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NURS 6512 FINAL EXAM – Question and Answers

1. Costovertebral angle tenderness should be assessed whenever you suspect the patient may have: –
2. In older adults, overflow fecal incontinence is commonly due to
3. A 1 month old boy has been vomiting for 2 weeks. How is this symptom of GERD and pyloric stenosis further differentiated in this child’s assessment?
4. Auscultation of borborygmi is associated with
5. When auscultating the abdomen, which finding would indicate collateral circulation between the portal and systemic venous systems?
6. Conversion of fat-soluble wastes to water-soluble material for renal excretion is a function of the
7. The major function of the large intestine is
8. Which structure is located in the hypogastric region of the abdomen?
9. A 45 year old man relates a several week history of severe intermittent abdominal burning sensations. He relates that the pain is relieved with small amounts of food. Before starting the physical examination, you review his laboratory work, anticipating a (n)
10. You are caring for a patient with trigeminal neuralgia. During the assessment, the patient would describe the pain as
11. Your 85 year old patient is complaining of right knee pain. She has a history of osteoarthritis for which she is given anti-inflammatory medication. To assess her right knee pain, you should ask her if
12. A 5 year old is complaining of nondescriptive “belly pain.” Your next action should be to ask him to: –
13. The perception of pain
14. Patients presenting with ascites, jaundice, cutaneous spider veins, and nonpalpable liver exhibit signs of
15. A patient presents to the emergency department after a motor vehicle accident. The patient sustained blunt trauma to the abdomen and complains of pain in the upper left quadrant that radiates to the left shoulder. What organ is most likely injured?
16. Imaging studies reveal that a patient has dilation of the renal pelvis from an obstruction in the ureter, what condition will be documented in this patient’s health record?
17. Visible intestinal peristalsis may indicate
18. Infants born weighing less than 1500g are at higher risk for
19. Which of the following factors is not …..to affect patient compliance with his or her treatment regimen?
20. One of the most important aspects to consider in the orthopedic screening examination is
21. The sequence of the physical examination should be …..
22. As you greet the patient, which examination technique is first implemented?
23. Which of the following is most likely to enhance examiner reliability?
24. A 7 year old boy is …..to your office with a chief complaint of possible fracture to his left third finger. He jammed it while playing basketball 2 days ago. The mother states that she really does not think it is broken because he can move it. What is your best response?
25. A patient presenting for the first time with typical low back pain should receive which of the following diagnostic tests?
26. Skeletal changes in older adults are the result of
27. A positive straight leg raise test usually indicates
28. What technique is performed at every infant examination during the first year of life to detect hipdislocation?
29. Expected normal findings during inspection of spinal alignment include
30. Temporalis and masseter muscles are …..
31. When palpating joints, crepitus may be cause when
32. A 3 year old is …..to the clinic complaining of a painful right elbow. He is holding the right arm slightly flexed and pronated and refuses to move it. the mother states that symptoms started right after his older brother had been swinging him around by his arms. This presentation supports a diagnosis of
33. Light skin and thin body habitus are risk factors for
34. Risk factors for sports-related injuries include
35. Injuries to long bones and joints are more likely to result in fractures than in sprains until
36. Ligaments are stronger than bone until
37. The family history for a patient with joint pain should include information about siblings with
38. The Thomas test is ….to detect:
39. A goniometer is ….to assess
40. During a football game, a player was struck on the lateral side of the left leg while his feet were firmly planted. He is complaining of left knee pain. To examine the left knee you should initially perform the ­­­­­­­­­­­­­­­­________ test.
41. You note that a child has a positive Gower Sign. You know that this indicates generalized
42. The dowager hump is
43. What temporary disorder may be …..by pregnant women during the third trimester because of fluid retention?
44. A common finding in markedly obese and pregnant women is
45. A 45-year-old laborer presents with low back pain, stating that the pain comes from the right buttock and shoots down and across the right anterior thigh, down the shin to the ankle. Which examination finding is considered more indicative of nerve root compression?A 45 year old laborer presents with low back pain, stating that the pain comes from the right buttock and shoots down and across the right anterior thigh, down the shin to the ankle. Which examination finding is …..more indicative of nerve root compression?
46. Mrs. Bower is a 57 year old patient who comes in for an office visit. Which of the following disorders is known to be hereditary?
47. Testing of cranial nerve ­­­­________ is not routinely performed unless a problem is suspected.
48. The patient is able to rapidly touch each finger to his thumb in rapid sequence. What does this finding mean?
49. Which question asked by the examiner may hellp to determine prevention strategies for seizures that a patient is experiencing? –
50. A patient has a complaint of dizziness. The patient makes the following statement: “I sometimes feel as if the whole room is spinning.” What type of neurologic dysfunction should the examiner suspect?
51. The examiner asks the patient to close her eyes, then places a vibrating tuning fork on the patient’s ankle and asks her to indicate what is felt. 
