Finall Exam:l NU650/l NUl 650l (Latestl
2025/l 2026l Update)l Advancedl Healthl Assessmentl Nursingl Review|l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l Regis
Q:l Assessingl thel Sensoryl System
Answer:
Assessl sharpl andl dulll sensationl Assessl temperaturel sensationl vibrationl &l proprioception
Discriminativel senses:
-Stereognosisl (identifyl object) -Graphesthesial (identifyl numberl drawnl onl palm) -Twol pointl discriminationl (movel paperl clipl closerl onl palm) -Pointl localizationl (touchl skinl andl havel patientl identifyl where) -Extinctionl (askl patientl ifl theyl feell onel touchl orl two)
Q:l Musclel stretchl reflexl grading
Answer:
0l =l nol responsel 1+l =l diminished;l requiresl reinforcementl 2+l =l average,l normall 3+l =l briskerl thanl average 4+l =l veryl briskl WITHl CLONUS
Q:l Musclel stretchl reflexl locations
Answer:
Biceps Triceps Brachioradialis 1 / 4
Patellar/l kneel jerkl Achillesl /l anklel reflex
Q:l Vertigo
Answer:
sensationl ofl bodyl movingl orl thel environmentl movingl aroundl oneself,l usuallyl describedl asl al spinningl orl rotaryl motionl
Canl bel causedl byl neoplasm/vascularl illnessl (central)l orl disruptionl ofl thel innerl ear/vestibularl apparatusl (peripheral)
Q:l dizziness
Answer:
Usedl tol describel feelingl faintl orl lightheaded,l tol feelingl weakl orl unsteady.l
Describesl al numberl ofl conditions,l includingl vertigol andl lossl ofl balance
Q:l Syncopall Episode
Answer:
faintingl spell,l briefl lossl ofl consciousness,l "blackingl out"
Q:l Differentl typesl ofl paralysis
Answer:
Monoplegia:l paralysisl ofl al singlel bodyl areal (i.e.,l onel limb)l oftenl followsl al CVA,l nervel injury/damange.l
Hemiplegia:l affectsl arml andl legl onl thel samel sidel ofl thel body.l Causedl byl CP,l brainl injuries,l nervousl systeml disorders
Paraplegia:l Affectsl belowl thel waistl -l oftenl affectsl bothl legsl andl hips,l sexuality,l andl elimination.l Causedl byl spinall cordl infections/injury,l brainl infections,l stoke.l
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Quadriplegia:l paralysisl belowl neckl affectingl alll limbsl andl torso.l Causedl byl brainl andl spinall lesions/tumors/infections,l stroke,l drug/etohl overdoses.
Q:l Subjectivel andl Objectivel findingsl inl benignl prostaticl hypertrophy
Answer:
Subjective:l hesitancy,l slowl stream,l dribbling,l nocturial
Objective:l prostatel protrusionl intol rectum;l medianl sulcusl reduced,l boggyl prostate.
Q:l Subjectivel andl Objectivel findingsl inl breastl cancer
Answer:
Subjective:l Usuallyl overl agel 35,l unilaterall newl lumpl withl possiblel painfull butl usuallyl nontender
Objective:l harn,l nontender,l immobilel singlel lumpl withl non-distinctl borders,l nipplel inversionl orl dimplingl ofl breast,l bloodyl nipplel discharge,l axillaryl lymphadenopathy.l Possiblel swellingl orl erythema.
Q:l Subjectivel andl Objectivel findingsl withl Bartholin'sl cyst
Answer:
Subjective:l tendernessl withl walking,l sitting,l sexuall intercourse.l Historyl ofl STIs
Objective:l asymmetryl withl protrusionl ofl onel sidel ofl thel inferiorl aspectl ofl vulva.l Mayl havel vaginall bleedingl orl discharge.l Oftenl asymptomatic.l Ifl itl progressesl tol abscessl -l veryl painful,l tenderl tol palpation,l erythematous,l indurated/
Q:l Commonl concernsl inl thel HPIl forl femalel reproductivel system
Answer:
agel ofl menarche,l amenorrhea,l dysmenorrhea,l PMS,l urinaryl frequency,l menopausel andl menopausel symptomsl (hotl flashes,l nightl sweats,l flushing,l sweating,l sleepl disturbances)
Vaginall discharge,l itching,l pelvicl pain,l historyl ofl STIs,l pregnancies
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Q:l Commonl concernsl inl thel HPIl forl thel malel reproductivel system
Answer:
Penilel discharge,l itching,l lesions Scrotall painl orl swelling urinaryl frequency,l hesistancy,l dribbling,l nocturia.l Historyl ofl STIs
Q:l Healthl maintenancel recommendationsl forl thel malel reproductivel system
Answer:
Testicularl Cancerl screeningl -l notl recommendedl inl asymptomaticl males.l Risksl -l familyl hx,l HIV,l historyl ofl cryptorchidism.l
STIl screeningl -l forl menl atl risk.
Q:l Healthl maintenancel recommendationsl forl thel femalel reproductivel system
Answer:
Breastl cancer:l 40-75l years.l Annuall mammograml screening.l Breastl self-examinationl regularly.l
Chlamydial andl gonorrhea:l sexuallyl activel womenl agel 24l andl younger.l
Cervicall cancerl screening:l womenl agel 21-65l withl papl smearl everyl 3l years.l afterl agel 65l andl 3l consecutivel negative,l screeningsl canl stop.
Cervicall cancerl prevention:l 3l dosesl ofl HPVl vaccine,l givenl beforel sexuall exposurel (agel 9-11),l Alsol recommendedl forl femalesl upl tol agel 26l ifl notl previouslyl vaccinated.
Q:l Tannersl stagesl forl breasts
Answer:
Stagel 1:l (pre-puberty).l Nol glandularl breastl tissue
Stagel 2:l breastl budl palpablel underl areolal
Stagel 3:l Breastl tissuel palpablel outsidel areola,l nol areolarl developmentl Stagel 4:l Areolal elevated,l formsl "doublel scoop"
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