NURS 6512N-14 Week 11 Final Exam
NURS 6512N-14 Week 11 Final Exam
Question: 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: One of the most important aspects to consider in the orthopedic screening examination is:
Question: 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 … with this positive test, you would also perform a test for the
Question: The reliability of health-related findings and observations is the responsibility of the:
Question: The finger-to-nose test allows assessment of:
Question: In the most effective percussion technique of the posterior lung fields, the patient cooperates by:
Question: While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding:
Question: An idiopathic spasm of arterioles in the digits is termed:
Question: A 25 yo AA female has come to the clinic because she has … 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 … and that her nipples have turned a darker color. Your further response to this finding is to:
Question: Assessing orientation to person, place, and time helps determine:
Question: A pulsation that is … to the point of being barely palpable would … as:
Question: Normal changes of the aging brain include:
Question: A red, hot swollen joint in a 40-year-old man should lead you to suspect:
Question: A positive straight leg raise test usually indicates:
Question: A 62 year old female presents to the clinic with complains of chest pain and heart palpitations that … 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: Which one of the following is a proper technique for use of a speculum during a vaginal examination?NURS 6512N-14 Week 11 Final Exam
Question: An elderly female was recently … with osteoporosis 2 weeks ago. What is the hallmark appearance of a patient with this diagnosis?
Question: When palpating joints, crepitus may occur when:
Question: The adnexa of the uterus are … of the:
Question: Temporalis and masseter muscles are … by:
Question: The strength of the trapezius muscle is … by having the patient:
Question: Bimanual examination of the uterus includes:
Question: As Mr. B. enters the room, you observe that his gait is wide … and he staggers from side to side while swaying his trunk. You would document Mr. B.’s pattern as:
Question: At your first meeting with a patient, it is usually best to say:
Question: A cervical polyp usually appears as a:
Question: 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: The Denver II is a tool … to determine:
Question: An examiner has … a brush several times into the cervical os. The brush was withdrawn and stroked lightly on a glass slide. The slide was … with fixative. Which type of specimen requires this technique for collection?
Question: An apical PMI … beyond the left fifth intercostal space may indicate:
Question: You are interviewing a 20-year-old patient with a new-onset psychotic disorder. The patient is apathetic and has … thoughts and language patterns. The nurse recognizes this behavior pattern as consistent with a diagnosis of:
Question: If pitting edema is unilateral, you would suspect occlusion of a:
Question: To hear diastolic heart sounds, you should ask patients to:
33. Question: 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?
Question: Diabetic peripheral neuropathy will likely produce:
Question: Postural hypotension is … as a when the patient stands, … with sitting or supine
Question: 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: Tarry black stool should make you suspect:
Question: Palpation of epitrochlear nodes is part of the:
Question: The Mini-Mental State Examination should … for the patient who:
Question: You are inspecting the genitalia of an … adult male. The foreskin is tight and cannot be easily retracted. You should:
Question: During a routine prenatal visit, Ms. was … as having dependent edema, varicosities of the legs, and hemorrhoids. She … 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:NURS 6512N-14 Week 11 Final Exam
Question: Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of:
Question: Facial muscle or tongue weakness may result in:
Question: The Mini-Mental State Examination:
Question: Which one of the following techniques is … to detect a torn meniscus?
Question: The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:
Question: When is the mental status portion of the neurologic system examination performed?
Question: Which of the following statements is true regarding the examination of peripheral arteries?
Question: The physical assessment technique most frequently … to assess joint symmetry is:
Question: A 56-year-old male presents to the clinic to see the nurse practitioner with complaints of
Question: 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: Throughout the history and physical examination, the clinician should:
Question: Montgomery tubercles are most prominent in the breasts of:
Question: During chest assessment, you note the patient’s voice quality while auscultating the lung fields. The voice sound is …, there is a nasal quality to the voice, and the e’s sound like a s. This sound is indicative of:
Question: 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: 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 … for her?
Question: 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: The musculoskeletal examination should begin when:
Question: Breath sounds normally heard over the trachea are called:
Question: Loss of immediate and recent memory with retention of remote memory suggests:
Question: In the adult, the apical impulse should be most visible when the patient is in what position?
Question: 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: You are examining a patient in the emergency department who has recently … head trauma. In order to initially assess this patient’s neurologic status, you would:
Question: Nerves that arise from the brain rather than the spinal cord are called:
Question: The goals of preparticipation sports evaluation include:
Question: 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: If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation?NURS 6512N-14 Week 11 Final Exam
Question: A patient in the deepest coma would … a on the Glasgow Coma
Question: When conducting a geriatric assessment, basic activities of daily living (ADLs) include:
Question: Cranial nerve XII may … in an infant by:
Question: 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 … 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?
Question: The best way to ease the apprehension of a 3-year-old child before a physical examination is to:
Question: A patient you are seeing in the emergency department for chest pain is … 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: The difference in blood pressure readings between the right and the left arms is … normal up to mm
Question: The examiner percusses for diaphragmatic excursion along the:
Question: A common finding in markedly obese and pregnant women is:
Question: It is especially important to test for ankle clonus if:
Question: Part of the screening orthopedic component of the examination includes evaluating the person while he or she is:
Question: For purposes of examination and communication of physical findings, the breast is … into:
Question: Anterior cruciate ligament integrity is … via the
Question: Examination of the patient in the lithotomy, or knee-chest, position includes:
Question: Which portion of the physical examination is best done with the patient standing?
Question: A finding that is indicative of osteoarthritis is:
Question: Functional assessment is most important during the examination of a(n):
Question: 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: A chest radiography is … 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?
Question: Kawasaki disease is … when assessments of a child reveal:
Question: Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify:
Question: The foramen ovale should close:
Question: When the Goodenough-Harris Drawing Test is … to a child, the evaluator principally observes the:NURS 6512N-14 Week 11 Final Exam
Question: Which condition is … progressive rather than reversible?
Question: Palpation of a normal prostate in an older adult is likely to feel:
Question: When assessing superficial pain, touch, vibration, and position perceptions, you are testing:
Question: A parent is … to restrict contact or collision sports participation for their child. An example of a sport in which this child could participate is:
Question: 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?
Question: The rectal past medical history of all patients should include inquiry about:
Question: A grade IV mitral regurgitation murmur would:
Question: To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with:
Question: 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: Electrical activity … by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the:
Question: When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? NURS 6512N-14 Week 11 Final Exam
Question 1
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:
upper arms.palms.fingertips.back.
Question 2
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Which cranial nerves are usually evaluated during the examination of the eyes?
I and IIIV and VIIII and IXIII and VI
Question 3
Temporalis and masseter muscles are evaluated by:
having the patient shrug his or her shoulders.asking patient to fully extend his or her neck.passively opening the patient’s jaw.having the patient clench his or her teeth.
Question 4
When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the:
presence and form of body parts.gender and race of the person drawn.length of time needed to draw a stick man.approximate age and posture of the person drawn.
Question 5
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?
Haemophilus smearTrichomonas smearCytology smearGonococcal culture
Question 6
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?
Atrial FibrillationVentricular FibrillationAsystoleVentricular Tachycardia
Question 7
Postural hypotension is defined as a _____ when the patient stands, compared with sitting or supine readings.
systolic pressure drop of more than 15 mm Hg with a pulse rate increasepulse rate decrease and diastolic pressure decrease of more than 5 mm Hgpulse rate decrease with a systolic pressure increase of at least 15 mm Hgdiastolic pressure increase of more than 5 mm Hg and no pulse rate changes
Question 8
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:
schizophrenia.autistic disorder.depression.mania.
Question 9
The difference in blood pressure readings between the right and the left arms is considered normal up to _____ mm Hg.
2520510
Question 10
Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of:
adolescents.middle-age adults.older adults.infants.
Question 11
Which condition is considered progressive rather than reversible?
DepressionDeliriumAnxietyDementia
Question 12
The family history for a patient with joint pain should include information about siblings with:
genetic disorders.obesity.trauma to the skeletal system.chronic atopic dermatitis.
Question 13
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?
COPDPneumoniaCongestive Heart FailureCystic Fibrosis
Question 14
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:
auscultating the lung bases.determining tactile fremitus.estimating diaphragmatic excursion.percussing all lung fields.
Question 15
Which one of the following techniques is used to detect a torn meniscus?
McMurray testThomas testDrawer testTrendelenburg test
Question 16
Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the:
ST segment.P wave.PR interval.QRS complex.
Question 17
Palpation of a normal prostate in an older adult is likely to feel:
rubbery.cool.grainy.polypoid.
Question 18
An apical PMI palpated beyond the left fifth intercostal space may indicate:
hyperventilation.obesity.decreased cardiac output.left ventricular hypertrophy.
Question 19
Assessing orientation to person, place, and time helps determine:
state of consciousness.abstract reasoning.ability to understand analogies.attention span.
Question 20
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:
aerobic workouts.menstrual cycles.sleep patterns.salt intake.
Question 21
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:
indicate the need for amniocentesis.suggest that she is having twins.are usual conditions during pregnancy.indicate a need for hospitalization.
Question 22
For purposes of examination and communication of physical findings, the breast is divided into:
halves (upper and lower).thirds (left, middle, and right).four quadrants plus a tail.circles (six consecutive rings, each 1 inch farther away from nipple).
Question 23
A finding that is indicative of osteoarthritis is:
Heberden nodes.Bouchard nodes.ganglions.swan neck deformities.
Question 24
The presence of cervical motion tenderness may indicate:
nulliparity.vulvovaginitis.pelvic inflammatory disease.pregnancy.
Question 25
If pitting edema is unilateral, you would suspect occlusion of a:
superficial artery.major vein.surface capillary.lymphatic duct.
Question 26
The foramen ovale should close:
by 12 months of age.within minutes of birth.by 24 weeks of gestation.by 4 weeks of age.
Question 27
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?
Last mensesCocaine useAnorexia symptomsCovid-19 contact