ALL the best

NURS 6512N Week 11 Final Exam LATEST

2022/2023 QTR (2020 RETAKE) HIGHLY GRADED

• QUIZ 1
1 out of 1 Pts
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?

ANSWER Loss of hair over the

: extremity

• QUIZ 2
1 out of 1 Pts
The adnexa of the uterus are composed of the:

ANSWER fallopian tubes and

: ovaries.

• QUIZ 3
1 out of 1 Pts
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?

ANSWER Cervical spine

: radiograph

• QUIZ 4
1 out of 1 Pts
The examiner percusses for diaphragmatic excursion along the:

ANSWER scapular
: line.
 • QUIZ 5
1 out of 1 Pts
ALL the bestWhich one of the following techniques is used to detect a torn meniscus?

ANSWER McMurray
: test

• QUIZ 6
1 out of 1 Pts
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withdrawn and stroked lightly on a glass slide.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?
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ANSWER Cytology
: smear

• QUIZ 7
1 out of 1 Pts
Cranial nerve XII may be assessed in an infant by:

ANSWER observing the infant suck and

: swallow.

• QUIZ 8
1 out of 1 Pts
Which portion of the physical examination is best done with the patient standing?

ANSWER Spin
: al

• QUIZ 9
1 out of 1 Pts
When assessing superficial pain, touch, vibration, and position perceptions, you
are testing:

ANSWER sensory
: function.

• QUIZ 10
1 out of 1 Pts
An idiopathic spasm of arterioles in the digits is termed:

ANSWER Raynaud
: disease.

• QUIZ 11
1 out of 1 Pts
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:

ANSWER test the six cardinal Pts of

: gaze.

• QUIZ 12
1 out of 1 Pts
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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:

ANSWER: riflery
.

• QUIZ 13
1 out of 1 Pts
An ophthalmoscopic eye examination involves:

ANSWER lens
: inspection.

• QUIZ 14
1 out of 1 Pts
The goals of preparticipation sports evaluation include:

ANSWER identifying risk of injury or death during sports

: participation.

• QUIZ 15
1 out of 1 Pts
Kawasaki disease is suspected when assessments of a child reveal:

ANSWER conjunctival injection, strawberry tongue, and edema of the

: hands and feet.

• QUIZ 16
1 out of 1 Pts
The family history for a patient with joint pain should include information about
siblings with:

ANSWER genetic
: disorders.

• QUIZ 17
1 out of 1 Pts
The physical assessment technique most frequently used to assess joint
symmetry is:

ANSWER inspectio
: n.

• QUIZ 18
1 out of 1 Pts
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You are performing a two-point discrimination test as part of a well physical

examination. The area with the ability to discern two Pts in the shortest
distance is the:

ANSWER fingertip
: s.

• QUIZ 19
1 out of 1 Pts
Temporalis and masseter muscles are evaluated by:

ANSWER having the patient clench his or

: her teeth.

• QUIZ 20
1 out of 1 Pts
When palpating breast tissue, the examiner should use the at each site.

ANSWER finger pads,

: gliding

• QUIZ 21
1 out of 1 Pts
Inspection of the scrotum should reveal:

ANSWER left scrotal sac lower than the

: right.

• QUIZ 22
1 out of 1 Pts
Your patient's chief complaint is repeated pencil-like stools. Further examination
should include:

ANSWER digital rectal examination

: (DRE).

• QUIZ 23
1 out of 1 Pts
Which cranial nerves are usually evaluated during the examination of the eyes?

ANSWER III and

: VI

• QUIZ 24
1 out of 1 Pts
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Throughout the history and physical examination, the clinician should:

ANSWER: evaluate the whole

patient.

• QUIZ 25
1 out of 1 Pts
Assessing orientation to person, place, and time helps determine:

ANSWER state of
: consciousness.

• QUIZ 26
1 out of 1 Pts
Breath odors may clue the examiner to certain underlying metabolic conditions.
The odor of ammonia on the breath may signify:

ANSWER uremi
: a.

• QUIZ 27
1 out of 1 Pts
Recent unilateral inversion of a previously everted nipple suggests:

ANSWER cance
: r.

• QUIZ 28
1 out of 1 Pts
The best way to ease the apprehension of a 3-year-old child before a physical
examination is to:

ANSWER let the child hold the stethoscope while

: you listen.

• QUIZ 29
1 out of 1 Pts
One of the most important aspects to consider in the orthopedic screening
examination is:

ANSWER symmetr
: y.

• QUIZ 30
1 out of 1 Pts
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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.

ANSWER Kerni
: g

• QUIZ 31
1 out of 1 Pts
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:

ANSWER perform the examination while the child is in the

: mother's lap.

• QUIZ 32
0 out of 1 Pts
You are inspecting the genitalia of an uncircumcised adult male. The foreskin is
tight and cannot be easily retracted. You should:

ANSWER transilluminate the

: glans.

• QUIZ 33
1 out of 1 Pts
Palpation of epitrochlear nodes is part of the:

ANSWER examination of the upper

: extremities.

• QUIZ 34
1 out of 1 Pts
Postural hypotension is defined as a when the patient stands, compared
with sitting or supine readings.

ANSWER systolic pressure drop of more than 15 mm Hg with a pulse

: rate increase

• QUIZ 35
1 out of 1 Pts
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:

Selected moderately
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Answer: loud.

• QUIZ 36
1 out of 1 Pts
A finding that is indicative of osteoarthritis is:

ANSWER Heberden
: nodes.

• QUIZ 37
1 out of 1 Pts
Nerves that arise from the brain rather than the spinal cord are called:

ANSWER crania
: l.

• QUIZ 38
1 out of 1 Pts
Nancy Walker is a 16-year-old girl who presents to the clinic with complaints of
severe, acute chest pain. Her mother reports that Nancy, apart from occasional
colds, Nancy is not prone to respiratory problems. What potential risk factor is
most important to assess with regards to Nancy's current problem?

ANSWER Cocaine
: use

• QUIZ 39
1 out of 1 Pts
Functional assessment is most important during the examination of a(n):

ANSWER older
: adult.

• QUIZ 40
1 out of 1 Pts
Inquiry about nocturnal muscle spasms would be most significant when taking
the musculoskeletal history of:

ANSWER older
: adults.

• QUIZ 41
1 out of 1 Pts
Which one of the following is a proper technique for use of a speculum during a
vaginal examination?
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ANSWER Press introitus downward; insert closed speculum

: obliquely.

• QUIZ 42
1 out of 1 Pts
If pitting edema is unilateral, you would suspect occlusion of a:

ANSWER major
: vein.

• QUIZ 43
1 out of 1 Pts
Normal changes of the aging brain include:

ANSWER diminished perception of

: touch.

• QUIZ 44
1 out of 1 Pts
A patient in the deepest coma would be scored a on the Glasgow Coma
Scale.

Selected 3
Answer:
• QUIZ 45
1 out of 1 Pts
The finger-to-nose test allows assessment of:

ANSWER coordination and fine motor

: function.

• QUIZ 46
1 out of 1 Pts
Anterior cruciate ligament integrity is assessed via the test.

ANSWER Lachm
: an

• QUIZ 47
1 out of 1 Pts
The Denver II is a tool used to determine:

Selected whether a child is developing as

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Answer: expected.

• QUIZ 48
1 out of 1 Pts
To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested?

ANSWER Patell
: ar

• QUIZ 49
1 out of 1 Pts
For purposes of examination and communication of physical findings, the breast
is divided into:

ANSWER four quadrants plus a

: tail.

• QUIZ 50
1 out of 1 Pts
The Mini-Mental State Examination should be administered for the patient who:

ANSWER gets lost in her

: neighborhood.

• QUIZ 51
1 out of 1 Pts
To spread the breast tissue evenly over the chest wall, you should ask the woman
to lie supine with:

ANSWER one arm overhead and a pillow under her

: shoulder.

• QUIZ 52
1 out of 1 Pts
The difference in blood pressure readings between the right and the left arms is
considered normal up to mm Hg.

