Walden University - NURS 6512 week 11 final Advanced Health Assessment.

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Course NURS-6512N-42,Advanced Health Assessment. Attempt Score 95 out of 100 points Question 1 To hear diastolic heart sounds, you should ask patients to: Question 2 ... The finger-to-nose test allows assessment of: Question 3 While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding: Question 4 While interviewing a 70-year-old female clinic patient, she tells you that she takes ginkgo biloba and St. John's wort. You make a short note to check for results of the: Question 5 When palpating joints, crepitus may occur when: Question 6 Cranial nerve XII may be assessed in an infant by: Question 7 Which of the following statements is true regarding the examination of peripheral arteries? Question 8 Postural hypotension is defined as a _____ when the patient stands, compared with sitting or supine readings. Question 9 During chest assessment, you note the patient's voice quality while auscultating the lung fields. The voice sound is intensified, there is a nasal quality to the voice, and the e's sound like a s. This sound is indicative of: Question 10 A positive straight leg raise test usually indicates: Question 11 When assessing superficial pain, touch, vibration, and position perceptions, you are testing: Question 12 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: Question 13 You are performing a two-point discrimination test as part of a well physical examination. The area with the ability to discern two points in the shortest distance is the: Question 14 When is the mental status portion of the neurologic system examination performed? Question 15 Ulnar deviation and boutonniere deformities are characteristic of: Question 16 Your 15-year-old patient is athletic and thin. Radiography of an ankle injury reveals a stress fracture. You should question this patient about her: Question 17 Temporalis and masseter muscles are evaluated by: Question 18 Which cranial nerves are usually evaluated during the examination of the eyes? Question 19 Kawasaki disease is suspected when assessments of a child reveal: Question 20 Breath sounds normally heard over the trachea are called: Question 21 Palpation of epitrochlear nodes is part of the: Question 22 An apical PMI palpated beyond the left fifth intercostal space may indicate: Question 23 The goals of preparticipation sports evaluation include: Question 24 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: Question 25 Examination of the patient in the lithotomy, or knee-chest, position includes: Question 26 A grade IV mitral regurgitation murmur would: Question 27 If pitting edema is unilateral, you would suspect occlusion of a: Question 28 A cervical polyp usually appears as a: Question 29 The Mini-Mental State Examination: Question 30 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: Question 31 When assessing a 17-year-old for nuchal rigidity, you gently raise his head off the examination table. He involuntarily flexes his hips and knees. To confirm your suspicions associated with this positive test, you would also perform a test for the _____ sign. Question 32 The rectal past medical history of all patients should include inquiry about: Question 33 To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with: Question 34 At your first meeting with a patient, it is usually best to say: Question 35 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: Question 36 The presence of cervical motion tenderness may indicate: Question 37 For purposes of examination and communication of physical findings, the breast is divided into: Question 38 The best way to ease the apprehension of a 3-year-old child before a physical examination is to: Question 39 Facial muscle or tongue weakness may result in: Question 40 The examiner percusses for diaphragmatic excursion along the: Question 41 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 finding is to: Question 42 Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of: Question 43 To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested? Question 44 Part of the screening orthopedic component of the examination includes evaluating the person while he or she is: Question 45 A patient in the deepest coma would be scored a _____ on the Glasgow Coma Scale. Question 46 The Mini-Mental State Examination should be administered for the patient who: Question 47 The Denver II is a tool used to determine: Question 48 Which medical condition would exclude a person from sports participation? Question 49 Which one of the following is a proper technique for use of a speculum during a vaginal examination? Question 50 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? Question 51 Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify: Question 52 If your patient has nipple discharge, you will most likely need a: Question 53 Assessing orientation to person, place, and time helps determine: Question 54 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: Question 55 One of the most important aspects to consider in the orthopedic screening examination is: Question 56 Functional assessment is most important during the examination of a(n): Question 57 While examining a 30-year-old woman, you note that one breast is slightly larger than the other. In response to this finding, you should: Question 58 Which portion of the physical examination is best done with the patient standing? Question 59 An idiopathic spasm of arterioles in the digits is termed: Question 60 Nerves that arise from the brain rather than the spinal cord are called: Question 61 The foramen ovale should close: Question 62 Inspection of the scrotum should reveal: Question 63 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 fixative. Which type of specimen requires this technique for collection? Question 64 If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation? Question 65 A pulsation that is diminished to the point of being barely palpable would be graded as: Question 66 To assess a cremasteric reflex, the examiner strokes the: Question 67 Throughout the history and physical examination, the clinician should: Question 68 The family history for a patient with joint pain should include information about siblings with: Question 69 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? Question 70 The musculoskeletal examination should begin when: Question 71 The reliability of health-related findings and observations is the responsibility of the: Question 72 The difference in blood pressure readings between the right and the left arms is considered normal up to _____ mm Hg. Question 73 Which condition is considered progressive rather than reversible? Question 74 You are conducting a preparticipation physical examination for a 10-year-old girl with Down syndrome who will be playing basketball. She has slight torticollis and mild ankle clonus. What additional diagnostic testing would be required for her? Question 75 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: Question 76 An ophthalmoscopic eye examination involves: Question 77 You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should: Question 78 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: Question 79 Which one of the following techniques is used to detect a torn meniscus? Question 80 A red, hot swollen joint in a 40-year-old man should lead you to suspect: Question 81 Anterior cruciate ligament integrity is assessed via the _____ test. Question 82 Loss of immediate and recent memory with retention of remote memory suggests: Question 83 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: Question 84 Palpation of a normal prostate in an older adult is likely to feel: Question 85 The checkout station for preparticipation physical evaluation (PPE) is critical because at this point: Question 86 Bimanual examination of the uterus includes: Question 87 A finding that is indicative of osteoarthritis is: Question 88 In the adult, the apical impulse should be most visible when the patient is in what position? Question 89 The adnexa of the uterus are composed of the: Question 90 A common finding in markedly obese and pregnant women is: Question 91 The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the: Question 92 The strength of the trapezius muscle is evaluated by having the patient: Question 93 You are assessing Mr. Z.'s fluid volume status as a result of heart failure. If your finger depresses a patient's edematous ankle to a depth of 6 mm, you should record this pitting as: Question 94 When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the: Question 95 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: Question 96 You are conducting a clinical breast examination for your 30-year-old patient. Her breasts are symmetrical with bilateral, multiple tender masses that are freely moveable with well-defined borders. You recognize that these symptoms and assessment findings are consistent with: Question 97 Your patient's chief complaint is repeated pencil-like stools. Further examination should include: Question 98 During a routine prenatal visit, Ms. T. was noted as having dependent edema, varicosities of the legs, and hemorrhoids. She expressed concern about these symptoms. You explain to Ms. T. that her enlarged uterus is compressing her pelvic veins and her inferior vena cava. You would further explain that these findings: Question 99 You are examining Mr. S., a 79-year-old diabetic man complaining of claudication. Which of the following physical findings is consistent with the diagnosis of arterial occlusion? Question 100 In the most effective percussion technique of the posterior lung fields, the patient cooperates by: [Show More]

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