This BUNDLE consists of 4 sets for NSG6020 / NSG 6020 Advanced Health And Physical Assessment – Final Exam
NSG6020 Advanced Health &Physical Assessment
NSG6020 Final Exam
Which of the following factors is not included when calculating a patient’s 10-year CVD
risk?
- Asthma
Which of the following would not warrant screening for RAD? - One kidney noted to be 1 cm smaller as compared to the other kidney
What estimated size of an abdominal aortic aneurysm significantly increases the risk for
rupture? - 5.5 cm
What is the proper technique when performing the Homan’s Sign? - Dorsiflex the foot of the affected extremity to assess for tenderness.
What is the correct format for documenting lower extremity edema? - Numerically.
Which of the following tests assess arterial perfusion of the hand? - Allen Test.
Which of the following structures would not drain into the superior vena cava?
- Spleen
Which of the following is not associated with a possible diagnosis of Peripheral Arterial
Disease (PAD)? - Lower Extremity Edema
Which of the following not considered “Warning Signs” for PAD? - “Food Fear”
Which of the following values would be considered an abnormal ABI? - ABI:0.8
Which of the following would not be considered a risk factor for Lower Extremity PAD? - Age >55 years (+) LE pain at rest
Which of the following is not considered a symptom of perimenopause? - Vaginal discharge.
Patients who are diagnosed with gonorrhea should be treated for which of the following
infections? - Chlamydia.
NSG6020 Advanced Health &
Physical Assessment
NSG6020 Final Exam
The nurse practitioner is doing an assessment on a 29-year-old woman who visits
the clinic complaining of “always dropping things and falling down.” While testing
rapid alternating movements, the nurse practitioner notices that the woman is
unable to pat both her knees. Her response is very slow and she misses frequently.
What might the nurse practitioner suspect?
Dysfunction of the cerebellum in rapid, alternating movements, slow, clumsy, and
sloppy response occurs with cerebellar disease.
When assessing a patient, the nurse practitioner documents the left femoral pulse
as 0/0-4+. Which of the following findings would the nurse practitioner expect at the
dorsalis pedis pulse?
0/0-4+ Pulsations are graded on a four-point scale: 0, absent; 1+, weak; 2+, normal;
3+, increased; 4+, bounding. If a pulse is absent at the femoral site, one would
expect the dorsalis pedis pulse to be absent also.
The wife of a 65-year-old man tells the nurse that she is concerned because she has
noted a change in her husband’s personality and ability to understand. He also cries
and becomes angry very easily. The nurse recalls that the cerebral lobe responsible
for these behaviors is which of the following?
Frontal
A male patient with possible fertility problems asks the nurse where sperm is
produced. The nurse knows that sperm production occurs in the:
Testes
Which of the following statements reflects the best approach to teaching a woman
about breast self-examination (BSE)?
BSE on a monthly basis will help you feel familiar with your own breasts and their
normal variations.”
When assessing a patient’s pulse, the nurse practitioner notes that the amplitude is
weaker during inspiration and stronger during expiration. When the nurse
practitioner measures the blood pressure, the reading decreases 20 mm Hg during
inspiration and increases with expiration. This patient is experiencing:
Pulsus paradoxus
A patient has had a “terrible itch” for several months that he has been scratching
continuously. On examination, the nurse might expect to find:
Lichenification
During an annual physical exam, a 43-year-old patient states that she doesn’t
perform monthly breast self-examination (BSE). She tells the nurse that she
believes that mammograms “do a much better job than I ever could to find a lump.”
The nurse should explain to her that:
BSEs may detect lumps that appear between mammograms. / mammography may
not detect all palpable lumps.
A patient’s annual physical examination reveals a lateral curvature of the thoracic
and lumbar segments of his spine; however, this curvature disappears with forward
bending. This abnormality of the spine would be called:
Functional scoliosis
Assessment of a 60-yr-old patient has taken longer than anticipated. in testing pain
perception nurse decides to complete the test as quickly as possible. When nurse
applies sharp point of pin on his arm several times, he is only able to identify these
as one ‘very sharp prick.’ most accurate explanation?
Most likely the result of the summation effect.
Assessing a 7-month-old infant you make a loud noise and note the following
response: Abduction and flexion of arms and legs; fanning of fingers and curling of
index finger and thumb in C-position; followed by infant bringing in arms and legs
to body. What do you know about this?
This reflex should disappear between 1 and 4 months of age
The nurse is assessing a 75-year-old man. As the nurse beings the mental status
portion of the assessment, the nurse expects that this patient:
May take a little longer to respond, but his general knowledge and abilities should
not have declined
During an external genitalia examination of a woman, the nurse notices several
lesions around the vulva. The lesions are pink, moist, soft, and pointed papules. The
patient states that she is not aware of any problems in that area. The nurse
recognizes that these lesions may be:
HPV or genital WARTs
A 40-year-old woman reports a change in mole size, accompanied by color changes,
itching, burning, and bleeding over the past month. She has a dark complexion and
has no family history of skin cancer, but she has had many blistering sunburns in
the past. The nurse would:
Refer the patient because of the suspicion of melanoma on the basis of her
symptoms.
