NURS 6512 FINAL EXAM Week 11
Advanced Health Assessment scored 100% 2023-2024
Review Test Submission: Final 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:
Answer: lung consolidation.
Question 2
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 3
Diabetic peripheral neuropathy will likely produce:
Answer: diminished pain sensation.
Question 4
Montgomery tubercles are most prominent in the breasts of:
Answer: pregnant women.
Question 5
Which one of the following techniques is used to detect a torn meniscus?
Answer: McMurray test
Question 6
Ulnar deviation and boutonniere deformities are characteristic of:
Answer: rheumatoid arthritis.
Question 7
A pulsation that is diminished to the point of being barely palpable would be graded as:
Answer: 1
Question 8
In the most effective percussion technique of the posterior lung fields, the patient cooperates by:
Answer: folding the arms in front.
Question 9
When palpating joints, crepitus may occur when:
Answer: irregular bony surfaces rub together.
Question 10
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 11
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 12
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 13
Temporalis and masseter muscles are evaluated by:
Answer: having the patient clench his or her teeth.
Question 14
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 15
Cranial nerve XII may be assessed in an infant by:
Answer: observing the infant suck and swallow.
Question 16
The reliability of health-related findings and observations is the responsibility of the:
Answer: professional and the patient.
Question 17
Normal changes of the aging brain include:
Answer: diminished perception of touch.
Question 18
The adnexa of the uterus are composed of the:
Answer: fallopian tubes and ovaries.
Question 19
For purposes of examination and communication of physical findings, the breast is divided into:
Answer: four quadrants plus a tail.
Question 20
A patient in the deepest coma would be scored a _____ on the Glasgow Coma Scale.
Answer: 3
Question 21
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 22
Nerves that arise from the brain rather than the spinal cord are called:
Answer: cranial.
Question 23
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 24
In the adult, the apical impulse should be most visible when the patient is in what position?
Answer: Upright
Question 25
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 26
Tarry black stool should make you suspect:
Answer: upper intestinal bleeding.
Question 27
To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested?
Answer: Patellar
Question 28
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 29
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 30
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?
Answer: Cytology smear
Question 31
Functional assessment is most important during the examination of a(n):
Answer: older adult.
Question 32
Part of the screening orthopedic component of the examination includes evaluating the person
while he or she is:
Answer: duck walking.
Question 33
To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine
with:
Answer: one arm overhead and a pillow under her shoulder.
Question 34
When is the mental status portion of the neurologic system examination performed?
Answer: Constantly, throughout the entire interaction with a patient
Question 35
If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires
further evaluation?
Answer: CN XI, spinal accessory
Question 36
One of the most important aspects to consider in the orthopedic screening examination is:
Answer: symmetry
Question 37
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 38
The Mini-Mental State Examination should be administered for the patient who:
Answer: gets lost in her neighborhood.
Question 39
If pitting edema is unilateral, you would suspect occlusion of a:
Answer: major vein.
Question 40
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 41
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 42
Your patient’s chief complaint is repeated pencil-like stools. Further examination should include:
Answer: digital rectal examination (DRE).
Question 43
To hear diastolic heart sounds, you should ask patients to:
Answer: lie on their left sides.
Question 44
The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the
ECG as the:
Answer: QRS complex.
Question 45
Kawasaki disease is suspected when assessments of a child reveal:
Answer: conjunctival injection, strawberry tongue, and edema of the hands and feet.
Question 46
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 47
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 48
Inspection of the scrotum should reveal:
Answer: left scrotal sac lower than the right.
Question 49
The finger-to-nose test allows assessment of:
Answer: coordination and fine motor function.
Question 50
Bimanual examination of the uterus includes:
Answer: grasping the cervix between the examining fingers.
Question 51
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 52
The difference in blood pressure readings between the right and the left arms is considered
normal up to _____ mm Hg.
Answer: 10
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
It is especially important to test for ankle clonus if:
Answer: deep tendon reflexes are hyperactive.
