NURS 6512C-34, NURS 6512N-34 MID TERM

EXAM ALREADY GRADED A+

Course NURS-6512C-34/NURS-6512N-34-Advanced Health Assessment

Test Exam - Week 11
Status Completed
october
Attempt 95 out of 100 points
Score
• Quiz 1
When conducting a geriatric assessment, basic activities of daily living
(ADLs) include:

ANSWER: bathin
g.
• Quiz 2
When palpating breast tissue, the examiner should use the at each
site.

ANSWER: finger pads,

gliding
• Quiz 3
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?

ANSWER: Second degree heart block, type 1: Wenckebach/Mobitz 1

• Quiz 4
Throughout the history and physical examination, the clinician should:

ANSWER: evaluate the whole

patient.
• Quiz 5
The spread of the impulse through the ventricles (ventricular
depolarization) is depicted on the ECG as the:
 ANSWER: QRS
complex.
• Quiz 6
 You are inspecting the genitalia of an uncircumcised adult male. The
foreskin is tight and cannot be easily retracted. You should:

ANSWER: inquire about previous penile

infections.
• Quiz 7
Loss of immediate and recent memory with retention of remote memory
suggests:

ANSWER: dementi
a.
• Quiz 8
To hear diastolic heart sounds, you should ask patients to:

ANSWER: lie on their left

sides.

• Quiz 9
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:

ANSWER: note the finding in the patient's

record.
• Quiz 10
To spread the breast tissue evenly over the chest wall, you should ask the
woman to lie supine with:

ANSWER: one arm overhead and a pillow under her

shoulder.
• Quiz 11
A pulsation that is diminished to the point of being barely palpable would
be graded as:

Selected 1
Answer:
• Quiz 12
Which of the following statements is true regarding the examination of
peripheral arteries?
 ANSWER: The pulses are most readily felt over bony
prominences.
• Quiz 13
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?

ANSWER: Ventricular Tachycardia

• Quiz 14
Breath sounds normally heard over the trachea are called:

ANSWER: bronchi
al.
• Quiz 15
The checkout station for preparticipation physical evaluation (PPE) is
critical because at this point:

ANSWER: coordination of follow-ups is

reviewed.
• Quiz 16
Palpation of epitrochlear nodes is part of the:

ANSWER: examination of the upper

extremities.
• Quiz 17
A positive straight leg raise test usually indicates:

ANSWER: lumbar nerve root

irritation.

• Quiz 18
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?
 ANSWER: Pneumonia

• Quiz 19
The Mini-Mental State Examination:

ANSWER: may be used to quantitatively estimate

cognitive changes.
• Quiz 20
A 62 year old female presents to the clinic with complains 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?

ANSWER: Atrial Flutter

• Quiz 21
Anterior cruciate ligament integrity is assessed via the test.

ANSWER: straight leg

raise
• Quiz 22
Which one of the following techniques is used to detect a torn meniscus?

ANSWER: McMurray
test
• Quiz 23
Recent unilateral inversion of a previously everted nipple suggests:

ANSWER: cance
r.
• Quiz 24
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:
 ANSWER: riflery
.
• Quiz 25
A common finding in markedly obese and pregnant women is:

ANSWER: lordosi
s.
• Quiz 26
A cervical polyp usually appears as a:

ANSWER: bright-red soft protrusion from the

endocervical canal.
• Quiz 27
Bimanual examination of the uterus includes:

ANSWER: grasping the cervix between the

examining fingers.
• Quiz 28
If your patient has nipple discharge, you will most likely need a:

ANSWER: glass slide and

fixative.
• Quiz 29
The foramen ovale should close:

ANSWER: within minutes of

birth.
• Quiz 30
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:

ANSWER: schizophren
ia.
• Quiz 31
 A patient in the deepest coma would be scored a on the Glasgow
Coma Scale.

