NURS 6512C Final Exam Question and Answers Quizlet Latest

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Question 1

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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 2

Which cranial nerves are usually evaluated during the examination of the eyes?

Selected Answer:

III and VI

NURS 6512C final exam question and answers quizlet Question 3

The difference in blood pressure readings between the right and the left arms is considered normal up to _____ mm Hg.

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Question 4

The adnexa of the uterus are composed of the:

Selected Answer:

fallopian tubes and ovaries.

Question 5

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? NURS 6512C final exam question and answers quizlet

Selected Answer:

Ventricular Fibrillation

Question 6

When palpating breast tissue, the examiner should use the _____ at each site.

Selected Answer:

finger pads, gliding

Question 7

Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the:

Selected Answer:

P wave.

Question 8

Darian is a 14-year-old adolescent who states his right testicle has a soft swollen mass. The testicle is not painful upon palpation. The right inguinal canal is without masses. The mass does transilluminate with a penlight. This collection of symptoms is consistent with:

Selected Answer:

hydrocele

Question 9

Your 15-year-old patient is athletic and thin. Radiography of an ankle injury reveals a stress fracture. You should question this patient about her:

Selected Answer:

menstrual cycles.

Question 10

At your first meeting with a patient, it is usually best to say:

Selected Answer:

“Tell me about yourself.”

Question 11

Which one of the following techniques is used to detect a torn meniscus?

Selected Answer:

McMurray test

Question 12

Facial muscle or tongue weakness may result in:

Selected Answer:

aphasia.

Question 13

The finger-to-nose test allows assessment of:

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coordination and fine motor function.

Question 14

When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the:

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presence and form of body parts.

Question 15

When assessing a 17-year-old for nuchal rigidity, you gently raise his head off the examination table. He involuntarily flexes his hips and knees. To confirm your suspicions associated with this positive test, you would also perform a test for the _____ sign.

Selected Answer:

Kernig

Question 16

Postural hypotension is defined 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 17

One of the most important aspects to consider in the orthopedic screening examination is:

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Question 18

The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:

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coordination of follow-ups is reviewed.

Question 19

Part of the screening orthopedic component of the examination includes evaluating the person while he or she is:

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Question 20

You are examining Mr. S., a 79-year-old diabetic man complaining of claudication. Which of the following physical findings is consistent with the diagnosis of arterial occlusion?

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Question 21

Throughout the history and physical examination, the clinician should:

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Question 22

Functional assessment is most important during the examination of a(n):

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Question 23

To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with:

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Question 24

A 56-year-old male presents to the clinic to see the nurse practitioner with complaints of shortness of breath for 1 months, 15-pound weight gain and lower extremity edema. Vitals are as follows: HR: 120, Respirations 30, Blood Pressure: 138/90, BMI: 40; Oxygen saturation of 90%. On examination patient is noted to have jugular venous distention, enlarged liver, and crackles are noted on examination. A chest x-ray is completed and shows findings consistent with which diagnosis? Based on this scenario and imaging what is the most likely diagnosis?

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Question 25

Recent unilateral inversion of a previously everted nipple suggests:

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Question 26

A common finding in markedly obese and pregnant women is:

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Question 27

If your patient has nipple discharge, you will most likely need a:

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Question 28

Normal changes of the aging brain include:

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Question 29

A patient in the deepest coma would be scored a _____ on the Glasgow Coma Scale.

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Question 30

The physical assessment technique most frequently used to assess joint symmetry is:

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Question 31

Nerves that arise from the brain rather than the spinal cord are called:

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Question 32

The best way to ease the apprehension of a 3-year-old child before a physical examination is to:

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Question 33

Examination of the patient in the lithotomy, or knee-chest, position includes:

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Question 34

A 40 yr old female presents to the clinic with complaints of low back and buttock pain. Pt states the buttock pain radiates from one side to the other. On examination, the patient is noted to have limited ROM of the shoulders, chest wall, hips, and knees. Upon xray, you find gross postural changes and there is a severe deformity of the vertebral column.

What is the most likely diagnosis for this patient?

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Question 35

A pulsation that is diminished to the point of being barely palpable would be graded as:

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Question 36

The family history for a patient with joint pain should include information about siblings with:

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Question 37

Anterior cruciate ligament integrity is assessed via the _____ test.

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Question 38

During chest assessment, you note the patient’s voice quality while auscultating the lung fields. The voice sound is intensified, there is a nasal quality to the voice, and the e’s sound like a s. This sound is indicative of:

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Question 39

A positive straight leg raise test usually indicates:

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Question 40

The musculoskeletal examination should begin when:

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Question 41

A 25 yo AA female has come to the clinic because she has missed her menstrual period this month and 2 months before. She says her cycles are irregular and she wants to be on birth control to help regulate them. She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is to:

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Question 42

To hear diastolic heart sounds, you should ask patients to:

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Question 43

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:

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Question 44

For purposes of examination and communication of physical findings, the breast is divided into:

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Question 45

The goals of preparticipation sports evaluation include:

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Question 46

The strength of the trapezius muscle is evaluated by having the patient:

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Question 47

Assessing orientation to person, place, and time helps determine:

