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NURS 6512N Final Exam with Answers – HEALTH ASSESSMENT

1. 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.
2. 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:
3. 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 The brush was withdrawn and stroked lightly on a glass slide.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?
4. When palpating breast tissue, the examiner should use the _____ at each site.
5. A pulsation that is diminished to the point of being barely palpable would be graded as:
6. The difference in blood pressure readings between the right and the left arms is considered normal up to _____ mm Hg.
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?
8. 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:
9. Part of the screening orthopedic component of the examination includes evaluating the person while he or she is:
10. When assessing superficial pain, touch, vibration, and position perceptions, you are testing:
11. A patient in the deepest coma would be scored a _____ on the Glasgow Coma Scale.
12. To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested?
13. A cervical polyp usually appears as a:
14. 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:
15. A positive straight leg raise test usually indicates:
16. 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:
17. If pitting edema is unilateral, you would suspect occlusion of a:
18. Montgomery tubercles are most prominent in the breasts of:
19. You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should:
20. The examiner percusses for diaphragmatic excursion along the:
21. Bimanual examination of the uterus includes:
22. 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?
23. 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?
24. Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify:
25. The rectal past medical history of all patients should include inquiry about:
26. Tarry black stool should make you suspect:
27. The musculoskeletal examination should begin when:
28. 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:
29. Postural hypotension is defined as a _____ when the patient stands, compared with sitting or supine readings.
30. Which cranial nerves are usually evaluated during the examination of the eyes?
31. 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:
32. An apical PMI palpated beyond the left fifth intercostal space may indicate:
33. The adnexa of the uterus are composed of the:
34. 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:
35. Loss of immediate and recent memory with retention of remote memory suggests:
36. Which portion of the physical examination is best done with the patient standing?
37. 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:
38. 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:
39. The family history for a patient with joint pain should include information about siblings with:
40. The finger-to-nose test allows assessment of:
41. Kawasaki disease is suspected when assessments of a child reveal:
42. To assess a cremasteric reflex, the examiner strokes the:
43. Examination of the patient in the lithotomy, or knee-chest, position includes:
44. The reliability of health-related findings and observations is the responsibility of the:
45. While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding:
46. If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation?
47. An ophthalmoscopic eye examination involves:
48. 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:
49. To hear diastolic heart sounds, you should ask patients to:
50. 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:
51. The best way to ease the apprehension of a 3-year-old child before a physical examination is to:
52. Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the:
53. Temporalis and masseter muscles are evaluated by:
54. Normal changes of the aging brain include:
55. Cranial nerve XII may be assessed in an infant by:
56. Anterior cruciate ligament integrity is assessed via the _____ test.
57. 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:
58. Assessing orientation to person, place, and time helps determine:
59. 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?
60. The foramen ovale should close:
61. When conducting a geriatric assessment, basic activities of daily living (ADLs) include:
62. One of the most important aspects to consider in the orthopedic screening examination is:
63. Palpation of epitrochlear nodes is part of the:
64. Palpation of a normal prostate in an older adult is likely to feel:
65. Functional assessment is most important during the examination of a(n):
66. Ulnar deviation and boutonniere deformities are characteristic of:
67. To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with:
68. A red, hot swollen joint in a 40-year-old man should lead you to suspect:
69. Diabetic peripheral neuropathy will likely produce:
70. When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the:
71. 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:
72. The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the:
73. Your patient’s chief complaint is repeated pencil-like stools. Further examination should include:
74. Which one of the following techniques is used to detect a torn meniscus?
75. The Denver II is a tool used to determine:
76. Nerves that arise from the brain rather than the spinal cord are called:
77. When is the mental status portion of the neurologic system examination performed?
78. Throughout the history and physical examination, the clinician should:
79. 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:
80. The strength of the trapezius muscle is evaluated by having the patient:
81. If your patient has nipple discharge, you will most likely need a:
82. It is especially important to test for ankle clonus if:
83. A common finding in markedly obese and pregnant women is:
84. A grade IV mitral regurgitation murmur would:
85. The goals of preparticipation sports evaluation include:
86. An idiopathic spasm of arterioles in the digits is termed:
87. 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:
88. The Mini-Mental State Examination:
89. Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of:
90. The Mini-Mental State Examination should be administered for the patient who:
91. Recent unilateral inversion of a previously everted nipple suggests:
92. When palpating joints, crepitus may occur when:
93. Facial muscle or tongue weakness may result in:
94. 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:
95. Which medical condition would exclude a person from sports participation?
96. Which one of the following is a proper technique for use of a speculum during a vaginal examination?
97. Breath sounds normally heard over the trachea are called:
98. At your first meeting with a patient, it is usually best to say:
99. 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:
100. Which of the following statements is true regarding the examination of peripheral arteries?