Selected 3
Answer:
• Quiz 32
If pitting edema is unilateral, you would suspect occlusion of a:

ANSWER: major
vein.
• Quiz 33
A finding that is indicative of osteoarthritis is:

ANSWER: Heberden
nodes.
• Quiz 34
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:

ANSWER: perform the examination while the child is in the

mother's lap.
• Quiz 35
The reliability of health-related findings and observations is the
responsibility of the:

ANSWER: professional and the

patient.
• Quiz 36
Which cranial nerves are usually evaluated during the examination of the
eyes?

ANSWER: III and

VI
• Quiz 37
An apical PMI palpated beyond the left fifth intercostal space may
indicate:
 ANSWER: left ventricular
hypertrophy.
• Quiz 38
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?

ANSWER: Cocaine
use
• Quiz 39
When the Goodenough-Harris Drawing Test is administered to a child, the
evaluator principally observes the:

ANSWER: presence and form of body

parts.
• Quiz 40
Inquiry about nocturnal muscle spasms would be most significant when
taking the musculoskeletal history of:

ANSWER: older
adults.
• Quiz 41
An ophthalmoscopic eye examination involves:

ANSWER: lens
inspection.
• Quiz 42
One of the most important aspects to consider in the orthopedic
screening examination is:

ANSWER: symmetr
y.
• Quiz 43
Examination of the patient in the lithotomy, or knee-chest, position
includes:
 ANSWER: palpation of anal sphincter
tone.
• Quiz 44
If a patient cannot shrug the shoulders against resistance, which cranial
nerve (CN) requires further evaluation?

ANSWER: CN XI, spinal

accessory
• Quiz 45
The rectal past medical history of all patients should include inquiry
about:

ANSWER: hemorrhoid
surgery.
• Quiz 46
Tarry black stool should make you suspect:

ANSWER: upper intestinal

bleeding.
• Quiz 47
Electrical activity recorded by the electrocardiogram (ECG) tracing that
denotes the spread of the stimulus through the atria is the:

ANSWER: P
wave.
• Quiz 48
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.

ANSWER: Kerni
g
• Quiz 49
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:

ANSWER: hydroce
le
• Quiz 50
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:

ANSWER: Mini-Mental State

Examination.
• Quiz 51
The Mini-Mental State Examination should be administered for the patient
who:

ANSWER: gets lost in her

neighborhood.
• Quiz 52
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:

ANSWER: test the six cardinal points of

gaze.
• Quiz 53
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:

ANSWER: are usual conditions during

pregnancy.
• Quiz 54
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?
 ANSWER: Loss of hair over the
extremity
• Quiz 55
It is especially important to test for ankle clonus if:

ANSWER: deep tendon reflexes are

hyperactive.
• Quiz 56
Assessing orientation to person, place, and time helps determine:

ANSWER: state of
consciousness.
• Quiz 57
When assessing superficial pain, touch, vibration, and position
perceptions, you are testing:

ANSWER: sensory
function.

• Quiz 58
Kawasaki disease is suspected when assessments of a child reveal:

ANSWER: conjunctival injection, strawberry tongue, and edema of

the hands and feet.
• Quiz 59
Diabetic peripheral neuropathy will likely produce:

ANSWER: diminished pain

sensation.
• Quiz 60
The Denver II is a tool used to determine:

ANSWER: whether a child is developing as

expected.

• Quiz 61
A red, hot swollen joint in a 40-year-old man should lead you to suspect:
 ANSWER: gou
t.
• Quiz 62
Your patient's chief complaint is repeated pencil-like stools. Further
examination should include:

ANSWER: digital rectal examination

(DRE).
• Quiz 63
In the adult, the apical impulse should be most visible when the patient is
in what position?

ANSWER: Uprig
ht
• Quiz 64
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?

ANSWER: Right Sided Congestive Heart Failure

• Quiz 65
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:

ANSWER: lung
consolidation.
• Quiz 66
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:

ANSWER: fibrocystic
changes.
• Quiz 67
When is the mental status portion of the neurologic system examination
performed?