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Question 48

During a routine prenatal visit, Ms. T. was noted as having dependent edema, varicosities of the legs, and hemorrhoids. She expressed concern about these symptoms. You explain to Ms. T. that her enlarged uterus is compressing her pelvic veins and her inferior vena cava. You would further explain that these findings:

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Question 49

When conducting a geriatric assessment, basic activities of daily living (ADLs) include:

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Question 50

The rectal past medical history of all patients should include inquiry about:

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Question 51

You are performing a two-point discrimination test as part of a well physical examination. The area with the ability to discern two points in the shortest distance is the:

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Question 52

Loss of immediate and recent memory with retention of remote memory suggests:

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Question 53

Cranial nerve XII may be assessed in an infant by:

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Question 54

While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding:

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Question 55

A cervical polyp usually appears as a:

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Question 56

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:

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NURS 6512C final exam question and answers quizlet

Question 57

A finding that is indicative of osteoarthritis is:

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Question 58

Inspection of the scrotum should reveal:

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Question 59

In the adult, the apical impulse should be most visible when the patient is in what position?

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Question 60

A grade IV mitral regurgitation murmur would:

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Question 61

Adrian Thompson is a 19-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her mother reports that Andrian, apart from occasional sinus infections, Andrian is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Adrian’s current problem?

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Question 62

An apical PMI palpated beyond the left fifth intercostal space may indicate:

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Question 63

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? NURS 6512C final exam question and answers quizlet

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Question 64

An ophthalmoscopic eye examination involves:

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Question 65

To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested?

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Question 66

When you attempt to move a 10-month-old child from his mother’s lap to the examination table, he screams loudly. Your best action is to:

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Question 67

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:

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Question 68

A red, hot swollen joint in a 40-year-old man should lead you to suspect:

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Question 69

When is the mental status portion of the neurologic system examination performed?

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Question 70

Which portion of the physical examination is best done with the patient standing? NURS 6512C final exam question and answers quizlet

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Question 71

The foramen ovale should close:

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Question 72

You are conducting a preparticipation physical examination for a 10-year-old girl with Down syndrome who will be playing basketball. She has slight torticollis and mild ankle clonus. What additional diagnostic testing would be required for her?

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Question 73

In the most effective percussion technique of the posterior lung fields, the patient cooperates by:

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Question 74

Breath sounds normally heard over the trachea are called:

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Question 75

You are assessing Mr. Z.’s fluid volume status as a result of heart failure. If your finger depresses a patient’s edematous ankle to a depth of 6 mm, you should record this pitting as:

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Question 76

Ulnar deviation and boutonniere deformities are characteristic of:

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Question 77

You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should:

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Question 78

Diabetic peripheral neuropathy will likely produce:

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Question 79

Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify:

Selected Answer:

Question 80

NURS 6512C final exam question and answers quizlet

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:

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Question 81

If pitting edema is unilateral, you would suspect occlusion of a:

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Question 82

Which medical condition would exclude a person from sports participation?

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Question 83

Which of the following statements is true regarding the examination of peripheral arteries?

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Question 84

You are initially evaluating the equilibrium of Ms. Q. You ask her to stand with her feet together and arms at her sides. She loses her balance. Ms. Q. has a positive:

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Question 85

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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Question 86

Temporalis and masseter muscles are evaluated by:

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Question 87

Which condition is considered progressive rather than reversible?

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NURS 6512C final exam question and answers quizlet Question 88

It is especially important to test for ankle clonus if:

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Question 89

Your older clinic patient is being seen today as a follow-up for a 2-day history of pneumonia. The patient continues to have a productive cough, shortness of breath, and lethargy and has been spending most of the day lying in bed. You should begin the chest examination by:

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Question 90

Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of:

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Question 91

Your patient’s chief complaint is repeated pencil-like stools. Further examination should include:

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Question 92

An idiopathic spasm of arterioles in the digits is termed:

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NURS 6512C final exam question and answers quizlet Question 93

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:

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Question 94

Adrian Thomas is a 19-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her father reports that Adrian, apart from occasional sinus infections, Adrian is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Adrian’s current problem?

Selected Answer:

Question 95

To assess a cremasteric reflex, the examiner strokes the:

Selected Answer:

inner thigh and observes whether the testicle and scrotum rise on the stroked side.

Question 96

An elderly female was recently diagnosed with osteoporosis 2 weeks ago. What is the hallmark appearance of a patient with this diagnosis?

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Question 97

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Palpation of epitrochlear nodes is part of the:

Selected Answer:

Question 98

Bimanual examination of the uterus includes:

Selected Answer:

grasping the cervix between the examining fingers.

Question 99

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 fixative. Which type of specimen requires this technique for collection?

Selected Answer:

Cytology smear

Question 100

You are conducting a clinical breast examination for your 30-year-old patient. Her breasts are symmetrical with bilateral, multiple tender masses that are freely moveable with well-defined borders. You recognize that these symptoms and assessment findings are consistent with: NURS 6512C final exam question and answers quizlet

Selected Answer:

fibrocystic changes.

Question 101

When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?

Selected Answer:

Yes

NURS 6512C final exam question and answers quizlet