JARVIS Exam #4 Health Assessment

Exam #4 Health Assessment : NURS 3720-91 8/10/18, 6(48 AM
Exam #4 Health Assessment

Due Aug 10 at 8am Points 50 Questions 50
Available Aug 8 at 8am - Aug 10 at 8am 2 days Time Limit 60 Minutes
Instruc!ons
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A!empt History
Attempt Time Score
LATEST Attempt 1 60 minutes 40 out of 50
! Correct answers are hidden.
Score for this quiz: 40 out of 50

Submitted Aug 10 at 6:47am
This attempt took 60 minutes.
Question 1 1 / 1 pts
https://calstatela.instructure.com/courses/280/quizzes/2027 Page 1 of 24
The professional nurse is examining a patient with ascites. Which

assessment findings are anticipated with the distended abdomen?
Hyperactive bowel sounds.
Pain with palpation.
Dullness with percussion.
Hyperresonance with percussion.
The professional nurse acknowledges that which of the following facts is

correct for normal aging but not for Alzheimer disease?
Disorientation to time and place
Making a questionable or debatable decision from time to time
Forgetting recently learned information
Rapid mood swings from calm to tears to anger for no apparent reason
A patient is complaining of chest pain which started 25 minutes ago. What

follow up question would be most appropriate?
“How would you describe your chest pain?”
“What makes it feel better?”
“How is your breathing?”
“Does it come and go?”
A young woman is concerned about her vaginal discharge. She describes it

as a small amount of clear thin white non-irritating discharge. The
professional nurse suspects this to be:
candidiasis.
a normal finding.
a sign of menopause.
bacterial vaginosis.
Incorrect Question 5 0 / 1 pts
Which of the following events happen in ventricular diastole?
Filling of the atria
Emptying of the ventricles
Opening of the Aortic and Pulmonic valves
Closure of the Mitral and Tricuspid valves
The professional nurse is grading the patient’s reflexes and should document
a grade of ____ for having brisker than average reflexes.
5+
3+
4+
2+
According to Jarvis, which of the following describes pronation?
Turning the forearm so the palm is up
Turning the forearm so the palm is down
Straightening of the wrist
Moving the wrist in a circle around the forearm
To palpate the temporomandibular joint, the nurse's fingers should be placed

in the depression _____ of the ear:
posterior to the tragus.
distal to the helix.
anterior to the tragus.
inferior to the helix.
A pregnant woman complains of heartburn. The medical term for this is:
pyrosis.
gastritis.
dysphagia.
eructation.
The professional nurse is checking the range of motion in a patient's
shoulder and instructs the patient to touch his/her palms together above the
head. This tests which of the following movements?
circumduction
abduction
internal rotation
supination
When assessing a 68-year-old male, which of the following would not be

considered normal changes due to aging?
Testes decrease in size and are less firm.
Scrotum hangs lower and appears more pendulous.
Penis decreases in size.
Decrease in prostate size.
The professional nurse is testing the function of cranial nerve XI. Which of
these best describes the response the professional nurse should expect if
the nerve is intact? The patient:
sticks their tongue out and moves it side to side.
says “ahh” cause the uvula to rise.
moves their head and shoulders against resistance.
moves their eyes inward towards their nose.
An elderly patient is complaining of constipation. The professional nurse

should?
expect dullness over the ascending and transverse colon.
advise the patient to drink lots of water.
expect a cylinder like mass over the ascending colon.
ask how often the patient has a bowel movement.
According to Jarvis, which of the following describes a common

musculoskeletal adaptation of aging changes?
Bends at the knees not the waist when picking up an object from the floor
Walks down stairs completely independently without holding handrail
Patient may watch feet and walk with a shuffling gait
Leads with weaker leg when climbing up stairs
The professional nurse is preparing to palpate the rectum and should use
which of these techniques?
Instruct the patient first that this will be a painful procedure.
Insert an extended index finger at a right angle to the anus.
Place the finger directly into the anus to overcome the tight sphincter.
Flex the finger and insert slowly toward the umbilicus.
A healthy 72-year-old man is concerned about his sexual performance. The

professional nurse knows that in the absence of disease, a withdrawal from
sexual activity later in life may be due to:
decreased sperm count.
increase pleasure from sexual intercourse.
misinterpreting normal age changes as a sexual failure.
decreased pleasure from sexual intercourse.
During an assessment of the cranial nerves, the professional nurse finds the
following: asymmetry when the patient smiles or frowns, uneven lifting of
eyebrows, sagging of the lower eyelids, and escape of air when the
professional nurse presses against the right puffed cheek. This would
indicate dysfunction of which of these cranial nerves:
motor component of VII
motor component of IX
motor component of V
motor component of VIII
When interviewing an elderly man, which of the following questions is most

appropriate?
“Do you know how to perform a testicular self-examination?”
“How many times do you get up at night to urinate?”
“How often do you have sexual intercourse?”
“Do you experience nocturnal emissions or wet dreams?”
According to Jarvis, which of the following statements concerning pregnant

