MARYVILLE NURS 612 EXAM 2 Advanced
Health Assessment with Correct Questions &
Verified Answers
midsystolic murmur that radiates to left sternal border with a medium pitch; a
coarse thrill is palpated as well? - ANS✔✔--Aortic stenosis
During percussion, the patient holds his or her arms in front in order to? - ANS✔✔--
Expose maximum lung area
List 2 HPI questions for Chest pain - ANS✔✔--1. does the pain radiate to the arm or
jaw
2. Are there associated symptoms such as SOB, sweating or N/V
List 2 patient educations regarding sun exposure - ANS✔✔--1. Apply SPF of 30 or
after and reapply every 30 min to an hour
2. wear long sleeves and hat and avoid peak sun hours
When looking for skin cancer what does 'ABCDE' stand for - ANS✔✔--A - Asymmetry
- halves do not match and not equal
B - Borders - are they irregular, ragged, blurred
C - Color - is it the same throughout or varying in shades across area
D - Diameter - is it > 6mm
E - evolving/elavation
What is a skin lesion that resembles a lipoma and is > 1.5 mm considered? -
ANS✔✔--Nodule
What would you ask a young woman with possible thyroid issues? - ANS✔✔--Have
you been fatigued or had a change in your sleep patterns
Pt c/o allergies and wheezing what would you suspect? - ANS✔✔--Asthma
How do you assess for epitrochlear nodes - ANS✔✔--palpated the groove between
the tricep and bicep found proximal and slightly anterior to the medial epicondyle of the
humerous
What type of headache starts in the morning and eases up throughout the day? -
ANS✔✔--Hypertension HA
18 y/o with skin irritation that just started shaving? - ANS✔✔--folliculitis
, List 2 normal findings of when palpating the precordium - ANS✔✔--1. No heaves or
thrills
2. Apical pulse is at midclavicular line and 5th IC space <1cm
What is the #1 thing that you want to ask your patient with any kind of skin disorder -
ANS✔✔--Hx of IV drug use
What will you see when assessing cellulitis - ANS✔✔--redness, warmth, weeping
How do you examine tinea infections - ANS✔✔--woods lamp
HPI questions for pt with rash - ANS✔✔--1. have you used any new detergents,
soaps, or lotions
2. have you been in contact with someone with same rash
If the patient has a history of asthma and is exposed to allergens, what would you
expect if the patient comes in with wheezing? diagnosis? - ANS✔✔--SOB, coughing,
chest tightness; Acute asthma exacerbation;
patient says I was exposed to allergens and now I have a fever, what would the
diagnosis be - ANS✔✔--pnuemonia
What are some physical findings of a patient that is SOB? - ANS✔✔--use of
accessory muscles, are they able to perform ADLs, tripoding
What are you looking for if murmur is heard - ANS✔✔--T-DIPQ-LRV (timing, duration,
intensity, pitch, quality, location, radiation, variation with resp phase
HA with rapid and sudden onset, what are some of the differential diagnoses that you
would think of - ANS✔✔--Intracranial bleed or subarachnoid hemorrhage
HA with rapid and sudden onset in patient with cardiac issues what differential diagnosis
- ANS✔✔--CVA
What cranial nerves should always be assessed with HA - ANS✔✔--2 (optic) & 12
(Hypoglossal)
HA with fever, chills, and neck pain could indicate what - ANS✔✔--meningitis
Important HPI questions for HA - ANS✔✔--Onset and location
A 26 y/o female presents with complaints of fatigue and hair falling out what lab would
you check - ANS✔✔--TSH
Health Assessment with Correct Questions &
Verified Answers
midsystolic murmur that radiates to left sternal border with a medium pitch; a
coarse thrill is palpated as well? - ANS✔✔--Aortic stenosis
During percussion, the patient holds his or her arms in front in order to? - ANS✔✔--
Expose maximum lung area
List 2 HPI questions for Chest pain - ANS✔✔--1. does the pain radiate to the arm or
jaw
2. Are there associated symptoms such as SOB, sweating or N/V
List 2 patient educations regarding sun exposure - ANS✔✔--1. Apply SPF of 30 or
after and reapply every 30 min to an hour
2. wear long sleeves and hat and avoid peak sun hours
When looking for skin cancer what does 'ABCDE' stand for - ANS✔✔--A - Asymmetry
- halves do not match and not equal
B - Borders - are they irregular, ragged, blurred
C - Color - is it the same throughout or varying in shades across area
D - Diameter - is it > 6mm
E - evolving/elavation
What is a skin lesion that resembles a lipoma and is > 1.5 mm considered? -
ANS✔✔--Nodule
What would you ask a young woman with possible thyroid issues? - ANS✔✔--Have
you been fatigued or had a change in your sleep patterns
Pt c/o allergies and wheezing what would you suspect? - ANS✔✔--Asthma
How do you assess for epitrochlear nodes - ANS✔✔--palpated the groove between
the tricep and bicep found proximal and slightly anterior to the medial epicondyle of the
humerous
What type of headache starts in the morning and eases up throughout the day? -
ANS✔✔--Hypertension HA
18 y/o with skin irritation that just started shaving? - ANS✔✔--folliculitis
, List 2 normal findings of when palpating the precordium - ANS✔✔--1. No heaves or
thrills
2. Apical pulse is at midclavicular line and 5th IC space <1cm
What is the #1 thing that you want to ask your patient with any kind of skin disorder -
ANS✔✔--Hx of IV drug use
What will you see when assessing cellulitis - ANS✔✔--redness, warmth, weeping
How do you examine tinea infections - ANS✔✔--woods lamp
HPI questions for pt with rash - ANS✔✔--1. have you used any new detergents,
soaps, or lotions
2. have you been in contact with someone with same rash
If the patient has a history of asthma and is exposed to allergens, what would you
expect if the patient comes in with wheezing? diagnosis? - ANS✔✔--SOB, coughing,
chest tightness; Acute asthma exacerbation;
patient says I was exposed to allergens and now I have a fever, what would the
diagnosis be - ANS✔✔--pnuemonia
What are some physical findings of a patient that is SOB? - ANS✔✔--use of
accessory muscles, are they able to perform ADLs, tripoding
What are you looking for if murmur is heard - ANS✔✔--T-DIPQ-LRV (timing, duration,
intensity, pitch, quality, location, radiation, variation with resp phase
HA with rapid and sudden onset, what are some of the differential diagnoses that you
would think of - ANS✔✔--Intracranial bleed or subarachnoid hemorrhage
HA with rapid and sudden onset in patient with cardiac issues what differential diagnosis
- ANS✔✔--CVA
What cranial nerves should always be assessed with HA - ANS✔✔--2 (optic) & 12
(Hypoglossal)
HA with fever, chills, and neck pain could indicate what - ANS✔✔--meningitis
Important HPI questions for HA - ANS✔✔--Onset and location
A 26 y/o female presents with complaints of fatigue and hair falling out what lab would
you check - ANS✔✔--TSH
