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NUR634 Anatomy and Physiology 3P Practice Question With Answers (619 Solved Questions)

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     The groove of the metacarpophalangeal joint can be palpated by having the patient: o Flex his hand  When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are: o vesicular with late inspiratory crackles in the dependent portions of the lungs and resonant on percussion  The ankle-brachial index is a screening test used to assess a person’s risk for: o Peripheral artery disease  Olecranon bursitis may be caused by all of the following except: o Frozen shoulder  In patients who have allergic rhinitis, the nasal mucosa appears: o Pale  A term used to describe an increase in muscular bulk with diminished strength is: o pseudohypertrophy  If abdominal pain persists when the patient raises his head and shoulders, the origin of the tenderness is probably: o In the abdominal wall  On auscultation of the abdomen, rushes of high-pitched sounds are audible and coincide with abdominal cramps. These findings are most consistent with: o Intestinal obstruction  Ophthalmoscopic examination of the fundus reveals tiny, round, red spots in and around the macular area. These findings are consistent with: o Microaneurysms  Symptoms of a subdural hematoma include: o Noticeable bleeding between the dura and the cerebrum on x-ray  On examination of the adult patient, symptoms of flexed posture, tremor, rigidity, and shuffling gait are observed. These findings are consistent with: o Parkinson’s disease  When discussing the musculoskeletal system, all of the following statements related to articular structure disease are true except which one? o Articular disease is usually due to stiffness or pain  Focal tenderness over the trochanter confirms: o Bursitis  Assessing the neurological status of a child with a ventriculoperitoneal shunt should include: o Use of the Glasgow coma scale  The earliest recognizable clinical manifestation(s) of cystic fibrosis in an infant is: o Salty taste on the skin  A reddish blue, irregularly shaped, solid and spongy mass of blood vessels that may be present at birth and enlarge during the first 10 to 15 months is characteristic of a: o Cavernous hemangioma  The hamstring muscles flex the knee and are located on the: o Posterior aspect of the thigh  Ophthalmoscopic examination reveals dark specks noted between the fundus and the lens. These specks are most likely: NUR 634 APEA 3P PRACTICE QUESTION ALL A+ GRADED

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    o Vitreous floaters  When performing the first Leopold maneuver on a pregnant woman, if the buttocks and head are not easily palpated at the fundus, the fetus is said to be in: o Transverse lie  When performing a musculoskeletal examination, the nurse practitioner instructs the patient to move his arm in front of his body. This motion of the shoulder girdle would be an example of: o Flexion  To locate the twelfth rib, palpate: o Between the spine and the lateral chest  Walking on the toes and heels may reveal: o Distal muscular weakness in the legs  When performing a bimanual exam of the vagina, the examiner should lubricate the index and middle fingers of a gloved hand. From a standing position, the fingers should be inserted into the vagina while exerting pressure primarily: o Posteriorly  During pregnancy, which hormone results in increased blood viscosity? o Erythropoietin  Resting tremors refer to those tremors that disappear: o With voluntary movement  A patient presents with complaints of bright red stools over the past week. This symptom could be consistent with: o Cancer of the sigmoid colon  Mydriasis is a term used to describe: o Dilation of the pupils  When performing a musculoskeletal exam on a patient with mechanical low back pain, osteoporosis is suspected. Positive findings would include all of the following except: o Calf wasting  Which stage of pressure is consistent with findings on dermatologic examination of a full thickness tissue loss and subcutaneous fat visible with mild slough on the right hip? o Stage III  The vertebral column angles sharply posteriorly and becomes immovable at the: o Lumbosacral junction  Which one of the following is at the HIGHEST risk for suicide? o A 52-year-old white man  When auscultating heart sounds arising from the aortic valve in an adult patient, place the stethoscope: o Between the 2 nd and 3 rd intercostal spaces at the right upper sternal border  Pain and crepitus over the patella suggests: o Roughening of the patellar undersurface  Which one of the following findings is NOT typical in a patient who has delirium? o Intact attention and concentration  When examining the skin, multiple areas of circumscribed elevations of the skin filled with serous fluid measuring approximately 0.5cm were noted. These types of lesions could be seen in:

