•    Question 1

If pitting edema is unilateral, you would suspect occlusion of a:

•    Question 2

Which cranial nerves are usually evaluated during the examination of the eyes?

•    Question 3

It is especially important to test for ankle clonus if:

•    Question 4

A finding that is indicative of osteoarthritis is:

•    Question 5

A grade IV mitral regurgitation murmur would:


•    Question 6

The adnexa of the uterus are composed of the:

•    Question 7

The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the:

•    Question 8

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:

•    Question 9

To hear diastolic heart sounds, you should ask patients to:

•    Question 10

The rectal past medical history of all patients should include inquiry about:


•    Question 11

Ulnar deviation and boutonniere deformities are characteristic of:

•    Question 12

If your patient has nipple discharge, you will most likely need a:

•    Question 13

The examiner percusses for diaphragmatic excursion along the:

•    Question 14

An apical PMI palpated beyond the left fifth intercostal space may indicate:

•    Question 15

The difference in blood pressure readings between the right and the left arms is considered normal up to _____ mm Hg.

•    Question 16

Montgomery tubercles are most prominent in the breasts of:

•    Question 17

Postural hypotension is defined as a _____ when the patient stands, compared with sitting or supine readings.

•    Question 18

Which of the following statements is true regarding the examination of peripheral arteries?

•    Question 19

Normal changes of the aging brain include:

•    Question 20

Breath sounds normally heard over the trachea are called:

•    Question 21

To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with:

•    Question 22

As Mr. B. enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. You would document Mr. B.’s pattern as:

•    Question 23

When assessing a 17-year-old for nuchal rigidity, you gently raise his head off the examination table. He involuntarily flexes his hips and knees. To confirm your suspicions associated with this positive test, you would also perform a test for the _____ sign.  NURS 6521N FINAL EXAM LATEST SOLUTIONS: WALDEN

•    Question 24

Inspection of the scrotum should reveal:

•    Question 25

A parent is advised to restrict contact or collision sports participation for their child. An example of a sport in which this child could participate is:

•    Question 26

Which one of the following is a proper technique for use of a speculum during a vaginal examination?

•    Question 27

Part of the screening orthopedic component of the examination includes evaluating the person while he or she is:

•    Question 28

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?   NURS 6521N FINAL EXAM LATEST SOLUTIONS: WALDEN

•    Question 29

Functional assessment is most important during the examination of a(n):

•    Question 30

Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify:

•    Question 31

Anterior cruciate ligament integrity is assessed via the _____ test.

•    Question 32

You are interviewing a 20-year-old patient with a new-onset psychotic disorder. The patient is apathetic and has disturbed thoughts and language patterns. The nurse recognizes this behavior pattern as consistent with a diagnosis of:

•    Question 33

You are performing a two-point discrimination test as part of a well physical examination. The area with the ability to discern two points in the shortest distance is the:

•    Question 34

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:

•    Question 35

Diabetic peripheral neuropathy will likely produce:

•    Question 36

To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested?  NURS 6521N FINAL EXAM LATEST SOLUTIONS: WALDEN

•    Question 37

Nerves that arise from the brain rather than the spinal cord are called:

•    Question 38

Bimanual examination of the uterus includes:

•    Question 39

While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding:

•    Question 40

Palpation of epitrochlear nodes is part of the:

•    Question 41

When palpating breast tissue, the examiner should use the _____ at each site.

•    Question 42

If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation?

•    Question 43

Kawasaki disease is suspected when assessments of a child reveal:

•    Question 44

The presence of cervical motion tenderness may indicate:

•    Question 45

You are initially evaluating the equilibrium of Ms. Q. You ask her to stand with her feet together and arms at her sides. She loses her balance. Ms. Q. has a positive:

•    Question 46

Which one of the following techniques is used to detect a torn meniscus?

•    Question 47

You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should:

•    Question 48

A cervical polyp usually appears as a:

•    Question 49

A red, hot swollen joint in a 40-year-old man should lead you to suspect:

•    Question 50

Recent unilateral inversion of a previously everted nipple suggests:


•    Question 51

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?

