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NSG 500/ NSG500 EXAM 3: (NEW 2025/ 2026 UPDATE) ADVANCED HEALTH ASSESSMENT GUIDE| Q&As, Exams of Nursing

Wilkes UniversityNursing

1. What is the best way to assess for joint symmetry?: inspection by comparing joint from one side to the other 2. What is the correct position when performing a rectal/prostate exam?: side-lying position 3. When doing your prostate exam, what area are you palpating?: Posterior aspect 4. What should a normal prostate feel like?: Rubbery and smooth 5. How do you know that someone has rectal prolapse?: When the patient is experiencing sliding of the rectum, occurs during straining 6. What do external hemorrhoids look like?: small masses that are pink/red and beefy.

Typology: Exams

2024/2025

Available from 07/15/2025

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NSG 500/ NSG500 EXAM 3: (NEW 2025/ 2026
UPDATE) ADVANCED HEALTH ASSESSMENT GUIDE|
QUESTIONS & ANSWERS| GRADE A| 100% CORRECT
(VERIFIED SOLUTIONS)- WILKES
1. What is the best way to assess for joint symmetry?: inspection
by comparing joint from one side to the other
2. What is the correct position when performing a rectal/prostate
exam?: side-lying position
3. When doing your prostate exam, what area are you palpating?:
Posterior aspect
4. What should a normal prostate feel like?: Rubbery and smooth
5. How do you know that someone has rectal prolapse?: When the
patient is experiencing sliding of the rectum, occurs during straining
6. What do external hemorrhoids look like?: small masses that are
pink/red and beefy.
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Partial preview of the text

Download NSG 500/ NSG500 EXAM 3: (NEW 2025/ 2026 UPDATE) ADVANCED HEALTH ASSESSMENT GUIDE| Q&As and more Exams Nursing in PDF only on Docsity!

NSG NSG 500 1 /^17

NSG 500/ NSG500 EXAM 3: (NEW 2025/ 2026

UPDATE) ADVANCED HEALTH ASSESSMENT GUIDE|

QUESTIONS & ANSWERS| GRADE A| 100% CORRECT

(VERIFIED SOLUTIONS)- WILKES

  1. What is the best way to assess for joint symmetry?: inspection by comparing joint from one side to the other
  2. What is the correct position when performing a rectal/prostate exam?: side-lying position
  3. When doing your prostate exam, what area are you palpating?: Posterior aspect
  4. What should a normal prostate feel like?: Rubbery and smooth
  5. How do you know that someone has rectal prolapse?: When the patient is experiencing sliding of the rectum, occurs during straining
  6. What do external hemorrhoids look like?: small masses that are pink/red and beefy.

NSG NSG 500 2 /^17 ....If it's purple/really dark in color; that is a concern for a thrombus hemmroid and a bad finding!!

  1. What do internal hemorrhoids feel like?: soft masses. ....Hard is a concern and a bad finding!
  2. What are some causes of rectal bleeding?: 1) Cancer - change in bowel habits, pain, blood in stool.
  1. hemorrhoid's
  2. Constipation/straining
  3. colitis/inflammation or infection of the bowel
  4. Fissures
  5. GI bleed
  6. NSAIDS, aspirin (NOT TYLENOL)
  7. Chrohn's
  1. What color is the blood of a Lower GI bleed?: Bright red
  2. What color is the blood of an upper GI bleed?: Dark red/tarry/melanotic 11. Sequence of musculoskeletal exam: Inspect, Palpate, Passive/Active ROM, and Joint Stability/Assess

NSG NSG 500 4 /^17

  1. Distinguishing characteristics of OA: During inspection you visualize heberden nodes. They will be in the distal region of extremities (bouchards will be more proximal)
  2. Risk factors for OA: previous joint injuries, overuse injury (like older men who were catchers while playing baseball), old age, family hx, vitamin deficiency, smoking, obesity, runners
  3. What decreases your risk for OA?: An active lifestyle and low joint impact exercises like walking and swimming
  4. What test will look at the meniscus?: McMurray test; internal and external rotation at the knee
  5. Exams for hip dislocation/displacia in an infant: Ortalani and Barlow test
  6. S/s plantar fasciitis: - Pain at the base of heel/arch,

