MN 522 Advanced Health Assessment Final

MN 522 Advanced Health Assessment Final Exam Latest Update 2024-2025 Actual Exam 120 Questions and 100% Verified Correct Answers Verified by Professor

A 10-month-old infant is brought to the clinic with complaints of cough and rhinorrhea.When auscultating the child's lungs, you note a large, bulging umbilical mass. The mass is easily reducible but increases when the child cries. This assessment finding is a(n):

• Inguinal hernia
• Umbilical hernia
• Gastroschisis

d. Omphalocele - CORRECT ANSWER: b. Umbilical hernia

A 10-year-old child presents to the clinic with acute RLQ abdominal pain and fever. The examiner positions the child supine, then flexes each leg at the hip and rotates the hip internally and externally. The child complains of pain when this maneuver is conducted

on the right leg. This is an elicitation of:

• The iliopsoas sign
• The obturator sign
• Murphy's sign

d. Rebound tenderness - CORRECT ANSWER: b. The obturator sign

A 15-month-old boy is in the clinic for a well-child visit. You note increased muscle tone.

This is a red flag for:

• Adam syndrome
• Cerebral palsy
• Down syndrome

d. Muscular dystrophy - CORRECT ANSWER: b. Cerebral palsy

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A 2-year-old child is brought to the clinic after falling off a slide at the park and sustaining three small bruises to the face. All of the following components of the health

history should raise suspicion of child abuse except:

• The parents seek medical assistance immediately after the injury.
• The type and degree of injury is incompatible with the history.
• The parents delay seeking medical attention for the injury.
• The parents give different histories when asked to describe what happened. -

CORRECT ANSWER: a. The parents seek medical assistance immediately after the

injury.

A 3-year-old child suffered a severe traumatic brain injury. The examiner would expect

this child's Babinski reflex to be:

• Negative
• Positive
• Fluctuating, depending on intracranial pressure

d. Unable to be assessed - CORRECT ANSWER: b. Positive

A 30-month-old boy is in the office for his annual health maintenance examination. The pediatric healthcare provider notes anal fissures, perianal skin tags, and some other flesh-colored pedunculated lesions. His mother denies that the child has any history of constipation, but does recall seeing blood in his diaper on a few occasions. His health history is otherwise unremarkable. The social history reveals that the child has no siblings, the child's biological father is not involved, and the child's mother has had several live-in male partners. In order to ensure a correct diagnosis, what should the healthcare provider do next?

• Nothing; these are normal findings
• Ask for the contact information for the mother's partners and interview them
• Contact a board-certified sexual assault nurse examiner (SANE) to interview the

mother, examine the child further, and collect evidence

• Call the police; this represents - CORRECT ANSWER: c. Contact a board-certified

sexual assault nurse examiner (SANE) to interview the mother, examine the child further, and collect evidence

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A 5-year-old boy is new to the clinical practice and presents for a kindergarten physical.During the examination, his gait is assessed. No limp or ataxia is noted, but he is toe walking. The provider asks his parents if this is how he normally walks and they say yes.Which of the following parts of the child's past medical history are important to assess?

• Previous history of hyperactive deep tendon reflexes
• Previous history of lower extremity injury
• History of perinatal or neonatal hypoxia or asphyxia
• History of high fever in infancy - CORRECT ANSWER: c. History of perinatal or

neonatal hypoxia or asphyxia

A 7-year-old child is asked to stand straight and then raise the right leg off the ground.When bearing weight on the left hip, the pelvis will drop on the right side. This finding is

the:

• Trendelenburg sign
• Barlow sign
• Ortolani sign

d. Galeazzi sign - CORRECT ANSWER: a. Trendelenburg sign

A 9-year-old child of political refugees has recently arrived from a country that has been war-torn for 10 years. This child requires a school physical. During the health encounter,

this child should be screened for all the following except:

• PTSD
• Depression
• Anxiety and panic disorder

d. Obesity - CORRECT ANSWER: d. Obesity

A child has been hit by a car while riding her bicycle. The Glasgow Coma Scale

assessment reveals a total score of 10. This is considered indicative of a:

• Mild head injury
• Moderate head injury
• Severe head injury
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