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    o Herpes simplex or varicella  The principal muscles involved when closing the mouth are innervated by which cranial nerve? o Cranial nerve V (Trigeminal)  The structure that creates a channel for the vertebral artery is known as the: o Transverse Foramen  Which of the following is NOT a compliant patient with type 1 diabetes? o Polycythemia  When suspecting pediculosis capitis, the chief complaint is: o Itching  The structure that appears as the large swelling posteriorly on the superior ramus of the ischium and bears most of the weight in sitting, is known as the: o Ischial tuberosity  When percussing the posterior chest, which one of the following techniques would be omitted? o Percuss areas over the scapulae  On examination of the pupils, both are round but the right pupil appears larger than the left and reacts much slower to light. This condition may be indicative of: o A tonic pupil  During the type of seizure activity, the patient experiences partial seizures that resemble tonic-clonic seizures. The patient may recall the aura and unilateral neurologic deficit is present during the postictal period. This type of seizure activity is referred to as a: o focal seizure that becomes generalized  A female patient complains of weakness in both arms when transferring the wet clothes from the washer and placing them in the dryer. This finding could be suggestive of which type of weakness pattern? o Symmetric  To palpate the right ovary when performing the bimanual vaginal exam, the abdominal hand should be on the right lower quadrant and the pelvic hand needs to be: o In the right lateral fornix  A serious disturbance in a person’s mental abilities that results in a decreased awareness of one’s environment and confused thinking is referred to as: o Delirium  Which of the following screening tests for hearing loss can detect both sensorineural and conductive hearing loss? o Weber test  Located on the anterior aspect of the distal femur, the patella slides on this groove during flexion and extension of the knee. The name of this groove is the: o Trochlear groove  A 86-year-old man with uncontrolled hypertension presents with sudden, intense left lower abdominal pain that radiates to the back. The pain is associated with a tearing sensation. These findings are MOST likely associated with: o An abdominal aortic aneurysm (AAA)  Men between the ages of 40 and 64 years should be screened yearly for: o hypertension

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     A term used to describe drainage from the nose is: o Rhinorrhea  Tenderness over the scapulohumeral muscle group with the inability to abduct the arm above the shoulder level would be consistent with all of the following except: o Synovitis of the glenohumeral joint  In the older adult, the test for leg mobility is known as the: o Timed “get up and go test”  Which one of the following procedures would confirm a definitive medical diagnosis of Hirschsprung’s disease? o A rectal biopsy  Hypofunctioning of the thyroid gland would lead to all the following disorders except: o Graves’ disease  The fleshy projection of the earlobe is known as the: o Lobule  A 50-year-old male describes difficulty emptying his bladder. On exam, a distended bladder is noted following urination. This finding may be associated with: o Overflow incontinence  When performing an examination of the external genitalia of a female patient, a small firm, round cystic nodule in the labia is identified. This lesion is most consistent with: o Epidermoid cyst  Passive flexion, varus stress, and external rotation of the lower leg evaluates the: o Medial meniscus  When examining the knee, swelling above and adjacent to the patella was noted. This finding could be suggestive of: o Synovial thickening over the knee joint  While assessing the cranial nerves, the NP touches the cornea lightly with a wisp of cotton. This maneuver assesses which cranial nerve? o Cranial nerve V, Trigeminal  The NP instructs the patient to look over one shoulder, then the other. This maneuver would assess cervical: o Rotation  During a speculum exam of the cervix the speculum is maintained in an open position by: o Gently tightening the thumb screw on the speculum  The NP is examining the elbow of a 16-year-old male athlete. Increased pain is noted when he tries to extend his wrist against resistance. This finding is most consistent with: o Lateral epicondylitis  Which examination finding is defined as a congenital ventral displacement of the meatus on the penis? o Hypospadias  Bowel sounds may be increased in the presence of: o early intestinal obstruction  Eversion of the upper eyelid can be performed by placing the cotton applicator on the upper lid above the level of the internal tarsal plates and then: o Gently push down with the stick and lift the lashes up and flip the lid inside out

