NURS 612 EXAM 3 MARYVILLE UNIVERSITY
ADVANCED HEALTH ASSESSMENT EXAM 3 AND
STUDY GUIDE NEWEST 2024 ACTUAL EXAM
Which of the following examination findings is indicative of peritoneal
irritation or appendicitis?
A. Rebound tenderness on palpation
B. Shifting dullness over the abdomen on percussion
C. Bruit heard over the abdominal aorta on auscultation
D. Dullness over the suprapubic area on percussion – ANSWER- A.
Rebound tenderness on palpation
Which finding on a newborn infant suggests congenital anomaly?
A. umbilical cord has one artery and one vein
B. The umbilical cord is thick
C. The umbilical cord is thin
D. There is a small mass around the umbilicus – ANSWER- A. The
umbilical cord has one artery and one vein
A 61 year old man has a presenting complaint of frequent constipation.
He tells the examiner that there has been a change in his bowel
movement habits. He gets constipated easily and the stool is very skinny
looking and has a different color than usual. He denies pain. What do
these symptoms suggest? – ANSWER- C. Colon or rectal cancer
The functional ability of the GI tract most severely affected by aging is ?
- ANSWER- motility
Which rule states that the farther away from the naval abdominal pain
occurs the more likely it is to be of physical importance? – ANSWERApley rule
Ecchymosis of the flanks associated with pancreatitis is identified as
which of the following signs? – ANSWER- Grey Turner
Which of the following is the correct sequence for examining the
abdomen? – ANSWER- inspection, auscultation, percussion, palpation
Which of the following identifies the Murphy sign? – ANSWER- Abrupt
cessation of inspiration on palpation of the gallbladder
peritoneal irritation sign – ANSWER- Blumberg
Abdominal pain radiating to the left shoulder may be indicative of which
of the following? – ANSWER- splenic rupture
The spine of a newborn infant should be palpated with the examiner
noting the shape of each spinal process. If a split is noted in one of the
spinal processes which problem is suspected? – ANSWER- Bifid defect (
Spina bifida)
Which of the following questions asked by the examiner would be the
most helpful in understanding a patient complaining of acute back pain?
A. what medications do you currently take
B. Was there any activity or injury that occurred before the onset of
pain.
C. Were you born with any congenital deformities of the spine?
D. Have you recently lost weight? – ANSWER- B. Was there any
activity or injury that occurred before the onset of pain?
Which of the following is commonly seen in a 72 year old patient? –
ANSWER- Kyphosis
Which of the following data from a patients history indicates an
increased risk for osteomyelitis? – ANSWER- open fracture of the radius
What degree of flexion is considered a normal finding? – ANSWER- 130
degrees
which of the following is considered a normal finding for a women in
her 8th month of pregnancy? – ANSWER- Lordosis
When assessing for carpal tunnel syndrome, the Tinel sign can be tested
by tapping the ….. – ANSWER- median nerve
Which group is susceptible to subluxation of the head of the radius? –
ANSWER- infants and toddlers ( nursemaids elbow)
A patient complains of pain and a clicking sound with jaw movement.
The pain extends into the face. These symptoms are suggestive of what
condition? – ANSWER- TMJ
Normal muscle strength – ANSWER- 5/5
To assess muscle strength of the temporals and master muscles the
examiner will ask the patient to? – ANSWER- Clench the teeth while the
examiner palpates the contracted muscles.
For which type of MS problem does a family history have significance?
- ANSWER- Ankylosing spondylitis
Which statement made by a patient helps the examiner differentiate
osteoarthritis from RA? – ANSWER- I get extremely tired by mid
morning even when I sleep well.
Which of the following would be assessed as part of ROM during the
assessment of the thoracic and lumbar spine?
A. Extension, flexion and roatation
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