REGIS NU650 2022 January Week 15 Final Quiz Latest

NU650 Advanced Health Assessment Nursing

Week 15 Quiz

Question 1The patient tells you that he has an itchy red rash. Where in the patient note will you include this information?

Select one:

 a.Assessment

 b.Plan

 c.Subjective

 d.Objective

Question 2Which of the following items are included in the PHQ-2 Depression Screen?

1.            Poor appetite or overeating

2.            Feeling tired or having little energy

3.            Little interest or pleasure in doing things

4.            Trouble concentrating on things

5.            Feeling down depressed or hopeless

6.            Trouble falling or staying asleep, or sleeping too much

7.            Thoughts that you would be better off dead, or hurting yourself

Select one:

 a.1 and 6

 b.3 and 5

c.2 and 4

 d.5 and 7

Question 3When palpating the abdomen of a 20-year-old patient, you note the presence of tenderness on deep palpation in the LUQ. Which of the following structures is most likely to be involved?

Select one:

 a.Spleen

b.Sigmoid

 c.Appendix

 d.Gallbladder

Question 4When performing an abdominal examination, the rationale for performing auscultation prior to percussion and palpation is which of the following?

Select one:

 a.To prevent distortion of vascular sounds such as bruits and hums that might occur after percussion and palpation

 b.To determine areas of tenderness before using percussion and palpation

 c.To allow the patient to relax and be more comfortable with the physical examination

 d.To prevent distortion of bowel sounds that might occur after percussion and palpation

Question 5What is the proper order for assessing the abdomen?

Select one:

 a.Palpation, percussion, auscultation, inspection

 b.Inspection, palpation, auscultation, percussion

 c.Inspection, auscultation, percussion, palpation

d.Inspection, percussion, palpation, auscultation.

Question 6The NP suspects appendicitis. He examines the patient and flexes the patient’s right hip and knee, and slowly rotates the right leg internally. The patient reports pain with this movement. The NP will document which of the following signs as positive?

Select one:

 a.Rovsing’s sign

b.Psoas sign

 c.Obturator sign

 d.McBurney’s sign

Question 7The NP is completing the health history and ROS for eyes on a healthy 88-year-old woman. The NP would anticipate which age-related change as a normal finding?

Select one:

 a.Mildly blurry vision

b.Chronically dry and itchy eyes and eyelids

 c.Worsening near vision

 d.Tearing and photophobia

Question 8The NP will diagnose acute otitis media when he notes which of the following?

Select one:

 a.Fluid in the middle ear without signs or symptoms of an ear infection

 b.Tenderness to the tragus and external ear

 c.Fluid in the middle ear accompanied by otalgia and fever

d.Fluid within the middle ear for at least three months

Question 9When the Weber test is performed with a tuning fork to assess hearing and there is no lateralization, the NP would note which of the following?

Select one:

 .Conductive deafness

b.Perceptive deafness

 c.Normal findings

 d.Sensorineural deafness

Question 10A patient presents with reported sneezing, clear drainage, and nasal congestion. The nasal mucosa of her turbinates is pale. What diagnosis does the NP suspect?

Select one:

 a.Allergic rhinitis

b.Viral rhinitis

 c.Nasal polyps

 d.Sinus infection

Question 11A patient presents with pain and pressure over her cheeks and purulent nasal discharge. The NP cannot transilluminate the sinuses and will suspect that which common sinus may be affected?

Select one:

 a.Maxillary sinus

 b.Ethmoid sinus

 c.Temporal sinus

 d.Frontal sinus

Question 12A mother has brought her four-year-old daughter to the clinic because she has refused to eat or drink. The NP diagnoses acute epiglottitis and immediately sends her to the ER. Which of the following symptoms would indicate that airway obstruction is imminent?

Select one:

 a.Reddened face

 b.Screaming

 c.Grabbing her throat

 d.Stridor

Question 13What are the lymph nodes located at the angle of the mandible?

Select one:

 a.Pre-auricular nodes

 b.Post-auricular nodes

 c.Tonsillar nodes

 d.Submandibular nodes

Question 14The NP auscultates a patient’s heart and notes a short, high frequency click (opening snap) after S2, during the beginning of diastole. What could this indicate?

Select one:

 a.Aortic regurgitation

 b.Mitral stenosis

c.Mitral regurgitation

 d.A normal finding

Question 15Which of the following assessment findings is usually indicative of an abdominal aortic aneurysm?

Select one:

 a.RUQ tenderness with light palpation over the abdomen

 b.Venous hum in the abdomen with auscultation

 c.Ascites and fluid wave with assessment

 d.Positive bruit or wide, diffuse pulsation in the epigastric area

Question 16Which of the following conditions is most likely to cause a III/IV systolic murmur?

