NURS356 final exam. 100 Test questions with all correct answers latest 2020 working solution Walden University

NURS356 final exam. 100 Test questions with all correct answers latest 2020 working solution Walden University ` • Question 1 You are conducting a clinical breast examination for your 30-year-old patient. Her ...

NURS356 final exam. 100 Test questions with all correct answers latest 2020 working solution Walden University ` • Question 1 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 2 The examiner percusses for diaphragmatic excursion along the: • Question 3 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 4 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 5 Which portion of the physical examination is best done with the patient standing? • Question 6 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 7 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 8 Nerves that arise from the brain rather than the spinal cord are called: • Question 9 Diabetic peripheral neuropathy will likely produce: • Question 10 The checkout station for preparticipation physical evaluation (PPE) is critical because at this point: • Question 11 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 12 When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the: • Question 13 Montgomery tubercles are most prominent in the breasts of: • Question 14 The Mini-Mental State Examination: • Question 15 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 The brush was withdrawn and stroked lightly on a glass slide.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 16 Which medical condition would exclude a person from sports participation? • Question 17 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 18 An ophthalmoscopic eye examination involves: • Question 19 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 20 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 21 The physical assessment technique most frequently used to assess joint symmetry is: • Question 22 When palpating joints, crepitus may occur when: • Question 23 When assessing superficial pain, touch, vibration, and position perceptions, you are testing: • Question 24 If pitting edema is unilateral, you would suspect occlusion of a: • Question 25 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 26 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 27 If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation? • Question 28 The best way to ease the apprehension of a 3-year-old child before a physical examination is to: • Question 29 In the most effective percussion technique of the posterior lung fields, the patient cooperates by: • Question 30 Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of: • Question 31 A finding that is indicative of osteoarthritis is: • Question 32 A cervical polyp usually appears as a: • Question 33 Your patient's chief complaint is repeated pencil-like stools. Further examination should include: • Question 34 Normal changes of the aging brain include: • Question 35 The musculoskeletal examination should begin when: • Question 36 When palpating breast tissue, the examiner should use the _____ at each site. • Question 37 A positive straight leg raise test usually indicates: • Question 38 The strength of the trapezius muscle is evaluated by having the patient: • Question 39 A red, hot swollen joint in a 40-year-old man should lead you to suspect: • Question 40 The finger-to-nose test allows assessment of: • Question 41 The goals of preparticipation sports evaluation include: • Question 42 Which condition is considered progressive rather than reversible? • Question 43 For purposes of examination and communication of physical findings, the breast is divided into: • Question 44 Kawasaki disease is suspected when assessments of a child reveal: • Question 45 The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the: • Question 46 The family history for a patient with joint pain should include information about siblings with: • Question 47 Bimanual examination of the uterus includes: • Question 48 You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should: • Question 49 At your first meeting with a patient, it is usually best to say: • Question 50 Assessing orientation to person, place, and time helps determine: • Question 51 When is the mental status portion of the neurologic system examination performed? • Question 52 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 53 Ulnar deviation and boutonniere deformities are characteristic of: • Question 54 Part of the screening orthopedic component of the examination includes evaluating the person while he or she is: • Question 55 The Mini-Mental State Examination should be administered for the patient who: • Question 56 Functional assessment is most important during the examination of a(n): • Question 57 Palpation of epitrochlear nodes is part of the: • Question 58 While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding: • Question 59 Facial muscle or tongue weakness may result in: • Question 60 The difference in blood pressure readings between the right and the left arms is considered normal up to _____ mm Hg. • Question 61 A patient in the deepest coma would be scored a _____ on the Glasgow Coma Scale. Selected Answer: 3 • Question 62 A grade IV mitral regurgitation murmur would: • Question 63 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 64 A pulsation that is diminished to the point of being barely palpable would be graded as: • Question 65 Palpation of a normal prostate in an older adult is likely to feel: • Question 66 One of the most important aspects to consider in the orthopedic screening examination is: • Question 67 Temporalis and masseter muscles are evaluated by: • Question 68 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 69 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 70 To hear diastolic heart sounds, you should ask patients to: • Question 71 An idiopathic spasm of arterioles in the digits is termed: • Question 72 Which one of the following techniques is used to detect a torn meniscus? • Question 73 Cranial nerve XII may be assessed in an infant by: • Question 74 To assess a cremasteric reflex, the examiner strokes the: • Question 75 Which cranial nerves are usually evaluated during the examination of the eyes? • Question 76 Anterior cruciate ligament integrity is assessed via the _____ test. • Question 77 Throughout the history and physical examination, the clinician should: • Question 78 To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with: • Question 79 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 80 In the adult, the apical impulse should be most visible when the patient is in what position? • Question 81 The rectal past medical history of all patients should include inquiry about: • Question 82 The adnexa of the uterus are composed of the: • Question 83 The presence of cervical motion tenderness may indicate: • Question 84 Tarry black stool should make you suspect: • Question 85 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 86 Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the: • Question 87 Loss of immediate and recent memory with retention of remote memory suggests: • Question 88 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 89 Postural hypotension is defined as a _____ when the patient stands, compared with sitting or supine readings. • Question 90 Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify: • Question 91 Which of the following statements is true regarding the examination of peripheral arteries? • Question 92 It is especially important to test for ankle clonus if: • Question 93 Recent unilateral inversion of a previously everted nipple suggests: • Question 94 Breath sounds normally heard over the trachea are called: • Question 95 Examination of the patient in the lithotomy, or knee-chest, position includes: • Question 96 If your patient has nipple discharge, you will most likely need a: • Question 97 When conducting a geriatric assessment, basic activities of daily living (ADLs) include: • Question 98 The reliability of health-related findings and observations is the responsibility of the: • Question 99 An apical PMI palpated beyond the left fifth intercostal space may indicate: • Question 100 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?