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NURS 6512 Final Exam-(Set-2) 100 Q & A, Walden University

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NURS 6512 Final Exam-(Set-2) 100 Q & A, Walden University



          NURS 6512 FINAL EXAM, Advanced Health Assessment:




1.      Which portion of the physical examination is best done with the patient standing? spinal                           




          2.      To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested? patellar                      




          3.      To assess a cremasteric reflex, the examiner strokes the: lightly stroking the inner thigh                   




          4.      Which condition is considered progressive rather than reversible? dementia                            




          5.      When palpating breast tissue, the examiner should use the pads of the fingers at each site.                            




          6.      Palpation of a normal prostate in an older adult is likely to feel: rubbery                     




          7.      The difference in blood pressure readings between the right and the left arms is considered normal up to 5mm Hg.                        




          8.      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: menstrual cycles                   




          9.      Cranial nerve XII may be assessed in an infant by: sucking and swallowing                            




          10.    While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding: Alcohol, tobacco and caffeine.                            




          11.    An idiopathic spasm of arterioles in the digits is termed: Reynaud’s                    




          12.    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 to: pregnancy                         




          13.    Assessing orientation to person, place, and time helps determine: state of consciousness                       




          14.    The rectal past medical history of all patients should include inquiry about: hemorrhoid surgery                       




          15.    To hear diastolic heart sounds, you should ask patients to: lie on their left sides                   




          16.    Loss of immediate and recent memory with retention of remote memory suggests: dementia                         




          17.    Your patient's chief complaint is repeated pencil-like stools. Further examination should include:a digital rectal exam.                     




          18.    Kawasaki disease is suspected when assessments of a child reveal:conjunctival injection, strawberry tongue, and edema of the hands and feet.                        




          19.    The examiner percusses for diaphragmatic excursion along the: scapular line                            




          20.    If pitting edema is unilateral, you would suspect occlusion of a:major vein                            




          21.    Which medical condition would exclude a person from sports participation? fever                   




          22.    The Mini-Mental State Examination: Getting lost in familiar territory is a sign of possible cognitive impairment.                     




          23.    An ophthalmoscopic eye examination involves: Lens                        




          24.    The Denver II is a tool used to determine: whether the child is developing fine and gross motor, language, personal, and social skills as expected according to the .child’s age                            




          25.    A common finding in markedly obese and pregnant women is: Lordosis                     




          26.    When conducting a geriatric assessment, basic activities of daily living (ADLs) include: Bathing                        




          27.    The finger-to-nose test allows assessment of: coordination                         




          28.    Inspection of the scrotum should reveal: left lower than the right                         




          29.    Part of the screening orthopedic component of the examination includes evaluating the person while he or she is:duck walking.                      




          30.    In the most effective percussion technique of the posterior lung fields, the patient cooperates by: crossing arms in front                    




          31.    Normal changes of the aging brain include: Diminished touch and pain                       




          32.    Ulnar deviation and boutonniere deformities are characteristic of: Rheumatoid arthritis                      




          33.    A cervical polyp usually appears as a:bright red, soft protrusion from the endocervical canal.                        




          34.    Bimanual examination of the uterus includes:using two hands and external and internal exam?                        




          35.    If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation?XI                        




          36.    Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the: p wave                       




          37.    Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of: Older adults                   




          38.    The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the: QRS                         




          39.    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: cerebellar ataxia                    




          40.    The reliability of health-related findings and observations is the responsibility of the: patient and examiner or professional                          




          41.    The physical assessment technique most frequently used to assess joint symmetry is: inspection                          




          42.    The presence of cervical motion tenderness may indicate:pelvic inflammatory disease.                    




          43.    The goals of preparticipation sports evaluation include:determining the risk of injury or death during sports participation.                            




          44.    A patient in the deepest coma would be scored a __3___ on the Glasgow Coma Scale.                          




          45.    The adnexa of the uterus are composed of the: fallopian tubes and the ovaries                         




          46.    Montgomery tubercles are most prominent in the breasts of: pregnant women                            




          47.    Palpation of epitrochlear nodes is part of the: upper extremities                           




          48.    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: bronchial obstruction                       





          49.    When palpating joints, crepitus may occur when: irregular bony surfaces rub together                        




          50.    Examination of the patient in the lithotomy, or knee-chest, position includes: anal sphincter                          




          51.    The best way to ease the apprehension of a 3-year-old child before a physical examination is to: let him hold the stethoscope during the exam                          




          52.    Recent unilateral inversion of a previously everted nipple suggests: cancer                            




          53.    A grade IV mitral regurgitation murmur would: (radiates from the apex to base or to left axilla).                     




          54.    Breath sounds normally heard over the trachea are called: bronchial                    




          55.    Nerves that arise from the brain rather than the spinal cord are called: cranial                            




          56.    The checkout station for preparticipation physical evaluation (PPE) is critical because at this point: plan follow ups                   




          57.    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: schizophrenia                            




          58.    A 12-year-old boy relates that his left scrotum has a soft swollen mass. The scrotum is not painful upon palpation. The left inguinal canal is without masses. The mass does transilluminate with a penlight. This collection of symptoms is consistent with: hydrocele                    




          59.    Postural hypotension is defined as a 15 mm hg decrease when the patient stands, compared with sitting or supine readings.                      




          60.    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:document in the record                    




          61.    You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should: ask about previous infections                     




          62.    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? Cytology smear                            




          63.    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: let them sit on the mothers lap                           




          64.    It is especially important to test for ankle clonus if: deep tendon reflexes are hyperactive                           




          65.    Which one of the following is a proper technique for use of a speculum during a vaginal examination? Press the introitus downward, insert the closed speculum obliquely.                    




          66.    Diabetic peripheral neuropathy will likely produce: decreased pain sensation                            




          67.    One of the most important aspects to consider in the orthopedic screening examination is: symmetry                      




          68.    The Mini-Mental State Examination should be administered for the patient who: get lost in their own neighborhood                           




          69.    When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the: Presence and form of body parts.                            




          70.    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: normal pregnancy                   




          71.    An apical PMI palpated beyond the left fifth intercostal space may indicate: left ventricular hypertrophy                   




          72.    Which one of the following techniques is used to detect a torn meniscus? McMurray                   




          73.    When assessing superficial pain, touch, vibration, and position perceptions, you are testing: sensory                          




          74.    Which of the following statements is true regarding the examination of peripheral arteries? Do not use your thumb                      




          75.    Tarry black stool should make you suspect: upper gastrointestinal bleed                     




          76.    A pulsation that is diminished to the point of being barely palpable would be graded as: 1                           




          77.    Temporalis and masseter muscles are evaluated by: clenching teeth                     



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