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     Anticipatory guidance for the family of a pre-adolescent with cognitive impairment should include information about: o Sexual development  Asymmetry, irregular borders, variation in color, diameter greater than 6 mm, and elevation represent the “ABCDEs” of: o Malignant melanoma  When performing a spinal exam, the NP noted the appearance of poor posture and a “hump” appearance of the upper back. This finding could be suggestive of: o Thoracic kyphosis  The area where the iliac crest terminates anteriorly on the ilium is known as the: o Anterior superior iliac spine  Following injury to the extremities, assessment for neurovascular competency should include the: o Skin color, temperature, movement, and sensation of the extremity  A patient is experiencing a dull achy pain in the epigastric area with eating. This type of pain is consistent with: o A gastric ulcer  Which of the following conditions is NOT related to Polyuria? o Hyperkalemic nephropathy  When examining the elbow for range of motion, the NP instructs the patient to turn his palm upward. This motion is an example of: o Supination  The forward slippage of one vertebrae resulting in spinal cord compression is referred to as: o Spondylolisthesis  Skin conditions such as pruritis, hyperpigmentation, and calciphylaxis may be seen in patients who have: o Chronic renal failure  The extension of the spine of the scapula located at the highest point of the shoulder is referred to as the: o Acromion process  A 60-year-old patient presents with severe, deep left eye pain. Findings reveal dilated and fixed left dilated and fixed left pupil and the cornea is cloudy. There is no ocular discharge noted. These findings are most likely consistent with: o Acute angle closure glaucoma  A patient has a papule with an ulcerated center on the lower lid and medial canthus of the eye. This is consistent with: o A basal cell carcinoma  Patients with prior hypospadias surgery who develop slow and painful urination as well as prostatitis are experiencing symptoms of: o Urethral stricture  Which substance used during pregnancy accounts for one third of all low-birth-weight infants, placental abruption, and preterm labor? o tobacco

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     When screening for bladder cancer in a primary care setting, the test that would be LEAST appropriate is: o Cystoscopy  The axioscapular group of muscles include which on of the following? o Trapezius  A mental health condition characterized by over-the-top behavior such as emotional outbursts, noisy displays of temper, compulsive attention seeking and self-centered actions is: o Histrionic  Social phobia, panic disorder, and post-traumatic stress disorder (PTSD) are all examples of: o Generalized anxiety disorder (GAD)  In older adults, the presence of heart sound S3 suggests: o Heart failure  Depigmented macules appearing on the face, hands, feet, and other parts of the body due to the lack of melanin are termed: o Vitiligo  Restrictions of internal and external rotation of the hip are sensitive indicators of: o Arthritis  Which of the following neurological findings indicate the need for further evaluation? o Weak and ineffective sucking movements  The infant with the lowest risk of developing elevated levels of bilirubin is the one who: o Breast feeds within the first hour of life  The patient experiences a sudden loss of consciousness with falling without movements and injury may occur. The type of a seizure is consistent with: o Myoclonic atonic seizure  When assessing the skin, it has a velvety appearance and is warm to touch. This could be associated with: o Hyperthyroidism  Breath sounds auscultated over the periphery of the lung fields are quiet and wispy during the inspiratory phase followed by a short, almost silent expiratory phase. These breath sounds are considered: o Vesicular  To palpate the medial meniscus, slightly internally rotate the tibia and palpate the medial soft tissue along the: o Upper edge of the tibial plateau  Eyelid retraction with exophthalmos presents as: o A retracted eyelid with a wide-eyed stare  All of the following strategies are useful for assessing older adults at high risk for falls except: o Assessing immunization history  If a patient has a history of heat intolerance with a preference to light clothing, this behavior could be consistent with: o Hyperthyroidism

