NURS 612 Advanced Health Assessment Exam 4 Practice Questions with verified Answers (Maryville University)

NURS 612 Advanced Health Assessment Exam 4 Practice Questions with verified Answers (Maryville University) A patient’s inability to follow simple instructions could indicate with of the following findings? A. Dysphonia B. Amnesia C. Aphasia D. Depression D. Depression A patient scores a 3 on a mini-cog assessment instrument for dementia, what does this score indicate? A. Advanced dementia B. Early dementia C. Need for further evaluation D. Negative screen for dementia D. Negative screen for dementia The examiner asks the patient to complete this statement: "A bird is to air as a fish is to _________." This is an example of what type of testing? A Calculation B Analogies C Judgment D Mood and feelings B. Analogies sexually active 22-year-old, complains of gross vaginal discharge. Which question would help understand the symptom? A. Do you use condoms? B. What type of birth control do you use C. at what age did you start your period D. DO you have a family history of ovarian or breast cancer? A. Do you use condoms? a 62-year-old female went through menopause 14 years ago. Which statement by the patient indicates a need for follow up" A. I have not been sexually for about 4 years B. my pubic hair has become very thin C. I have small amounts of vaginal bleeding a few times a week D. I have been taking extra calcium since I reached menopause C. I have small amounts of vaginal bleeding a few times a week Assume that the patient’s response to the examiner in question 3 is scales. What does this response likely reflect? A. Left cerebral hemisphere lesion B. Depression C. eating disorder D. Aphasia A. Left cerebral hemisphere lesion Which type of assessment should be used to evaluate the mental status of a patient with head trauma? A. PHQ B. Perceptual distortion assessment C. Glasgow Coma Scale D. Functional Assessment C. Glasgow Coma Scale Which of the following indicates possible cognitive impairment? A. ability to complete personal care without assistance B. Suspiciousness or inappropriate affect C. Articulate communication D. Prudent behavior and calm demeanor B. Suspiciousness or inappropriate affect The patient is asked to bear down while the examiner palpates the inguinal ring. The examiner feels a soft swelling sensation on the fingertip. the patient complains of pain while straining. These findings are consistent with which of the following? A. Indirect hernia B. Direct hernia C. Femoral hernia D. Rectal hernia A. Indirect hernia The examiner inspects the scrotum of 43 yr old man. Which of the following requires further evaluation? A. left testicle hangs lower than the right B. Scrotum is darker than general skin color C. Skin on scrotum is shiny and smooth D. Scrotum has a midline raphe. C. Skin on scrotum is shiny and smooth Which finding may indicate diabetes? A. the vas deferens feels lumpy or beaded B. The testicle feels hard with a lump C. Sebaceous cysts are present on the scrotal skin D. The urethra has a slit like orifice A. The vas deferens feels lumpy or beaded. During an examination for a hernia and adult male should: A. Be asked to stand B. be in a supine position C. sit on the table with heels together D. Assume a knee-chest position on the exam table. A. be asked to stand Which of the following testicular characteristics is associated with syphilis or diabetic neuropathy? A. Asymmetry or drooping B. Bilateral enlargement C. Insensitivity to pain D. Migration to abdomen C. Insensitivity to pain What type of hernia would you typically see in a 15-year-old male? A. femoral B. umbilical C. direct inguinal D. indirect inguinal C. Direct inguinal hernia Which patient characteristics is associated with smegma as an expected finding? A. uncircumcised B. prepubertal C. sexually active D. transgender A. Uncircumcised A 24-year-old male has scrotal pain and marked erythema. The examiner considers epididymitis. Which other finding is most consistent with this finding? A. Absent cremasteric reflex B. Anorexia and nausea C. Acute onset of severe pain D. urethral discharge D. Urethral discharge