NURS 6512C final exam question and answers quizlet

NURS 6512C final exam question and answers quizlet

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Course: NURS-6512N-47-Advanced Health Assessment-2022-Fall-QTR-Term-wks-1-thru-11-(08/29/2022-11/13/2022)-PT27 NURS 6512C Final Exam Questions and Answers on Quizlet
Test: Exam – Week 11
Started: 11/09/22 10:01 PM
Submitted: 11/09/22 11:55 PM
Due Date: 11/14/22 1:59 AM
Status: Completed
Attempt Score: 98 out of 100 points
Time Elapsed: 1 hour, 53 minutes out of 2 hours
Instructions: Please respond to each question below and click Submit once you have finished the Exam.
Results Displayed: Submitted Answers

Question 1

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 increases with each beat until a QRS is dropped. What is this type of block called?
Selected Answer: Second-degree heart block, type 1: Wenckebach/Mobitz 1

Question 2

Which cranial nerves are usually evaluated during the examination of the eyes?
Selected Answer: III and VI

Question 3

The difference in blood pressure readings between the right and the left arms is considered normal up to _____ mm Hg.
Selected Answer: 10

Question 4

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

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Question 5

You order an ECG on a patient that complains of 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?
Selected Answer: Ventricular Fibrillation

Question 6

When palpating breast tissue, the examiner should use the _____ at each site.
Selected Answer: finger pads, gliding

Question 7

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

Question 8

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:
Selected Answer: hydrocele

Question 9

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:
Selected Answer: menstrual cycles.

Question 10

At your first meeting with a patient, it is usually best to say:
Selected Answer: “Tell me about yourself.”

Question 11

Which one of the following techniques is used to detect a torn meniscus?
Selected Answer: McMurray test

Question 12

Facial muscle or tongue weakness may result in:
Selected Answer: aphasia.

Question 13

The finger-to-nose test allows assessment of:
Selected Answer: coordination and fine motor function.

Question 14

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

Question 15

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.
Selected Answer: Kernig

Question 16

Postural hypotension is defined as a _____ when the patient stands, compared with sitting or supine readings.
Selected Answer: systolic pressure drop of more than 15 mm Hg with a pulse rate increase

Question 17

One of the most important aspects to consider in the orthopedic screening examination is:
Selected Answer: coordination of follow-ups is reviewed.

Question 18

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

Question 19

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?

Question 20

Throughout the history and physical examination, the clinician should:

Question 21

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

Question 22

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

Question 23

A 56-year-old male presents to the clinic to see the nurse practitioner with complaints of shortness of breath for 1 month, 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, the 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?

Question 24

Recent unilateral inversion of a previously everted nipple suggests:

Question 25

A common finding in markedly obese and pregnant women is:

Question 26

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

Question 27

Normal changes of the aging brain include:

Question 28

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

Question 29

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

Question 30

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

Question 31

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

Question 32

Examination of the patient in the lithotomy, or knee-chest, position includes:

Question 33

A 40-year-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 x-ray, you find gross postural changes and there is a severe deformity of the vertebral column.

What is the most likely diagnosis for this patient?

Question 34

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

Question 35

The family history for a patient with joint pain should include information about siblings with:

Question 36

Anterior cruciate ligament integrity is assessed via the _____ test.

Question 37

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:

Question

38

A positive straight leg raise test usually indicates:

Question 39

The musculoskeletal examination should begin when:

Question 40

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:

Question 41

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

Question 42

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:

Question 43

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

Question 44

The goals of preparticipation sports evaluation include:

Question 45

The strength of the trapezius muscle is evaluated by having the patient:

Question 46

Assessing orientation to person, place, and time helps determine:

Question 47

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:

Question 48

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

Question 49

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

Question 50

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:

Question 51

Loss of immediate and recent memory with retention of remote memory suggests:

Question 52

Cranial nerve XII may be assessed in an infant by:

Question 53

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

Question 54

A cervical polyp usually appears as a:

Question 55

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:

NURS 6512C final exam question and answers quizlet

Question 56

A finding that is indicative of osteoarthritis is:

Question 57

Inspection of the scrotum should reveal:

Question 58

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

Question 59

A grade IV mitral regurgitation murmur would:

Question 60

Adrian Thompson is a 19-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her mother 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?

Question 61

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

Question 62

A chest radiography is performed on your patient that complains of having dyspnea, coughing productive sputum, and chest pain. The image results show 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?

Question 63

An ophthalmoscopic eye examination involves:

Question 64

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

Question 65

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:

Question 66

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:

Question 67

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

Question 68

When is the mental status portion of the neurologic system examination performed?

Question 69

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

Question 70

The foramen ovale should close:

Question 71

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?

Question 72

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

Question 73

Breath sounds normally heard over the trachea are called:

Question 74

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:

Question 75

Ulnar deviation and boutonniere deformities are characteristic of:

Question 76

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

Question 77

Diabetic peripheral neuropathy will likely produce:

Question 78

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

Question 79

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:

Question 80

If pitting edema is unilateral, you would suspect occlusion of a:

Question 81

Which medical condition would exclude a person from sports participation?

Question 82

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

Question 83

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:

Question 84

A 62-year-old female presents to the clinic with complaints 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?

Question 85

Temporalis and masseter muscles are evaluated by:

Question 86

Which condition is considered progressive rather than reversible?

Question 87

It is especially important to test for ankle clonus if:

Question 88

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:

Question 89

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

Question

90

Your patient’s chief complaint is repeated pencil-like stools. Further examination should include:

Question 91

An idiopathic spasm of arterioles in the digits is termed:

Question 92

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:

Question 93

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?

Question 94

To assess a cremasteric reflex, the examiner strokes the:

Question 95

An elderly female was recently diagnosed with osteoporosis 2 weeks ago. What is the hallmark appearance of a patient with this diagnosis?

Question 96

Palpation of epitrochlear nodes is part of the:

Question 97

Bimanual examination of the uterus includes:

Question 98

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?

Question 99

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:

Question 100

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