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NURS 6512 Final Exam, Advanced Health Assessment

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 The brush was withdrawn and stroked lightly on a glass slide.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