NURS 6512 Final Exam – Question and Answers

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NURS 6512 Final Exam – Question and Answers
1. 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:
2. Nerves that arise from the brain rather than the spinal cord are called:
3. The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:
4. Temporalis and masseter muscles are evaluated by:
5. To assess a cremasteric reflex, the examiner strokes the:
6. 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:
7. The goals of preparticipation sports evaluation include:
8. The difference in blood pressure readings between the right and the left arms is considered normal up to________mm Hg.
9. A finding that is indicative of osteoarthritis is:
10. The rectal past medical history of all patients should include inquiry about:
11. When conducting a geriatric assessment, basic activities of daily living (ADLs) include:
12. 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?
13. 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?
14. 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:
15. 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.
16. Examination of the patient in the lithotomy, or knee-chest, position includes:
17. A patient in the deepest coma would be scored a__________on the Glasgow Coma Scale.
18. Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of:
19. Which medical condition would exclude a person from sports participation?
20. Which one of the following techniques is used to detect a torn meniscus?
21. A grade IV mitral regurgitation murmur would:
22. If pitting edema is unilateral, you would suspect occlusion of a:
23. 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:
24. 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:
25. Breath sounds normally heard over the trachea are called:
26. For purposes of examination and communication of physical findings, the breast is divided into:
27. Bimanual examination of the uterus includes:
28. To hear diastolic heart sounds, you should ask patients to:
29. The presence of cervical motion tenderness may indicate:
30. Postural hypotension is defined as a__________when the patient stands, compared with sitting or supine readings.
31. The family history for a patient with joint pain should include information about siblings with:
32. When palpating joints, crepitus may occur when:
33. You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should:
34. The Mini-Mental State Examination should be administered for the patient who:
35. The physical assessment technique most frequently used to assess joint symmetry is:
36. 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?
37. 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 find gross postural changes and there is a severe deformity of the vertebral column. What is the most likely diagnosis for this patient?
38. Cranial nerve XII may be assessed in an infant by:
39. 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:
40. The examiner percusses for diaphragmatic excursion along the:
41. 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:
42. 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:
43. The foramen ovale should close:
44. 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?
45. Assessing orientation to person, place, and time helps determine:
46. The reliability of health-related findings and observations is the responsibility of the:
47. Anterior cruciate ligament integrity is assessed via the__________test.
48. Kawasaki disease is suspected when assessments of a child reveal:
49. Which cranial nerves are usually evaluated during the examination of the eyes?
50. 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?
51. A common finding in markedly obese and pregnant women is:
52. The finger-to-nose test allows assessment of:
53. The Denver II is a tool used to determine:
54. If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation?
55. A red, hot swollen joint in a 40-year-old man should lead you to suspect:
56. 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:
57. An apical PMI palpated beyond the left fifth intercostal space may indicate:
58. 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?
59. 6-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?
60. Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the:
61. 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?
62. 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:
63. A cervical polyp usually appears as a:
64. 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:
65. Functional assessment is most important during the examination of a(n):
66. A positive straight leg raise test usually indicates:
67. Inspection of the scrotum should reveal:
68. One of the most important aspects to consider in the orthopedic screening examination is:
69. 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?
70. At your first meeting with a patient, it is usually best to say:
71. The musculoskeletal examination should begin when:
72. To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested?
73. Normal changes of the aging brain include:
74. 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:
75. The adnexa of the uterus are composed of the:
76. When assessing superficial pain, touch, vibration, and position perceptions, you are testing:
77. 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?
78. The Mini-Mental State Examination:
79. Part of the screening orthopedic component of the examination includes evaluating the person while he or she is:
80. The best way to ease the apprehension of a 3-year-old child before a physical examination is to:
81. The strength of the trapezius muscle is evaluated by having the patient:
82. Facial muscle or tongue weakness may result in:
83. An ophthalmoscopic eye examination involves:
84. Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify:
85. An elderly female was recently diagnosed with osteoporosis 2 weeks ago. What is the hallmark appearance of a patient with this diagnosis?
86. Recent unilateral inversion of a previously everted nipple suggests:
87. Palpation of a normal prostate in an older adult is likely to feel:
88. Palpation of epitrochlear nodes is part of the:
89. 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:
90. Ulnar deviation and boutonniere deformities are characteristic of:
91. Throughout the history and physical examination, the clinician should:
92. The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the:
93. Diabetic peripheral neuropathy will likely produce:
94. When palpating breast tissue, the examiner should use the__________at each site.
95. In the adult, the apical impulse should be most visible when the patient is in what position?
96. To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with:
97. 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:
98. An idiopathic spasm of arterioles in the digits is termed:
99. Montgomery tubercles are most prominent in the breasts of:
100. Which portion of the physical examination is best done with the patient standing?