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NURS 6512 Advanced Health Assessment and Diagnostic Reasoning
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NURS 6512 Final Exam
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, NURS 6512 FINAL EXAM
Review Test Submission: Final Exam - Week 11
User
Course NURS-6512N-34,Advanced Health Assessment.2019 Winter Qtr
11/25-02/16-PT27
Test Exam - Week 11
Started 2/13/20 12:27 PM
Submitted 2/13/20 2:14 PM
Due Date 2/16/20 1:59 AM
Status Completed
Attempt Score 97 out of 100 points
Time Elapsed 1 hour, 47 minutes out of 2 hours
Instructions Please answer each question below and click Submit when you have completed
the Exam.
Results Submitted Answers, Incorrectly Answered Questions
Displayed
1. Examination of the patient in the lithotomy, or knee-chest, position includes:
The examiner can inspect the external and internal female genitalia and perform rectal
examination to assess and palpate anal sphincter tone
2. To spread the breast tissue evenly over the chest wall, you should ask the woman to lie
supine with:One arm over her head and a pillow under her shoulder.
3. An apical PMI palpated beyond the left fifth intercostal space may indicate: left
ventricular hypertrophy.
4. Breath odors may clue the examiner to certain underlying metabolic conditions. The
odor of ammonia on the breath may signify:ammonia-like suggests uremia, a renal
condition; cinnamon- tuberculosis; musty fish or clover hepatic -failure; sweet and
fruity - diabetic ketoacidosis; and foul or feculent- intestinal obstruction.
,5. Which cranial nerves are usually evaluated during the examination of the eyes?III
Oculomotor Motor, IV Trochlear, VI Abducens.
6. Loss of immediate and recent memory with retention of remote memory
suggests:Dementia
7. Recent unilateral inversion of a previously everted nipple suggests:Cancer
8. 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:Hockey or diving.
9. 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:Fingertips.
10. A red, hot swollen joint in a 40-year-old man should lead you to suspect:Gout
11. Normal changes of the aging brain include:Diminished touch and pain
12. 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withdrawn and stroked lightly on a glass slide.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?Cytology Smear
13. 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:Are
usual conditions during a pregnancy.
, 14. 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?
An individual or a patient with peripheral artery disease of claudication will have thin
skin with localized pallor and cyanosis, a loss of body warmth in the affected area and
loss of hair over the extremities.
15. The Mini-Mental State Examination should be administered for the patient
who:Getting lost in familiar territory is a sign of possible cognitive impairment.
16. The physical assessment technique most frequently used to assess joint symmetry
is:Inspection
17. Throughout the history and physical examination, the clinician should:The clinician
should evaluate the whole patient including physical, emotional and social needs.
18. Inquiry about nocturnal muscle spasms would be most significant when taking the
musculoskeletal history of:Older adults
19. The foramen ovale should close:At birth when the lungs become functional.
20. Palpation of a normal prostate in an older adult is likely to feel:Rubbery
21. 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:Schizophrenia
22. While collecting personal and social history data from a woman complaining of breast
discomfort, you should question her regarding:Alcohol, tobacco and caffeine.
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