NURS-6512N-53,ADVANCED HEALTH ASSESSMENT.

FINAL
EXAM SUMMER SESSION 2023 QUESTION AND
ANSWER GUIDE.
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• Question 1
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?

Correct Ye
Answer: s

• Question 2
1 out of 1 points
Breath sounds normally heard over the trachea are called:

Correct bronchi
Answer: al.

• Question 3
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:

Correct suggest pregnancy

Answer: testing.

• Question 4
1 out of 1 points
Throughout the history and physical examination, the clinician should:

Correct evaluate the whole

 Answer: patient.

• Question 5
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:

Correct test the six cardinal points of

Answer: gaze.

• Question 6
1 out of 1 points
When palpating joints, crepitus may occur when:

Correct irregular bony surfaces rub

Answer: together.

• Question 7
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:

Correct moderately
Answer: loud.

• Question 8
1 out of 1 points
Which cranial nerves are usually evaluated during the examination of the eyes?

Correct III and

Answer: VI

• Question 9
1 out of 1 points
Inquiry about nocturnal muscle spasms would be most significant when taking the
musculoskeletal history of:

Correct older
Answer: adults.

• Question 10
1 out of 1 points
Ulnar deviation and boutonniere deformities are characteristic of:

Correct rheumatoid
Answer: arthritis.

• Question 11
 1 out of 1 points
Inspection of the scrotum should reveal:

Correct left scrotal sac lower than the

Answer: right.

• Question 12
1 out of 1 points
The adnexa of the uterus are composed of the:

Correct fallopian tubes and

Answer: ovaries.

• Question 13
1 out of 1 points
Montgomery tubercles are most prominent in the breasts of:

Correct pregnant
Answer: women.

• Question 14
1 out of 1 points
In the adult, the apical impulse should be most visible when the patient is in what
position?

Correct Uprig
Answer: ht

• Question 15
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:

Correct inquire about previous penile

Answer: infections.

• Question 16
1 out of 1 points
To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested?

Correct Patell
Answer: ar

• Question 17
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:
 Correct riflery
Answer: .

• Question 18
1 out of 1 points
To hear diastolic heart sounds, you should ask patients to:

Correct lie on their left

Answer: sides.

• Question 19
1 out of 1 points
A patient in the deepest coma would be scored a on the Glasgow Coma Scale.

Correct 3
Answer:
• Question 20
1 out of 1 points
The goals of preparticipation sports evaluation include:

Correct identifying risk of injury or death during sports

Answer: participation.

• Question 21
1 out of 1 points
The spread of the impulse through the ventricles (ventricular depolarization) is
depicted on the ECG as the:

Correct QRS
Answer: complex.

• Question 22
1 out of 1 points
A red, hot swollen joint in a 40-year-old man should lead you to suspect:

Correct gou
Answer: t.

• Question 23
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:

Correct note the finding in the patient's

Answer: record.

• Question 24
 1 out of 1 points
At your first meeting with a patient, it is usually best to say:

Correct "Tell me about

Answer: yourself."

• Question 25
1 out of 1 points
When is the mental status portion of the neurologic system examination performed?

Correct Constantly, throughout the entire interaction with

Answer: a patient

• Question 26
1 out of 1 points
The foramen ovale should close:

Correct within minutes of

Answer: birth.

• Question 27
1 out of 1 points
Cranial nerve XII may be assessed in an infant by:

Correct observing the infant suck and

Answer: swallow.

• Question 28
1 out of 1 points
To spread the breast tissue evenly over the chest wall, you should ask the woman to
lie supine with:

Correct one arm overhead and a pillow under her

Answer: shoulder.

• Question 29
1 out of 1 points
Which condition is considered progressive rather than reversible?

Correct Dement
Answer: ia

• Question 30
1 out of 1 points
Normal changes of the aging brain include:

Correct diminished perception of

Answer: touch.
• Question 31
1 out of 1 points
Diabetic peripheral neuropathy will likely produce:

Correct diminished pain

Answer: sensation.

• Question 32
1 out of 1 points
The checkout station for preparticipation physical evaluation (PPE) is critical because
at this point:

Correct coordination of follow-ups is

Answer: reviewed.

• Question 33
1 out of 1 points
The presence of cervical motion tenderness may indicate:

Correct pelvic inflammatory

Answer: disease.

