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NURS-6512C-2/NURS-6512N-2-Advanced Health Assessment-Winter-QTR-Term- wks-1-thru-11

Exam – Week 11

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