Advanced Assessment Video Course – Quiz

Thorough cardiovascular assessment is important in detecting the numerous abnormalities which accompany disease conditions.  Which of the following is not incorporated into a thorough assessment?

Which of the following types of pain is described as sharp or stabbing and evidence of activation of the sympathetic nervous system will be seen?

Cullen sign is ecchymosis around the umbilicus. Grey Turner sign is ecchymosis in the flank area. Both indicate bleeding into the retroperitoneal space. Which of the following is not associated with these assessment findings?

When performing an assessment of the abdominal system which of the following would typically not be incorporated into a nurse’s examination?

A patient presents with diffuse left-sided chest pain and dyspnea.  He states the symptoms are significantly worse when lying down.His 12-lead ECG shows diffuse ST segment elevation and notching at the end of the QRS complex.  Which of the following is most likely?

A patient with esophageal cancer presents with complaints of chest pressure, palpitations, dizziness, dyspnea and cough.  On physical examination, heart tones are noted to be muffled and jugular vein distention is present bilaterally.  Which of the following is most likely?

A patient presents with high fever, chills, tachycardia, tachypnea and a productive cough. On examination, bronchial breaths sounds and persistent crackles are noted. Fremitus is present on palpation. Which of the following would you anticipate showing up on the chest x-ray?

A patient presents to the orthopedic office with complaints of stiffness in the morning which lasts for less than 30 minutes and improves with movement. He states when he climbs stairs he hears, and feels, “creaking” in his joints. On examination, enlargement of the distal and proximal finger joints is present. The orthopedist dictates the joint enlargement as Herberden and Bouchard nodes. Which condition is most likely based on these findings?

A patient with a head injury complains of a headache and double vision. He is becoming more restless and irritable and has just vomited. While the nurse was preparing to call the provider, the patient experienced a seizure and pulled his clenched hands inward during the episode. His heart rate has slowed and his breathing is now irregular with periods of apnea. Based on the presentation, what is occurring?

A patient presented to the provider’s office. After examination, the patient is sent to the emergency room to be seen by a surgeon. On review of the provider’s documentation, the following is noted. “Positive rebound tenderness with localization at McBurney’s point. Rovsing’s sign, iliopsoas, and heel jar test are positive.”These findings indicate which of the following?

Abdominal pain is a common complaint and differential diagnosis will include assessment, lab values and imaging studies. If a patient is said to meet Ranson’s criteria, what pathological condition is present?

There can be numerous causes of a large abdomen. These may include obesity, organ enlargement or ascites. Ascites may be due to liver failure, heart failure or abdominal or gynecological cancers. Which of the following examinations may be used in the assessment of ascites?

Nuchal rigidity is when any attempted flexion of the neck causes severe pain. This is due to irritation of the meninges or muscle spasms. Kernig’s and Brudzinski’s signs are assessed to determine the presence. Which of the following conditions would present with nuchal rigidity?

In order to detect tracheal shift, the finger should be used to trace the trachea down the neck toward the sternum. Visualization may also be performed in conjunction with palpation, but simply visualizing the trachea will lead to a missed sign of the tracheal shift. Which of the following conditions leads to tracheal shift?

There are numerous types of breathing patterns. Which of the following has varying periods of increasing depth (shallow, deep and then shallow) interspersed with apnea?

There are numerous types of headaches including tension, cluster and migraines. Headaches may also be caused by secondary conditions such as brain tumors and bleeding. Which of the following would be considered a “red flag” in a patient presenting with a headache?

Large pressure ulcers, especially on the coccyx, can significantly impact quality of life since the skin will only regain a portion of its original strength and will continue to be problematic for the patient. Which of the following accurately describes a Stage III ulcer?

Which of the following occurs in the cardiovascular system as a person ages?

Which of the following does not occur in the neurological system as a person ages?

Which of the following is not expected in the integumentary system as a person ages?