• Question 34
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?

Correct "What age was your father at the time of

Answer: his death?"

• Question 35
1 out of 1 points
A common finding in markedly obese and pregnant women is:

Correct lordosi
Answer: s.

• Question 36
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.

Correct 1
Answer: 0

• Question 37
 1 out of 1 points
The strength of the trapezius muscle is evaluated by having the patient:

Correct push her head against the

Answer: examiner's hand.

• Question 38
1 out of 1 points
Loss of immediate and recent memory with retention of remote memory suggests:

Correct dementi
Answer: a.

• Question 39
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:

Correct hydrocel
Answer: e.

• Question 40
1 out of 1 points
Bimanual examination of the uterus includes:

Correct grasping the cervix between the

Answer: examining fingers.

• Question 41
1 out of 1 points
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:

Correct perform the examination while the child is in the

Answer: mother's lap.

• Question 42
1 out of 1 points
Examination of the patient in the lithotomy, or knee-chest, position includes:

Correct palpation of anal sphincter

Answer: tone.

• Question 43
1 out of 1 points
Which one of the following techniques is used to detect a torn meniscus?
 Correct McMurray
Answer: test

• Question 44
1 out of 1 points
Anterior cruciate ligament integrity is assessed via the test.

Correct Lachm
Answer: an

• Question 45
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:

Correct 3
Answer: +.

• Question 46
0 out of 1 points
Kawasaki disease is suspected when assessments of a child reveal:

Correct low-grade fever, strawberry tongue, and edema of the

Answer: hands and feet.

• Question 47
1 out of 1 points
To assess a cremasteric reflex, the examiner strokes the:

Correct inner thigh and observes whether the testicle and scrotum rise on
Answer: the stroked side.

• Question 48
1 out of 1 points
If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN)
requires further evaluation?

Correct CN XI, spinal

Answer: accessory

• Question 49
1 out of 1 points
One of the most important aspects to consider in the orthopedic screening
examination is:

Correct symmetr
Answer: y.
• Question 50
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:

Correct Mini-Mental State

Answer: Examination.

• Question 51
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:

Correct fingertip
Answer: s.

• Question 52
1 out of 1 points
Postural hypotension is defined as a when the patient stands, compared with
sitting or supine readings.

Correct systolic pressure drop of more than 15 mm Hg with a pulse

Answer: rate increase

• Question 53
1 out of 1 points
A positive straight leg raise test usually indicates:

Correct lumbar nerve root

Answer: irritation.

• Question 54
1 out of 1 points
The best way to ease the apprehension of a 3-year-old child before a physical
examination is to:

Correct let the child hold the stethoscope while

Answer: you listen.

• Question 55
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?

Correct Cytology
Answer: smear
• Question 56
1 out of 1 points
The finger-to-nose test allows assessment of:

Correct coordination and fine motor

Answer: function.

• Question 57
1 out of 1 points
Which medical condition would exclude a person from sports participation?

Correct Feve
Answer: r

• Question 58
1 out of 1 points
Palpation of epitrochlear nodes is part of the:

Correct examination of the upper

Answer: extremities.

• Question 59
1 out of 1 points
A grade IV mitral regurgitation murmur would:

Correct radiate to the

Answer: axilla.

• Question 60
1 out of 1 points
The musculoskeletal examination should begin when:

Correct the patient enters the

Answer: examination room.

• Question 61
1 out of 1 points
Facial muscle or tongue weakness may result in:

Correct aphasi
Answer: a.

• Question 62
1 out of 1 points
The physical assessment technique most frequently used to assess joint symmetry
is:
 Correct inspectio
Answer: n.

• Question 63
1 out of 1 points
Part of the screening orthopedic component of the examination includes evaluating
the person while he or she is:

Correct duck
Answer: walking.

• Question 64
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:

Correct cerebellar
Answer: ataxia.

• Question 65
1 out of 1 points
The Mini-Mental State Examination should be administered for the patient who:

Correct gets lost in her

Answer: neighborhood.

• Question 66
1 out of 1 points
The Mini-Mental State Examination:

Correct may be used to quantitatively estimate

Answer: cognitive changes.

• Question 67
1 out of 1 points
Which of the following statements is true regarding the examination of peripheral
arteries?

