Posted: December 7th, 2022

NURS 6512C final exam question and answers quizlet

NURS 6512C final exam question and answers quizlet

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Course	NURS-6512N-47-Advanced Health Assessment-2022-Fall-QTR-Term-wks-1-thru-11-(08/29/2022-11/13/2022)-PT27 NURS 6512C final exam question and answers quizlet
Test	Exam – Week 11
Started	11/09/22 10:01 PM
Submitted	11/09/22 11:55 PM
Due Date	11/14/22 1:59 AM
Status	Completed
Attempt Score	98 out of 100 points
Time Elapsed	1 hour, 53 minutes out of 2 hours
Instructions	Please answer each question below and click Submit when you have completed the Exam.
Results Displayed	Submitted Answers

• Question 1

	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?
	Selected Answer: Second degree heart block, type 1: Wenckebach/Mobitz 1

• Question 2

	Which cranial nerves are usually evaluated during the examination of the eyes?
	Selected Answer: III and VI

• NURS 6512C final exam question and answers quizlet Question 3

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

• Question 4

	The adnexa of the uterus are composed of the:
	Selected Answer: fallopian tubes and ovaries.

 

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• Question 5

	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? NURS 6512C final exam question and answers quizlet
	Selected Answer: Ventricular Fibrillation

• Question 6

	When palpating breast tissue, the examiner should use the _____ at each site.
	Selected Answer: finger pads, gliding

• Question 7

	Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the:
	Selected Answer: P wave.

• Question 8

	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:
	Selected Answer: hydrocele

• Question 9

	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:
	Selected Answer: menstrual cycles.

• Question 10

	At your first meeting with a patient, it is usually best to say:
	Selected Answer: “Tell me about yourself.”

• Question 11

	Which one of the following techniques is used to detect a torn meniscus?
	Selected Answer: McMurray test

• Question 12

	Facial muscle or tongue weakness may result in:
	Selected Answer: aphasia.

• Question 13

	The finger-to-nose test allows assessment of:
	Selected Answer: coordination and fine motor function.

• Question 14

	When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the:
	Selected Answer: presence and form of body parts.

• Question 15

	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.
	Selected Answer: Kernig

• Question 16

	Postural hypotension is defined as a _____ when the patient stands, compared with sitting or supine readings.
	Selected Answer: systolic pressure drop of more than 15 mm Hg with a pulse rate increase

• Question 17

	One of the most important aspects to consider in the orthopedic screening examination is:
	Selected Answer:

• Question 18

	The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:
	Selected Answer: coordination of follow-ups is reviewed.

• Question 19

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

• Question 20

	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?
	Selected Answer:

• Question 21

	Throughout the history and physical examination, the clinician should:
	Selected Answer:

• Question 22

	Functional assessment is most important during the examination of a(n):
	Selected Answer:

• Question 23

	To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with:
	Selected Answer:

• Question 24

	A 56-year-old male presents to the clinic to see the nurse practitioner with complaints of shortness of breath for 1 months, 15-pound weight gain and lower extremity edema.  Vitals are as follows: HR: 120, Respirations 30, Blood Pressure: 138/90, BMI: 40; Oxygen saturation of 90%. On examination patient is noted to have jugular venous distention, enlarged liver, and crackles are noted on examination. A chest x-ray is completed and shows findings consistent with which diagnosis? Based on this scenario and imaging what is the most likely diagnosis?
	Selected Answer:

• Question 25

	Recent unilateral inversion of a previously everted nipple suggests:
	Selected Answer: .

• Question 26

	A common finding in markedly obese and pregnant women is:
	Selected Answer:

• Question 27

	If your patient has nipple discharge, you will most likely need a:
	Selected Answer:

• Question 28

	Normal changes of the aging brain include:
	Selected Answer:

• Question 29

	A patient in the deepest coma would be scored a _____ on the Glasgow Coma Scale.
	Selected Answer:

• Question 30

	The physical assessment technique most frequently used to assess joint symmetry is:
	Selected Answer: .

• Question 31

	Nerves that arise from the brain rather than the spinal cord are called:
	Selected Answer: .

• Question 32

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

• Question 33

	Examination of the patient in the lithotomy, or knee-chest, position includes:
	Selected Answer:

• Question 34

	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 noted to have limited 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?
	Selected Answer:

• Question 35

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

• Question 36

	The family history for a patient with joint pain should include information about siblings with:
	Selected Answer: .