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     The best method of detecting cognitive impairment or intellectual disability at an early age is by: o Assessment of the achievement of developmental milestones  When screening for scoliosis, assessment should include: o Observing the back when the child is bending forward  In a female diagnosed with a first-degree uterine prolapse, the cervix: o Has slipped but is well within the vagina  The part of the brain that relays sensory information between brain regions and controls many autonomic functions of the peripheral nervous system is known as the: o Diencephalon  During assessment of the thyroid, a fixed, firm, nontender large mass is noted. These findings describe: o A nodule  When examining the foot of a patient, the nurse practitioner notes localized tenderness over the ankle joint. This could be suggestive of: o Ligamentous injury  Women with hyperthyroidism often experience: o Oligomenorrhea, infrequent menstrual periods  While auscultating the patient’s heart, a medium, soft murmur is audible. It is pansystolic and heard loudest at the apex with radiation to the left axilla. These findings are consistent with: o Mitral regurgitation  A 26-year-old man with a past medical history of sickle cell disease arrives at the office with complaints of a penile erection that has lasted 4 hours. He is experiencing symptoms of: o Low flow priapism  On ophthalmoscopic examination, glaucomatous cupping appears: o Pale  Hairy leukoplakia may be associated with: o AIDS  To estimate the expected delivery date (EDD) using Naegele’s rule, if the last menses was March 3, 2014, the EDD would be: o December 10 th , 2014  The infraorbital or maxillary, buccinator, and supramandibular lymph nodes drain lymphatic fluid from the: o eyelids, the conjunctiva, and the skin and mucous membrane of the nose and cheek  A whitish sebaceous secretion that collects between the glans and foreskin or in the vulva is known as: o Smegma  The bony structures of the shoulder include all of the following except: o Teres minor  Murmurs audible during pregnancy may suggest: o Anemia  A fine rhythmic oscillation of the eyes is termed:

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    o Nystagmus  The whispered voice test allows the examiner to screen for: o General hearing loss  A patient experienced a neck injury yesterday and presents to the NP with aching paracervical pain and stiffness. Other complaints include dizziness, malaise, and fatigue. These findings may be associated with: o Mechanical neck pain and whiplash  When evaluating a patient for weakness of the upper extremities, bilateral distal weakness is noted. This finding could be suggestive of: o Polyneuropathy  Fasciculations in atrophic muscles suggest: o A lower motor neuron disease  The nerve that provides sensation to the palm and palmar surface of most of the thumb, second and third fingers, and half of the fourth digit is the: o Median nerve  Stools that appear black, tarry, and sticky are referred to as: o Melena  A patient with cirrhosis develops portal hypertension as indicated by the presence of: o Splenomegaly  Which of the following is considered an extrinsic risk factor for falls in the older adult? o Psychoactive medications  The thoracic lymph duct drains lymphatic fluid from all of the following areas except the: o Right upper thorax  Which ethnicity is associated with glucose-6-phosoahte dehydrogenase (G-^-PD) deficiency o Blackwhen  During pregnancy, which hormone is responsible for increasing insulin resistance and hyperglycemia associated with diabetes? o Human placental lactogen  On examination of a six-week-old infant, developmental hip dysplasia (DDH) is suspected. If DDH is present, it might be evidenced by: o Limited abduction of the affected leg  When should a vaginal swab for Group B streptococcus obtained in a pregnant woman? o 35-37 weeks  Percussion of the abdomen should be avoided when? o An abdominal aneurysm is suspected  Basic self-care activities are referred to as: o Activities of daily living  Which sexually transmitted disease (STD) is known as a ‘silent’ infection and often lacks abnormal physical findings: o Chlamydia  With transillumination of the frontal sinuses, a dim red glow is observed on the forehead. This dim red glow would be indicative of: o Clear frontal sinuses