Select one:

 a.Aortic insufficiency

b.Mitral regurgitation

 c.Pulmonic regurgitation

 d.Tricuspid stenosis

Question 17When examining a client’s heart, you hear a murmur between S1 and S2. How would you describe the murmur?

Select one:

 a.It is a normal finding in this part of the cardiac cycle.

 b.It is a diastolic murmur.

 c.It is a systolic murmur

d.It is a crescendo murmur.

Feedback

The correct answer is: It is a systolic murmur

Question 18The apex of the heart is located at:

Select one:

 a.The second intercostal space to the right of the sternal border

 b.The second intercostal space to the left of the sternal border

 c.The left lower sternal border

 d.The left side of the sternum at the fifth intercostal space by the midclavicular line

Question 19The following skin findings are considered macules EXCEPT:

Select one:

 a.Acne

 b.Freckles

 c.Petechiae

d.A flat 0.5cm brown colored birth mark

Question 20A patient tells his nurse practitioner that one of his nevi has started to bleed and burn. When assessing his skin, the nurse should pay special attention to the danger signs for pigmented lesions and should be concerned with which additional finding?

Select one:

 a.There is color variation within the lesion.

b.The border is regular.

 c.The diameter of the lesion is less than 6mm.

 d.The lesion is round and symmetrical

Question 21Which of the following is a secondary skin lesion?

Select one:

 a.Acne nodule

 b.Neoplasm

 c.Seborrheic dermatitis

d.Herpes simplex

Question 22 An 18-month-old boy is seen in the clinic for a regular visit. What should the normal respiratory rate for this patient be?

Select one:

a.58 – 75 breaths per minute

 b.30 – 40 breaths per minute

 c.23 – 42 breaths per minute

d.19 – 36 breaths per minute

Question 23With which voice sound technique will the NP normally hear a muffled or indistinct sounds through the stethoscope on auscultating the chest when the patient says ‘ninety-nine’?

Select one:

a.Bronchophony

b.Egophony

 c.Whispered pectoriloquy

 d.Tonometry

Question 24Physical exam findings associated with a consolidation in the lung may include which of the following?

Select one:

 a.Decreased tactile fremitus over the area of consolidation

 b.Dull to percussion over the area of consolidation

 c.Resonant to percussion over the area of consolidation

 d.Muffled whispered pectoriloquy

Question 25Which breath sound is normally heard over the majority of the peripheral lung field?

Select one:

a.Bronchial

 b.Bronchovesicular

 c.Vesicular

 d.Tracheal

Question 26When examining an 18-month-old the NP will position the child in which of the following positions for optimal assessment?

Select one:

 a.On the exam table in a sitting position

 b.Standing up to monitor movements

 c.On the exam table in the supine position

 d.On the parent’s lap

Question 27What Tanner stage is recorded in the note when a teenage female presents with a secondary mound on her breasts?

Select one:

 a.Tanner Stage VI

 b.Tanner Stage V

 c.Tanner Stage IV

 d.Tanner Stage III

Question 28A seven-year-old female presents to the clinic with left ear pain, fullness, fever of 10.2 for 12 hours, and a sore throat. What is the most likely differential for this patient?

Select one:

 a.Otitis externa

 b.otitis media

 c.Otitis media with effusion

 d.Mastoiditis

Question 29Which of the following findings on physical exam is considered most suggestive of streptococcal pharyngitis?

Select one:

 a.Coryza

 b.Cough

c.Hoarseness

 d.Fever >101 degrees F

Question 30The FNP is performing a respiratory assessment on a client with suspected pneumonia. She asks the client to say ‘ninety-nine’ several times. Through her stethoscope, the FNP hears the words clearly over the patient’s left lower lobe. This should be documented as which of the following?

Select one:

 a.Egophony

 b.Crepitation

 c.Bronchophony

d.Tactile fremitus

Question 31One of the most important questions to ask when taking a history from a patient with a musculoskeletal injury (especially a sports related injury) is which of the following?

Select one:

 a.Duration of symptoms

 b.Alleviating factors

 c.Aggravating factors

 d.Mechanism of injury

Question 32In examining the forearms, the NP turns the patient’s palms down to assess for which of the following?

Select one:

 a.Supination

 b.Pronation

c.Abduction

 d.Eversion

Feedback

The correct answer is: Pronation

Question 33The NP will use which of the following tests to assess the patency of the radial and ulnar arteries?

Select one:

 a.Allen test

b.Finkelstein’s test

 c.Phalen’s test

 d.Tinel’s sign

Question 34The NP assesses the patient to determine if a strain or sprain has occurred. AWhat is asprain?

Select one:

 a.An injury to the ligaments that attach to bones in a joint

b.An injury to the tendons that attach to the muscles in a joint

 c.An injury resulting in extensive tears of muscles

 d.An injury that does not result in joint instability

Question 35The CAGE screening test for alcoholism is suggestive of the disease if two of the responses are positive. What does the E in CAGE stand for?

