Assignment: NURS-6512N-49 Advanced Health
Assignment: NURS-6512N-49 Advanced Health
Assessment.2020 Spring Qtr 02/24-
05/17-
Test Exam – Week 11
Due Date 5/11/20 1:59 AM
Status Completed
Attempt Score 100 out of 100 points
Time Elapsed 1 hour, 21 minutes out of 2 hours
Instructions Please answer each question below and
click Submit when you have completed
the Exam.
Results Displayed Submitted Answers, Incorrectly
Answered Questions
Question 1
1 out of 1 points
One of the most important aspects to consider in the orthopedic screening
examination is:
Selected
Answer:
symmetry.
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Question 2
1 out of 1 points
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:
Selected
Answer:
hydrocel
e.
Question 3
1 out of 1 points
Loss of immediate and recent memory with retention of remote memory suggests:
Selected
Answer:
dementi
a.
Question 4
1 out of 1 points
The rectal past medical history of all patients should include inquiry about:
Selected
Answer:
hemorrhoid
surgery.
Question 5
1 out of 1 points
A common finding in markedly obese and pregnant women is:
Selected
Answer:
lordosi
s.
Question 6
1 out of 1 points
Kawasaki disease is suspected when assessments of a child reveal:
Selected
Answer:
conjunctival injection, strawberry tongue, and edema of the
hands and feet.
Question 7
1 out of 1 points
The musculoskeletal examination should begin when:
Selected
Answer:
the patient enters the
examination room.
Question 8
1 out of 1 points
At your first meeting with a patient, it is usually best to say:
Selected
Answer:
“Tell me about
yourself.”
Question 9
1 out of 1 points
A pulsation that is diminished to the point of being barely palpable would be graded
as:
Selected
Answer:
1
Question 10
1 out of 1 points
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:
Selected
Answer:
note the finding in the patient’s
record.
Question 11
1 out of 1 points
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?
Selected
Answer:
Cocaine
use
Question 12
1 out of 1 points
Which of the following statements is true regarding the examination of peripheral
arteries?
Selected
Answer:
The pulses are most readily felt over bony
prominences.
Question 13
1 out of 1 points
Which one of the following techniques is used to detect a torn meniscus?
Selected
Answer:
McMurray
test
Question 14
1 out of 1 points
The finger-to-nose test allows assessment of:
Selected
Answer:
coordination and fine motor
function.
Question 15
1 out of 1 points
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:
Selected
Answer:
fingertip
s.
Question 16
1 out of 1 points
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
1 out of 1 points
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:
Selected
Answer:
suggest pregnancy
testing.
Question 18
1 out of 1 points
Montgomery tubercles are most prominent in the breasts of:
Selected
Answer:
pregnant
women.
Question 19
1 out of 1 points
When palpating joints, crepitus may occur when:
Selected
Answer:
irregular bony surfaces rub
together.
Question 20
1 out of 1 points
The Mini-Mental State Examination should be administered for the patient who:
Selected
Answer:
gets lost in her
neighborhood.
Question 21
1 out of 1 points
Breath sounds normally heard over the trachea are called:
Selected
Answer:
bronchi
al.
Question 22
1 out of 1 points
When assessing superficial pain, touch, vibration, and position perceptions, you are
testing:
Selected
Answer:
sensory
function.
Question 23
1 out of 1 points
In the most effective percussion technique of the posterior lung fields, the patient
cooperates by:
Selected
Answer:
folding the arms in
front.
Question 24
1 out of 1 points
Diabetic peripheral neuropathy will likely produce:
Selected
Answer:
diminished pain
sensation.
Question 25
1 out of 1 points
Which cranial nerves are usually evaluated during the examination of the eyes?
Selected
Answer:
III and
VI
Question 26
1 out of 1 points
To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested?
Selected
Answer:
Patell
ar
Question 27
1 out of 1 points
Nerves that arise from the brain rather than the spinal cord are called:
Selected
Answer:
crania
l.
Question 28
1 out of 1 points
The best way to ease the apprehension of a 3-year-old child before a physical
examination is to:
Selected
Answer:
let the child hold the stethoscope while
you listen.
Question 29
1 out of 1 points
Which condition is considered progressive rather than reversible?
Selected
Answer:
Dement
ia
Question 30
1 out of 1 points
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:
Selected
Answer:
moderately
loud.
Question 31
1 out of 1 points
Inspection of the scrotum should reveal:
Selected
Answer:
left scrotal sac lower than the
right.
Question 32
1 out of 1 points
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?
