NURS 6512 WEEK 2 QUIZ ADVANCED HEALTH
ASSESSMENT VERIFIED QUESTIONS AND ANSWERS
During a normal medical examination of a 44-year-old woman, you notice that she
has an inverted left nipple. You choose to investigate because: - ANSWER The
inversion could indicate a recent change
A 30-year-old woman arrives at the office complaining of palpitations and
lightheadedness for the past. with random occurrences and no discernible pattern.
NP detects a mid-systolic click followed by a late-systolic murmur, which is most
noticeable in the apical area. You suspect Mitral valve prolapse (MVP).
All of the following tests require the patient's voice to perform correctly, except: -
ANSWER: Egophany
Tactile fremitus.
- muttered pectoriloquy.
auscultation
A 59-year-old man with a history of COPD arrives with severe dyspnea. The
patient is afebrile, with reduced bilateral breath sounds, JVD, and pitting edema of
the lower limbs. What's the most probable reason of his dyspnea? - ANSWER CHF
James Jones, a 55-year-old male smoker, appears with a thick sputum-producing
cough. Exams include tactile fremitus, resonant percussion, and normal voice
transmission. You suspect: - Answer: Bronchitis.
During a breast exam on a 30-year-old nulliparous woman. The NP palpates many
rubbery regions in the breast tissue. They are slightly painful to the touch and
present in both breasts. I'm expecting my period in 5 days. Which intervention
works best? - ANSWER Tell her to recheck one week following her menses.
, Except for?, all of the symptoms linked with chest pain are likely to be caused by
CAD. - ANSWER PAIN with inspiration.
A 60-year-old gardener visits your clinic to begin care; he has a history of CHF that
is treated with medication. Denies cp and edema. Early diastolic? With an opening
snap ___. Do you suspect? - ANSWER Mitral stenosis.
A patient reports that she has had a rash on her breast for approximately two weeks.
To determine if it is Paget's disease, you would expect to have all of the following
on the physical exam. EXCEPT ANSWER inverted nipple.
During a normal inspection, you observe a medium-pitched loud systolic murmur
near the upper border of the sternum. Which of the following is the more likely
option? - ANSWER Thoracic stenosis
Which of the following assertions is not typical of the murmur being described? -
ANSWER Is a grade II/VI murmur related with a thrill?
A 58-year-old dentist visits for a normal checkup. He's been healthy. Nonsmoker;
does not consume alcohol. You hear a reasonably loud murmur but no perceptible
excitement. What grade is acceptable for this murmur? - ANSWER Grade 3
A 57-year-old college lecturer has been hospitalized for SOB. As you examine her
in the emergency room, you notice a 45-degree JVP 8 cm above her clavicle.
Which of the following diagnoses best fits this finding? - ANSWER Right-sided
heart failure.
What approach should be utilized to best hear the second heartbeat? - ANSWER
Diaphragm of the stethoscope at the second intercostal gap near the base of the
heart.
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