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NURS6512 Advanced Health Assessment and Diagnostic Reasoning

Week 11 Exam

• Question 1 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 2 When is the mental status portion of the neurologic system examination performed? • Question 3 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 4 Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the:

• Question 5 When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the:

• Question 6 A positive straight leg raise test usually indicates:

• Question 7 Recent unilateral inversion of a previously everted nipple suggests:

• Question 8 When assessing superficial pain, touch, vibration, and position perceptions, you are testing: • Question 9 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.

• Question 10 Facial muscle or tongue weakness may result in:

• Question 11 The Mini-Mental State Examination should be administered for the patient who:

• Question 12 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:

• Question 13 Normal changes of the aging brain include:

• Question 14 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 15 Montgomery tubercles are most prominent in the breasts of:

• Question 16 The rectal past medical history of all patients should include inquiry about:

• Question 17 You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should:

• Question 18 Nerves that arise from the brain rather than the spinal cord are called:

• Question 19 Part of the screening orthopedic component of the examination includes evaluating the person while he or she is:

• Question 20 The finger-to-nose test allows assessment of:

• Question 21 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 22 For purposes of examination and communication of physical findings, the breast is divided into:

• Question 23 Loss of immediate and recent memory with retention of remote memory suggests:

• Question 24 In the most effective percussion technique of the posterior lung fields, the patient cooperates by:

• Question 25 Anterior cruciate ligament integrity is assessed via the _____ test.

• Question 26 A pulsation that is diminished to the point of being barely palpable would be graded as:

• Question 27 An idiopathic spasm of arterioles in the digits is termed:

• Question 28 Functional assessment is most important during the examination of a(n):

• Question 29 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: