Walden University NURS 6512 Final Exam 3. Questions & Answers
Walden University NURS 6512 Final Exam 3.
NURS 6512
NURS 6512 Final Exam 3
Walden
... [Show More] University NURS 6512 Final Exam 3. Questions & Answers (Graded A)
Question 1
1 out of 1 points
The reliability of health-related findings and observations is the responsibility of the:
Answer: professional and the patient.
Question 2
1 out of 1 points
Which of the following statements is true regarding the examination of peripheral arteries?
Answer: The pulses are most readily felt over bony prominences.
Question 3
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:
Answer: cerebellar ataxia.
Question 4
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:
Answer: fibrocystic changes
Question 5
1 out of 1 points
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 6
1 out of 1 points
When is the mental status portion of the neurologic system examination performed?
Answer: Constantly, throughout the entire interaction with a patient
Question 7
1 out of 1 points
Normal changes of the aging brain include:
Answer: diminished perception of touch.
Question 8
1 out of 1 points
The finger-to-nose test allows assessment of:
Answer: coordination and fine motor function.
Question 9
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.
Answer: 10
Question 10
1 out of 1 points
Tarry black stool should make you suspect:
Answer: upper intestinal bleeding
Question 11
1 out of 1 points
Anterior cruciate ligament integrity is assessed via the _____ test.
Answer: Lachman
Question 12
1 out of 1 points
Examination of the patient in the lithotomy, or knee-chest, position includes:
Answer: palpation of anal sphincter tone.
Question 13
1 out of 1 points
Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of:
Answer: older adults.
Question 14
1 out of 1 points
Which cranial nerves are usually evaluated during the examination of the eyes?
Answer: III and VI
Question 15
1 out of 1 points
Assessing orientation to person, place, and time helps determine:
Answer: state of consciousness.
Question 16
1 out of 1 points
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 17
1 out of 1 points
Cranial nerve XII may be assessed in an infant by:
Answer: observing the infant suck and swallow.
Question 18
1 out of 1 points
Diabetic peripheral neuropathy will likely produce:
Answer: diminished pain sensation.
Question 19
1 out of 1 points
Nerves that arise from the brain rather than the spinal cord are called:
Answer: cranial
Question 20
1 out of 1 points
Inspection of the scrotum should reveal:
Answer: left scrotal sac lower than the right.
Question 21
1 out of 1 points
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 22
1 out of 1 points
The rectal past medical history of all patients should include inquiry about:
Answer: hemorrhoid surgery.
Question 23
1 out of 1 points
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 24
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.
Answer: Kernig
Question 25
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:
Answer: moderately loud.
Question 26
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:
Answer: schizophrenia.
Question 27
1 out of 1 points
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 28
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:
Answer: perform the examination while the child is in the mother's lap.
Question 29
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?
Answer: Cervical spine radiograph
Question 30
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:
Answer: suggest pregnancy testing.
Question 31
1 out of 1 points
A positive straight leg raise test usually indicates:
Answer: lumbar nerve root irritation.
Question 32
1 out of 1 points
Loss of immediate and recent memory with retention of remote memory suggests:
Answer: dementia.
Question 33
0 out of 1 points
Bimanual examination of the uterus includes:
Answer: grasping the vaginal wall and pulling it downward.
Question 34
1 out of 1 points
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 35
1 out of 1 points
When assessing superficial pain, touch, vibration, and position perceptions, you are testing:
Answer: sensory function.
Question 36
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:
Answer: fingertips
Question 37
1 out of 1 points
If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation?
Answer: CN XI, spinal accessory
Question 38
1 out of 1 points
The Mini-Mental State Examination:
Answer: may be used to quantitatively estimate cognitive changes.
Question 39
1 out of 1 points
When palpating joints, crepitus may occur when:
Answer: irregular bony surfaces rub together.
Question 40
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:
Answer: P wave.
Question 41
1 out of 1 points
When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the:
Answer: presence and form of body parts
Question 42
1 out of 1 points
A pulsation that is diminished to the point of being barely palpable would be graded as:
Answer: 1
Question 43
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:
Answer: are usual conditions during pregnancy.
Question 44
1 out of 1 points
The examiner percusses for diaphragmatic excursion along the:
Answer: scapular line
Question 45
1 out of 1 points
An ophthalmoscopic eye examination involves:
Answer: lens inspection.
Question 46
1 out of 1 points
Which condition is considered progressive rather than reversible?
Answer: Dementia
Question 47
1 out of 1 points
Breath sounds normally heard over the trachea are called:
Answer: bronchial.
Question 48
0 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:
Answer: 4+.
Question 49
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?
Answer: Cocaine use
Question 50
1 out of 1 points
Recent unilateral inversion of a previously everted nipple suggests:
Answer: cancer.
Question 51
1 out of 1 points
The physical assessment technique most frequently used to assess joint symmetry is:
Answer: inspection.
Question 52
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:
Answer: lung consolidation.
Question 53
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:
Answer: Mini-Mental State Examination.