Select one:

 a.Equal parts

 b.Eye opener

c.Every day use

 d.(planned) End (date of use)

Question 36A 58-year-old patient was recently given a diagnosis of degenerative joint disease. The NP will use which test to examine the patient’s knee for effusion?

Select one:

 a.Thomas test

 b.Tinel’s sign

 c.Bulge test

d.Phalen’s test

Question 37The NP asks the patient to alternatively touch his nose with the index finger of each hand and repeat the motion faster and faster with the eyes closed. What function does this assess?

Select one:

 a.Two-point discrimination

 b.Proprioception sense

 c.Cerebellar function

d.Discriminative sensation

Question 38How should the NP assess cranial nerve XI?

Select one:

 a.Ask the patient to say ‘ah.’

 b.Have the patient shrug his or her shoulders while you resist the movement.

c.Have the patient stick out his or her tongue and move it from side to side.

 d.Touch the pharynx with a cotton–tipped applicator.

Question 39The NP is concerned about the possibility of meningitis in her 19-year-old patient. She asks the patient to lie supine and flex his head to his chest. The NP is assessing the patient for what sign?

Select one:

 a.Brudzinski sign

b.Kernig’s sign

 c.Meniere’s sign

 d.Dix-Hallpike sign

Question 4075-year-old male has a history of Benign Prostatic Hypertrophy. During clinical exam, which of the following findings would be expected?

Select one:

 a.The prostate feels firm and uniformly enlarged.

 b.Prostate feels tender boggy and warm.

 c.Prostate has tender nodules on the surface.

 d.There is a single nontender nodule.

Question 41When doing a breast exam, which finding would be concerning to the nurse practitioner?

Select one:

 a.Single, moveable, tender, breast lump

 b.Multiple, firm, non-tender, ill-defined breast lumps

 c.Single, firm, tender, circumscribed breast lump

 d.Single, firm, non-tender, ill-defined breast lump

Correct—A single, firm, non-tender ill-defined breast lump is concerning and should be evaluated further.

Feedback

The correct answer is: Single, firm, non-tender, ill-defined breast lump

Question 42A positive urine dipstick that was obtained in the office during a patient’s visit should be documented in which part of the note?

Select one:

 a.Subjective

 b.Objective

 c.Assessment

d.Plan

Question 43When auscultating heart sounds at the tricuspid and mitral areas of the anterior chest, what would you expect?

Select one:

a.S1 to be present, S2 to be absent

 b.S1 to be louder than S2

c.S1 to be the same in intensity as S2

 d.S2 to be louder than S1

Question 44When palpating the patient’s thyroid gland, the NP will recall that a normal thyroid gland should be which of the following?

Select one:

 a.Firm

 b.Similar to rubber

 c.Soft

d. Tender

Feedback

The correct answer is: Similar to rubber

Question 45The assessment (A) component of the SOAP note is used to document which of the following?

Select one:

 a.Physical assessment findings

 b.The provider’s interpretation of the findings

 c.Patient’s comprehensive health history

 d.Plan of care to address the patient’s identified problems

Question 46The NP notes that the patient is demonstrating signs of anxiety as she reports her symptoms. The NP will help to alleviate this anxiety by doing which of the following?

Select one:

 a.Asking clear and direct questions

 b.Requesting that the patient relax as much as possible so that the history and exam may be completed

 c.Ask the person who accompanied her to the visit to join her in the examination room

 d.Acknowledge and validate the patient’s feelings

Question 47The NP will establish a professional relationship with a new patient by doing which of the following?

Select one:

 a.Finding commonalities to discuss

 b.Introducing themselves by name and title and addressing the patient by the appropriate title (Mr., Mrs., Miss)

c.Discussing the weather for today and the upcoming week

 d.Standing during the initial patient interview

Question 48Which of the following lines represents correct documentation of subjective (S) data?

1.            Patient denies change in moles or new onset of rashes.

2.            Nevus on left lateral forearm measures 0.5 cm in diameter. Patient denies itching or bleeding at site.

3.            Patient admits to forgetting to use sunscreen. Face and upper torso are erythematous without open areas.

4.            Vesicular rash on right medial thigh which patient describes as pruritic.

Select one:

 a.Line 1

 b.Line 2

 c.Line 3

d.Line 4

Question 49 Which of the following lines represents correct documentation of objective (O) data?

1.            Patient denies change in moles or new onset of rashes.

2.            Patient denies itching or bleeding at site of nevus on left lateral forearm.

3.            Patient admits to forgetting to use sunscreen.

4.            Vesicular rash on right medial thigh

Select one:

 a.Line 1

 b.Line 2

 c.Line 3

 d.Line 4

Question 50 When documenting ‘muscle strength testing’ is the NP correct to note the following phrase: “Within normal limits”?

Select one:

 True

 False

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