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A final exam for a health assessment course (nu 650/nu650), updated for 2025/2026. It features questions and verified answers on physical examination techniques and diagnostic testing, covering neurological assessments (stereognosis, Romberg's sign, reflexes), cranial nerve exams, and assessments for various patient populations (infants, adults, geriatric patients). It also includes questions on breast, testicular, prostate exams, gynecological conditions, and terminology. Presented in a Q&A format, it's useful for exam preparation or a review of health assessment concepts. It offers a structured approach to applying assessment techniques in clinical practice for accurate diagnosis and patient care, serving as a resource for nursing students and healthcare professionals, providing a concise overview of essential assessment skills.
Typology: Exams
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You place a quarter in your client's hand and ask him to identify it without looking. You are testing which discriminative sensation? Answer: Stereognosis
Which of the following neurological tests assess the sensory system? Answer: Vibration and position
When you ask a 68 year old patient to stand with his feet together and arms at his sides with eyes closed, he starts to sway and moves his feet further apart and stumbles. You would document this as Answer: Positive Romberg's sign
Which of the following responses would the NP recognize as worrisome? Answer: Dorsiflexion of the great toe when eliciting a plantar response
The NP examines a 6 month old infant girl for a well child visit. The presence of which of the following reflexes will be noted as normal? Answer: Landau reflex
The NP uses the get up and go (TUG) test to evaluate mobility of a 75 year old male patient. The expectation is that the patient should be able to complete this in Answer: 10 seconds
When grading deep tendon reflexes, a normal average reflex score is considered Answer: 2+
Flexion at the elbow
Brachioradialis reflex response Answer: Flexion at the forearm
Achilles reflex response Answer: Plantar flexion at the ankle
Triceps reflex response Answer: Extension at the elbow
Quadriceps/Patellar reflex response Answer: Extension at the knee
Answer: Check the patient's vision
Answer: Palpate the temporal and masseter muscles as the patient clenches his jaw
Answer: Have the client raise both eyebrows, close both eyes tightly, puff out his cheeks and smile
Answer: Have the patient shrug their shoulders upward against your hands
Which of the following would be consistent with a normal testicular exam Answer: Testes that feel ovoid and mobile, and slight sensation is felt by the patient upon compression
Which of the following is appropriate in the preparation of the female patient for a pelvic exam or Pap smear Answer: Assure the woman that she can stop the exam at any point if she feels discomfort
Which of the following is/are associated with an increased breast cancer risk Answer: Heavy alcohol use, first degree relative with breast cancer, and advancing age
Which of the following objective findings is/are consistent with a normal prostate Answer:
It is heart shaped with a palpable groove, it's surface is smooth, it has an elastic rubbery consistency
When performing an exam on a 47 year old man you notice swelling around the inguinal ring alongside the pubic hair that is not painful and reduces without difficulty in the supine position. This finding is most consistent with which of the following diagnoses Answer: A direct inguinal hernj
Which of the following findings on palpation of the breast is most suggestive of cancer Answer: Firm, nontender lump that is fixed to underlying tissue
The NP will assist a 6 year old female patient to which of the following positions to examine her genitalia Answer: Supine, frog leg position
oligomenorrhea Answer: Infrequent menstrual bleeding
Polymenorrhea Answer: less than 21-day intervals between menses
During the genitalia exam of the newborn male infant, the NP recognizes which of the following findings as normal Answer: Nonretractable or only minimally retractable foreskin
Menopause is defined as Answer: Absence of menses for 12 consecutive months
Cone shaped breast tissue that projects up into the axilla Answer: tail of spence
The NP is performing a sports physical on an adolescent male and notes coarse curly pubic hair spread sparsely over the pubic symphysis. This will be documented as tanner stage Answer: 3