Selected 1
Answer: 0

• QUIZ 53
1 out of 1 Pts
To assess a cremasteric reflex, the examiner strokes the:
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ANSWER: inner thigh and observes whether the testicle and scrotum
rise on the stroked side.

• QUIZ 54
1 out of 1 Pts
Bimanual examination of the uterus includes:
ANSWER:
grasping the cervix between the
examining fingers.

• QUIZ 55
1 out of 1 Pts
The reliability of health-related findings and observations is the responsibility of
the:

ANSWER professional and the

: patient.

• QUIZ 56
1 out of 1 Pts
A 12-year-old boy relates that his left scrotum has a soft swollen mass. The
scrotum is not painful upon palpation. The left inguinal canal is without masses.
The mass does transilluminate with a penlight. This collection of symptoms is
consistent with:

ANSWER hydrocel
: e.

• QUIZ 57
1 out of 1 Pts
In the adult, the apical impulse should be most visible when the patient is in what
position?

ANSWER Uprig
: ht

• QUIZ 58
1 out of 1 Pts
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:

ANSWER fibrocystic
: changes.
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• QUIZ 59
0 out of 1 Pts
Which of the following statements is true regarding the examination of peripheral
arteries?

ANSWER The thumb should never be used to

: assess pulses.

• QUIZ 60
1 out of 1 Pts
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:

ANSWER are usual conditions during

: pregnancy.

• QUIZ 61
1 out of 1 Pts
To hear diastolic heart sounds, you should ask patients to:

ANSWER lie on their left

: sides.

• QUIZ 62
1 out of 1 Pts
When palpating joints, crepitus may occur when:

ANSWER irregular bony surfaces rub

: together.

• QUIZ 63
1 out of 1 Pts
A red, hot swollen joint in a 40-year-old man should lead you to suspect:

ANSWER gou
: t.

• QUIZ 64
1 out of 1 Pts
Which medical condition would exclude a person from sports participation?

Selected Feve
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Answer: r

• QUIZ 65
1 out of 1 Pts
While interviewing a 70-year-old female clinic patient, she tells you that she takes
ginkgo biloba and St. John's wort. You make a short note to check for results of
the:

ANSWER Mini-Mental State

: Examination.

• QUIZ 66
1 out of 1 Pts
Loss of immediate and recent memory with retention of remote memory
suggests:

ANSWER dementi
: a.

• QUIZ 67
1 out of 1 Pts
When the Goodenough-Harris Drawing Test is administered to a child, the
evaluator principally observes the:

ANSWER presence and form of body

: parts.

• QUIZ 68
1 out of 1 Pts
Palpation of a normal prostate in an older adult is likely to feel:

ANSWER rubber
: y.

• QUIZ 69
1 out of 1 Pts
The presence of cervical motion tenderness may indicate:

ANSWER pelvic inflammatory

: disease.

• QUIZ 70
1 out of 1 Pts
If your patient has nipple discharge, you will most likely need a:
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ANSWER: glass slide and

fixative.

• QUIZ 71
1 out of 1 Pts
When is the mental status portion of the neurologic system examination
performed?
ANSWER:
Constantly, throughout the entire interaction with
a patient

• QUIZ 72
1 out of 1 Pts
At your first meeting with a patient, it is usually best to say:

ANSWER "Tell me about

: yourself."

• QUIZ 73
1 out of 1 Pts
Your 15-year-old patient is athletic and thin. Radiography of an ankle injury
reveals a stress fracture. You should QUIZ this patient about her:

ANSWER menstrual
: cycles.

• QUIZ 74
1 out of 1 Pts
The Mini-Mental State Examination:

ANSWER may be used to quantitatively estimate

: cognitive changes.

• QUIZ 75
1 out of 1 Pts
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:

ANSWER auscultating the lung

: bases.

• QUIZ 76
1 out of 1 Pts
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The musculoskeletal examination should begin when:

ANSWER: the patient enters the

examination room.

• QUIZ 77
1 out of 1 Pts
A common finding in markedly obese and pregnant women is:

ANSWER lordosi
: s.

