NURS 5220 ADVANCED PHYSICAL ASSESSMENT

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NURS 5220 ADVANCED PHYSICAL ASSESSMENT

EXAM 2 NEWEST 2025 ACTUAL EXAM

COMPLETE 300 QUESTIONS AND CORRECT

DETAILED ANSWERS (VERIFIED ANSWERS)

|ALREADY GRADED A+

With an infant lying supine on the examining table, both knees flexed, feet flat on table, and femurs aligned, you note that one knee is higher than the other. Which would be a correct documentation of this finding?

• Negative Neer test
• Positive Allis sign
• Negative Gower sign

D. Positive McMurray test - ANSWER-B: Correct

Rationale; The test for the Allis sign is used to detect hip dislocation or a shortened femur. When one knee appears lower than the other, the Allis sign is positive.

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Which of the following questions asked by the examiner would be most helpful in understanding a patient complaining of acute back pain?

• "What medications do you currently take?"
• "Was there any activity or injury that occurred before the

onset of the pain?"

• "Were you born with any congenital deformities of the

spine?"

D. "Have you recently lost weight?" - ANSWER-B: Correct

Rationale; When a patient presents with a complaint of back pain, it is important to ask about any associated event, such as trauma, lifting of heavy weights, long-distance driving, sports activities, change in posture, or deformity.

Mr. McKnight, a 72-year-old patient, presents to your office for a routine office visit. Which finding on examination would be considered normal?

• Meningocele
• Myelomeningocele
• Kyphosis 2 / 4

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• Scoliosis - ANSWER-C; Correct

Rationale; Kyphosis may be observed in aging adults.

Which item from a patient's history indicates an increased risk of osteomyelitis?

• Difficult to control gout
• Rheumatoid arthritis
• Severe osteoporosis
• Open fracture of the radius - ANSWER-D; Correct

Rationale; Osteomyelitis, an infection in the bone, usually results from an open wound or systemic infection.

Mr. Bartlet is a 24-year-old patient who presents to your office with a complaint of knee pain. On examination, what degree of knee flexion is considered a normal finding?

• 15 degrees
• 90 degrees
• 130 degrees

D. 160 degrees - ANSWER-C: Correct 3 / 4

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Rationale; Bend each knee. Expect 130 degrees of flexion.

Which of the following is considered a normal finding for a woman in her eighth month of pregnancy?

• Stronger ligaments and spinal joints
• Hypercalcemia
• 25% loss of muscle strength

D. Lordosis - ANSWER-D: Correct

Rationale; The growing fetus shifts the woman's center of gravity forward, leading to increased lordosis and a compensatory forward cervical flexion.

Which factor can cause excessive hyperextension of the knee with weight bearing?

• Parrot beak tear of the medial meniscus
• Weakness of the quadriceps
• Displacement of the patells
• Presence of a Baker cyst - ANSWER-B: Correct
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