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Exam (elaborations)

NURS-6512C-34/NURS-6512N-34-Advanced Health Assessment2021-Summer-QTR

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Course NURS-6512C-34/NURS-6512N-34-Advanced Health Assessment2021-Summer-QTR-Term-wks-1-thru-11-(05/31/2021- 08/15/2021)-PT27 Test Exam - Week 11 Status Completed August 2021 Attempt Score 95 out of 100 points  Question 1 When conducting a geriatric assessment, basic activities of daily living (ADLs) include: Selected Answer: bathin g.  Question 2 When palpating breast tissue, the examiner should use the _____ at each site. Selected Answer: finger pads, gliding  Question 3 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 4 Throughout the history and physical examination, the clinician should: Selected Answer: evaluate the whole patient.  Question 5 The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the: Selected Answer: QRS complex.  Question 6 You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should: Selected Answer: inquire about previous penile infections.  Question 7 Loss of immediate and recent memory with retention of remote memory suggests: Selected Answer: dementi a.  Question 8 To hear diastolic heart sounds, you should ask patients to: Selected Answer: lie on their left sides.  Question 9 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: note the finding in the patient's record.  Question 10 To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with: Selected Answer: one arm overhead and a pillow under her shoulder.  Question 11 A pulsation that is diminished to the point of being barely palpable would be graded as: Selected Answer: 1  Question 12 Which of the following statements is true regarding the examination of peripheral arteries? Selected Answer: The pulses are most readily felt over bony prominences.  Question 13 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? Selected Answer: Ventricular Tachycardia  Question 14 Breath sounds normally heard over the trachea are called: Selected Answer: bronchi al.  Question 15 The checkout station for preparticipation physical evaluation (PPE) is critical because at this point: Selected Answer: coordination of follow-ups is reviewed.  Question 16 Palpation of epitrochlear nodes is part of the: Selected Answer: examination of the upper extremities.  Question 17 A positive straight leg raise test usually indicates: Selected Answer: lumbar nerve root irritation.  Question 18 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? Selected Answer: Pneumonia  Question 19 The Mini-Mental State Examination: Selected Answer: may be used to quantitatively estimate cognitive changes.  Question 20 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?

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