Question 55
A finding that is indicative of osteoarthritis is:
Answer: Heberden nodes.
Question 56
The checkout station for preparticipation physical evaluation (PPE) is critical because at this
point:
Answer: coordination of follow-ups is reviewed.
Question 57
When palpating breast tissue, the examiner should use the _____ at each site.
Answer: finger pads, gliding
Question 58
Which portion of the physical examination is best done with the patient standing?
Answer: Spinal
Question 59
Throughout the history and physical examination, the clinician should:
Answer: evaluate the whole patient.
Question 60
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 61
Anterior cruciate ligament integrity is assessed via the _____ test.
Answer: straight leg raise.
Question 62
Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of
ammonia on the breath may signify:
Answer: diabetic ketoacidosis.
Question 63
The Mini-Mental State Examination:
Answer: may be used to quantitatively estimate cognitive changes.
Question 64
A common finding in markedly obese and pregnant women is:
Answer: lordosis
Question 65
The Denver II is a tool used to determine:
Answer: whether a child is developing as expected.
Question 66
The strength of the trapezius muscle is evaluated by having the patient:
Answer: push her head against the examiner’s hand.
Question 67
A red, hot swollen joint in a 40-year-old man should lead you to suspect:
Answer: gout.
Question 68
Examination of the patient in the lithotomy, or knee-chest, position includes:
Answer: palpation of anal sphincter tone.
Question 69
Assessing orientation to person, place, and time helps determine:
Answer: state of consciousness.
Question 70
When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally
observes the:
Answer: presence and form of body parts.
Question 71
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 72
The rectal past medical history of all patients should include inquiry about:
Answer: hemorrhoid surgery.
Question 73
The goals of preparticipation sports evaluation include:
Answer: identifying risk of injury or death during sports participation.
Question 74
An idiopathic spasm of arterioles in the digits is termed:
Answer: Raynaud disease.
Question 75
A cervical polyp usually appears as a:
Answer: bright-red soft protrusion from the endocervical canal.
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:
Answer: auscultating the lung bases.
Question 77
Which condition is considered progressive rather than reversible?
Answer: Dementia
Question 78
Recent unilateral inversion of a previously everted nipple suggests:
Answer: cancer.
Question 79
Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the
stimulus through the atria is the:
Answer: P wave.
Question 80
An apical PMI palpated beyond the left fifth intercostal space may indicate:
Answer: left ventricular hypertrophy.
Question 81
The examiner percusses for diaphragmatic excursion along the:
Answer: scapular line.
Question 82
Which of the following statements is true regarding the examination of peripheral arteries?
Answer: The pulses are most readily felt over bony prominences.
Question 83
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 84
The presence of cervical motion tenderness may indicate:
Answer: pelvic inflammatory disease.
Question 85
When assessing superficial pain, touch, vibration, and position perceptions, you are testing:
Answer: sensory function.
Question 86
The family history for a patient with joint pain should include information about siblings with:
Answer: genetic disorders.
Question 87
Which cranial nerves are usually evaluated during the examination of the eyes?
Answer: III and VI
Question 88
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 89
When conducting a geriatric assessment, basic activities of daily living (ADLs) include:
Answer: bathing
Question 90
Palpation of a normal prostate in an older adult is likely to feel:
Answer: rubbery
Question 91
Breath sounds normally heard over the trachea are called:
Answer: bronchial.
Question 92
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 93
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 94
Facial muscle or tongue weakness may result in:
Answer: aphasia.
Question 95
A positive straight leg raise test usually indicates:
Answer: lumbar nerve root irritation.
Question 96
At your first meeting with a patient, it is usually best to say:
Answer: “Tell me about yourself.”
Question 97
The foramen ovale should close:
Answer: within minutes of birth.
Question 98
If your patient has nipple discharge, you will most likely need a:
Answer: glass slide and fixative.
Question 99
A grade IV mitral regurgitation murmur would:
Answer: radiate to the axilla.
Question 100
Palpation of epitrochlear nodes is part of the:
Answer: examination of the upper extremities.