52. Which of the following findings should an examiner consider a normal finding if associated with pregnancy?
53. Jack is a 52 year old obese man with a history of poorly ……diabetes. He also smokes. Based on the above data, the examiner should recognize that Jack has several risk factors for
54. Mrs. Jones is a 24 year old patient who presents to your office 2 days postpartum. She complains that she is experiencing foot drop. Which of the following problems should the examiner consider?
55. The examiner is assessing deep tendon reflex response in a 12 year old boy. The response is an expected reflex response. Which of the following scores should be documented?
56. A 68 year old patient presents to your office for follow-up. He tells you, “I have a hard time finding the right words when I am talking;” he also is experiencing numbness. On examination, you note postural instability. This symptom may be
57. Motor maturation proceeds in an orderly progression from
58. The thalamus is the major integration center for perception of
59. The examiner should be …..about neurologic competence if a social smile cannot be elicited by the time a child is ________old
60. Normal changes of the aging brain include
61. When 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
62. The area of body surface innervated by a particular spinal nerve is called a
63. If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation?
64. The finger-to-nose test allows assessment of
65. You ask the patient to follow a series of short commands to assess
66. 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
67. When is the mental status portion of the neurologic system examination …..
68. An aversion to touch or being held, along with …..or absent language development, is a characteristic of
69. The autonomic nervous system coordinates which of the following?
70. The major function of the sympathetic nervous system is to nurs 6512 final exam
71. The parasympathetic nervous system maintains the day-to-day function of
72. Cerebrospinal fluid serves as a
73. 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
74. Which type of hallucination is most commonly …..with alcohol withdrawal?
75. On a scale of 0 to 4+, which deep tendon reflex score is appropriate for a finding of clonus in a patient?
76. Which statement is true regarding mental status changes in older adults?
77. A characteristic related to syphilis or diabetic neuropathy is testicular nurs 6512 final exam
78. When collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding
79. What risk factor is associate with cervical cancer?
80. A 23 year old female presents with severe right lower quadrant tenderness. All of the following should be …..in the differential except
81. What is the initial diagnostic radiology test that should be ….if you suspect a ruptured ovarian cyst?
82. A 17 year old male was …..into the emergency room with testicular/scrotal pain. The differential diagnosis should include all except
83. The nursing mother complains that her breasts are tender. You assess hard, shiny, and erythremicbreasts bilaterally. You should advise the patient to
84. A normal vas deferens should feel
85. In a woman complaining of a breast lump, it is most important to ask about
86. The finding of a painless indurated lesion on the glans penis is most consistent with
87. Thrombosed hemorrhoids are
88. Pregnancy-related cervical changes include nurs 6512 final exam
89. You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily ….. You should
90. An adolescent male is being ….for acute onset of left testicular pain. The pain started 3 hours ago. He complains of nausea and denies dysuria or fever. Your prioritized assessment should be to
91. 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
92. What accommodations should be …..in the position of a hearing-impaired woman for a pelvic examination?
93. Sexual differentiation in the fetus has occurred by ­­­_______weeks gestation.
94. You are performing a clinical breast examination for a 55 year old woman. While palpating the supraclavicular area, you suspect that you felt a node. In order to improve your hooked technique, you should
95. If a firm, transverse ridge of …..tissue is felt bilaterally along the lower edge of a 40 year old patient’s breast, you should
96. A therapeutic technique for dealing with grieving individuals is to
97. The examination of the newborn should begin with
98. Which one of the following patient characteristics is most likely to limit patient reliability during history taking?
99. In crying infants, it is often difficult to nurs 6512 final exam
100. Which of the following statements accurately reflects the sensitivity and specificity of laboratory tests?
101. Which medical condition would exclude one from sports participation?
102. Your 15 year old patient is athletic and thin. Radiography of an ankle injury reveals a stress fracture. You question this patient about her
103. Which of the following are …..with the patient in a reclining 45 degree position?
104. Functional assessment is most important during the examination of a(n)
105. The best way to ease the apprehension of a 3 year old child before a physical examination is to
106. An ophthalmoscopic eye examination involves nurs 6512 final exam
107. When conducting a geriatric assessment, basic activities of daily living (ADLs) include
108. The checkout station for preparticipation physical evaluation (PPE) is critical because at this point
109. Which of the following is true regarding the relationship between the examiner and the patient? 109. Which of the following factors is not ….to affect patient compliance with his or her treatment regimen?
110. One of the most important aspects to consider in the orthopedic screening examination is
111. As you greet the patient, which examination technique is first implemented?
112. Which portion of the physical examination is best ….with the patient standing?
113. Which patient position facilitates inspection of the chest and shoulders?
114. The least reliable indicator of newborn distress is
115. Proprioception should be assessed while the patient is
116. Part of the screening orthopedic component of the examination includes evaluating the person while