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NURS-6512N-48-Advanced Health Assessment-Fall-QTR- Term-wks-1-thru-11

Exam – Week 11

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