NURS 6512 / NURS6512 HEALTH ASSESSMENT HEALTH FINAL EXAM. QUESTIONS AND ANSWERS.

NURS 6512 Final Exam Questions & Answers (All Correct).Question 1 1 out of 1 pointsThe reliability of health-related findings and observations is the responsibility of the:Selected Answer:Professional and the patient.Question 2 1 out of 1 pointsWhich of the following statements is true regarding the examination of peripheral arteries?Selected Answer:The pulses are most readily felt over bony prominences.Question 3 1 out of 1 pointsAs 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:Selected Answer:Cerebellar ataxia.Question 4 1 out of 1 pointsYou are conducting a clinical breast examination for your 30-year-old patient. Herbreasts 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:Selected Answer:Fibrocystic changes.Question 5 1 out of 1 points
Which one of the following is a proper technique for use of a speculum during a vaginal examination?Selected Answer:Press introitus downward; insert closed speculum obliquely.Question 6 1 out of 1 pointsWhen is the mental status portion of the neurologic system examination performed?Selected Answer:Constantly, throughout the entire interaction with a patientQuestion 7 1 out of 1 pointsNormal changes of the aging brain include:Selected Answer:Diminished perception of touch.Question 8 1 out of 1 pointsThe finger-to-nose test allows assessment of:Selected Answer:Coordination and fine motor function.Question 9 1 out of 1 pointsThe difference in blood pressure readings between the right and the left arms is considered normal up to _ mm Hg.Selected Answer:10Question 10 1 out of 1 pointsTarry black stool should make you suspect: Selected Answer:Upper intestinal bleeding.Question 11 1 out of 1 pointsAnterior cruciate ligament integrity is assessed via the test.Selected Answer:LachmanQuestion 12 1 out of 1 pointsExamination of the patient in the lithotomy, or knee-chest, position includes:Selected Answer:Palpation of anal sphincter tone.Question 13 1 out of 1 pointsInquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of:Selected Answer:Older adults.Question 14 1 out of 1 pointsWhich cranial nerves are usually evaluated during the examination of the eyes?Selected Answer:III and VIQuestion 15 1 out of 1 pointsAssessing orientation to person, place, and time helps determine:
Selected Answer:state of consciousness.Question 16 1 out of 1 pointsTo spread the breast tissue evenly over the chest wall, you should ask the womanto lie supine with:Selected Answer:one arm overhead and a pillow under her shoulder.Question 17 1 out of 1 pointsCranial nerve XII may be assessed in an infant by:Selected Answer:observing the infant suck and swallow.Question 18 1 out of 1 pointsDiabetic peripheral neuropathy will likely produce:Selected Answer:diminished pain sensation.Question 19 1 out of 1 pointsNerves that arise from the brain rather than the spinal cord are called:Selected Answer:cranial.Question 20 1 out of 1 pointsInspection of the scrotum should reveal:Selected Answer:left scrotal sac lower than the right.
Question 21 1 out of 1 pointsPostural hypotension is defined as a when the patient stands, compared with sitting or supine readings.Selected Answer:systolic pressure drop of more than 15 mm Hg with a pulse rate increaseQuestion 22 1 out of 1 pointsThe rectal past medical history of all patients should include inquiry about:Selected Answer:hemorrhoid surgery.Question 23 1 out of 1 pointsYou are initially evaluating the equilibrium of Ms. Q. You ask her to stand with herfeet together and arms at her sides. She loses her balance. Ms. Q. has a positive:Selected Answer:Romberg sign.Question 24 1 out of 1 points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.Selected Answer:KernigQuestion 25 1 out of 1 points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:Selected Answer:moderately loud.