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     During the mental status exam, a 45-year-old woman is easily distractible and seems to have difficulty responding to each question. This is an assessment of: o Attention  The normal fetal heart rate (FHR) range is: o 120-160 bpm  A patient presents with a productive cough. Which one of the following descriptions of the mucus is correct? o Tenacious sputum is consistent with patients with  The posterior cruciate ligament of the knee: o Crosses from the posterior tibia and lateral meniscus to the medial femoral condyle  On physical exam, the soft palate does not rise, there is an absent gag reflex, and the patient complains of taste abnormalities. This requires further evaluation of the cranial nerve: o Glossopharyngeal Nerve, CN IX  When performing a spinal exam, the nurse practitioner notices unequal heights of the iliac crests. This finding could be suggestive of: o Unequal leg lengths  When examining the ankle and the foot of a patient, the NP instructs the patient to point the foot toward the ceiling. This motion assess: o Ankle extension  Ophthalmoscopic examination of the retina reveals AV tapering. This appears as if the: o vein “winds” down on either side of the artery  The concavities noted on each side and above the patella are known as the: o Negative infrapatellar space  The lymphatic ducts drain into the: o Venous system  A swollen deviated uvula may be associated with a: o Peritonsillar abscess  A patient complains of some pain in the distal portions of her fingers on both hands. She states that it tends to occur more frequently with exposure to cold. These symptoms may be consistent with: o Raynaud’s disease  When examining the elbow for range of motion, the NP instructs the patient to straighten his elbow. This motion is an example of: o Extension  The patellar tendon continues below the knee joint and inserts distally on the: o Tibial tuberosity  The hilar region of the lungs describes: o Around the heart  Physical signs associated with cervical myelopathy from cervical cord compression include: o Neck flexion with resulting sensation of electrical shock radiating down the spine  Peritoneal inflammation produces abdominal pain and tenderness. What technique can be used to assess a tender abdomen suspected to be secondary to peritoneal inflammation?

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    o Ask the patient to cough prior to palpation  To evaluate a patient’s response to a vibration sensation, the NP would ask the patient to identify: o The sensation when the tuning fork is placed on the big toe  A common clinical term used to refer to women with an excess growth of terminal hair in a male pattern is: o Hirsutism  Hyperplasia of the thyroid gland is caused by a deficiency of: o Iodine, resulting in a goiter  Which of the following is NOT a complaint of patients with type 1 diabetes? o Polycythemia  Based on the 2-hour glucose tolerance test (GTT), a positive result for gestational diabetes is: o 200 mg/dL  A sweat test is used to help diagnose: o Cystic fibrosis  The presence of pubic hair in girls between the age of 5 and 8 years is termed: o Adrenarche  The most common cause of death in children diagnosed with cystic fibrosis is: o Respiratory failure  Hypofunctioning of the thyroid gland would lead to all the following disorders except: o Grave’s disease  A finding NOT identified in boys diagnosed with Klinefelter syndrome is: o A high sperm count, Klinefelter syndrome is a condition that affects male physical and cognitive development. SxS are: low testosterone level, micro-orchidism, gynecomastia, facial hair, baldness, and low sperm count  During assessment of the thyroid, a fixed, firm, nontender large mass is noted. These findings describe: o A nodule  A common symptom noted in patients who have a thyroid goiter is: o A frequent cough  A life-threatening symptom of parathyroid hormone (PTH) deficiency, hypoparathyroidism, is: o Tetany, which can develop of hypocalcemia is severe, causing laryngospasms and bronchospasms, which can be life threatening  When auscultating the enlarged thyroid with a stethoscope, a bruit is suggestive of: o Hyperthyroidism  Thyrotoxicosis is most commonly associated with: o Hyperthyroidism  A butterfly-shaped gland located in the middle of the neck below the larynx and above the clavicle is the: o Thyroid gland  A general term for an enlarged thyroid is: o A goiter