ANSWER: Constantly, throughout the entire interaction with

a patient
• Quiz 68
Which condition is considered progressive rather than reversible?

ANSWER: Dement
ia

• Quiz 69
To assess a cremasteric reflex, the examiner strokes the:

ANSWER inner thigh and observes whether the testicle and

: scrotum rise on the stroked side.
• Quiz 70
An idiopathic spasm of arterioles in the digits is termed:

ANSWER: Raynaud
disease.
• Quiz 71
Which medical condition would exclude a person from sports
participation?

ANSWER: Asthm
a
• Quiz 72
The musculoskeletal examination should begin when:

ANSWER: the patient enters the

examination room.
• Quiz 73
While collecting personal and social history data from a woman
complaining of breast discomfort, you should Quiz her regarding:

ANSWER: alcohol, tobacco, and

caffeine use.
• Quiz 74
When palpating joints, crepitus may occur when:

ANSWER: irregular bony surfaces rub

together.
• Quiz 75
The presence of cervical motion tenderness may indicate:

ANSWER: pelvic inflammatory

disease.
• Quiz 76
Which portion of the physical examination is best done with the patient
standing?

ANSWER: Spin
al
• Quiz 77
The goals of preparticipation sports evaluation include:

ANSWER: identifying risk of injury or death during sports

participation.

• Quiz 78
Facial muscle or tongue weakness may result in:

ANSWER: aphasi
a.

• Quiz 79
Ulnar deviation and boutonniere deformities are characteristic of:

Selected rheumatoid
 Answer: arthritis.
• Quiz 80
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:

ANSWER: moderately
loud.
• Quiz 81
At your first meeting with a patient, it is usually best to say:

ANSWER: "Tell me about

yourself."
• Quiz 82
To assess spinal levels L2, L3, and L4, which deep tendon reflex should be
tested?

ANSWER: Patell
ar

• Quiz 83
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:

ANSWER: cerebellar
ataxia.
• Quiz 84
Which one of the following is a proper technique for use of a speculum
during a vaginal examination?

ANSWER: Press introitus downward; insert closed speculum

obliquely.
• Quiz 85
Breath odors may clue the examiner to certain underlying metabolic
conditions. The odor of ammonia on the breath may signify:

ANSWER: diabetic
ketoacidosis.
• Quiz 86
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:

ANSWER: Romberg
sign.
• Quiz 87
Part of the screening orthopedic component of the examination includes
evaluating the person while he or she is:

ANSWER: duck
walking.
• Quiz 88
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 Quiz you should pose is
which of the following?

ANSWER: "What age was your father at the time of

his death?"
• Quiz 89
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:

ANSWER: fingertip
s.
• Quiz 90
Palpation of a normal prostate in an older adult is likely to feel:

ANSWER: rubber
y.
• Quiz 91
Functional assessment is most important during the examination of a(n):

Selected older
 Answer: adult.
• Quiz 92
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:

Selected 3
Answer: +.
• Quiz 93
Nerves that arise from the brain rather than the spinal cord are called:

ANSWER: crania
l.

• Quiz 94
For purposes of examination and communication of physical findings, the
breast is divided into:

ANSWER: four quadrants plus a

tail.
• Quiz 95
The finger-to-nose test allows assessment of:

ANSWER: coordination and fine motor

function.
• Quiz 96
The strength of the trapezius muscle is evaluated by having the patient:

ANSWER: push her head against the

examiner's hand.
• Quiz 97
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:

ANSWER: auscultating the lung

bases.
• Quiz 98
The physical assessment technique most frequently used to assess joint
symmetry is:

ANSWER: inspectio
n.
• Quiz 99
Your 15-year-old patient is athletic and thin. Radiography of an ankle
injury reveals a stress fracture. You should Quiz this patient about her:

ANSWER: menstrual
cycles.
• Quiz 100
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?

ANSWER: Herniated Lumbar Disk

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

Selected Ye
Answer: s