Question 26 1 out of 1 points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:Selected Answer:schizophrenia.Question 27 1 out of 1 pointsThe best way to ease the apprehension of a 3-year-old child before a physical examination is to:Selected Answer:let the child hold the stethoscope while you listen.Question 28 1 out of 1 points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:Selected Answer:perform the examination while the child is in the mother’s lap.Question 29 1 out of 1 points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?Selected Answer:Cervical spine radiographQuestion 30 1 out of 1 points
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 adarker color. Your further response to this finding is to:Selected Answer:suggest pregnancy testing.Question 31 1 out of 1 pointsA positive straight leg raise test usually indicates:Selected Answer:lumbar nerve root irritation.Question 32 1 out of 1 pointsLoss of immediate and recent memory with retention of remote memory suggests:Selected Answer:dementia.Question 33 0 out of 1 pointsBimanual examination of the uterus includes:Selected Answer:grasping the vaginal wall and pulling it downward.Question 34 1 out of 1 pointsWhile collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding:Selected Answer:alcohol, tobacco, and caffeine use.Question 35 1 out of 1 points
When assessing superficial pain, touch, vibration, and position perceptions, you are testing:Selected Answer:sensory function.Question 36 1 out of 1 points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:Selected Answer:fingertips.Question 37 1 out of 1 pointsIf a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation?Selected Answer:CN XI, spinal accessoryQuestion 38 1 out of 1 pointsThe Mini-Mental State Examination:Selected Answer:may be used to quantitatively estimate cognitive changes.Question 39 1 out of 1 pointsWhen palpating joints, crepitus may occur when:Selected Answer:irregular bony surfaces rub together.Question 40 1 out of 1 points
Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the:Selected Answer:P wave.Question 41 1 out of 1 pointsWhen the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the:Selected Answer:presence and form of body parts.Question 42 1 out of 1 pointsA pulsation that is diminished to the point of being barely palpable would be graded as:Selected Answer:1Question 43 1 out of 1 points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:Selected Answer:are usual conditions during pregnancy.Question 44 1 out of 1 pointsThe examiner percusses for diaphragmatic excursion along the:Selected Answer:scapular line.Question 45 1 out of 1 points
An ophthalmoscopic eye examination involves:Selected Answer:lens inspection.Question 46 1 out of 1 pointsWhich condition is considered progressive rather than reversible?Selected Answer:DementiaQuestion 47 1 out of 1 pointsBreath sounds normally heard over the trachea are called:Selected Answer:bronchial.Question 48 0 out of 1 points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:Selected Answer:4+.Question 49 1 out of 1 points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?Selected Answer:Cocaine useQuestion 50 1 out of 1 points
Recent unilateral inversion of a previously everted nipple suggests:Selected Answer:cancer.Question 51 1 out of 1 pointsThe physical assessment technique most frequently used to assess joint symmetry is:Selected Answer:inspection.Question 52 1 out of 1 points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:Selected Answer:lung consolidation.Question 53 1 out of 1 pointsWhile interviewing a 70-year-old female clinic patient, she tells you that she takesginkgo biloba and St. John’s wort. You make a short note to check for results of the:Selected Answer:Mini-Mental State Examination.Question 54 1 out of 1 pointsBreath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify:Selected Answer:uremia.
Question 55 1 out of 1 pointsOne of the most important aspects to consider in the orthopedic screening examination is:Selected Answer:symmetry.Question 56 1 out of 1 pointsWhen palpating breast tissue, the examiner should use the __ at each site.Selected Answer:finger pads, glidingQuestion 57 1 out of 1 pointsThe goals of preparticipation sports evaluation include:Selected Answer:identifying risk of injury or death during sports participation.Question 58 1 out of 1 pointsPart of the screening orthopedic component of the examination includes evaluating the person while he or she is:Selected Answer:duck walking.Question 59 1 out of 1 pointsA red, hot swollen joint in a 40-year-old man should lead you to suspect:Selected Answer:gout.Question 60 1 out of 1 points
It is especially important to test for ankle clonus if:Selected Answer:deep tendon reflexes are hyperactive.Question 61 1 out of 1 pointsFor purposes of examination and communication of physical findings, the breast is divided into:Selected Answer:four quadrants plus a tail.Question 62 1 out of 1 pointsThe adnexa of the uterus are composed of the:Selected Answer:fallopian tubes and ovaries.Question 63 1 out of 1 pointsFunctional assessment is most important during the examination of a(n):Selected Answer:older adult.Question 64 1 out of 1 pointsWhich one of the following techniques is used to detect a torn meniscus?Selected Answer:McMurray testQuestion 65 1 out of 1 pointsA finding that is indicative of osteoarthritis is:
Selected Answer:Heberden nodes.Question 66 1 out of 1 pointsThe foramen ovale should close:Selected Answer:within minutes of birth.Question 67 1 out of 1 pointsMontgomery tubercles are most prominent in the breasts of:Selected Answer:pregnant women.Question 68 1 out of 1 points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:Selected Answer:riflery.Question 69 1 out of 1 pointsA cervical polyp usually appears as a:Selected Answer:bright-red soft protrusion from the endocervical canal.Question 70 1 out of 1 pointsAn idiopathic spasm of arterioles in the digits is termed:Selected Answer:Raynaud disease.