Selected
Answer:
Cervical spine
radiograph
Question 33
1 out of 1 points
If pitting edema is unilateral, you would suspect occlusion of a:
Selected
Answer:
major
vein.
Question 34
1 out of 1 points
The physical assessment technique most frequently used to assess joint symmetry is:
Selected
Answer:
inspectio
n.
Question 35
1 out of 1 points
The foramen ovale should close:
Selected
Answer:
within minutes of
birth.
Question 36
1 out of 1 points
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:
Kerni
g
Question 37
1 out of 1 points
Ulnar deviation and boutonniere deformities are characteristic of:
Selected
Answer:
rheumatoid
arthritis.
Question 38
1 out of 1 points
A grade IV mitral regurgitation murmur would:
Selected
Answer:
radiate to the
axilla.
Question 39
1 out of 1 points
Anterior cruciate ligament integrity is assessed via the _____ test.
Selected
Answer:
Lachm
an
Question 40
1 out of 1 points
Bimanual examination of the uterus includes:
Selected
Answer:
grasping the cervix between the
examining fingers.
Question 41
1 out of 1 points
A red, hot swollen joint in a 40-year-old man should lead you to suspect:
Selected
Answer:
gou
t.
Question 42
1 out of 1 points
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:
Selected
Answer:
riflery
.
Question 43
1 out of 1 points
Normal changes of the aging brain include:
Selected
Answer:
diminished perception of
touch.
Question 44
1 out of 1 points
The reliability of health-related findings and observations is the responsibility of the:
Selected
Answer:
professional and the
patient.
Question 45
1 out of 1 points
Temporalis and masseter muscles are evaluated by:
Selected
Answer:
having the patient clench his or
her teeth.
Question 46
1 out of 1 points
The Denver II is a tool used to determine:
Selected
Answer:
whether a child is developing as
expected.
Question 47
1 out of 1 points
When conducting a geriatric assessment, basic activities of daily living (ADLs)
include:
Selected
Answer:
bathing.
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Question 48
1 out of 1 points
A positive straight leg raise test usually indicates:
Selected
Answer:
lumbar nerve root
irritation.
Question 49
1 out of 1 points
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:
Selected
Answer:
schizophren
ia.
Question 50
1 out of 1 points
An idiopathic spasm of arterioles in the digits is termed:
Selected Raynaud
Answer: disease.
Question 51
1 out of 1 points
Assessing orientation to person, place, and time helps determine:
Selected
Answer:
state of
consciousness.
Question 52
1 out of 1 points
An ophthalmoscopic eye examination involves:
Selected
Answer:
lens
inspection.
Question 53
1 out of 1 points
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?
Selected
Answer:
Cytology
smear
Question 54
1 out of 1 points
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 55
1 out of 1 points
The goals of preparticipation sports evaluation include:
Selected
Answer:
identifying risk of injury or death during sports
participation.
Question 56
1 out of 1 points
Inquiry about nocturnal muscle spasms would be most significant when taking the
musculoskeletal history of:
Selected
Answer:
older
adults.
Question 57
1 out of 1 points
Palpation of a normal prostate in an older adult is likely to feel:
Selected
Answer:
rubber
y.
Question 58
1 out of 1 points
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:
Selected
Answer:
cerebellar
ataxia.
Question 59
1 out of 1 points
For purposes of examination and communication of physical findings, the breast is
divided into:
Selected
Answer:
four quadrants plus a
tail.
Question 60
1 out of 1 points
The difference in blood pressure readings between the right and the left arms is
considered normal up to _____ mm Hg.
Selected
Answer:
1
0
Question 61
1 out of 1 points
A patient in the deepest coma would be scored a _____ on the Glasgow Coma Scale.
Selected
Answer:
3
Question 62
1 out of 1 points
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?
Selected
Answer:
Loss of hair over the
extremity
Question 63
1 out of 1 points
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:
Selected
Answer:
auscultating the lung
bases.
Question 64
1 out of 1 points
Recent unilateral inversion of a previously everted nipple suggests:
Selected
Answer:
cance
r.
Question 65
1 out of 1 points
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:
Selected
Answer:
fibrocystic
changes.
Question 66
1 out of 1 points
Which medical condition would exclude a person from sports participation?
Selected
Answer:
Feve
r
Question 67
1 out of 1 points
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
Answer:
3
+.
Question 68
1 out of 1 points
Examination of the patient in the lithotomy, or knee-chest, position includes:
Selected
Answer:
palpation of anal sphincter
tone.
