ANSWERS 2025/2026
The groove of the metacarpophalangeal joint can be palpated by having the patient: -
CORRECT ANSWER-Flex his hand
When auscultating breath sounds in a patient who has left sided heart failure, the
breath sounds are: - CORRECT ANSWER-vesicular with late inspiratory crackles in the
dependent portions of the lungs
and resonant on percussion
The ankle-brachial index is a screening test used to assess a person's risk for - CORRECT
ANSWER-Peripheral artery disease
Olecranon bursitis may be caused by all of the following except - CORRECT ANSWER-Frozen
shoulder
In patients who have allergic rhinitis, the nasal mucosa appears: - CORRECT ANSWER-pale
A term used to describe an increase in muscular bulk with diminished strength is - CORRECT
ANSWER-pseudohypertrophy
If abdominal pain persists when the patient raises his head and shoulders, the origin of
the tenderness is probably: - CORRECT ANSWER-In the abdominal wall
On auscultation of the abdomen, rushes of high-pitched sounds are audible and coincide
,with abdominal cramps. These findings are most consistent with - CORRECT ANSWER-
Intestinal obstruction
Ophthalmoscopic examination of the fundus reveals tiny, round, red spots in and
around the macular area. These findings are consistent with - CORRECT ANSWER-
Microaneurysms
Symptoms of a subdural hematoma include: - CORRECT ANSWER-Noticeable bleeding
between the dura and the cerebrum on x-ray
On examination of the adult patient, symptoms of flexed posture, tremor, rigidity, and
shuffling gait are observed. These findings are consistent with - CORRECT ANSWER-
Parkinson's disease
When discussing the musculoskeletal system, all of the following statements related to
articular structure disease are true except which one? - CORRECT ANSWER-Articular disease
is usually due to stiffness or pain
Focal tenderness over the trochanter confirms: - CORRECT ANSWER-Bursitis
Assessing the neurological status of a child with a ventriculoperitoneal shunt should
include: - CORRECT ANSWER-Use of the Glasgow coma scale
The earliest recognizable clinical manifestation(s) of cystic fibrosis in an infant is: - CORRECT
ANSWER-Salty taste on the skin
A reddish blue, irregularly shaped, solid and spongy mass of blood vessels that may be
present at birth and enlarge during the first 10 to 15 months is characteristic of a: - CORRECT
ANSWER-Cavernous hemangioma
, The hamstring muscles flex the knee and are located on the: - CORRECT ANSWER-Posterior
aspect of the thigh
Ophthalmoscopic examination reveals dark specks noted between the fundus and the
lens. These specks are most likely: - CORRECT ANSWER-Vitreous floaters
When performing the first Leopold maneuver on a pregnant woman, if the buttocks and
head are not easily palpated at the fundus, the fetus is said to be in: - CORRECT ANSWER-
Transverse lie
When performing a musculoskeletal examination, the nurse practitioner instructs the
patient to move his arm in front of his body. This motion of the shoulder girdle would be
an example of: - CORRECT ANSWER-Flexion
To locate the twelfth rib, palpate: - CORRECT ANSWER-Between the spine and the lateral
chest
Walking on the toes and heels may reveal: - CORRECT ANSWER-Distal muscular weakness in
the legs
When performing a bimanual exam of the vagina, the examiner should lubricate the
index and middle fingers of a gloved hand. From a standing position, the fingers should
be inserted into the vagina while exerting pressure primarily - CORRECT ANSWER-Posteriorly
During pregnancy, which hormone results in increased blood viscosity? - CORRECT ANSWER-
Erythropoietin
Resting tremors refer to those tremors that disappear: - CORRECT ANSWER-With voluntary
movement