knee-chest, position includes: Selected Answer: palpation of anal sphincter tone. • Question 69 Assessing orientation to person, place, and time helps determine: Selected Answer: state of consciousness. • Question 70 When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the: Selected Answer: presence and form of body parts. • Question 71 Darian is a 14 year old adolescent who states right testicle has a soft swollen mass. A 12-year-old boy relates that his left scrotum has a soft swollen mass. The scrotum is not painful upon palpation. The left inguinal canal is without masses. The mass does transilluminate with a penlight. This collection of symptoms is consistent with: Selected Answer: hydrocele. • Question 72 geneThe rectal past medical history of all patients should include inquiry about: Selected Answer: hemorrhoid surgery. • Question 73 The goals of preparticipation sports evaluation include: Selected Answer: identifying risk of injury or death during sports participation. • Question 74 lOMoARcPSD| An idiopathic spasm of arterioles in the digits is termed: Selected Answer: Raynaud disease. • Question 75 A cervical polyp usually appears as a: Selected Answer: bright-red soft protrusion from the endocervical canal. • Question 76 Your older clinic patient is being seen today as a follow-up for a 2-day history of pneumonia. The patient continues to have a productive cough, shortness of breath, and lethargy and has been spending most of the day lying in bed. You should begin the chest examination by: Selected Answer: auscultating the lung bases. • Question 77 Which condition is considered progressive rather than reversible? Selected Answer: Dementia • Question 78 Recent unilateral inversion of a previously everted nipple suggests: Selected Answer: cancer. • Question 79 Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the: Selected Answer: P wave. • Question 80 An apical PMI palpated beyond the left 昀椀fth intercostal space may indicate: Selected Answer: left ventricular hypertrophy.