Description

DNRS-6512F-16/DNRS-6512-16/NURS-6512C-16/NURS-6512F-16/NURS-6512N-16/DNRS-

6512C-16-Advanced Health Assessment-2022-Spring-QTR-Term-wks-1-thru-11

Exam – Week 11

100 out of 100 points

1. When palpating joints, crepitus may occur when:
2. 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:
3. A 40 yr old female presents to the clinic with complaints of low back and buttock pain. Pt states the buttock pain radiates from one side to the other. On examination, the patient is noted to have limited ROM of the shoulders, chest wall, hips, and knees. Upon xray, you ?nd gross postural changes and there is a severe deformity of the vertebral column. What is the most likely diagnosis for this patient?
4. The presence of cervical motion tenderness may indicate:
5. An ophthalmoscopic eye examination involves:
6. To assess a cremasteric reflex, the examiner strokes the:
7. 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:
8. 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:
9. A chest radiography is performed on your patient that complains of having dyspnea, coughing productive sputum and chest pain. The image results shows consolidation and infiltrates. You compare this to your physical exam findings of distant or absent breath sounds and absent vocal fremitus. What is the most likely diagnosis?
10. Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of:
11. 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.
12. Nerves that arise from the brain rather than the spinal cord are called:
13. Part of the screening orthopedic component of the examination includes evaluating the person while he or she is:
14. To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with:
15. A red, hot swollen joint in a 40-year-old man should lead you to suspect:
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. You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should:
18. 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:
19. Montgomery tubercles are most prominent in the breasts of:
20. Adrian Thomas is a 19-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her father reports that Adrian, apart from occasional sinus infections, Adrian is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Adrian’s current problem?
21. Diabetic peripheral neuropathy will likely produce:
22. An apical PMI palpated beyond the left fifth intercostal space may indicate:
23. A grade IV mitral regurgitation murmur would:
24. When conducting a geriatric assessment, basic activities of daily living (ADLs) include:
25. Anterior cruciate ligament integrity is assessed via the test.
26. The adnexa of the uterus are composed of the:
27. Throughout the history and physical examination, the clinician should:
28. The rectal past medical history of all patients should include inquiry about:
29. 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?
30. The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:
31. The difference in blood pressure readings between the right and the left arms is considered normal up to mm Hg.
32. Which one of the following is a proper technique for use of a speculum during a vaginal examination?
33. The musculoskeletal examination should begin when:
34. You order an ECG on a patient that c/o feeling heart palpitations, chest pain, shortness of breath. Your ECG shows irregular heart rate and you determine that you need to call EMS immediately because this rhythm can cause death. What rhythm would you suspect the ECG is showing?
35. The Denver II is a tool used to determine:
36. Temporalis and masseter muscles are evaluated by:
37. Which condition is considered progressive rather than reversible?
38. Your patient’s chief complaint is repeated pencil-like stools. Further examination should include:
39. Ulnar deviation and boutonniere deformities are characteristic of:
40. The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the:
41. Functional assessment is most important during the examination of a(n):
42. 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:
43. Assessing orientation to person, place, and time helps determine:
44. Palpation of a normal prostate in an older adult is likely to feel:
45. 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:
46. If your patient has nipple discharge, you will most likely need a:
47. Adrian Thompson is a 19-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her mother reports that Andrian, apart from occasional sinus infections, Andrian is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Adrian’s current problem?
48. -year-old male presents to the clinic to see the nurse practitioner with complaints of shortness of breath for 1 months, 15-pound weight gain and lower extremity edema. Vitals are as follows: HR: 120, Respirations 30, Blood Pressure: 138/90, BMI: 40; Oxygen saturation of 90%. On examination patient is noted to have jugular venous distention, enlarged liver, and crackles are noted on examination. A chest x-ray is completed and shows findings consistent with which diagnosis? Based on this scenario and imaging what is the most likely diagnosis?
49. Darian is a 14-year-old adolescent who states his right testicle has a soft swollen mass. The testicle is not painful upon palpation. The right inguinal canal is without masses. The mass does transilluminate with a penlight. This collection of symptoms is consistent with:
50. 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:
51. Bimanual examination of the uterus includes:
52. Palpation of epitrochlear nodes is part of the:
53. The reliability of health-related findings and observations is the responsibility of the:
54. When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the:
55. Postural hypotension is defined as a when the patient stands, compared with sitting or supine readings.
56. Loss of immediate and recent memory with retention of remote memory suggests:
57. A 25 yo AA female has come to the clinic because she has missed her menstrual period this month and 2 months before. She says her cycles are irregular and she wants to be on birth control to help regulate them. She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is to:
58. The goals of preparticipation sports evaluation include:
59. If pitting edema is unilateral, you would suspect occlusion of a:
60. It is especially important to test for ankle clonus if:
61. You are reviewing an ECG of a 43 year old new patient. The patient has a history of second- degree heart block. The ECG shows the PR interval is increases with each beat until a QRS is dropped. What is this type of block called?
62. Which medical condition would exclude a person from sports participation?
63. A positive straight leg raise test usually indicates:
64. 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:
65. The strength of the trapezius muscle is evaluated by having the patient:
66. Which portion of the physical examination is best done with the patient standing?
67. The finger-to-nose test allows assessment of:
68. An idiopathic spasm of arterioles in the digits is termed:
69. Facial muscle or tongue weakness may result in:
70. A common finding in markedly obese and pregnant women is:
71. Breath sounds normally heard over the trachea are called:
72. The Mini-Mental State Examination:
73. An elderly female was recently diagnosed with osteoporosis 2 weeks ago. What is the hallmark appearance of a patient with this diagnosis?
74. 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:
75. For purposes of examination and communication of physical findings, the breast is divided into:
76. A cervical polyp usually appears as a:
77. When palpating breast tissue, the examiner should use the at each site.
78. A finding that is indicative of osteoarthritis is:
79. Which of the following statements is true regarding the examination of peripheral arteries?
80. In the adult, the apical impulse should be most visible when the patient is in what position?
81. The Mini-Mental State Examination should be administered for the patient who:
82. Normal changes of the aging brain include:
83. The physical assessment technique most frequently used to assess joint symmetry is:
84. Inspection of the scrotum should reveal:
85. Tarry black stool should make you suspect:
86. 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:
87. At your first meeting with a patient, it is usually best to say:
88. 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?
89. While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding:
90. Which cranial nerves are usually evaluated during the examination of the eyes?
91. The family history for a patient with joint pain should include information about siblings with:
92. The best way to ease the apprehension of a 3-year-old child before a physical examination is to:
93. 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?
94. One of the most important aspects to consider in the orthopedic screening examination is:
95. Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify:
96. To hear diastolic heart sounds, you should ask patients to:
97. A 62 year old female presents to the clinic with complains of chest pain and heart palpitations that started 3 days ago. Patient states she is healthy and only has a history of hypertension and tachycardia. Patient is currently taking Norvasc 10mg daily and Coreg 6.25 mg BID. You order an EKG and it shows heart rate above 200 beats/min and the ECG may look like a sawtooth cog. What is the most likely diagnosis of this patient?
98. Recent unilateral inversion of a previously everted nipple suggests:
99. When assessing superficial pain, touch, vibration, and position perceptions, you are testing:
100. The foramen ovale should close: