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NURS 6512 Week 1 Quiz / NURS6512 Week 1 Quiz ( 2
NEW Versions,2020): Advanced Health Assessment
(ANSWERS VERIFIED 100% CORRECT)
52 yo F palpable breast lump. Fine needle aspiration does not bring any fluid. .. .. ..
What is the next step? - answers - :Refer for biopsy
You have noted a thrill at the apex during systole during a physical exam on the
patients anterior chest. This could indicate - answers - :Mitral regurge
Mr Bear presents c/o excessive daytime sleepiness. Exam reveals flushed face, SOB ambulating into the room. BMI>30 , +JVD, +HJR, HTN. Your possible list of
diagnoses include all EXCEPT - answers - :-pickwickian syndrome
- CHF
- Atrial fibrillation
- Metabolic syndrome In assessing for pneumonia, you would expect to find ____ in tactile vocal
fremitus - answers - :Increase
Lilly age 3 months was seen for a cold. Which physical finding is most common in
the infant? - answers - :Wheeze
An abnormal symmetric expansion would most likely be noted on which of the
following patients? - answers - :Pneumonia
You are assessing a pediatric patient with croup. What clinical finding would you
expect to discover? - answers - :croup
Mr Random is being seen for SOB you are assessing his neck veins and need to distinguish the jugular from the carotid. You understand that there is a change in
respiration with the ___. - answers - :Jugluar
You are doing a physical on a male patient when he tells you he is concerned
about breast cancer. All of the following are risk factors EXCEPT: - answers - :-
Testosterone
- 45 - 55 years old
- Low level of physical activity
- History of bone fracture after 45 Breast cancer in men is similar to women and the provider should be suspicious of
the Tail of Spence. True or false - answers - :FALSE
What is the most common cause of left ventricular hypertrophy in the US? -
answers - :Chronic HTN
diastolic murmur at apex - answers - :Mitral stenosis
During the breast exam of a 30 year old nulliparous female. The NP palpates several rubbery areas of the breast tissue. They are slightly tender to palpation and present in both breasts. Expecting menses in 5 days. Which intervention is
best? - answers - :Tell her to recheck 1 week after her menses
All of the following symptoms associated with chest pain are likely to represent
CAD except? - answers - :pain with inspiration
60 yo landscaper presents to your office to establish care, history of CHF controlled with medications. Denies cp, edema. Early diastolic? with opening
snap ___. You suspect? - answers - :Mitral stenosis
A patient states that she has had a rash on her breast for about 2 weeks. In order to determine if it is pagets disease you would expect to have all of the following
on physical exam EXCEPT - answers - :inverted nipple
You notice a medium-pitched harsh systolic murmur during a routine exam or R
upper border of the sternum. Which of the following is most likely? - answers -
:Aortic stenosis
Which of the following statements in NOT typical of the murmur it is describing? -
answers - :Grade II/Grade VI murmur is associated with a thrill?
A 58 yo dentist presents for routine check up. He has been healthy. Non smoker, does not drink alcohol. You hear a moderately loud murmur, no palpable thrill.
What is the appropriate grade for this murmur? - answers - :Grade 3
57 yo college professor is hospitalized for SOB. As you examine her in ER, JVP of 45 degrees 8 cm above the clavicle. finding is most consistent with which of the
following diagnoses? - answers - :Right sided heart failure
What technique should be used to best auscultate the 2nd heart sounds? -
answers - :Diaphragm of the stethoscope at 2nd intercostal space at the base of
the heart
You hear a split s2 on auscultation of a 25 yo client. What is your best action? -
answers - :Tell them to hold their breath and repeat
The client has been told he has a heart murmur. He asks you what this means. You
explain - answers - :It is the rushing sound blood makes moving through narrow
places. Some are harmless and others indicate problems Where would you expect to hear best an abnormal sound with mitral valve
insufficiency? - answers - :5th ICS at MCL
when auscultating the heart sounds of a 72 yo client with history of HTN. NP notes
an S4. This finding could indicate - answers - :An increased resistance to
ventricular filling
As you assess Ms Jones you recall that the most prevalent cardiac symptom is -
answers - :Fatigue
expect her lung sounds to be? - answers - :Wheezes during inspiration and
expiration
All of these are abnormal breathing in the infant EXCEPT - answers - :louder,
harsher sounds Lung sounds that have low pitch and soft in intensity and are heard better on
inspiration - answers - :Vesicular
When auscultating for vocal resonance in a client with possible consolidation of
lung tissue. The NP hears "a-a-a" when the client says "e-e-e". This is called: -
answers - :Positive egophany
The NP understands the following about hyperresonance in percussion of the
lungs - answers - :It is expected finding with emphysema
55 yo client tells you she smoked 2ppd since age 14. How many pack years? -
answers - :
During pulmonary assessment, you observe the client to have diaphragmatic
excursion of 4 cm bilaterally. What is your best action? - answers - :Document the
observation As you assess Ms L you understand that her dyspnea is basically a dysfunction
with external respiratory physiology. Due to her___ - answers - :emphysema
You review a chart of a patient seen 2 days ago by your colleague. You see a
positive whispered pectoriliquy test, you understand this is - answers - :Abnormal
- loud & clear finding To ease their breathing, clients with COPD often position themselves in a tripod
position which can result in which finding? - answers - :Dahl's sign
Which is NOT a risk factor for breast cancer? - answers - :-History of maternal
breast cancer
- 1st pregnancy after age 35
- asymmetric breast development
- late menopause after 54
Which description is most characteristic of breast cancer? - answers - :Single, firm,
nontender, ill-defined breast lump You are assessing a neonate and note breast engorgement. You document this as
an abnormality. True or false - answers - :FALSE
With which of the following clients having a breast lump are you alerted to the
possibility of a fibroadenoma? - answers - :25 yo woman with a single firm
rubbery lump When performing a clinical breast exam, you take special care to examine the
upper outer quadrants and axilla because - answers - :Most frequent location of
breast cancer