Question 69
1 out of 1 points
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:
Selected
Answer:
Mini-Mental State
Examination.
Question 70
1 out of 1 points
Your patient’s chief complaint is repeated pencil-like stools. Further examination
should include:
Selected
Answer:
digital rectal examination
(DRE).
Question 71
1 out of 1 points
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:
Selected
Answer:
Romberg
sign.
Question 72
1 out of 1 points
To hear diastolic heart sounds, you should ask patients to:
Selected
Answer:
lie on their left
sides.
Question 73
1 out of 1 points
The Mini-Mental State Examination:
Selected
Answer:
may be used to quantitatively estimate
cognitive changes.
Question 74
1 out of 1 points
The family history for a patient with joint pain should include information about
siblings with:
Selected
Answer:
genetic
disorders.
Question 75
1 out of 1 points
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:
Selected are usual conditions during
Answer: pregnancy.
Question 76
1 out of 1 points
When palpating breast tissue, the examiner should use the _____ at each site.
Selected
Answer:
finger pads,
gliding
Question 77
1 out of 1 points
It is especially important to test for ankle clonus if:
Selected
Answer:
deep tendon reflexes are
hyperactive.
Question 78
1 out of 1 points
If your patient has nipple discharge, you will most likely need a:
Selected
Answer:
glass slide and
fixative.
Question 79
1 out of 1 points
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?
Selected
Answer:
“What age was your father at the time of
his death?”
Question 80
1 out of 1 points
Tarry black stool should make you suspect:
Selected
Answer:
upper intestinal
bleeding.
Question 81
1 out of 1 points
Functional assessment is most important during the examination of a(n):
Selected
Answer:
older
adult.
Question 82
1 out of 1 points
When is the mental status portion of the neurologic system examination performed?
Selected
Answer:
Constantly, throughout the entire interaction with
a patient
Question 83
1 out of 1 points
A finding that is indicative of osteoarthritis is:
Selected
Answer:
Heberden
nodes.
Question 84
1 out of 1 points
Breath odors may clue the examiner to certain underlying metabolic conditions. The
odor of ammonia on the breath may signify:
Selected
Answer:
uremi
a.
Question 85
1 out of 1 points
A cervical polyp usually appears as a:
Selected
Answer:
bright-red soft protrusion from the
endocervical canal.
Question 86
1 out of 1 points
The examiner percusses for diaphragmatic excursion along the:
Selected
Answer:
scapular line.
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Question 87
1 out of 1 points
The spread of the impulse through the ventricles (ventricular depolarization) is
depicted on the ECG as the:
Selected
Answer:
QRS
complex.
Question 88
1 out of 1 points
The adnexa of the uterus are composed of the:
Selected
Answer:
fallopian tubes and
ovaries.
Question 89
1 out of 1 points
Facial muscle or tongue weakness may result in:
Selected
Answer:
aphasi
a.
Question 90
1 out of 1 points
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:
Selected
Answer:
test the six cardinal points of
gaze.
Question 91
1 out of 1 points
Which portion of the physical examination is best done with the patient standing?
Selected
Answer:
Spin
al
Question 92
1 out of 1 points
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 93
1 out of 1 points
If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN)
requires further evaluation?
Selected
Answer:
CN XI, spinal
accessory
Question 94
1 out of 1 points
You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight
and cannot be easily retracted. You should:
Selected
Answer:
inquire about previous penile
infections.
Question 95
1 out of 1 points
An apical PMI palpated beyond the left fifth intercostal space may indicate:
Selected
Answer:
left ventricular
hypertrophy.
Question 96
1 out of 1 points
Palpation of epitrochlear nodes is part of the:
Selected
Answer:
examination of the upper
extremities.
Question 97
1 out of 1 points
The checkout station for preparticipation physical evaluation (PPE) is critical because
at this point:
Selected
Answer:
coordination of follow-ups is
reviewed.
Question 98
1 out of 1 points
Which one of the following is a proper technique for use of a speculum during a
vaginal examination?
Selected
Answer:
Press introitus downward; insert closed speculum
obliquely.
Question 99
1 out of 1 points
The presence of cervical motion tenderness may indicate:
Selected
Answer:
pelvic inflammatory
disease.
Question 100
1 out of 1 points
Throughout the history and physical examination, the clinician should:
Selected
Answer:
evaluate the whole
patient.
Question 101
0 out of 0 points
When completing this exam, did you comply with Walden University’s Code of
Conduct including the expectations for academic integrity?
Selected
Answer:
Ye
s
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