NURS6512 Week 11 Final Exam Part 1 (1-50) (100% correct)

Question 1An 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 The brush was withdrawn and stroked lightly on a glass slide.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?

                Cytology smear

                Haemophilus smear

                Trichomonas smear

                Gonococcal culture

Question 2Facial muscle or tongue weakness may result in:

                echolalia.

                neologisms.

                aphasia.

                word salad.

Question 3If pitting edema is unilateral, you would suspect occlusion of a:

                lymphatic duct.

                surface capillary.

                superficial artery.

                major vein.

Question 4The Denver II is a tool used to determine:

                whether a child is developing as expected.

                a child’s IQ.

                a child’s mood.

                whether a child is educable.

Question 5The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the:

                PR interval.

                T wave.

                P wave.

                QRS complex.

Question 6Your 15-year-old patient is athletic and thin. Radiography of an ankle injury reveals a stress fracture. You should question this patient about her:

                aerobic workouts.

                sleep patterns.

                salt intake.

                menstrual cycles.

Question 7In the most effective percussion technique of the posterior lung fields, the patient cooperates by:

                lying on the side and extending the top arm.

                folding the arms in front.

                standing and bending forward.

                bending the head back.

Question 8A 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:

                suggest a pregnancy test

                refer her to a gynecologist for pap smear

                instruct her that this is a side effect of birth control injection therapy.

                schedule an appointment with a surgeon.

Question 9Palpation of a normal prostate in an older adult is likely to feel:

                polypoid.

                grainy.

                cool.

                rubbery.

Question 10Nerves that arise from the brain rather than the spinal cord are called:

                sympathetic.

                crania.

                parasympathetic.

                autonomic.

Question 11A 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 question you should pose is which of the following?

                “What age was your father at the time of his death?”

                “What were your father’s usual dietary habits?”

                “Did your father’s father have heart trouble also?”

                “Did your father have coronary bypass surgery?”

Question 12 A common finding in markedly obese and pregnant women is:

                scoliosis.

                lordosis.

                kyphosis.

                paraphimosis.

Question 13A positive straight leg raise test usually indicates:

                leg length discrepancy.

                lumbar nerve root irritation.

                hip bursitis.

                improperly conditioned muscles.

Question 14The difference in blood pressure readings between the right and the left arms is considered normal up to _____ mm Hg.

                25

                10

                5

                20

Question 15You 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:

                4+.

                1+.

                2+.

                3+.

Question 16Which of the following statements is true regarding the examination of peripheral arteries?

                Palpate at least one pulse in each extremity, usually the most proximal one.

                The thumb should never be used to assess pulses.

                The pulses are most readily felt over bony prominences.

                Extremity pulses do not normally generate waveforms.

Question 17Your patient’s chief complaint is repeated pencil-like stools. Further examination should include:

                parasite testing.

                stool culture.

                prostate examination.

                digital rectal examination (DRE).

Question 18You 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?

                Cervical spine radiograph

                Visual acuity

                Mini-Mental State Examination

                Nerve conduction studies

Question 19An ophthalmoscopic eye examination involves:

                visual field assessment.

                near vision evaluation.

                sclera observation.

                lens inspection.

Question 20The presence of cervical motion tenderness may indicate:

                vulvovaginitis.

                pelvic inflammatory disease.

                nulliparity.

                pregnancy.

Question 21You are conducting an examination of Mr. Curtis’s heart and blood vessels and auscultate a grade III murmur. The intensity of this murmur is:

                very loud without a stethoscope.

                loud with palpable thrill.

                moderately loud.

                barely discernible.

Question 22Throughout the history and physical examination, the clinician should:

                evaluate the whole patient.

                follow an inflexible sequence.

                deal only with previously identified problems.

                concentrate on emotional issues.

Question 23Part of the screening orthopedic component of the examination includes evaluating the person while he or she is:

 

                twisting at the waist.

                crossing the arms over the chest.

                performing push-ups.

                duck walking.

Question 24Which one of the following techniques is used to detect a torn meniscus?

                McMurray test

                Drawer test

                Thomas test

                Trendelenburg test

Question 25Temporalis and masseter muscles are evaluated by:

                asking patient to fully extend his or her neck.

                having the patient clench his or her teeth.

                passively opening the patient’s jaw.

                having the patient shrug his or her shoulders.

