ADVANCED HEALTH ASSESSMENT MIDTERM REVIEW OF QUIZ QUESTIONS MN552 TEST BANK AND CORRECT DETAILED ANSWERS
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ADVANCED HEALTH ASSESSMENT
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ADVANCED HEALTH ASSESSMENT
ADVANCED HEALTH ASSESSMENT MIDTERM REVIEW OF QUIZ QUESTIONS MN552 TEST BANK AND CORRECT DETAILED ANSWERS
A 62-year-old construction worker presents to your clinic, complaining of almost a year of chronic cough and occasional shortness of breath. He denies any chest pain. He has had no weight gain...
ADVANCED HEALTH ASSESSMENT
MIDTERM REVIEW OF QUIZ QUESTIONS
MN552 TEST BANK AND CORRECT
DETAILED ANSWERS
A 62-year-old construction worker presents to your clinic, complaining of almost a year
of chronic cough and occasional shortness of breath. He denies any chest pain. He has
had no weight gain, weight loss, fever, or night sweats. His past medical history is
significant for high blood pressure and arthritis. He has smoked two packs a day for the
past 45 years. He drinks occasionally but denies any illegal drug use. He is married and
has two children. He denies any foreign travel. His father died of a heart attack and his
mother died of Alzheimer's disease. On examination you see a man looking slightly
older than his stated age. His blood pressure is 130/80 and his pulse is 88. His head,
eyes, ears, nose, and throat examinations are unremarkable. His cardiac examination is
normal. On examination of his chest, the diameter seems enlarged. Breath sounds are
decreased throughout all lobes. Rhonchi are heard over all lung - Answer-Chronic
obstructive pulmonary disease (COPD)
Which of the following is consistent with good percussion technique?
Allow all of the fingers to touch the chest while performing percussion.
Maintain a stiff wrist and hand.
Leave the plexor finger on the pleximeter after each strike.
Strike the pleximeter over the distal interphalangeal joint. - Answer-Strike the pleximeter
over the distal interphalangeal joint.
The following are examples of transmitted voice sounds except:
ask the patient to say their name and then repeat it again backwards
ask the patient to say "ninety-nine"
,ask the patient to whisper "one-two-three"
as the patient to say "ee" - Answer-ask the patient to say their name and then repeat it
again backwards
A client is complaining of dyspnea. During your subjective assessment, you are able to
best assess the degree the patient's dyspnea by asking about:
age
severity based on the patient's daily activities
body weight
height - Answer-severity based on the patient's daily activities
CDC guidelines recommend smoking prevention and cessation should begin when a
patient is:
A middle-aged female
A geriatric male
A teenager
Of legal drinking age - Answer-A teenager
While performing percussion you identify an area of dullness in the left lower lobe. This
could represent all of the following except:
lobar pneumonia
pneumothorax
,pleural effusion
empyema - Answer-pneumothorax
A classic assesment of patient with angina pectoris would include the following:
exertional pain
chest pressure
discomfort in the shoulder, back, neck or arm
all of the above - Answer-all of the above
Orthopnea is differentiated from other forms of dyspnea as it:
occurs when the patient is lying down and improves when the patient sits up
occurs when the patient is lying down and improves when the rolls over
occurs when the patient is sitting up and improves when the patient lays down
is always accompanied by heart palpitations - Answer-occurs when the patient is lying
down and improves when the patient sits up
When assessing a patient for cardiovascular disease, you are aware that it strikes a
disproportionate number of:
hispanics and women
native americans and men
african americans and women
, african americans and men - Answer-african americans and women
A 25-year-old optical technician comes to your clinic for evaluation of fatigue. As part of
your physical examination, you listen to her heart and hear a murmur only at the cardiac
apex. Which valve is most likely to be involved, based on the location of the murmur?
Mitral
Tricuspid
Aortic
Pulmonic - Answer-Mitral
Where is the point of maximal impulse (PMI) normally located?
In the left 5th intercostal space, 7 to 9 cm lateral to the sternum
In the left 5th intercostal space, 10 to 12 cm lateral to the sternum
In the left 5th intercostal space, in the anterior axillary line
In the left 5th intercostal space, in the midaxillary line - Answer-In the left 5th intercostal
space, 7 to 9 cm lateral to the sternum
To hear a soft murmur or bruit, which of the following may be necessary?
Ask the patient to hold their breath
Ask the patient to silence their cell phone
Check the tubing of your stethescope for any cracks that could cause an air leak
All of the above - Answer-All of the above
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