Which of the following veins are responsible for most of the venous return in the
arm?
Superficial veins
NSG6020 Advanced Health &
Physical Assessment
NSG6020 Final Exam
A patient presents with excruciating headache pain on one side of his head,
especially around his eye, forehead, and cheek that lasts about 1/2 to 2 hours,
occurring once or twice each day. The nurse practitioner suspects:
Cluster headaches
A patient complains that while studying for an examination he began to notice a
severe headache in the frontotemporal area of his head that is throbbing and is
somewhat relieved when he lies down. He tells the nurse practitioner that his
mother also had these headaches. The nurse practitioner suspects that he may be
suffering from:
Migraine headaches
A patient tells the nurse practitioner that he is very nervous, that he is nauseated,
and that he “feels hot.” This type of data would be:
Subjective
The most important reason to share information and offer brief teaching while
performing the physical examination is to help:
Build rapport and increase the patient’s confidence in the examiner.
A patient says that she has recently noticed a lump in the front of her neck below
her “Adam’s apple” that seems to be getting bigger. During the assessment, the
finding that reassures the nurse practitioner that this may not be a cancerous
thyroid nodule is that the lump (nodule):
Is hard and fixed to the surrounding structures.
A patient visits the clinic because he has recently noticed that the left side of his
mouth is paralyzed. He states that he cannot raise his eyebrow or whistle. The
nurse practitioner suspects that he has:
Had a cerebrovascular accident (stroke)
The temporomandibular joint is just below the temporal artery and anterior to the:
Tragus
During an examination of a patient’s abdomen, the nurse practitioner notes that the
abdomen is rounded and firm to the touch. During percussion, the nurse
practitioner notes a drum-like quality of the sound across the quadrants. This type
of sound indicates:
Air-filled areas.
A patient tells the nurse that he is allergic to penicillin. What would be the nurse
practitioner’s best response to this information?
Please describe what happens to you when you take penicillin.”
A patient’s thyroid is enlarged, and the nurse practitioner is preparing to auscultate
the thyroid for the presence of a bruit. A bruit is a:
Soft, whooshing, pulsatile sound best heard with the bell of the stethoscope.
After completing an initial assessment on a patient, the nurse practitioner has
documented that his respirations are eupneic and his pulse is 58. This type of data
would be:
Objective
A patient tells the nurse that she has had abdominal pain for the past week. What
would be the best response by the nurse?
Can you point to where it hurts?”
A teenage patient comes to the emergency department with complaints of an
inability to “breathe and a sharp pain in my left chest.” The assessment findings
include the following: cyanosis, tachypnea, tracheal deviation to the right, decreased
tactile fremitus on the left, hyperresonance on the left, and decreased breath sounds
on the left. This description is consistent with:
A pneumothorax
The inspection phase of the physical assessment:
Takes time and reveals a surprising amount of information
The mother of a 2-year-old is concerned because her son has had three ear infections
in the past year. What would be an appropriate response by the nurse practitioner?
“Your son’s eustachian tube is shorter and wider than yours because of his age,
which allows for infections to develop more easily.”
The nurse practitioner would use bimanual palpation technique in which situation?
Palpating the kidneys and uterus
The patient’s record, laboratory studies, objective data, and subjective data combine
to form the:
Database
NSG6020 Advanced Health &
Physical Assessment
NSG6020 Final Exam
Identify the correct order in which the clinician note should be written:
Subjective, Objective, Assessment, Plan, Refection
Which category should this information be placed in the SOAP note:
“Abdominal pain 3 days, Intermittent with a pain score of 7/10 accompanied by
nausea and vomiting”.
History of present illness
Where is the differential diagnoses located?
Assessment
Which of the following statements regarding the differential diagnoses is true?
A group of 3 evidence- based diagnoses that do not include the primary
diagnosis as one of the differential diagnoses in which a clinician must be aware of
if the client does not improve.
Which of the following would not be identified as a portion of the History of
Present.
“My father died of a stroke 3 years ago”.
Which of the following would be considered a “Focused SOAP Note”?
“I think I have the flu or strep throat”
Which of the following quotations would be considered a comprehensive
health history?
“My neck looks swollen and I have had a history of thyroid problems”
The patient states I smoke 2 packs per day for the past 15 years. Which portion
of the SOAP note would this be placed?
Social history
Which of the following is the appropriate format for documenting a chief
complaint in a SOAP note?
I have been vomiting for 2 days
A fifteen-year-old student presents to the clinic for evaluation of a three-week
history of sneezing, itchy, watery eyes, clear nasal discharge, and nonproductive
cough. What is the most likely pathological process?
Allergic
Which of the following is a symptom of the eye?
Scotoma
What is the best procedure for evaluating a corneal abrasion?
Fluorescein Stain
The Weber test is considered normal in which of the following exams?
Client verbalizes that sound is heard bilaterally.
What is considered a common cause of acute epistaxis?
Foreign Body