NU650/ NU 650 FINAL EXAM: (NEW 2024/
2025 UPDATE) ADVANCED HEALTH ASSESSMENT
GUIDE| QS & AS| GRADE A| 100% CORRECT
(VERIFIED ANSWERS) –
The NP will use which of the following methods to help the patient relax
during the abdominal exam?
A. ask the patient to hold their breath
B. Palpate the abdomen after inspiration
C. palpate the abdomen after expiration
D. Palpate the abdomen using quick short movements - ANS ✓C. palpate the
abdomen after expiration
The parents of a 4 month old infant share concern about their child's
umbilical hernia at a well-child visit. The NP will correctly inform them
that:
A. Most umbilical hernias disappear by 12 months of age
B. The hernia can be surgically repaired before the child reaches
adolescence
C. This finding indicates that their child is at high risk for other hernias
D. There is a strong familial history for umbilical hernias - ANS ✓A. Most
umbilical hernias disappear by 12 months of age
When percussing the abdomen in a patient with constipation, which of the
following sounds would you expect to find in the LLQ?
A. Tympanic
B. Dull
C. Resonant
D. Hyperresonant - ANS ✓B. Dull
When percussing the abdomen, you would document the normal finding of
percussion over the intestines as:
A. Tympanic
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B. Dull
C. Resonant
D. Hyperresonant - ANS ✓A. Tympanic
Which of the following abdominal exam findings would prompt the NP to
consider cholecystitis as a differential diagnosis?
A. Positive psoas sign
B. Positive Rovsing's sign
C. Positive Obturator sign
D. Positive murphy's sign - ANS ✓D. Positive murphy's sign
Which of the following symptoms would you expect from a young
adolescent in the early phase of appendicitis?
A. Abdominal pain two hours after eating
B. CVA tenderness
C. Severe RLQ pain with pallor and sweating
D. Constipation - ANS ✓C. Severe RLQ pain with pallor and sweating
A 40 year old male patient presents with sinus pain, pressure and yellow
nasal discharge. Your exam would include palpation of:
A. Ethmoid and frontal sinuses
B. Maxillary and sphenoid sinuses
C. Frontal and maxillary sinuses
D. Sphenoid and ethmoid sinuses - ANS ✓C. Frontal and maxillary sinuses
A 60 y.o presents with a 3 day history of left eye irritation. Which of the
following findings should be recorded in the ROS?
A. Patient denies eye pain or change in vision
B. Vision is 20/20 by Snellen Chary
C. Yellow crust is visible at the inner canthus of the left eye
D. all of the above - ANS ✓A. Patient denies eye pain or change in vision
During a P.E of the throat, which of the following structures of the
mouth/throat should rise when the patient says "aah"?
A. Hard palate
B. Soft palate
C. Lingual frenulum
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