NURS-6512N-50,ADVANCED

HEALTH ASSESSMENT .
2023 SUMMER QTR EXAMS 100% CORRECT ANSWERS.

 Question 1
In the adult, the apical impulse should be most visible when the patient is in what position?

Correct Answer: Upright

 Question 2
A pulsation that is diminished to the point of being barely palpable would be graded as:

Correct Answer: 1
 Question 3
The goals of preparticipation sports evaluation include:

Correct Answer: identifying risk of injury or death during sports participation.

 Question 4
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 The brush was withdrawn and stroked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?

Correct Answer: Cytology smear

 Question 5
 If your patient has nipple discharge, you will most likely need a:

Correct Answer: glass slide and fixative.

 Question 6
The difference in blood pressure readings between the right and the left arms is considered normal up to
mm Hg.

Correct Answer: 10
 Question 7
The Mini-Mental State Examination:

Correct Answer: may be used to quantitatively estimate cognitive changes.

 Question 8
An ophthalmoscopic eye examination involves:

Correct Answer: lens inspection.

 Question 9
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?

Correct Answer: Covid-19 contact

 Question 10
If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further
evaluation?

Correct Answer: CN XI, spinal accessory

 Question 11
When palpating joints, crepitus may occur when:

Correct Answer: irregular bony surfaces rub together.

 Question 12
The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:

Correct Answer: coordination of follow-ups is reviewed.

 Question 13
 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:

Correct Answer: note the finding in the patient's record.

 Question 14
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:

Correct Answer: menstrual cycles.

 Question 15
Tarry black stool should make you suspect:

Correct Answer: upper intestinal bleeding.

 Question 16
The examiner percusses for diaphragmatic excursion along the:

Correct Answer: scapular line.

 Question 17
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:

Correct Answer: Romberg sign.

 Question 18
An apical PMI palpated beyond the left fifth intercostal space may indicate:

Correct Answer: left ventricular hypertrophy.

 Question 19
Which one of the following is a proper technique for use of a speculum during a vaginal examination?

Correct Answer: Press introitus downward; insert closed speculum obliquely.

 Question 20
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:

Correct Answer: auscultating the lung bases.

 Question 21
 One of the most important aspects to consider in the orthopedic screening examination is:

Correct Answer: symmetry.

 Question 22
Palpation of a normal prostate in an older adult is likely to feel:

Correct Answer: rubbery.

 Question 23
The finger-to-nose test allows assessment of:

Correct Answer: coordination and fine motor function.

 Question 24
A cervical polyp usually appears as a:

Correct Answer: bright-red soft protrusion from the endocervical canal.

 Question 25
Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on
the breath may signify:

Correct Answer: uremia.

 Question 26
Ulnar deviation and boutonniere deformities are characteristic of:

Correct Answer: rheumatoid arthritis.

 Question 27
The musculoskeletal examination should begin when:

Correct Answer: the patient enters the examination room.

 Question 28
To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested?

Correct Answer: Patellar

 Question 29
To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with:

Correct Answer: one arm overhead and a pillow under her shoulder.
 Question 30
Examination of the patient in the lithotomy, or knee-chest, position includes:

Correct Answer: palpation of anal sphincter tone.

 Question 31
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?

Correct Answer: Cervical spine radiograph

 Question 32
Breath sounds normally heard over the trachea are called:

Correct Answer: bronchial.

 Question 33
A red, hot swollen joint in a 40-year-old man should lead you to suspect:

Correct Answer: gout.

 Question 34
The Denver II is a tool used to determine:

Correct Answer: whether a child is developing as expected.

 Question 35
Facial muscle or tongue weakness may result in:

Correct Answer: aphasia.

 Question 36
Cranial nerve XII may be assessed in an infant by:

Correct Answer: observing the infant suck and swallow.

 Question 37
At your first meeting with a patient, it is usually best to say:

Correct Answer: "Tell me about yourself."

 Question 38
Loss of immediate and recent memory with retention of remote memory suggests:
 Correct Answer: dementia.
 Question 39
The strength of the trapezius muscle is evaluated by having the patient:

Correct Answer: push her head against the examiner's hand.

 Question 40
The Mini-Mental State Examination should be administered for the patient who:

Correct Answer: gets lost in her neighborhood.

 Question 41
Inspection of the scrotum should reveal:

Correct Answer: left scrotal sac lower than the right.

 Question 42
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:

Correct Answer: perform the examination while the child is in the mother's lap.
 Question 43
Temporalis and masseter muscles are evaluated by:

Correct Answer: having the patient clench his or her teeth.

 Question 44
Throughout the history and physical examination, the clinician should:

Correct Answer: evaluate the whole patient.

 Question 45
Functional assessment is most important during the examination of a(n):

Correct Answer: older adult.

 Question 46
When conducting a geriatric assessment, basic activities of daily living (ADLs) include:

Correct Answer: bathing.

 Question 47
 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:

Correct Answer: Mini-Mental State Examination.

 Question 48
The physical assessment technique most frequently used to assess joint symmetry is:

Correct Answer: inspection.

 Question 49
It is especially important to test for ankle clonus if:

Correct Answer: deep tendon reflexes are hyperactive.