women and cardiovascular status is correct?
There is an increase in blood pressure during the second trimester
There is a rise in systolic blood pressure with constant diastolic blood pressure
during the second trimester
The overall size of the woman’s heart increases in the second trimester
Blood volume increases most rapidly during the second trimester
The professional nurse palpates a vibration over the precordium. This

vibration is called a/an:
point of maximum impulse.
thrill.
bruit.
heave.
What is the proper technique for checking the plantar reflex?
Using the handle of the reflex hammer lightly stroke the lateral side of the sole
of the foot upward and inward across the ball of the foot. ** p. 650 Jarvis
Using a sharp object poke the bottom of the foot.
Firmly stroke the inside of the sole of the foot downward.
Using the reflex hammer stroke the inside aspect of the sole of the foot
downward.
In a person with an upper motor neuron lesion such as a cerebrovascular

accident, which of these physical assessment findings should the
professional nurse expect to see?
Atrophy and muscle wasting.
Absent reflexes.
Flaccid arms.
Hypertonia, spasticity.
When assessing the abdomen of a woman complaining of RLQ pain, the

professional nurse should:
inspect, auscultate, percuss and palpate all other abdominal areas before
examining the RLQ
suspect referred pain from the gall bladder
have the patient void immediately afterward to ensure an empty bladder
suspect pain being caused from cecum, appendix, or right ovary
The cranial nerves that have both sensory and motor components include:
III, V, VII, IX and X
V, VI, VII and X
V, VII, and IX
III, V, and VII
While palpating the abdomen, the professional nurse can anticipate:
palpating the spleen only if it is three times its normal size.
the liver span to be 4-6 centimeters.
difficulty palpating the liver borders.
palpating the left kidney easier than the right kidney.
When assessing muscle strength, the nurse observes that a patient has
complete range of motion against only gravity. What Grade should the
professional nurse record be using on a 0 to 5-point scale?
The patient has arterial disease in the lower extremities. Which of the
following would be expected?
Absent dorsalis pedis pulse
Pitting edema
Elevational pallor
Palpable wave transmission
Which of the following statements is correct regarding palpation of the

abdomen?
Tenderness with light palpitation can indicate inflammation of the peritoneum.
Light palpation is conducted using your fingertips.
Only use deep palpitation to assess an obese abdomen.
Pressing 5-8 centimeters downward on the abdomen is considered light

palpation.
According to Jarvis, which of the following describes what is the proper

procedure for a musculoskeletal exam of an infant?
Head to toe, infant completely undressed lying on the back
Head to toe in parent’s lap, infant completely undressed
Feet to extremities in parent’s lap, infant completely undressed
Feet to extremities, infant completely undressed lying on the back
In assessing for an S4 with a stethoscope, the professional nurse would

listen with the:
diaphragm in the pulmonic area with the patient supine.
diaphragm in the aortic area with the patient sitting.
bell at the apex with the patient in the left lateral position.
bell at the base with the patient leaning forward.
According to Jarvis which of the following tests is done at every professional

encounter until the child is 1-year-old is?
Genu valgus test
Ortolani test
Genu varus test
Tibial torsion test
A female patient is complaining of loss of control of urine when coughing or

sneezing.
The professional nurse knows that this is a classic symptom of:
urinary tract infections.
poor bladder control.
stress incontinence.
urge incontinence.
The abdominal aorta can be palpated:
using your opposing thumb and fingers.
2 centimeters below the umbilicus.
whenever an aneurysm is diagnosed.
only when a bruit is heard using the bell of the stethoscope.
The predominate sound produced by percussion over the abdomen is:
Tympany
Dull
Resonance
Hyperresonance
The professional nurse is performing additional assessment tests on the

abdomen. Which assessment test results would indicate cholecystitis?
Positive Illiopsoas test.
Positive rebound tenderness.
Positive Blumberg sign.
Positive Murphy’s sign.
The professional nurse acknowledges which of the following statements

about range of motion (ROM) is correct?
Subluxation is the shortening of a muscle which limits ROM
During palpation of the patella a finding of fluid
Audible and palpable crepitation
Limited ROM is the most sensitive sign of joint disease
The tonic neck reflex disappearance in infants is a normal finding, according

to Jarvis, by?
3-4 months
2-3 months
1-2 months
4-6 months
When listening to heart sounds, the professional nurse expects to hear:
S1 louder in the bases of the heart
S2 louder in the apex of the heart
S1 louder in the apex of the heart
S2 louder in the mitral area of the heart
The professional nurse is preparing to perform a pelvic examination of a

woman. The professional nurse should begin by:
inspecting the external genitalia.
palpating the suprapubic region.
having the woman empty her bladder.
having the woman undress completely and put on a paper gown and drape.
While caring for a comatose patient the professional nurse documents that
the patient’s arm, wrist, and fingers are flexed with adduction of the arm. The
medical term for this condition is?
Decerebrate rigidity
Opisothotonos
Decorticate rigidity
Flaccid quadriplegia
According to Jarvis, one method to determine the extent of peripheral