Correct The pulses are most readily felt over bony

Answer: prominences.

• Question 68
1 out of 1 points
Which portion of the physical examination is best done with the patient standing?

Correct Spin
Answer: al

• Question 69
 1 out of 1 points
If your patient has nipple discharge, you will most likely need a:

Correct glass slide and

Answer: fixative.

• Question 70
1 out of 1 points
The reliability of health-related findings and observations is the responsibility of the:

Correct professional and the

Answer: patient.

• Question 71
1 out of 1 points
If pitting edema is unilateral, you would suspect occlusion of a:

Correct major
Answer: vein.

• Question 72
1 out of 1 points
In the most effective percussion technique of the posterior lung fields, the patient
cooperates by:

Correct folding the arms in

Answer: front.

• Question 73
1 out of 1 points
While collecting personal and social history data from a woman complaining of
breast discomfort, you should question her regarding:

Correct alcohol, tobacco, and

Answer: caffeine use.

• Question 74
1 out of 1 points
When conducting a geriatric assessment, basic activities of daily living (ADLs)
include:

Correct bathin
Answer: g.

• Question 75
1 out of 1 points
The family history for a patient with joint pain should include information about
siblings with:
 Correct genetic
Answer: disorders.

• Question 76
1 out of 1 points
An ophthalmoscopic eye examination involves:

Correct lens
Answer: inspection.

• Question 77
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:

Correct fibrocystic
Answer: changes.

• Question 78
1 out of 1 points
It is especially important to test for ankle clonus if:

Correct deep tendon reflexes are

Answer: hyperactive.

• Question 79
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:

Correct schizophren
Answer: ia.

• Question 80
1 out of 1 points
When the Goodenough-Harris Drawing Test is administered to a child, the evaluator
principally observes the:

Correct presence and form of body

Answer: parts.

• Question 81
1 out of 1 points
A cervical polyp usually appears as a:
 Correct bright-red soft protrusion from the
Answer: endocervical canal.

• Question 82
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?

Correct Loss of hair over the

Answer: extremity

• Question 83
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:

Correct menstrual
Answer: cycles.

• Question 84
1 out of 1 points
A pulsation that is diminished to the point of being barely palpable would be graded
as:

Correct 1
Answer:
• Question 85
1 out of 1 points
The rectal past medical history of all patients should include inquiry about:

Correct hemorrhoid
Answer: surgery.

• Question 86
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.

Correct Kerni
Answer: g

• Question 87
1 out of 1 points
 For purposes of examination and communication of physical findings, the breast is
divided into:

Correct four quadrants plus a

Answer: tail.

• Question 88
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:

Correct auscultating the lung

Answer: bases.

• Question 89
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?

Correct Cocaine
Answer: use

• Question 90
1 out of 1 points
When palpating breast tissue, the examiner should use the at each site.

Correct finger pads,

Answer: gliding

• Question 91
1 out of 1 points
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:

Correct lung
Answer: consolidation.

• Question 92
1 out of 1 points
An apical PMI palpated beyond the left fifth intercostal space may indicate:

Correct left ventricular

Answer: hypertrophy.
• Question 93
1 out of 1 points
Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the
spread of the stimulus through the atria is the:

Correct P
Answer: wave.

• Question 94
1 out of 1 points
Palpation of a normal prostate in an older adult is likely to feel:

Correct rubber
Answer: y.

• Question 95
1 out of 1 points
Assessing orientation to person, place, and time helps determine:

Correct state of
Answer: consciousness.

• Question 96
1 out of 1 points
Temporalis and masseter muscles are evaluated by:

Correct having the patient clench his or

Answer: her teeth.

• Question 97
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:

Correct are usual conditions during

Answer: pregnancy.

• Question 98
1 out of 1 points
Your patient's chief complaint is repeated pencil-like stools. Further examination
should include:

Correct digital rectal examination

Answer: (DRE).

• Question 99
 1 out of 1 points
When assessing superficial pain, touch, vibration, and position perceptions, you are
testing:

Correct sensory
Answer: function.

• Question 100
1 out of 1 points
Recent unilateral inversion of a previously everted nipple suggests:

Correct cance
Answer: r.

• Question 101
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?

Correct Cervical spine

Answer: radiograph

Tuesday, May 5, 2020 11:42:19 PM EDT