 Question 50
Recent unilateral inversion of a previously everted nipple suggests:

Correct Answer: cancer.

 Question 51
The adnexa of the uterus are composed of the:

Correct Answer: fallopian tubes and ovaries.

 Question 52
The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as
the:

Correct Answer: QRS complex.

 Question 53
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:

Correct Answer: 3+.

 Question 54
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:

Correct Answer: moderately loud.

 Question 55
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?

Correct Answer: Covid-19 contact

 Question 56
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:

Correct Answer: suggest a pregnancy test

 Question 57
When assessing superficial pain, touch, vibration, and position perceptions, you are testing:

Correct Answer: sensory function.

 Question 58
Montgomery tubercles are most prominent in the breasts of:

Correct Answer: pregnant women.

 Question 59
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:

Correct Answer: are usual conditions during pregnancy.

 Question 60
In the most effective percussion technique of the posterior lung fields, the patient cooperates by:

Correct Answer: folding the arms in front.

 Question 61
The rectal past medical history of all patients should include inquiry about:

Correct Answer: hemorrhoid surgery.

 Question 62
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:

Correct Answer: fingertips.

 Question 63
Anterior cruciate ligament integrity is assessed via the test.

Correct Answer: Lachman

 Question 64
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:

Correct Answer: lung consolidation.

 Question 65
A positive straight leg raise test usually indicates:

Correct Answer: lumbar nerve root irritation.

 Question 66
While collecting personal and social history data from a woman complaining of breast discomfort, you
should question her regarding:

Correct Answer: alcohol, tobacco, and caffeine use.

 Question 67
Nerves that arise from the brain rather than the spinal cord are called:

Correct Answer: cranial.

 Question 68
When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes
the:

Correct Answer: presence and form of body parts.

 Question 69
A grade IV mitral regurgitation murmur would:

Correct Answer: radiate to the axilla.

 Question 70
The foramen ovale should close:

Correct Answer: within minutes of birth.

 Question 71
 The presence of cervical motion tenderness may indicate:

Correct Answer: pelvic inflammatory disease.

 Question 72
Which cranial nerves are usually evaluated during the examination of the eyes?

Correct Answer: III and VI

 Question 73
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:

Correct Answer: riflery.

 Question 74
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?

Correct Answer: "What age was your father at the time of his death?"
 Question 75
Assessing orientation to person, place, and time helps determine:

Correct Answer: state of consciousness.

 Question 76
A patient in the deepest coma would be scored a on the Glasgow Coma Scale.

Correct Answer: 3
 Question 77
Which condition is considered progressive rather than reversible?

Correct Answer: Dementia

 Question 78
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:

Correct Answer: test the six cardinal points of gaze.

 Question 79
Which one of the following techniques is used to detect a torn meniscus?
 Correct Answer: McMurray test
 Question 80
You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily
retracted. You should:

Correct Answer: inquire about previous penile infections.

 Question 81
The reliability of health-related findings and observations is the responsibility of the:

Correct Answer: professional and the patient.

 Question 82
Postural hypotension is defined as a when the patient stands, compared with sitting or supine
readings.

Correct Answer: systolic pressure drop of more than 15 mm Hg with a pulse rate increase
 Question 83
A common finding in markedly obese and pregnant women is:

Correct Answer: lordosis.

 Question 84
Which portion of the physical examination is best done with the patient standing?

Correct Answer: Spinal

 Question 85
The best way to ease the apprehension of a 3-year-old child before a physical examination is to:

Correct Answer: let the child hold the stethoscope while you listen.
 Question 86
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:

Correct Answer: hydrocele

 Question 87
To hear diastolic heart sounds, you should ask patients to:

Correct Answer: lie on their left sides.

 Question 88
Bimanual examination of the uterus includes:

Correct Answer: grasping the cervix between the examining fingers.

 Question 89
Which medical condition would exclude a person from sports participation?

Correct Answer: Fever

 Question 90
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?

Correct Answer: Thick, calloused skin

 Question 91
Part of the screening orthopedic component of the examination includes evaluating the person while he
or she is:

Correct Answer: duck walking.

 Question 92
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:

Correct Answer: fibrocystic changes.

 Question 93
An idiopathic spasm of arterioles in the digits is termed:

Correct Answer: Raynaud disease.

 Question 94
When palpating breast tissue, the examiner should use the at each site.

Correct Answer: finger pads, gliding

 Question 95
Which of the following statements is true regarding the examination of peripheral arteries?

Correct Answer: The pulses are most readily felt over bony prominences.
 Question 96
 Normal changes of the aging brain include:

Correct Answer: diminished perception of touch.

 Question 97
To assess a cremasteric reflex, the examiner strokes the:

Correct inner thigh and observes whether the testicle and scrotum rise on the stroked
Answer: side.

 Question 98
For purposes of examination and communication of physical findings, the breast is divided into:

Correct Answer: four quadrants plus a tail.

 Question 99
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:

Correct Answer: cerebellar ataxia.

 Question 100
A finding that is indicative of osteoarthritis is:

Correct Answer: Heberden nodes.

 Question 101
When completing this exam, did you comply with Walden University's Code of Conduct including the
expectations for academic integrity?

Correct Answer: Yes

In the Year of the Lords