Question 54
1 out of 1 points
Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify:
Answer: uremia.
Question 55
1 out of 1 points
One of the most important aspects to consider in the orthopedic screening examination is:
Answer: symmetry.
Question 56
1 out of 1 points
When palpating breast tissue, the examiner should use the _____ at each site.
Answer: finger pads, gliding
Question 57
1 out of 1 points
The goals of preparticipation sports evaluation include:
Answer: identifying risk of injury or death during sports participation.
Question 58
1 out of 1 points
Part of the screening orthopedic component of the examination includes evaluating the person while he or she is:
Answer: duck walking.
Question 59
1 out of 1 points
A red, hot swollen joint in a 40-year-old man should lead you to suspect:
Answer: gout.
Question 60
1 out of 1 points
It is especially important to test for ankle clonus if:
Answer: deep tendon reflexes are hyperactive.
Question 61
1 out of 1 points
For purposes of examination and communication of physical findings, the breast is divided into:
Answer: four quadrants plus a tail.
Question 62
1 out of 1 points
The adnexa of the uterus are composed of the:
Answer: fallopian tubes and ovaries.
Question 63
1 out of 1 points
Functional assessment is most important during the examination of a(n):
Answer: older adult.
Question 64
1 out of 1 points
Which one of the following techniques is used to detect a torn meniscus?
Answer: McMurray test
Question 65
1 out of 1 points
A finding that is indicative of osteoarthritis is:
Answer: Heberden nodes.
Question 66
1 out of 1 points
The foramen ovale should close:
Answer: within minutes of birth.
Question 67
1 out of 1 points
Montgomery tubercles are most prominent in the breasts of:
Answer: pregnant women.
Question 68
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:
Answer: riflery.
Question 69
1 out of 1 points
A cervical polyp usually appears as a:
Answer: bright-red soft protrusion from the endocervical canal.
Question 70
1 out of 1 points
An idiopathic spasm of arterioles in the digits is termed:
Answer: Raynaud disease.
Question 71
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:
Answer: test the six cardinal points of gaze.
Question 72
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:
Answer: inquire about previous penile infections.
Question 73
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:
Answer: hydrocele.
Question 74
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?
Answer: Cytology smear
Question 75
1 out of 1 points
The presence of cervical motion tenderness may indicate:
Answer: pelvic inflammatory disease.
Question 76
1 out of 1 points
Palpation of epitrochlear nodes is part of the:
Answer: examination of the upper extremities.
Question 77
1 out of 1 points
Ulnar deviation and boutonniere deformities are characteristic of:
Answer: rheumatoid arthritis.
Question 78
1 out of 1 points
A common finding in markedly obese and pregnant women is:
Answer: lordosis.
Question 79
1 out of 1 points
A grade IV mitral regurgitation murmur would:
Answer: radiate to the axilla.
Question 80
1 out of 1 points
The musculoskeletal examination should begin when:
Answer: the patient enters the examination room.
Question 81
1 out of 1 points
Throughout the history and physical examination, the clinician should:
Answer: evaluate the whole patient.
Question 82
1 out of 1 points
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 83
1 out of 1 points
The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the:
Answer: QRS complex.
Question 84
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?
Answer: Loss of hair over the extremity
Question 85
1 out of 1 points
If your patient has nipple discharge, you will most likely need a:
Answer: glass slide and fixative.
Question 86
1 out of 1 points
The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:
Answer: coordination of follow-ups is reviewed.
Question 87
1 out of 1 points
An apical PMI palpated beyond the left fifth intercostal space may indicate:
Answer: left ventricular hypertrophy.
Question 88
1 out of 1 points
The Denver II is a tool used to determine:
Answer: whether a child is developing as expected.
Question 89
1 out of 1 points
To hear diastolic heart sounds, you should ask patients to:
Answer: lie on their left sides.
Question 90
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:
Answer: menstrual cycles.
Question 91
1 out of 1 points
In the most effective percussion technique of the posterior lung fields, the patient cooperates by:
Answer: folding the arms in front.
Question 92
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:
Answer: note the finding in the patient's record.
Question 93
1 out of 1 points
Temporalis and masseter muscles are evaluated by:
Answer: having the patient clench his or her teeth.
Question 94
1 out of 1 points
Which medical condition would exclude a person from sports participation?
Answer: Fever
Question 95
1 out of 1 points
Your patient's chief complaint is repeated pencil-like stools. Further examination should include:
Answer: digital rectal examination (DRE).
Question 96
1 out of 1 points
Which portion of the physical examination is best done with the patient standing?
Answer: Spinal
Question 97
1 out of 1 points
Kawasaki disease is suspected when assessments of a child reveal:
Answer: conjunctival injection, strawberry tongue, and edema of the hands and feet.
Question 98
1 out of 1 points
Palpation of a normal prostate in an older adult is likely to feel:
Answer: rubbery.
Question 99
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:
Answer: auscultating the lung bases.
Question 100
1 out of 1 points
Facial muscle or tongue weakness may result in:
Answer: aphasia. [Show Less]