• Question 37

	Anterior cruciate ligament integrity is assessed via the _____ test.
	Selected Answer:

• Question 38

	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:
	Selected Answer:

• Question 39

	A positive straight leg raise test usually indicates:
	Selected Answer:

• Question 40

	The musculoskeletal examination should begin when:
	Selected Answer:

• Question 41

	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:
	Selected Answer:

• Question 42

	To hear diastolic heart sounds, you should ask patients to:
	Selected Answer:

• Question 43

	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:
	Selected Answer:

• Question 44

	For purposes of examination and communication of physical findings, the breast is divided into:
	Selected Answer:

• Question 45

	The goals of preparticipation sports evaluation include:
	Selected Answer:

• Question 46

	The strength of the trapezius muscle is evaluated by having the patient:
	Selected Answer:

• Question 47

	Assessing orientation to person, place, and time helps determine:
	Selected Answer:

• Question 48

	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:
	Selected Answer:

• Question 49

	When conducting a geriatric assessment, basic activities of daily living (ADLs) include:
	Selected Answer:

• Question 50

	The rectal past medical history of all patients should include inquiry about:
	Selected Answer:

• Question 51

	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:
	Selected Answer:

• Question 52

	Loss of immediate and recent memory with retention of remote memory suggests:
	Selected Answer:

• Question 53

	Cranial nerve XII may be assessed in an infant by:
	Selected Answer:

• Question 54

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

• Question 55

	A cervical polyp usually appears as a:
	Selected Answer:

• 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:
	Selected Answer: NURS 6512C final exam question and answers quizlet

• Question 57

	A finding that is indicative of osteoarthritis is:
	Selected Answer:

• Question 58

	Inspection of the scrotum should reveal:
	Selected Answer:

• Question 59

	In the adult, the apical impulse should be most visible when the patient is in what position?
	Selected Answer:

• Question 60

	A grade IV mitral regurgitation murmur would:
	Selected Answer:

• Question 61

	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?
	Selected Answer:

• Question 62

	An apical PMI palpated beyond the left fifth intercostal space may indicate:
	Selected Answer:

• Question 63

	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? NURS 6512C final exam question and answers quizlet
	Selected Answer:

• Question 64

	An ophthalmoscopic eye examination involves:
	Selected Answer:

• Question 65

	To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested?
	Selected Answer:

• Question 66

	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:
	Selected Answer:

• Question 67

	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:
	Selected Answer:

• Question 68

	A red, hot swollen joint in a 40-year-old man should lead you to suspect:
	Selected Answer:

• Question 69

	When is the mental status portion of the neurologic system examination performed?
	Selected Answer:

• Question 70

	Which portion of the physical examination is best done with the patient standing? NURS 6512C final exam question and answers quizlet
	Selected Answer:

• Question 71

	The foramen ovale should close:
	Selected Answer:

• Question 72

	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?
	Selected Answer:

• Question 73

	In the most effective percussion technique of the posterior lung fields, the patient cooperates by:
	Selected Answer:

• Question 74

	Breath sounds normally heard over the trachea are called:
	Selected Answer:

• Question 75

	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:
	Selected Answer:

• Question 76

	Ulnar deviation and boutonniere deformities are characteristic of:
	Selected Answer:

• Question 77

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

• Question 78

	Diabetic peripheral neuropathy will likely produce:
	Selected Answer:

• Question 79

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

• Question 80

	NURS 6512C final exam question and answers quizlet
	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:
	Selected Answer:

• Question 81

	If pitting edema is unilateral, you would suspect occlusion of a:
	Selected Answer:

• Question 82

	Which medical condition would exclude a person from sports participation?
	Selected Answer:

• Question 83

	Which of the following statements is true regarding the examination of peripheral arteries?
	Selected Answer:

• Question 84

	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:
	Selected Answer:

• Question 85

	A 62 year old female presents to the clinic with complains of chest pain and heart palpitations that started 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?
	Selected Answer:

• Question 86

	Temporalis and masseter muscles are evaluated by:
	Selected Answer:

• Question 87

	Which condition is considered progressive rather than reversible?
	Selected Answer:

• NURS 6512C final exam question and answers quizlet Question 88

	It is especially important to test for ankle clonus if:
	Selected Answer:

• Question 89

	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:
	Selected Answer:

• Question 90

	Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of:
	Selected Answer:

• Question 91

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

• Question 92

	An idiopathic spasm of arterioles in the digits is termed:
	Selected Answer:

• NURS 6512C final exam question and answers quizlet Question 93

	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:
	Selected Answer:

• Question 94

	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?
	Selected Answer:

• Question 95

	To assess a cremasteric reflex, the examiner strokes the:
	Selected Answer: inner thigh and observes whether the testicle and scrotum rise on the stroked side.

• Question 96

	An elderly female was recently diagnosed with osteoporosis 2 weeks ago. What is the hallmark appearance of a patient with this diagnosis?
	Selected Answer:

• Question 97

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	Palpation of epitrochlear nodes is part of the:
	Selected Answer:

• Question 98

	Bimanual examination of the uterus includes:
	Selected Answer: grasping the cervix between the examining fingers.

• Question 99

	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?
	Selected Answer: Cytology smear

• Question 100

	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: NURS 6512C final exam question and answers quizlet
	Selected Answer: fibrocystic changes.

• Question 101

	When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?
	Selected Answer: Yes NURS 6512C final exam question and answers quizlet