NURS 6512 Final Exam

• Question 1 1 out of 1 points During chest assessment, you note the patient's voice quality while auscultating the lung 昀椀elds. The voice sound is intensi昀椀ed, there is a nasal quality to the voice, and the e's sound like a s. This sound is indicative of: Selected Answer: lung consolidation. • Question 2 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: Selected Answer: cerebellar ataxia. • Question 3 1 out of 1 points Diabetic peripheral neuropathy will likely produce: Selected Answer: diminished pain sensation. • Question 4 Montgomery tubercles are most prominent in the breasts of: Selected Answer: pregnant women. • Question 5 Which one of the following techniques is used to detect a torn meniscus? Selected Answer: McMurray test • Question 6 Ulnar deviation and boutonniere deformities are characteristic of: lOMoARcPSD| Selected Answer: rheumatoid arthritis. • Question 7 A pulsation that is diminished to the point of being barely palpable would be graded as: Selected Answer: 1 • Question 8 In the most effective percussion technique of the posterior lung 昀椀elds, the patient cooperates by: Selected Answer: folding the arms in front. Question 9 When palpating joints, crepitus may occur when: Selected Answer: irregular bony surfaces rub together. • Question 10 While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding: Selected Answer: alcohol, tobacco, and caffeine use. • Question 11 Postural hypotension is de昀椀ned as a when the patient stands, compared with sitting or supine readings. Selected Answer: systolic pressure drop of more than 15 mm Hg with a pulse rate increase • Question 12 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: Selected Answer: test the six cardinal points of gaze. • Question 13 lOMoARcPSD| Temporalis and masseter muscles are evaluated by: Selected Answer: having the patient clench his or her teeth. • Question 14 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: Selected Answer: ri昀氀ery. • Question 15 Cranial nerve XII may be assessed in an infant by: Selected Answer: observing the infant suck and swallow. • Question 16 The reliability of health-related 昀椀ndings and observations is the responsibility of the: Selected Answer: professional and the patient. • Question 17 Normal changes of the aging brain include: Selected Answer: diminished perception of touch. • Question 18 The adnexa of the uterus are composed of the: Selected Answer: fallopian tubes and ovaries. • Question 19 For purposes of examination and communication of physical 昀椀ndings, the breast is divided into: Selected Answer: four quadrants plus a tail. • Question 20 A patient in the deepest coma would be scored a on the Glasgow Coma Scale. Selected Answer: 3 lOMoARcPSD| • Question 21 A patient you are seeing in the emergency department for chest pain is suspected of having a myocardial infarction. During the health history interview of his family history, he relates that his father had died of "heart trouble." The most important follow-up question you should pose is which of the following? Selected Answer: "What age was your father at the time of his death?" • Question 22 Nerves that arise from the brain rather than the spinal cord are called: Selected Answer: cranial. • Question 23 While examining a 30-year-old woman, you note that one breast is slightly larger than the other. In response to this 昀椀nding, you should: Selected Answer: note the 昀椀nding in the patient’s record. • Question 24 In the adult, the apical impulse should be most visible when the patient is in what position? Selected Answer: Upright • Question 25 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 昀椀nding is to: Selected Answer: suggest pregnancy testing. • Question 26 Tarry black stool should make you suspect: Selected Answer: upper intestinal bleeding. • Question 27 To assess spinal levels L2, L3, and L4, which deep tendon re昀氀ex should be tested? lOMoARcPSD| Selected Answer: Patellar • Question 28 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: Selected Answer: moderately loud. • Question 29 To assess a cremasteric re昀氀ex, the examiner strokes the: Selected Answer: inner thigh and observes whether the testicle and scrotum rise on the stroked side. • Question 30 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 昀椀xative. Which type of specimen requires this technique for collection? Selected Answer: Cytology smear • Question 31 Functional assessment is most important during the examination of a(n): Selected Answer: older adult. • Question 32 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 33 Part of the screening orthopedic component of the examination includes evaluating the person while he or she is: Selected Answer: duck walking.