NURS 6512 Advanced Health Assessment Final Exam (Latest, 2020)
NURS6512 Final Exam (Attempted Score 100%)
Question 1
Which portion of the physical examination is best done with the patient standing?
Answer: Spinal
Question 2
To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested?
Answer: Patellar
Question 3
Nerves that arise from the brain rather than the spinal cord are called:
Answer: cranial
Question 4
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:
Answer: Mini-Mental State Examination
Question 5
The finger-to-nose test allows assessment of:
Answer: coordination and fine motor function
Question 6
The difference in blood pressure readings between the right and the left arms is considered
normal up to _____ mm Hg.
Answer: 10
Question 7
Functional assessment is most important during the examination of a(n):
Answer: older adult
Question 8
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:
Answer: are usual conditions during pregnancy
Question 9
Palpation of epitrochlear nodes is part of the:
Answer: examination of the upper extremities
Question 10
Which one of the following techniques is used to detect a torn meniscus?
Answer: McMurray test
Question 11
Cranial nerve XII may be assessed in an infant by:
Answer: observing the infant suck and swallow
Question 12
Loss of immediate and recent memory with retention of remote memory suggests:
Answer: dementia
Question 13
The family history for a patient with joint pain should include information about siblings
with:
Answer: genetic disorders
Question 14
When palpating joints, crepitus may occur when:
Answer: irregular bony surfaces rub together
Question 15
A red, hot swollen joint in a 40-year-old man should lead you to suspect:
Answer: gout
Question 16
Inquiry about nocturnal muscle spasms would be most significant when taking the
musculoskeletal history of:
Answer: older adults
Question 17
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?
Answer: Cervical spine radiograph
Question 18
In the most effective percussion technique of the posterior lung fields, the patient cooperates
by:
Answer: folding the arms in front
Question 19
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:
Answer: hydrocele
Question 20
An apical PMI palpated beyond the left fifth intercostal space may indicate:
Answer: left ventricular hypertrophy
Question 21
The checkout station for preparticipation physical evaluation (PPE) is critical because at this
point:
Answer: coordination of follow-ups is reviewed
Question 22
If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires
further evaluation?
Answer: CN XI, spinal accessory
Question 23
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:
Answer: fibrocystic changes.
Question 24
The Mini-Mental State Examination should be administered for the patient who:
Answer: gets lost in her neighborhood
Question 25
The physical assessment technique most frequently used to assess joint symmetry is:
Answer: inspection
Question 26
The reliability of health-related findings and observations is the responsibility of the:
Answer: professional and the patient
Question 27
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?
Answer: Loss of hair over the extremity
Question 28
If pitting edema is unilateral, you would suspect occlusion of a:
Answer: major vein
Question 29
For purposes of examination and communication of physical findings, the breast is divided
into:
Answer: four quadrants plus a tail
Question 30
Your patient's chief complaint is repeated pencil-like stools. Further examination should
include:
Answer: digital rectal examination (DRE)
Question 31
Facial muscle or tongue weakness may result in:
Answer: aphasia
Question 32
The musculoskeletal examination should begin when:
Answer: the patient enters the examination room
Question 33
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:
Answer: Romberg sign
Question 34
The best way to ease the apprehension of a 3-year-old child before a physical examination is
to:
Answer: let the child hold the stethoscope while you listen
Question 35
Examination of the patient in the lithotomy, or knee-chest, position includes:
Answer: palpation of anal sphincter tone
Question 36
Breath sounds normally heard over the trachea are called:
Answer: bronchial
Question 37
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:
Answer: Schizophrenia
Question 38
While collecting personal and social history data from a woman complaining of breast
discomfort, you should question her regarding:
Answer: alcohol, tobacco, and caffeine use
Question 39
When conducting a geriatric assessment, basic activities of daily living (ADLs) include:
Answer: bathing
Question 40
Which cranial nerves are usually evaluated during the examination of the eyes?
Answer: III and VI
Question 41
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?
Answer: "What age was your father at the time of his death?"
Question 42
The spread of the impulse through the ventricles (ventricular depolarization) is depicted on
the ECG as the:
Answer: QRS complex
Question 43
The rectal past medical history of all patients should include inquiry about:
Answer: hemorrhoid surgery
Question 44
Recent unilateral inversion of a previously everted nipple suggests:
Answer: cancer
Question 45
Tarry black stool should make you suspect:
Answer: upper intestinal bleeding
Question 46
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?
Answer: Cocaine use
Question 47
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:
Answer: Fingertips
Question 48
An ophthalmoscopic eye examination involves:
Answer: lens inspection
Question 49
An idiopathic spasm of arterioles in the digits is termed:
Answer: Raynaud disease
Question 50
The Mini-Mental State Examination:
Answer: may be used to quantitatively estimate cognitive changes
Question 51
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.
Answer: Kernig
Question 52
Which condition is considered progressive rather than reversible?
Answer: Dementia
Question 53
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:
Answer: perform the examination while the child is in the mother's lap
Question 54
An examiner has rotated a brush several times into the cervical so. 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?
Answer: Cytology smear
Question 55
Inspection of the scrotum should reveal:
Answer: left scrotal sac lower than the right
Question 56
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:
Answer: riflery
Question 57
Bimanual examination of the uterus includes:
Answer: grasping the cervix between the examining fingers
Question 58
Temporalis and masseter muscles are evaluated by:
Answer: having the patient clench his or her teeth
Question 59
When the Goodenough-Harris Drawing Test is administered to a child, the evaluator
principally observes the:
Answer: presence and form of body parts
Question 60
A cervical polyp usually appears as a:
Answer: bright-red soft protrusion from the endocervical canal
Question 61
You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and
cannot be easily retracted. You should:
Answer: inquire about previous penile infections
Question 62
At your first meeting with a patient, it is usually best to say:
Answer: "Tell me about yourself."
Question 63
Normal changes of the aging brain include:
Answer: diminished perception of touch
Question 64
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:
Answer: suggest pregnancy testing
Question 65
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:
Answer: menstrual cycles
Question 66
Palpation of a normal prostate in an older adult is likely to feel:
Answer: rubbery
Question 67
It is especially important to test for ankle clonus if:
Answer: deep tendon reflexes are hyperactive
Question 68
Diabetic peripheral neuropathy will likely produce:
Answer: diminished pain sensation
Question 69
A pulsation that is diminished to the point of being barely palpable would be graded as:
Answer: 1
Question 70
A common finding in markedly obese and pregnant women is:
Answer: lordosis
Question 71
One of the most important aspects to consider in the orthopedic screening examination is:
Answer: symmetry
Question 72
Kawasaki disease is suspected when assessments of a child reveal:
Answer: conjunctival injection, strawberry tongue, and edema of the hands and feet
Question 73
Throughout the history and physical examination, the clinician should:
Answer: evaluate the whole patient
Question 74
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:
Answer: 3 +
Question 75
A grade IV mitral regurgitation murmur would:
Answer: radiate to the axilla
Question 76
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:
Answer: note the finding in the patient's record
Question 77
Part of the screening orthopedic component of the examination includes evaluating the person
while he or she is:
Answer: duck walking
Question 78
A positive straight leg raise test usually indicates:
Answer: lumbar nerve root irritation
Question 79
Assessing orientation to person, place, and time helps determine:
Answer: state of consciousness
Question 80
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:
Answer: lung consolidation
Question 81
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:
Answer: cerebellar ataxia
Question 82
Which one of the following is a proper technique for use of a speculum during a vaginal
examination?
Answer: Press introitus downward; insert closed speculum obliquely
Question 83
A patient in the deepest coma would be scored a _____ on the Glasgow Coma Scale.
Answer: 3
Question 84
Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of
the stimulus through the atria is the:
Answer: P wave
Question 85
Anterior cruciate ligament integrity is assessed via the _____ test.
Answer: Lachman
Question 86
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:
Answer: test the six cardinal points of gaze
Question 87
Which medical condition would exclude a person from sports participation?
Answer: Fever
Question 88
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:
Answer: moderately loud
Question 89
When assessing superficial pain, touch, vibration, and position perceptions, you are testing:
Answer: sensory function
Question 90
Ulnar deviation and boutonniere deformities are characteristic of:
Answer: rheumatoid arthritis
Question 91
Montgomery tubercles are most prominent in the breasts of:
Answer: pregnant women
Question 92
To assess a cremasteric reflex, the examiner strokes the:
Answer: inner thigh and observes whether the testicle and scrotum rise on the stroked side
Question 93
Postural hypotension is defined as a _____ when the patient stands, compared with sitting or
supine readings.
Answer: systolic pressure drop of more than 15 mm Hg with a pulse rate increase
Question 94
If your patient has nipple discharge, you will most likely need a:
Answer: glass slide and fixative
Question 95
The strength of the trapezius muscle is evaluated by having the patient:
Answer: push her head against the examiner's hand.
Question 96
Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of
ammonia on the breath may signify:
Answer: uremia
Question 97
When is the mental status portion of the neurologic system examination performed?
Answer: Constantly, throughout the entire interaction with a patient
Question 98
When palpating breast tissue, the examiner should use the _____ at each site.
Answer: finger pads, gliding
Question 99
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:
Answer: auscultating the lung bases
Question 100
The examiner percusses for diaphragmatic excursion along the:
Answer: scapular line
Question 101
When completing this exam, did you comply with Walden University's Code of Conduct
including the expectations for academic integrity?
Answer: Yes
