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3 P's Exam with correct questions and answers, Exams of Nursing

University of Toronto Nursing

3 P's Exam with correct questions and verified answers for 2025/2026 graded A+ ,Exams

Typology: Exams

2024/2025

Available from 07/02/2025

kennedy-wanjiru 🇨🇦

19 documents

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3 P's Exam with correct questions and

answers

The groove of the metacarpophalangeal joint can be palpated by having the patient:

- Flex his hand

When auscultating breath sounds in a patient who has left sided heart failure, the

breath sounds are:

- vesicular with late inspiratory crackles in the dependent portions of the lungs

and resonant on percussion

The ankle-brachial index is a screening test used to assess a person's risk for

- Peripheral artery disease

Olecranon bursitis may be caused by all of the following except

- Frozen shoulder

In patients who have allergic rhinitis, the nasal mucosa appears:

- pale

A term used to describe an increase in muscular bulk with diminished strength is

- pseudohypertrophy

If abdominal pain persists when the patient raises his head and shoulders, the origin of

the tenderness is probably:

- In the abdominal wall

On auscultation of the abdomen, rushes of high-pitched sounds are audible and

coincide

with abdominal cramps. These findings are most consistent with

- Intestinal obstruction

Ophthalmoscopic examination of the fundus reveals tiny, round, red spots in and

around the macular area. These findings are consistent with

- Microaneurysms

Symptoms of a subdural hematoma include:

- Noticeable bleeding between the dura and the cerebrum on x-ray

On examination of the adult patient, symptoms of flexed posture, tremor, rigidity, and

shuffling gait are observed. These findings are consistent with

- Parkinson's disease

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3 P's Exam with correct questions and

answers

The groove of the metacarpophalangeal joint can be palpated by having the patient:

Flex his hand When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are:
vesicular with late inspiratory crackles in the dependent portions of the lungs and resonant on percussion The ankle-brachial index is a screening test used to assess a person's risk for
Peripheral artery disease Olecranon bursitis may be caused by all of the following except
Frozen shoulder In patients who have allergic rhinitis, the nasal mucosa appears:
pale A term used to describe an increase in muscular bulk with diminished strength is
pseudohypertrophy If abdominal pain persists when the patient raises his head and shoulders, the origin of the tenderness is probably:
In the abdominal wall On auscultation of the abdomen, rushes of high-pitched sounds are audible and coincide with abdominal cramps. These findings are most consistent with
Intestinal obstruction Ophthalmoscopic examination of the fundus reveals tiny, round, red spots in and around the macular area. These findings are consistent with
Microaneurysms Symptoms of a subdural hematoma include:
Noticeable bleeding between the dura and the cerebrum on x-ray On examination of the adult patient, symptoms of flexed posture, tremor, rigidity, and shuffling gait are observed. These findings are consistent with
Parkinson's disease

When discussing the musculoskeletal system, all of the following statements related to articular structure disease are true except which one?

Articular disease is usually due to stiffness or pain Focal tenderness over the trochanter confirms:
Bursitis Assessing the neurological status of a child with a ventriculoperitoneal shunt should include:
Use of the Glasgow coma scale The earliest recognizable clinical manifestation(s) of cystic fibrosis in an infant is:
Salty taste on the skin A reddish blue, irregularly shaped, solid and spongy mass of blood vessels that may be present at birth and enlarge during the first 10 to 15 months is characteristic of a:
Cavernous hemangioma The hamstring muscles flex the knee and are located on the:
Posterior aspect of the thigh Ophthalmoscopic examination reveals dark specks noted between the fundus and the lens. These specks are most likely:
Vitreous floaters When performing the first Leopold maneuver on a pregnant woman, if the buttocks and head are not easily palpated at the fundus, the fetus is said to be in:
Transverse lie When performing a musculoskeletal examination, the nurse practitioner instructs the patient to move his arm in front of his body. This motion of the shoulder girdle would be an example of:
Flexion To locate the twelfth rib, palpate:
Between the spine and the lateral chest Walking on the toes and heels may reveal:
Distal muscular weakness in the legs When performing a bimanual exam of the vagina, the examiner should lubricate the index and middle fingers of a gloved hand. From a standing position, the fingers should be inserted into the vagina while exerting pressure primarily
Posteriorly During pregnancy, which hormone results in increased blood viscosity?

Transverse Foramen Which of the following is NOT a compliant patient with type 1 diabetes?
Polycythemia When suspecting pediculosis capitis, the chief complaint is
itching The structure that appears as the large swelling posteriorly on the superior ramus of the ischium and bears most of the weight in sitting, is known as the
Ischial tuberosity When percussing the posterior chest, which one of the following techniques would be omitted?
Percuss areas over the scapulae On examination of the pupils, both are round but the right pupil appears larger than the left and reacts much slower to light. This condition may be indicative of
A tonic pupil During the type of seizure activity, the patient experiences partial seizures that resemble tonic-clonic seizures. The patient may recall the aura and unilateral neurologic deficit is present during the postictal period. This type of seizure activity is referred to as a
focal seizure that becomes generalized A female patient complains of weakness in both arms when transferring the wet clothes from the washer and placing them in the dryer. This finding could be suggestive of which type of weakness pattern?
Symmetric To palpate the right ovary when performing the bimanual vaginal exam, the abdominal hand should be on the right lower quadrant and the pelvic hand needs to be:
In the right lateral fornix A serious disturbance in a person's mental abilities that results in a decreased awareness of one's environment and confused thinking is referred to as:
Delirium Which of the following screening tests for hearing loss can detect both sensorineural and conductive hearing loss?
Weber test Located on the anterior aspect of the distal femur, the patella slides on this groove during flexion and extension of the knee. The name of this groove is the:
Trochlear groove

A 86-year-old man with uncontrolled hypertension presents with sudden, intense left lower abdominal pain that radiates to the back. The pain is associated with a tearing sensation. These findings are MOST likely associated with:

An abdominal aortic aneurysm (AAA) Men between the ages of 40 and 64 years should be screened yearly for:
hypertension A term used to describe drainage from the nose is:
rhinorrhea Tenderness over the scapulohumeral muscle group with the inability to abduct the arm above the shoulder level would be consistent with all of the following except
Synovitis of the glenohumeral joint In the older adult, the test for leg mobility is known as the:
Timed "get up and go test" Which one of the following procedures would confirm a definitive medical diagnosis of Hirschsprung's disease?
A rectal biopsy Hypofunctioning of the thyroid gland would lead to all the following disorders except:
Graves' disease The fleshy projection of the earlobe is known as the:
Lobule A 50-year-old male describes difficulty emptying his bladder. On exam, a distended bladder is noted following urination. This finding may be associated with:
Overflow incontinence When performing an examination of the external genitalia of a female patient, a small firm, round cystic nodule in the labia is identified. This lesion is most consistent with:
Epidermoid cyst Passive flexion, varus stress, and external rotation of the lower leg evaluates the:
Medial meniscus When examining the knee, swelling above and adjacent to the patella was noted. This finding could be suggestive of:
Synovial thickening over the knee joint While assessing the cranial nerves, the NP touches the cornea lightly with a wisp of cotton. This maneuver assesses which cranial nerve?

A gastric ulcer Which of the following conditions is NOT related to Polyuria
Hyperkalemic nephropathy When examining the elbow for range of motion, the NP instructs the patient to turn his palm upward. This motion is an example of:
Supination The forward slippage of one vertebrae resulting in spinal cord compression is referred to as:
Spondylolisthesis Skin conditions such as pruritis, hyperpigmentation, and calciphylaxis may be seen in patients who have
Chronic renal failure The extension of the spine of the scapula located at the highest point of the shoulder is referred to as the:
Acromion process A 60-year-old patient presents with severe, deep left eye pain. Findings reveal dilated and fixed left dilated and fixed left pupil and the cornea is cloudy. There is no ocular discharge noted. These findings are most likely consistent with
Acute angle closure glaucoma A patient has a papule with an ulcerated center on the lower lid and medial canthus of the eye. This is consistent with:
A basal cell carcinoma Patients with prior hypospadias surgery who develop slow and painful urination as well as prostatitis are experiencing symptoms of:
Urethral stricture Which substance used during pregnancy accounts for one third of all low-birth-weight infants, placental abruption, and preterm labor?
Tobacco When screening for bladder cancer in a primary care setting, the test that would be LEAST appropriate is:
Cystoscopy The axioscapular group of muscles include which on of the following?
Trapezius A mental health condition characterized by over-the-top behavior such as emotional

outbursts, noisy displays of temper, compulsive attention seeking and self-centered actions is:

Histrionic Social phobia, panic disorder, and post-traumatic stress disorder (PTSD) are all examples of:
Generalized anxiety disorder (GAD) In older adults, the presence of heart sound S3 suggests
Heart failure Depigmented macules appearing on the face, hands, feet, and other parts of the body due to the lack of melanin are termed
Vitiligo Restrictions of internal and external rotation of the hip are sensitive indicators of:
Arthritis Which of the following neurological findings indicate the need for further evaluation?
Weak and ineffective sucking movements The infant with the lowest risk of developing elevated levels of bilirubin is the one who:
Breast feeds within the first hour of life The patient experiences a sudden loss of consciousness with falling without movements and injury may occur. The type of a seizure is consistent with:
Myoclonic atonic seizure When assessing the skin, it has a velvety appearance and is warm to touch. This could be associated with:
Hyperthyroidism Breath sounds auscultated over the periphery of the lung fields are quiet and wispy during the inspiratory phase followed by a short, almost silent expiratory phase. These breath sounds are considered:
Vesicular To palpate the medial meniscus, slightly internally rotate the tibia and palpate the medial soft tissue along the:
Upper edge of the tibial plateau Eyelid retraction with exophthalmos presents as:
A retracted eyelid with a wide-eyed stare All of the following strategies are useful for assessing older adults at high risk for falls

- AIDS

To estimate the expected delivery date (EDD) using Naegele's rule, if the last menses was March 3, 2014, the EDD would be:

December 10th, 2014 The infraorbital or maxillary, buccinator, and supramandibular lymph nodes drain lymphatic fluid from the:
eyelids, the conjunctiva, and the skin and mucous membrane of the nose and cheek A whitish sebaceous secretion that collects between the glans and foreskin or in the vulva is known as:
Smegma The bony structures of the shoulder include all of the following except
Teres minor Murmurs audible during pregnancy may suggest:
Anemia A fine rhythmic oscillation of the eyes is termed
nystagmus The whispered voice test allows the examiner to screen for:
general hearing loss A patient experienced a neck injury yesterday and presents to the NP with aching paracervical pain and stiffness. Other complaints include dizziness, malaise, and fatigue. These findings may be associated with:
Mechanical neck pain and whiplash When evaluating a patient for weakness of the upper extremities, bilateral distal weakness is noted. This finding could be suggestive of:
polyneuropathy Fasciculations in atrophic muscles suggest:
a lower motor neuron disease The nerve that provides sensation to the palm and palmar surface of most of the thumb, second and third fingers, and half of the fourth digit is the
median nerve Stools that appear black, tarry, and sticky are referred to as:
melena

A patient with cirrhosis develops portal hypertension as indicated by the presence of:

splenomegaly Which of the following is considered an extrinsic risk factor for falls in the older adult?
psychoactive medications The thoracic lymph duct drains lymphatic fluid from all of the following areas except the:
right upper thorax Which ethnicity is associated with glucose- 6 - phosoahte dehydrogenase (G-^-PD) deficiency
Blackwhen During pregnancy, which hormone is responsible for increasing insulin resistance and hyperglycemia associated with diabetes?
human placental lactogen On examination of a six-week-old infant, developmental hip dysplasia (DDH) is suspected. If DDH is present, it might be evidenced by:
Limited abduction of the affected leg When should a vaginal swab for Group B streptococcus obtained in a pregnant woman?
35 - 37 weeks Percussion of the abdomen should be avoided when?
An abdominal aneurysm is suspected Basic self-care activities are referred to as
activities of daily living Which sexually transmitted disease (STD) is known as a 'silent' infection and often lacks abnormal physical findings
chlamydia With transillumination of the frontal sinuses, a dim red glow is observed on the forehead. This dim red glow would be indicative of:
clear frontal sinuses During the mental status exam, a 45-year-old woman is easily distractible and seems to have difficulty responding to each question. This is an assessment of:
attention

The patellar tendon continues below the knee joint and inserts distally on the

tibial tuberosity The hilar region of the lungs describes
Around the heart Physical signs associated with cervical myelopathy from cervical cord compression include:
Neck flexion with resulting sensation of electrical shock radiating down the spine Peritoneal inflammation produces abdominal pain and tenderness. What technique can be used to assess a tender abdomen suspected to be secondary to peritoneal inflammation?
Ask the patient to cough prior to palpation To evaluate a patient's response to a vibration sensation, the NP would ask the patient to identify
The sensation when the tuning fork is placed on the big toe