Quiz Week 05
Advanced Health Assessment: Walden University
(Recent Solutions and Resources for multiple versions)
• Question 1
2 out of 2 points
A specific test is one that has the ability to:
Response Feedback: The specificity of a test is determined by its
ability to identify those who do not have the disease that the test is
designed to test for. Negative results are more likely to be valid.
• Question 2
2 out of 2 points
An infant s auditory canal, when compared with an adult s, is:
Response Feedback: Compared with the adult s, the infant s auditory
canal is shorter and has an upward curve, which is the reason that
pulling the pinna down straightens the canal.
• Question 3
2 out of 2 points
Positive outcomes rely on the:
Response Feedback: Positive patient outcomes are dependent on your
ability to arrive at accurate hypotheses that then direct quality patient
care decisions.
• Question 4
2 out of 2 points
,A 30-year-old woman presents with rapid swelling beneath her jaw that
suddenly appears while she is eating. The swelling is mildly painful but
is not hot or red. You suspect Wharton salivary duct stones and proceed
to palpate:
Response Feedback: The vast majority of such stones occur in the
Wharton duct from the submaxillary gland, which can be palpated along
each side of the frenulum under the tongue.
• Question 5
2 out of 2 points
If trauma above the clavicle is suspected, it is important to:
Response Feedback: If trauma above the clavicle is suspected, it is
important to control the cervical spine by stabilizing the neck in a
neutral position. Excessive movement can convert a fracture or
dislocation without neurologic damage to one with neurologic damage.
• Question 6
2 out of 2 points
When noting a bulging fontanel with marked pulsations in a 6 month old,
you suspect:
Response Feedback: A bulging fontanel with pulsations suggests
increased intracranial pressure. A normal fontanel feels slightly
depressed with mild pulsations.
• Question 7
2 out of 2 points
The pregnant woman can expect to experience:
, Response Feedback: Physiologic changes of pregnancy include nasal
stuffiness, decreased sense of smell, impaired hearing, epistaxis, and a
sense of fullness in the ears. Increased vascularity and proliferation of
connective tissue of the gums also may occur.
• Question 8
2 out of 2 points
A patient whose spleen is ruptured will show a positive sign.
Response Feedback: Kehr sign is severe pain in the subscapular area of
the shoulder, usually the left shoulder, and is evident of a ruptured
spleen. Battle sign is a finding with basilar skull fractures; Gower sign is
a clinical sign of muscular dystrophy in childhood; Grey-Turner sign
indicates retroperitoneal hemorrhage or pancreatitis; Hamman sign is a
precordial crunching sound synchronous with the heartbeat seen with
thoracic pathology.
• Question 9
2 out of 2 points
A newborn whose serum bilirubin is greater than 20 mg/100 mL risks
later:
Response Feedback: Risk factors for hearing loss in infants include
infection, irradiation, drug abuse, and syphilis in the mother, as well as
birth weight less that 1500 g, excessively high bilirubin level, infections
(e.g., bacterial meningitis and recurrent otitis media), cleft palate,
craniofacial abnormalities, ototoxic antibiotic use, head trauma, and
hypoxic episodes in the infant.
• Question 10
2 out of 2 points
The thyroid gland should: