MSN Advanced Health Assessment 3

Question 1

Which of the following is considered a normal age-related change when assessing an older adult patient?

Accepted Answer

Decreased visual acuity, presbycusis, and reduced lung elasticity

Answer

Increased skin turgor and subcutaneous fat

Answer

Enhanced deep tendon reflexes bilaterally

Answer

Increased resting respiratory rate above 20 breaths/minute

Question 2

The Modified Mallampati Classification is used during the advanced health assessment to predict:

Accepted Answer

Potential difficulty with endotracheal intubation

Answer

Risk of aspiration pneumonia during nasogastric tube insertion

Answer

Severity of obstructive sleep apnea on polysomnography

Answer

Likelihood of postoperative pulmonary complications

Question 3

A positive Murphy's sign elicited during the abdominal assessment is most suggestive of:

Accepted Answer

Acute cholecystitis

Answer

Acute appendicitis

Answer

Acute pancreatitis

Answer

Peptic ulcer perforation

Question 4

The Denver Developmental Screening Test II (Denver II) is the appropriate developmental assessment tool for which patient population?

Accepted Answer

Children from birth through 6 years of age

Answer

School-age children ages 6–12 years

Answer

Adolescents ages 12–18 years

Answer

Premature infants up to 44 weeks corrected gestational age

Question 5

Using the SOAP note documentation format, which of the following belongs in the Objective (O) section?

Accepted Answer

Vital signs, physical examination findings, and laboratory results

Answer

Patient's description of chest pain and associated symptoms

Answer

Clinical impression and differential diagnoses

Answer

Treatment plan and patient education provided

Question 6

Cushing's triad, indicating severely elevated intracranial pressure, consists of which three clinical findings?

Accepted Answer

Bradycardia, hypertension, and irregular (Cheyne-Stokes) respirations

Answer

Tachycardia, hypotension, and shallow respirations

Answer

Fever, tachycardia, and altered mental status

Answer

Miosis, bradypnea, and diaphoresis

Question 7

When performing a comprehensive breast examination, which technique is recommended by evidence-based guidelines for systematic palpation?

Accepted Answer

Vertical strip (lawnmower) pattern covering the entire breast from axilla to sternum

Answer

Random palpation focusing on areas of patient concern

Answer

Circular palpation starting at the nipple and spiraling outward

Answer

Wedge pattern radiating from nipple to periphery in clock positions