•    Question 52

Examination of the patient in the lithotomy, or knee-chest, position includes:

•    Question 53

Your patient’s chief complaint is repeated pencil-like stools. Further examination should include:

•    Question 54

A common finding in markedly obese and pregnant women is:

•    Question 55

Loss of immediate and recent memory with retention of remote memory suggests:

•    Question 56

To assess a cremasteric reflex, the examiner strokes the:

•    Question 57

Temporalis and masseter muscles are evaluated by:

•    Question 58

Facial muscle or tongue weakness may result in:

•    Question 59

When conducting a geriatric assessment, basic activities of daily living (ADLs) include:

•    Question 60

While examining a 30-year-old woman, you note that one breast is slightly larger than the other. In response to this finding, you should:

•    Question 61

You are assessing Mr. Z.’s fluid volume status as a result of heart failure. If your finger depresses a patient’s edematous ankle to a depth of 6 mm, you should record this pitting as:

•    Question 62

While interviewing a 70-year-old female clinic patient, she tells you that she takes ginkgo biloba and St. John’s wort. You make a short note to check for results of the:

•    Question 63

Assessing orientation to person, place, and time helps determine:

•    Question 64

The physical assessment technique most frequently used to assess joint symmetry is:

•    Question 65

When palpating joints, crepitus may occur when:

•    Question 66

The best way to ease the apprehension of a 3-year-old child before a physical examination is to:   NURS 6521N FINAL EXAM LATEST SOLUTIONS: WALDEN

•    Question 67

At your first meeting with a patient, it is usually best to say:

•    Question 68

The finger-to-nose test allows assessment of:

•    Question 69

A 23-year-old white woman has come to the clinic because she has missed two menstrual periods. She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is to:


•    Question 70

The musculoskeletal examination should begin when:

•    Question 71

For purposes of examination and communication of physical findings, the breast is divided into:

•    Question 72

One of the most important aspects to consider in the orthopedic screening examination is:

•    Question 73

Which medical condition would exclude a person from sports participation?       NURS 6521N FINAL EXAM LATEST SOLUTIONS: WALDEN

•    Question 74

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:

•    Question 75

Cranial nerve XII may be assessed in an infant by:

•    Question 76

The family history for a patient with joint pain should include information about siblings with:

•    Question 77

A patient in the deepest coma would be scored a _____ on the Glasgow Coma Scale.

•    Question 78

When you attempt to move a 10-month-old child from his mother’s lap to the examination table, he screams loudly. Your best action is to:

•    Question 79

The Mini-Mental State Examination should be administered for the patient who:

•    Question 80

The strength of the trapezius muscle is evaluated by having the patient:

•    Question 81

The foramen ovale should close:

•    Question 82

A pulsation that is diminished to the point of being barely palpable would be graded as:

•    Question 83

The goals of preparticipation sports evaluation include:

•    Question 84

A positive straight leg raise test usually indicates:

•    Question 85

Your 15-year-old patient is athletic and thin. Radiography of an ankle injury reveals a stress fracture. You should question this patient about her:

•    Question 86

A 12-year-old boy relates that his left scrotum has a soft swollen mass. The scrotum is not painful upon palpation. The left inguinal canal is without masses. The mass does transilluminate with a penlight. This collection of symptoms is consistent with:

•    Question 87

The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:

•    Question 88

Palpation of a normal prostate in an older adult is likely to feel:

•    Question 89

You are examining Mr. S., a 79-year-old diabetic man complaining of claudication. Which of the following physical findings is consistent with the diagnosis of arterial occlusion?

•    Question 90

Nancy Walker is a 16-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her mother reports that Nancy, apart from occasional colds, Nancy is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Nancy’s current problem?

•    Question 91

When assessing superficial pain, touch, vibration, and position perceptions, you are testing:

•    Question 92

You are conducting an examination of Mr. Curtis’s heart and blood vessels and auscultate a grade III murmur. The intensity of this murmur is:

•    Question 93

A patient you are seeing in the emergency department for chest pain is suspected of having a myocardial infarction. During the health history interview of his family history, he relates that his father had died of “heart trouble.” The most important follow-up question you should pose is which of the following?

•    Question 94

The reliability of health-related findings and observations is the responsibility of the:

•    Question 95

In the most effective percussion technique of the posterior lung fields, the patient cooperates by:

•    Question 96

The Mini-Mental State Examination:

•    Question 97

Tarry black stool should make you suspect:   NURS 6521N FINAL EXAM LATEST SOLUTIONS: WALDEN

•    Question 98

An idiopathic spasm of arterioles in the digits is termed:

•    Question 99

The Denver II is a tool used to determine:

•    Question 100

Which portion of the physical examination is best done with the patient standing?