NURS 6512 Advanced Health Assessment

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