NSG NSG 500 5 /^17

  • pain is worse in the morning and bedtime (if you're standing all day)
    1. What are tests for assessing rotator cuff tear?: - Neer's test (pain when you lift arm up)
  • Drop Arm test (can't hold arm against gravity),
  • Hawkins test (can't push against resistance) Presentation of rotator cuff tears:
  • decrease ROM
  • decreased strength
    1. S/s with spinal stenosis: pain with walking and standing upright
    2. Scoliosis: lateral curving of spine

NSG NSG 500 7 /^17

  • 3/5 movement against gravity
  • 4/5 weakness against resistance
    • 5/5 is full strength against resistance
    1. Flexion: towards the body
  1. Extension: out from the body
  2. Abduction: away from body
  3. Adduction: in towards body
  4. Supination: palms upward (like you're holding soup)

NSG NSG 500 8 /^17

  1. Pronation: down
  2. Pt comes in for a sports physical, what are you trying to accomplish?: - Making sure if patient doesn't have any joint issues or congenital anomalies
  • what's NOT included; nose, throat, you don't have if they have post nasal drip
  1. In the older adult, what should be included in a functional assessment?: ADL's .. make sure living conditions are compatible with physical abilities, such as gross motor movement (not necessarily strength)

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  1. Cranial nerve 2: sensory - optic nerve
  • visual acuity and confrontation
  1. cranial nerve 3: oculomotor nerve
  • Medial up lateral down
  • EOM (lateral eye movement)
  1. Cranial nerve 4: trochlear - down and medial
  • EOM (lateral eye movement) 46 Cranial nerve 6: Abducens - lateral eye movement EOM
  1. Cranial nerve 5: Trigeminal (Sensory and motor)
  2. Cranial nerve 7: facial nerve (sensory and motor) - taste

11 / 17

  • ask patient to smile and raise eyebrows
    1. Cranial nerve 8: Sensory, auditory, Vestibulocochlear (hearing and balance)
    2. Cranial nerves 9 + 10: Motor and sensory.. test both together. Ask patient to say "ah"
  • gag reflux for UNCONSCIOUS patient
    1. Cranial nerve 11: Motor, accessory, shoulder shrug
    2. Cranial nerve 12: Motor, hypoglossal (tongue movement), ask them to turn head
    3. Normal changes in neurosystem with aging: Sensory deficits; decreased vision, touch, hearing

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  1. Graphesthesia: draw on the patient's palm
  2. Sterognosis: put key in patient's hand and ask them to identify object
  3. 2 point discrimination: ability to distinguish the separation of 2 simultaneous pinpricks on the skin
  4. Concerning findings for meningitis: unable to touch chin to chest (also known as nuchal rigidity), neck pain, fever, photosensitivity, nausea vomiting, headaches, AMS
  5. Kernig's sign: - a diagnostic sign for meningitis
  • marked by the person's inability to extend the leg completely when the thigh is flexed upon the abdomen and the person is sitting or lying down, causing pain in neck
  1. Brudzinki's sign: - a diagnostic sign for meningitis

14 / 17

  • try to lean the patient's neck up, and if the patient bends their knees, it's them trying

16 / 17

  1. If a patient presents with AMS, what do you test for first?: - First, you test for organic metabolic causes of AMS such as infection (like a uti)
  • Then, once that is ruled out, you can test for dementia
  1. Rooting reflex: a reflex in which a newborn turns its head in response to a gentle stimulus on its cheek - disappears after 4 months
  2. Babinski's: stroking sole of foot from heel upward across ball of foot cauing toes to fan
  3. Order of a physical assessment: assessing head to toe, document by system (not documenting head to toe)
  4. Best way to create primary diagnosis/differential diagnosis: Considering both subjective and objective findings, listen to your patient.... don't order routine exams just to order them/rule things out.

17 / 17

  1. RA causes what..: atrophy
  2. Buldge sign indicates: potential degenerative joint disease.