vascular disease is the ankle-brachial index (ABI). The normal result would
be which of the following?
1.0-1.2
0.70-0.40
0.40-0.30
0.90-0.70
When conducting Phalen test, the professional nurse should:
have the patient place the dorsal aspect of their hands together while flexing
their wrist 90 degress for 60 seconds.
instruct the patient to raise their leg straight up.
have the patient hold their hands together as if they are praying.
percuss directly on the wrist just proximal to the palms.
The term “voluntary guarding” refers to:
board like hardness commonly seen with peritonitis.
stiffening of the abdominal muscles when the patient is cold, ticklish, or tense.
pain with sitting up.
covering the abdomen with their hands.
The modified Allen Test is used to:
assess valve competency in the lower extremities.
assess venous circulation.
assess collateral circulation in the hand.
assess blood flow to the upper extremities
Which of the following statements is correct?
S1 and S2 are heard best with the diaphragm.
Heart murmurs are best heard with the diaphragm.
Bruits are best heard with the diaphragm.
S3 and S4 are extra heart sounds only heard on elderly patients.
According to Jarvis, dyskinesias are:
Repetitive stereotyped movements in jaws, tongue, or lips
Rigid, slow, and weak voluntary movements
Sensory losses in the hands and lower extremities bilaterally
Decreased or absent deep tendon reflexes (DTRs)
When assessing a male patient for a right inguinal hernia, the professional
nurse should:
ask the patient to lie down
ask the patient to turn their head and cough so that they do not cough on you.
ask the patient to turn their head to the left as this causes greater resistance.
ask the patient to stand as he strains down
While listening to a patient’s carotid artery, the professional nurse hears a

bruit. The professional nurse knows that a bruit means:
complete obstruction of blood flow.
the patient had a stroke.
partial obstruction of blood flow.
the patient is experiencing extra heart sounds.
When listening to heart sounds, the professional nurse knows that which of
the following statements concerning S1 is correct?
S1 is caused by closure of the semilunar valves
S1 is louder than S2 at the base.
S1 coincides with the carotid artery pulse.
S1 indicates the beginning of diastole.
The patient is being assessed for range of joint movement. The nurse asks
him to move his arm in toward the center of his body. This movement is
called:
adduction.
abduction.
internal rotation.
external rotation.
Quiz Score: 40 out of 50

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Exam #4 Health Assessment : NURS 3720-91 8/10/18, 6(48 AM

Exam #4 Health Assessment

! Correct answers are hidden.

Score for this quiz: 40 out of 50

The professional nurse is examining a patient with ascites. Which

Hyperactive bowel sounds.

Pain with palpation.

Dullness with percussion.

Hyperresonance with percussion.

The professional nurse acknowledges that which of the following facts is

Disorientation to time and place

Making a questionable or debatable decision from time to time

Forgetting recently learned information

A patient is complaining of chest pain which started 25 minutes ago. What

“How would you describe your chest pain?”

“What makes it feel better?”

“How is your breathing?”

“Does it come and go?”

A young woman is concerned about her vaginal discharge. She describes it

Incorrect Question 5 0 / 1 pts

Which of the following events happen in ventricular diastole?

Filling of the atria

Emptying of the ventricles

Opening of the Aortic and Pulmonic valves

Closure of the Mitral and Tricuspid valves

According to Jarvis, which of the following describes pronation?

Turning the forearm so the palm is up

Turning the forearm so the palm is down

Straightening of the wrist

Moving the wrist in a circle around the forearm

To palpate the temporomandibular joint, the nurse's fingers should be placed

posterior to the tragus.

distal to the helix.

anterior to the tragus.

inferior to the helix.

The professional nurse is checking the range of motion in a patient's

Incorrect Question 11 0 / 1 pts

When assessing a 68-year-old male, which of the following would not be

Testes decrease in size and are less firm.

Scrotum hangs lower and appears more pendulous.

Penis decreases in size.

Decrease in prostate size.

sticks their tongue out and moves it side to side.

says “ahh” cause the uvula to rise.

moves their head and shoulders against resistance.

moves their eyes inward towards their nose.

An elderly patient is complaining of constipation. The professional nurse

expect dullness over the ascending and transverse colon.

advise the patient to drink lots of water.

expect a cylinder like mass over the ascending colon.

ask how often the patient has a bowel movement.

Incorrect Question 14 0 / 1 pts

According to Jarvis, which of the following describes a common

Walks down stairs completely independently without holding handrail

Patient may watch feet and walk with a shuffling gait

Leads with weaker leg when climbing up stairs

Instruct the patient first that this will be a painful procedure.

Insert an extended index finger at a right angle to the anus.

Flex the finger and insert slowly toward the umbilicus.

A healthy 72-year-old man is concerned about his sexual performance. The

decreased sperm count.

increase pleasure from sexual intercourse.

misinterpreting normal age changes as a sexual failure.

decreased pleasure from sexual intercourse.