Course NURS-6512N-49-Advanced Health Assessment-2021-SummerQTR-Term-wks-1-thru-11-(05/31/2021-08/15/2021)-PT27 Test Exam - Week 11 Started 8/15/21 7:47 PM Submitted 8/15/21 9:37 PM Due Date 8/16/21 1:59 AM Status Completed Attempt Score Time Elapsed 94 out of 100 points 1 hour, 49 minutes out of 2 hours Instructions Please answer each question below and click Submit when you have completed the Exam. Results Displayed Submitted Answers During chest assessment, you note the patient's voice quality while auscultating the lung fields. The voice sound is intensified, there is a nasal quality to the voice, and the e's sound like a s. This sound is indicative of: Selected Answer: lung consolidation. A red, hot swollen joint in a 40-year-old man should lead you to suspect: Selected Answer: gou t. 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? Selected Answer: Cervical spine radiograph • Question 1 • Question 2 • Question 3 • Question 4 Which medical condition would exclude a person from sports participation? Selected Answer: Feve r • Question 5 A patient in the deepest coma would be scored a on the Glasgow Coma Scale. Selected 3 Answer: The best way to ease the apprehension of a 3-year-old child before a physical examination is to: Selected Answer: let the child hold the stethoscope while you listen. Ulnar deviation and boutonniere deformities are characteristic of: Selected Answer: rheumatoid arthritis. Kawasaki disease is suspected when assessments of a child reveal: Selected Answer: conjunctival injection, strawberry tongue, and edema of the hands and feet. Facial muscle or tongue weakness may result in: Selected Answer: aphasi a. A 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: Selected Answer: suggest a pregnancy test The strength of the trapezius muscle is evaluated by having the patient: Selected Answer: push her head against the examiner's hand. • Question 11 • Question 10 • Question 9 • Question 8 • Question 7 • Question 6 It is especially important to test for ankle clonus if: Selected Answer: deep tendon reflexes are hyperactive. Recent unilateral inversion of a previously everted nipple suggests: Selected Answer: cance r. In the most effective percussion technique of the posterior lung fields, the patient cooperates by: Selected Answer: folding the arms in front. 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: Selected Answer: fibrocystic changes. 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? Selected Answer: Cytology smear The checkout station for preparticipation physical evaluation (PPE) is critical because at this point: Selected Answer: coordination of follow-ups is reviewed. Inquiry about nocturnal muscle spasms would be most significant when taking the • Question 12 • Question 13 • Question 14 • Question 15 • Question 16 • Question 17 • Question 18 musculoskeletal history of: Selected Answer: older adults. Assessing orientation to person, place, and time helps determine: Selected Answer: state of consciousness. The adnexa of the uterus are composed of the: Selected Answer: fallopian tubes and ovaries. When conducting a geriatric assessment, basic activities of daily living (ADLs) include: Selected Answer: bathin g. When is the mental status portion of the neurologic system examination performed? Selected Answer: Constantly, throughout the entire interaction with a patient 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: Selected Answer: auscultating the lung bases. The goals of preparticipation sports evaluation include: Selected Answer: identifying risk of injury or death during sports participation. • Question 19 • Question 20 • Question 21 • Question 22 • Question 23 • Question 24 • Question 25