• QUIZ 78
1 out of 1 Pts
Tarry black stool should make you suspect:

ANSWER upper intestinal

: bleeding.

• QUIZ 79
1 out of 1 Pts
When conducting a geriatric assessment, basic activities of daily living (ADLs)
include:

ANSWER bathin
: g.

• QUIZ 80
1 out of 1 Pts
Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes
the spread of the stimulus through the atria is the:

ANSWER P
: wave.

• QUIZ 81
1 out of 1 Pts
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:

ANSWER cerebellar
: ataxia.

• QUIZ 82
ALL the best

1 out of 1 Pts
An apical PMI palpated beyond the left fifth intercostal space may indicate:

ANSWER: left ventricular

hypertrophy.

• QUIZ 83
1 out of 1 Pts
Which condition is considered progressive rather than reversible?

ANSWER Dement
: ia

• QUIZ 84
1 out of 1 Pts
Ulnar deviation and boutonniere deformities are characteristic of:

ANSWER rheumatoid
: arthritis.

• QUIZ 85
1 out of 1 Pts
The foramen ovale should close:

ANSWER within minutes of

: birth.

• QUIZ 86
1 out of 1 Pts
Diabetic peripheral neuropathy will likely produce:

ANSWER diminished pain

: sensation.

• QUIZ 87
1 out of 1 Pts
You are interviewing a 20-year-old patient with a new-onset psychotic disorder.
The patient is apathetic and has disturbed thoughts and language patterns. The
nurse recognizes this behavior pattern as consistent with a diagnosis of:

ANSWER schizophren
: ia.

• QUIZ 88
1 out of 1 Pts
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A positive straight leg raise test usually indicates:

ANSWER: lumbar nerve root

irritation.

• QUIZ 89
1 out of 1 Pts
While collecting personal and social history data from a woman complaining of
breast discomfort, you should QUIZ her regarding:

ANSWER alcohol, tobacco, and

: caffeine use.

• QUIZ 90
1 out of 1 Pts
If a patient cannot shrug the shoulders against resistance, which cranial nerve
(CN) requires further evaluation?

ANSWER CN XI, spinal

: accessory

• QUIZ 91
1 out of 1 Pts
The strength of the trapezius muscle is evaluated by having the patient:

ANSWER push her head against the

: examiner's hand.

• QUIZ 92
1 out of 1 Pts
A grade IV mitral regurgitation murmur would:

ANSWER radiate to the

: axilla.

• QUIZ 93
0 out of 1 Pts
Breath sounds normally heard over the trachea are called:

ANSWER amphori
: c.

• QUIZ 94
1 out of 1 Pts
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A cervical polyp usually appears as a:

ANSWER: bright-red soft protrusion from the

endocervical canal.

• QUIZ 95
1 out of 1 Pts
It is especially important to test for ankle clonus if:

ANSWER deep tendon reflexes are

: hyperactive.

• QUIZ 96
1 out of 1 Pts
A pulsation that is diminished to the point of being barely palpable would be
graded as:

Selected 1
Answer:
• QUIZ 97
1 out of 1 Pts
The spread of the impulse through the ventricles (ventricular depolarization) is
depicted on the ECG as the:

ANSWER QRS
: complex.

• QUIZ 98
1 out of 1 Pts
A patient you are seeing in the emergency department for chest pain is
suspected of having a myocardial infarction. During the health history interview
of his family history, he relates that his father had died of "heart trouble." The
most important follow-up QUIZ you should pose is which of the following?

ANSWER "What age was your father at the time of

: his death?"

• QUIZ 99
1 out of 1 Pts
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:

ANSWER Romberg
: sign.
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• QUIZ 100
1 out of 1 Pts
In the most effective percussion technique of the posterior lung fields, the patient
cooperates by:

ANSWER folding the arms in

: front.

• QUIZ 101
0 out of 0 Pts
When completing this exam, did you comply with Walden University's Code of
Conduct including the expectations for academic integrity?

Selected Ye
Answer: s