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NURS 612 FINAL EXAM MARYVILLE UNIVERSITY ADVANCED HEALTH ASSESSMENT NEWEST 2024 ACTUAL EXAM 150 QUESTIONS AND CORRECT DETAILED ANSWERS$15.99
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NURS 612 Advanced He alth Assessment Final
Exam
Terms in this set (221)
A 2-month-ol d infant is
brought to the clinic for
immuniz ations. The
examiner palpates enlarged
inguinal nodes. What
additional findings might
explain the enl arged
nodes?
a. The mother reports that
the inf ant has colic
b. The inf ant's length and
weight are about the 85th
percentil e
c. The inf ant has a severe
diaper rash
d. A port -wine s tain is
present on the inf ant's left
thighc. The inf ant has a severe diaper rash
5 areas of auscul tation -
cardiac* Aortic valve shoul d be hear d at the second right
intercostal space at the right sternal border
*Pulmonic valve area: second l eft intercostal space at
the left sternal border
* Second pul monic area: third left intercostal space at
the left sternal border
*Tricuspid area: fourth l eft intercostal space along the
lower left sternal border
* Mitr al (apical ) area: at the apex of the heart in the fifth
intercostal space at the midcl avicular line A 6-month-ol d infant is
brought to the clinic for
immuniz ations. While
examining the b aby, the
examiner notes that the
anterior fontanel has not
closed. What is the
significance of this finding ?
a. This indica tes a slight
development al delay
b. There ma y be a
nutritional deficiency
c. This finding is consis tent
with hy drocephal y
d. This is a normal findingd. This is a normal finding
A 6-year-old girl has
freckles over her nose and
cheeks. Fr eckles are a type
of
a. Ma cule
b. Papule
c. No dule
d. Petechia ea. Ma cule
10 types of heart murmur s1. mitr al stenosis
2. aortic s tenosis
3. subaortic s tenosis
4. pul monic s tenosis
5. tricuspid s tenosis
6. mitr al regurgitation
7. mitr al valve prolapse
8. aortic r egurgitation
9. pulmonic r egurgitation
10. tricuspid r egurgitation A 16 y/o femal e comes in
saying that her perio ds are
irregular. What are you
going to do?Start by check ing her thyroid levels (TSH)
A 19-year-old man has a
severe infection in volving
the fifth digit of his right
hand. Wher e shoul d the
examiner expect to palpate
enlarged and tender lymph
nodes?
a. Radial aspect of the right
wrist
b. Palmar aspect of the right
hand
c. Lateral aspect of the right
forearm
d. Medial aspect of the right
elbowd. Medial aspect of the right elbow
A 26 y/o femal e presents
with compl aints of fatigue
and hair falling out, You
would check for what?Check TSH first and then if it is abnormal , then check a
T3 and T4
ABCDE of lesionsA= asymmetr y; one hal f is unlike the other half
B= bor der; an irr egular, scal loped or poorl y defined
border
C= color; is varied from one area to another ; has shades
of tan, brown, or black, or is sometimes white, red, or
blue
D= diamet er; mel anomas are usual ly greater than 6mm
(size of a pencil eraser) when diagnosed, but they can
be smal ler
E= evolving; a mole or skin lesion that looks different
from the rest or is changing in siz e, shape or color An adolescent patient asks
the e xaminer why teens
have mor e problems with
acne than children. Which
of the following would be
an appr opria te response?
a. Children ha ve bett er
hygiene habits than
adolescents because of
parental guidance
b. Adolescents have
reduced bl ood flow to the
epidermal layer of the sk in,
making them mor e
susceptibl e to infections
c. At puberty , adolescents
begin to secr ete mor e oil
from their sebaceous
glands
d. Children ha ve very little
skin mass, which pr events
development of acnec. At puberty , adolescents begin to secr ete mor e oil
from their sebaceous glands
Aortic r egurgitation*hear d with diaphr agm p atient sitting and l eaning
forward; Austin-Fl int murmur hear d with bel l; ejection
click hear d in second int ercostal space
* Valve incompet ence allows backflow from aorta to
ventricl e
*Caused by rheuma tic heart disease, endocar ditis, aortic
diseases (like marf an syndrome, medial necr osis),
syphil is, ankylosing spondyl itis, dissection , cardiac
trauma
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