nurs6512 week 11 final exam 2020 November all correct answers 100%

Question 1

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

 

 

 

 

Question 2

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

 

 

 

Question 3

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:

 

 

 

Question 4

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.

 

 

 

Question 5

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

 

 

Question 6

When palpating joints, crepitus may occur when:

 

 

 

Question 7

Bimanual examination of the uterus includes:

 

 

 

Question 8

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

 

 

 

Question 9

A cervical polyp usually appears as a:

 

 

Question 10

Normal changes of the aging brain include:

 

 

 

Question 11

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 12

Diabetic peripheral neuropathy will likely produce:

 

 

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:

 

 

Question 14

Temporalis and masseter muscles are evaluated by:

 

 

Question 15

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

 

 

 

Question 16

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

 

 

 

Question 17

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

 

 

Question 18

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

 

 

 

Question 19

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

 

 

 

Question 20

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

 

 

Question 21

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

 

 

 

Question 22

Throughout the history and physical examination, the clinician should:

 

 

 

Question 23

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

 

 

 

Question 24

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

 

 

Question 25

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

 

 

 

Question 26

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

 

 

 

Question 27

Ulnar deviation and boutonniere deformities are characteristic of:

 

 

Question 28

A finding that is indicative of osteoarthritis is:

 

 

 

Question 29

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

 

 

 

Question 30

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 31

Montgomery tubercles are most prominent in the breasts of:

 

 

Question 32

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:

 

 

Question 33

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

 

 

Question 34

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

 

 

 

Question 35

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 36

To assess a cremasteric reflex, the examiner strokes the:

 

 

 

Question 37

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

 

 

 

Question 38

An ophthalmoscopic eye examination involves:

 

 

 

Question 39

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:

 

 

 

Question 40

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 41

The finger-to-nose test allows assessment of:

 

 

Question 42

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:

 

 

 

Question 43

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

 

 

 

Question 44

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

 

 

 

Question 45

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 46

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?

 

 

Question 47

Recent unilateral inversion of a previously everted nipple suggests:

 

 

 

Question 48

Kawasaki disease is suspected when assessments of a child reveal:

 

 

Question 49

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 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

Palpation of epitrochlear nodes is part of the:

 

 

 

Question 52

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

 

 

 

Question 53

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 54

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 55

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

 

 

 

Question 56

Facial muscle or tongue weakness may result in:

 

 

 

Question 57

A common finding in markedly obese and pregnant women is:

 

 

 

Question 58

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

 

 

 

Question 59

Cranial nerve XII may be assessed in an infant by:

 

 

 

Question 60

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

 

 

 

Question 61

It is especially important to test for ankle clonus if:

 

 

 

Question 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?

 

 

Question 63

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

 

 

Question 64

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

 

 

 

Question 65

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 66

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

 

 

 

Question 67

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

 

 

 

Question 68

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:

 

 

 

Question 69

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

 

 

 

Question 70

Tarry black stool should make you suspect:

 

 

 

Question 71

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 72

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

 

 

 

Question 73

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

 

 

 

Question 74

The examiner percusses for diaphragmatic excursion along the:

 

 

 

Question 75

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 76

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

 

 

 

Question 77

The presence of cervical motion tenderness may indicate:

 

 

Question 78

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?

 

 

Question 79

The foramen ovale should close:

 

 

 

Question 80

Breath sounds normally heard over the trachea are called:

 

 

Question 81

The goals of preparticipation sports evaluation include:

 

 

Question 82

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 83

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

 

 

 

Question 84

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

 

  

 

Question 85

The musculoskeletal examination should begin when:

 

 

 

Question 86

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

 

 

Question 87

Inspection of the scrotum should reveal:

 

 

Question 88

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

 

 

 

Question 89

An idiopathic spasm of arterioles in the digits is termed:

 

 

Question 90

A positive straight leg raise test usually indicates:

 

 

 

Question 91

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

 

 

Question 92

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

 

 

Question 93

The adnexa of the uterus are composed of the:

 

 

Question 94

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

 

 

Question 95

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

 

 

 

Question 96

Which medical condition would exclude a person from sports participation?

 

 

 

Question 97

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 98

The Denver II is a tool used to determine:

 

 

 

Question 99

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

 

 

 

Question 100

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

 

 

Question 101

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