Question 71 1 out of 1 points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:Selected Answer:test the six cardinal points of gaze.Question 72 1 out of 1 pointsYou are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should:Selected Answer:inquire about previous penile infections.Question 73 1 out of 1 points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:Selected Answer:hydrocele.Question 74 1 out of 1 pointsAn examiner has rotated a brush several times into the cervical os. The brush waswithdrawn and stroked lightly on a glass slide. The slide was sprayed with fixative. Which type ofspecimen requires this technique for collection?Selected Answer:Cytology smearQuestion 75 1 out of 1 pointsThe presence of cervical motion tenderness may indicate:Selected Answer:
pelvic inflammatory disease.Question 76 1 out of 1 pointsPalpation of epitrochlear nodes is part of the:Selected Answer:examination of the upper extremities.Question 77 1 out of 1 pointsUlnar deviation and boutonniere deformities are characteristic of:Selected Answer:rheumatoid arthritis.Question 78 1 out of 1 pointsA common finding in markedly obese and pregnant women is:Selected Answer:lordosis.Question 79 1 out of 1 pointsA grade IV mitral regurgitation murmur would:Selected Answer:radiate to the axilla.Question 80 1 out of 1 pointsThe musculoskeletal examination should begin when:Selected Answer:the patient enters the examination room.Question 81 1 out of 1 points
Throughout the history and physical examination, the clinician should:Selected Answer:evaluate the whole patient.Question 82 1 out of 1 pointsTo assess a cremasteric reflex, the examiner strokes the:Selected Answer:inner thigh and observes whether the testicle and scrotum rise on the stroked side.Question 83 1 out of 1 pointsThe spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the:Selected Answer:QRS complex.Question 84 1 out of 1 points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?Selected Answer:Loss of hair over the extremityQuestion 85 1 out of 1 pointsIf your patient has nipple discharge, you will most likely need a:Selected Answer:glass slide and fixative.Question 86 1 out of 1 points
The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:Selected Answer:coordination of follow-ups is reviewed.Question 87 1 out of 1 pointsAn apical PMI palpated beyond the left fifth intercostal space may indicate:Selected Answer:left ventricular hypertrophy.Question 88 1 out of 1 pointsThe Denver II is a tool used to determine:Selected Answer:whether a child is developing as expected.Question 89 1 out of 1 pointsTo hear diastolic heart sounds, you should ask patients to:Selected Answer:lie on their left sides.Question 90 1 out of 1 points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:Selected Answer:menstrual cycles.Question 91 1 out of 1 points
In the most effective percussion technique of the posterior lung fields, the patient cooperates by:Selected Answer:folding the arms in front.Question 92 1 out of 1 points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:Selected Answer:note the finding in the patient’s record.Question 93 1 out of 1 pointsTemporalis and masseter muscles are evaluated by:Selected Answer:having the patient clench his or her teeth.Question 94 1 out of 1 pointsWhich medical condition would exclude a person from sports participation?Selected Answer:FeverQuestion 95 1 out of 1 pointsYour patient’s chief complaint is repeated pencil-like stools. Further examination should include:Selected Answer:digital rectal examination (DRE).Question 96 1 out of 1 points
Which portion of the physical examination is best done with the patient standing?Selected Answer:SpinalQuestion 97 1 out of 1 pointsKawasaki disease is suspected when assessments of a child reveal:Selected Answer:conjunctival injection, strawberry tongue, and edema of the hands and feet.Question 98 1 out of 1 pointsPalpation of a normal prostate in an older adult is likely to feel:Selected Answer:rubbery.Question 99 1 out of 1 points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:Selected Answer:auscultating the lung bases.Question 100 1 out of 1 pointsFacial muscle or tongue weakness may result in:Selected Answer:aphasia.