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     A hormonal disorder in adults resulting from the overproduction of growth hormones is known as: o Acromegaly  Hyperpigmentation of the skin and mucous membranes can be seen in patients who: o Addison’s disease  The appearance of breast development in girls before the age of 8 years is termed: o Precocious puberty  A 29-year-old woman with systemic lupus erythematosus (SLE) complains of facial swelling. She has been on a prolonged course of corticosteroids. On assessment, moon face appearance is noted. She has most likely developed: o Cushing Syndrome  When a patient presents with myxedema coma, which one of the following groups of symptoms may be present? o Hypothermia, thickening of the tongue, and disorientation  Which hemoglobin A1C level is typically used to diagnose type 2 diabetes? o 6.50%  Which electrolyte is regulated by the parathyroid gland? o Calcium  Symptoms of Graves’ disease include: o Proptosis  When assessing the thyroid gland, the nurse practitioner for abnormalities while asking the patient to: o Swallow water  A common arrhythmia associated with hyperthyroidism is: o Atrial Fibrillation  Which of the following is NOT considered a benign tumor of the pituitary gland? o Craniopharyngioma  Which of the following is NOT a symptom of polycystic ovarian syndrome (PCOS)? o Insomnia  Fruity breath odor correlates with assessment for: o Diabetic Ketoacidosis  A patient has an enlarged thyroid gland with an audible bruit. The examiner should suspect: o Hyperthyroidism  Examination of the hair reveals a sparse amount with a coarse appearance. These findings may be seen in patients who have: o Hypothyroidism  A 30-year-old woman is taking phenytoin (Dilantin) for seizures. She has recent hair loss and anorexia but is craving salty foods. Her lab results show abnormally high cortisol levels. These symptoms suggest: o Addison’s disease, which will present with above normal cortisol levels  Women with hyperthyroidism often experience: o Oligomenorrhea, infrequent menstrual periods  Which of the following is NOT associated with Hashimoto’s thyroiditis?

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    o Weight loss (Hashimoto’s presents with Cold intolerance, hair loss, and decreased perspiration)  Symptoms of underdeveloped ovaries, web-like neck, and shirt stature are associated with: o Turner Syndrome, SxS include short stature, delayed growth, low-set ears, web- like neck, and in girls, underdeveloped ovaries  Myxedema is a symptom commonly found in patients diagnosed with: o Hypothyroidism  Hyperfunctioning of the thyroid gland could lead to all of the following disorders except: o Myxedema  Bilateral exophthalmos suggests: o Grave’s disease  A 20-year-old with acanthosis nigricans should be evaluated for: o Diabetes mellitus  Which one of the following groups of symptoms would be more consistent in a child with type 2 diabetes mellitus? o Blood glucose levels on two separate occasions greater than 126 mg/dL, enuresis, and complaints of being tired.  Which one of the following groups of symptoms would be more consistent in a child with type 2 diabetes mellitus? o Blood glucose levels on two separate occasions greater than 126mg/dL, enuresis, and complaints of being tired  A 9-year-old girl had a history of tuberculosis when she was 6 years old. She presents with recent weight loss and anorexia. Along with her presenting symptoms, which one of the following assessment findings would be the most indicative of Addison’s disease? o Hyperpigmentation and low blood pressure  What is the earliest recognizable clinical manifestation(s) of cystic fibrosis in a child? o Clubbing, frequent respiratory infections, and rectal prolapse  Breastfeeding is contraindicated for an infant diagnosed with which one of the following conditions? o Galactosemia, lack of enzyme which breaks down galactose into glucose in the liver  The earliest recognizable clinical manifestation(s) of cystic fibrosis in an infant is: o Salty taste on the skin  A six-year-old has a history of diabetes mellitus type 1 and is now experiencing cellulitis of the right lower leg. The child presents with deep, rapid, and unlabored respirations, fruity odor, and dry skin. These are symptoms of: o Ketoacidosis  A 13-year-old girl presents with complaints of insomnia and hyperactivity along with gradual weight loss despite a good appetite. She has warm, flushed, and moist skin and unusually fine hair. These manifestations are indicative of which of the following conditions? o Hyperthyroidism  Children with type 1 diabetes mellitus usually present with which one of the following symptoms?

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