Question 26An elderly female was recently diagnosed with osteoporosis 2 weeks ago. What is the hallmark appearance of a patient with this diagnosis?

                Dowager hump

                Scoliosis

                Ankylosing Spondylitis

                Herniated Lumbar Disk

Question 27You 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?

                Loss of hair over the extremity

                Thick, calloused skin

                Warmer temperature of extremity in contrast to other body parts

                Ruddy, thin skin

Question 28The physical assessment technique most frequently used to assess joint symmetry is:

                percussion.

                inspection.

                palpation.

                the use of joint calipers.

Question 29The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:

                all completed forms are distributed.

                the relevant history is obtained.

                coordination of follow-ups is reviewed.

                parentalcosignatures are obtained.

Question 30To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested?

                Achilles

                Patellar

                Triceps

                Biceps

Question 31When palpating joints, crepitus may occur when:

                supporting muscles are excessively spastic.

                joints are excessively lax.

                irregular bony surfaces rub together.

                there is excess fluid within the synovial membrane.

Question 32A 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:

                hockey.

                skateboarding.

                riflery.

                roller skating.

Question 33While 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:

                Goodenough-Harris Drawing Test.

                Denver II.

                Mini-Mental State Examination.

                Glasgow Coma Scale.

Question 34A grade IV mitral regurgitation murmur would:

                be described as a diastolic murmur.

                be heard best at the base.

                not be expected to have a thrill.

                radiate to the axilla.

Question 35Cranial nerve XII may be assessed in an infant by:

                watching the infant s facial expressions when crying.

                observing the infant’s rooting reflex.

                clapping hands and watching the infant blink.

                observing the infant suck and swallow.

Question 36While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding:

                amount of personal income.

                history of medication allergies.

                level of personal education.

                alcohol, tobacco, and caffeine use.

Question 37Your 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:

                auscultating the lung bases.

                percussing all lung fields.

                estimating diaphragmatic excursion.

                determining tactile fremitus.

Question 38Ulnar deviation and boutonniere deformities are characteristic of:

                osteoporosis.

                rheumatoid arthritis.

                osteoarthritis.

                congenital defects.

Question 39Montgomery tubercles are most prominent in the breasts of:

                pubertal females.

                patients with lung disease.

                pregnant women.

                adult males.

Question 40A 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?

                Atrial Flutter

                Supraventricular Tachycardia

                NSR

                Afib with Right Ventricular Response

Question 41A cervical polyp usually appears as a:

                bright-red soft protrusion from the endocervical canal.

                grainy appearance at the ectocervical junction.

                hard granular surface at or near the os.

                transverse or stellate scar.

Question 42Adrian 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?

                Last menses

                Covid-19 contact

                Cocaine use

                Anorexia symptoms

Question 43An apical PMI palpated beyond the left fifth intercostal space may indicate:

                left ventricular hypertrophy.

                hyperventilation.

                decreased cardiac output.

                obesity.

Question 44While examining a 30-year-old woman, you note that one breast is slightly larger than the other. In response to this finding, you should:

                ask the patient if she has ever had breast cancer.

                note the finding in the patient’s record.

                tell the patient to get a mammogram as soon as possible.

                tell the patient to get a mammary sonogram as soon as possible.

Question 45Loss of immediate and recent memory with retention of remote memory suggests:

                dementia.

 

                attention-deficit/hyperactivity disorder (ADHD).

                impaired judgment.

                stupor.

Question 46The examiner percusses for diaphragmatic excursion along the:

                scapular line.

                midvertebral line.

                sternum.

                midaxillary line.

Question 47Inspection of the scrotum should reveal:

                smooth scrotal sacs.

                lightly pigmented skin.

                two testes per sac.

                left scrotal sac lower than the right.

Question 48When 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.

                Babinski

                Brudzinski

                Kernig

                obturator

Question 49The rectal past medical history of all patients should include inquiry about:

                laxative use.

                bowel habits.

                hemorrhoid surgery.

                dietary habits.

Question 50You 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?

                Atrial Fibrillation

                Ventricular Fibrillation

                Asystole

                Ventricular Tachycardia

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