NURS6512 Final Exam latest may 2021 all correct

Exam – Week 11

Question 1          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 2          To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with:

Question 3          Assessing orientation to person, place, and time helps determine:                                          

Question 4          One of the most important aspects to consider in the orthopedic screening examination is:        

Question 5          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 6          Palpation of epitrochlear nodes is part of the:                                   

Question 7          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 8          To hear diastolic heart sounds, you should ask patients to:                                          

Question 9          When is the mental status portion of the neurologic system examination performed?                   

Question 10        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 11        The difference in blood pressure readings between the right and the left arms is considered normal up to _____ mm Hg.                                 

Question 12        Throughout the history and physical examination, the clinician should:                                  

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

Question 15        Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the:                                               

Question 16        For purposes of examination and communication of physical findings, the breast is divided into:               

Question 17        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 18        A patient in the deepest coma would be scored a _____ on the Glasgow Coma Scale.                   

Question 19        The examiner percusses for diaphragmatic excursion along the:                                               

Question 20        At your first meeting with a patient, it is usually best to say:                                        

Question 21        Breath sounds normally heard over the trachea are called:                                          

Question 22        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 23        It is especially important to test for ankle clonus if:                                          

Question 24                        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 25        Kawasaki disease is suspected when assessments of a child reveal:                                        

Question 26        While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding:                                 

Question 27        A pulsation that is diminished to the point of being barely palpable would be graded as:                               

Question 28        The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:

Question 29        Loss of immediate and recent memory with retention of remote memory suggests:                      

Question 30        An idiopathic spasm of arterioles in the digits is termed:                                               

Question 31        You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should:                                  

Question 32        Inspection of the scrotum should reveal:                                             

Question 33        A common finding in markedly obese and pregnant women is:                                 

Question 34        Which one of the following techniques is used to detect a torn meniscus?                                           

Question 35        The family history for a patient with joint pain should include information about siblings with:    

Question 36        Postural hypotension is defined as a _____ when the patient stands, compared with sitting or supine readings.                                            

Question 37        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 38        Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of:                                         

Question 39        When assessing superficial pain, touch, vibration, and position perceptions, you are testing:      

Question 40        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 41        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 42        An ophthalmoscopic eye examination involves:                                

Question 43        A grade IV mitral regurgitation murmur would:                                 

Question 44        Which medical condition would exclude a person from sports participation?                                       

Question 45        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 46        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 47        Diabetic peripheral neuropathy will likely produce:                                         

Question 48                        To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested?           

Question 49        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 50        A red, hot swollen joint in a 40-year-old man should lead you to suspect:                                             

Question 51        Temporalis and masseter muscles are evaluated by:                                      

Question 52        Which one of the following is a proper technique for use of a speculum during a vaginal examination?                                   

Question 53        Which of the following statements is true regarding the examination of peripheral arteries?      

Question 54        Examination of the patient in the lithotomy, or knee-chest, position includes:                                   

Question 55        Normal changes of the aging brain include:                                         

Question 56        The foramen ovale should close:                                             

Question 57        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 58        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 59        The physical assessment technique most frequently used to assess joint symmetry is:                  

Question 60        Which cranial nerves are usually evaluated during the examination of the eyes?                                               

Question 61        The adnexa of the uterus are composed of the:                                               

Question 62        The finger-to-nose test allows assessment of:                                  

Question 63        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 64        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 65        The goals of preparticipation sports evaluation include:                                

Question 66        The presence of cervical motion tenderness may indicate:                                          

Question 67        Functional assessment is most important during the examination of a(n):                                            

Question 68        If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation?                       

Question 69        Ulnar deviation and boutonniere deformities are characteristic of:                                          

Question 70        When palpating breast tissue, the examiner should use the _____ at each site.                                

Question 71        Your patient’s chief complaint is repeated pencil-like stools. Further examination should include:             

Question 72        Part of the screening orthopedic component of the examination includes evaluating the person while he or she is:                                  

Question 73        Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify:                                

Question 74        The Mini-Mental State Examination should be administered for the patient who:                                            

Question 75        An apical PMI palpated beyond the left fifth intercostal space may indicate:                                       

Question 76        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 77        The strength of the trapezius muscle is evaluated by having the patient:                                              

Question 78        The best way to ease the apprehension of a 3-year-old child before a physical examination is to:             

Question 79        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 80        The musculoskeletal examination should begin when:                                  

Question 81        The Mini-Mental State Examination:                                      

Question 82        When palpating joints, crepitus may occur when:                                            

Question 83        The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the:                                               

Question 84        Recent unilateral inversion of a previously everted nipple suggests:                                       

Question 85        When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the:                                       

Question 86        Tarry black stool should make you suspect:                                         

Question 87        Nerves that arise from the brain rather than the spinal cord are called:                &