NURS 6512:ADVANCED HEALTH ASSESSMENT:ADVANCED HEALTH ASSESSMENT FINAL
EXAM|ALREADY GRADED A+
During a routine physical exam of a 44 yo woman you note she has an inverted left nipple. You
decide to investigate because: - (ANSWER)The inversion may be a recent change
A 30 yo F is in the office c/o palpitations and some lightheadedness for the past ?, random
episodes, no detectable pattern. NP notes a mid systolic click with a late systolic murmur heard
best in the apical area. You suspect - (ANSWER)Mitral valve prolapse (MVP)
All of the following tests require the patient's voice to perform correctly except: - (ANSWER)-
egophany
-tactile fremitus #@$#%^&^*
&(*
-whispered pectoriloquy
auscultation
59 yo M with history of COPD presents with worsening dyspnea. Patient is afebrile, breath
sounds are decreased bilaterally, noted to have JVD and pitting edema of lower extremities.
What is the most likely cause of his dyspnea? - (ANSWER)CHF
James Jones 55 yo M smoker presents with thick sputum producing cough. Exam: +tactile
fremitus, resonant percussion, and normal voice transmission. You suspect: -
(ANSWER)bronchitis
During the breast exam of a 30 year old nulliparous female. The NP palpates several rubbery
areas of the breast tissue. They are slightly tender to palpation and present in both breasts.
Expecting menses in 5 days. Which intervention is best? - (ANSWER)Tell her to recheck 1 week
after her menses
All of the following symptoms associated with chest pain are likely to represent CAD except? -
(ANSWER)pain with inspiration
, NURS 6512:ADVANCED HEALTH ASSESSMENT:ADVANCED HEALTH ASSESSMENT FINAL
EXAM|ALREADY GRADED A+
60 yo landscaper presents to your office to establish care, history of CHF controlled with
medications. Denies cp, edema. Early diastolic ? with opening snap ___. You suspect? -
(ANSWER)Mitral stenosis
A patient states that she has had a rash on her breast for about 2 weeks. In order to determine
if it is pagets disease you would expect to have all of the following on physical exam EXCEPT -
(ANSWER)inverted nipple
You notice a medium-pitched harsh systolic murmur during a routine exam or R upper border of
the sternum. Which of the following is most likely? - (ANSWER)Aortic stenosis
#@$#%^&^*
&(*
Which of the following statements in NOT typical of the murmur it is describing? -
(ANSWER)Grade II/Grade VI murmur is associated with a thrill?
A 58 yo dentist presents for routine check up. He has been healthy. Non smoker, does not drink
alcohol. You hear a moderately loud murmur, no palpable thrill. What is the appropriate grade
for this murmur? - (ANSWER)Grade 3
57 yo college professor is hospitalized for SOB. As you examine her in ER, JVP of 45 degrees 8
cm above the clavicle. finding is most consistent with which of the following diagnoses? -
(ANSWER)Right sided heart failure
What technique should be used to best auscultate the 2nd heart sounds? -
(ANSWER)Diaphragm of the stethoscope at 2nd intercostal space at the base of the heart
You hear a split s2 on auscultation of a 25 yo client. What is your best action? - (ANSWER)Tell
them to hold their breath and repeat
EXAM|ALREADY GRADED A+
During a routine physical exam of a 44 yo woman you note she has an inverted left nipple. You
decide to investigate because: - (ANSWER)The inversion may be a recent change
A 30 yo F is in the office c/o palpitations and some lightheadedness for the past ?, random
episodes, no detectable pattern. NP notes a mid systolic click with a late systolic murmur heard
best in the apical area. You suspect - (ANSWER)Mitral valve prolapse (MVP)
All of the following tests require the patient's voice to perform correctly except: - (ANSWER)-
egophany
-tactile fremitus #@$#%^&^*
&(*
-whispered pectoriloquy
auscultation
59 yo M with history of COPD presents with worsening dyspnea. Patient is afebrile, breath
sounds are decreased bilaterally, noted to have JVD and pitting edema of lower extremities.
What is the most likely cause of his dyspnea? - (ANSWER)CHF
James Jones 55 yo M smoker presents with thick sputum producing cough. Exam: +tactile
fremitus, resonant percussion, and normal voice transmission. You suspect: -
(ANSWER)bronchitis
During the breast exam of a 30 year old nulliparous female. The NP palpates several rubbery
areas of the breast tissue. They are slightly tender to palpation and present in both breasts.
Expecting menses in 5 days. Which intervention is best? - (ANSWER)Tell her to recheck 1 week
after her menses
All of the following symptoms associated with chest pain are likely to represent CAD except? -
(ANSWER)pain with inspiration
, NURS 6512:ADVANCED HEALTH ASSESSMENT:ADVANCED HEALTH ASSESSMENT FINAL
EXAM|ALREADY GRADED A+
60 yo landscaper presents to your office to establish care, history of CHF controlled with
medications. Denies cp, edema. Early diastolic ? with opening snap ___. You suspect? -
(ANSWER)Mitral stenosis
A patient states that she has had a rash on her breast for about 2 weeks. In order to determine
if it is pagets disease you would expect to have all of the following on physical exam EXCEPT -
(ANSWER)inverted nipple
You notice a medium-pitched harsh systolic murmur during a routine exam or R upper border of
the sternum. Which of the following is most likely? - (ANSWER)Aortic stenosis
#@$#%^&^*
&(*
Which of the following statements in NOT typical of the murmur it is describing? -
(ANSWER)Grade II/Grade VI murmur is associated with a thrill?
A 58 yo dentist presents for routine check up. He has been healthy. Non smoker, does not drink
alcohol. You hear a moderately loud murmur, no palpable thrill. What is the appropriate grade
for this murmur? - (ANSWER)Grade 3
57 yo college professor is hospitalized for SOB. As you examine her in ER, JVP of 45 degrees 8
cm above the clavicle. finding is most consistent with which of the following diagnoses? -
(ANSWER)Right sided heart failure
What technique should be used to best auscultate the 2nd heart sounds? -
(ANSWER)Diaphragm of the stethoscope at 2nd intercostal space at the base of the heart
You hear a split s2 on auscultation of a 25 yo client. What is your best action? - (ANSWER)Tell
them to hold their breath and repeat
