NURS6512N Week 6 Midterm Exam Latest

Course  NURS-6512N-15,Advanced Health Assessment.

Test       Week 6 Midterm Exam

•             Question 1          What finding is unique to the documentation of a physical examination of an infant?

•             Question 2          Nasal symptoms that imply an allergic response include:

•             Question 3          Inspection of the abdomen should begin with the patient supine and the examiner:

•             Question 4          Mr. D. complains of a headache. During the history, he mentions his use of alcohol and illicit drugs. This information would most likely belong in the:

•             Question 5          Mrs. Kinder is a 39-year-old patient who presents to the office with complaints of an earache. In explaining to the patient about the function of her ears, which ear structure would you tell her is responsible for equalizing atmospheric pressure when swallowing, sneezing, or yawning?

•             Question 6          Mrs. Hartzell is a 34-year-old patient who has presented for nutritional counseling because she is a vegetarian. Deficiency of which of the following is a concern in the vegetarian diet?

•             Question 7          During an interview, you have the impression that a patient may be considering suicide. Which action is essential?

•             Question 8          Macronutrients are so named because they:

•             Question 9          During physical examination of a 30-year-old Chinese man, you notice slight asymmetry of his face. The cranial nerve examination is normal. Your best action is to:

Record the findings in the patient’s chart. It is not considered abnormal to have slight asymmetry for the face which does not need additional questioning, unnecessary laboratory work, or tests. Therefore, chart notations are essential for future reference                                           

•             Question 10        Peritonitis produces bowel sounds that are:

•             Question 11        Underestimation of blood pressure will occur if the blood pressure cuff’s width covers:

•             Question 12        When communicating with older children and teenagers, you should be sensitive to their:

Sensitive to their confidentiality                                               

•             Question 13        Expected normal percussion tones include:

•             Question 14        Your patient returns for a blood pressure check 2 weeks after a visit during which you performed a complete history and physical. This visit would be documented by creating a(n):

•             Question 15        In counseling a client regarding nutrition education, you explain that linoleic acid, a major fatty acid, is thought to be essential for:                                    

•             Question 16        A flat, nonpalpable lesion is described as a macule if the diameter is:

•             Question 17        George Michaels, a 22-year-old patient, tells the nurse that he is here today to “check his allergies.” He has been having “green nasal discharge” for the last 72 hours. How would the nurse document his reason for seeking care?

•             Question 18        Mrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the:

•             Question 19        In issues surrounding ethical decision making, beneficence refers to the:

•             Question 20        Mr. and Mrs. Johnson have presented to the office with their infant son with complaints of ear drainage. When examining an infant’s middle ear, the nurse should use one hand to stabilize the otoscope against the head while using the other hand to:

•             Question 21        Which type of speculum should be used to examine a patient’s tympanic membrane?

•             Question 22        A college student comes to the student health center complaining of difficulty in concentrating during class and while studying. The diet that would contribute to this problem is one that consumes mostly:

•             Question 23        Mr. Franklin is speaking with you, the health care provider, about his respiratory problem. Mr. Franklin says, “I’ve had this cough for 3 days, and it’s getting worse.” You reply, “Tell me more about your cough.” Mr. Franklin states, “I wish I could tell you more. That’s why I’m here. You tell me what’s wrong!” Which caregiver response would be most appropriate for enhancing communication?

By asking a person who is unfamiliar with the patient to translate                                            

•             Question 24        You are completing a general physical examination on Mr. Rock, a 39-year-old man with complaints of constipation. When examining a patient with tense abdominal musculature, a helpful technique is to have the patient:

•             Question 25        Spasmodic muscular contractions of the head, face, or neck are called:

•             Question 26        Peritonitis produces bowel sounds that are:

•             Question 27        Mr. Akins is a 78-year-old patient who presents to the clinic with complaints of hearing loss. Which of the following are changes in hearing that occur in the elderly? Select all that apply.

•             Question 28        You are using an ophthalmoscope to examine a patient’s inner eye. You rotate the lens selector clockwise, then counterclockwise to compensate for:

                Question 29        White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are:

•             Question 30        Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure:

•             Question 31        To approximate vocal frequencies, which tuning fork should be used to assess hearing?

                Question 32        Auscultation should be carried out last, except when examining the:

•             Question 33        Mr. Williams, age 25, has recovered recently from an upper and lower respiratory infection. He describes a long-standing nasal dripping. He is seeking treatment for a mild hearing loss that has not gone away. Information concerning his chronic postnasal drip should be documented within which section of his history?

•             Question 34        The adult recommended dietary fat intake should be _____ g/day.                                        

               

                                               

•             Question 35        You have just completed a skin assessment on Mr. Baker. During your assessment, you have transilluminated a skin lesion. During the physical examination, you know that skin lesions are transilluminated to distinguish:

•             Question 36        When you are questioning a patient regarding alcohol intake, she tells you that she is only a social drinker. Which initial response is appropriate?

•             Question 37        Which of the following is the most accurate reflection of an individual’s food intake?

•             Question 38        During percussion, a dull tone is expected to be heard over:

•             Question 39        Which of the following is an “ABCD” characteristic of malignant melanoma?

                Question 40        Unusual white areas on the skin may be due to:

•             Question 41        Which of the following occurs when firm pressure is used to apply the stethoscope’s bell end-piece to the skin?

                Question 42        Mrs. Grace is a 58-year-old patient who has a diagnosis of pernicious anemia. Which B vitamin is deficient in patients with pernicious anemia?

•             Question 43        A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the:

•             Question 44        The term denoting the caregiver’s need to do no harm to the patient is:

•             Question 45        Mr. Walters, a 32-year-old patient, tells you that his ears are “stopped up.” An objective assessment of this complaint is achieved by using the:

•             Question 46        Which is the best way to position a patient’s neck for palpation of the thyroid?

•             Question 47        Tympanic thermometers measure body temperature when a probe is placed:

•             Question 48        A fixed image of any group that rejects its potential for originality or individuality is known as a(n):

•             Question 49        Knowledge of the culture or cultures represented by the patient should be used to:

•             Question 50        A 17-year-old girl presents to the clinic for a sports physical. Physical examination findings reveal bradycardia, multiple erosions of tooth enamel, and scars on her knuckles. She appears healthy otherwise. You should ask her if she:

                Question 51        When assessing abdominal pain in a college-age woman, one must include:

•             Question 52        Ms. Davis is a 27-year-old patient with a BMI of 33. Based on her BMI, your diagnosis would be:

•             Question 53        A brief statement of the reason the patient is seeking health care is called the:

•             Question 54        The attitudes of the health care professional:

•             Question 55        Ms. Jones is a 31-year-old female patient who presents for a routine physical examination. Which examination technique will be used first?

•             Question 56        A tool used to screen adolescents for alcoholism is the:

•             Question 57        You are examining a pregnant patient and have noted a vascular lesion. When you blanche over the vascular lesion, the site blanches and refills evenly from the center outward. The nurse documents this lesion as a:

•             Question 58        Which question would be considered a leading question?

•             Question 59        Your patient presents with symptoms that lead you to suspect acute appendicitis. Which assessment finding is least likely to be associated with this condition early in its course?

•             Question 60        Before performing an abdominal examination, the examiner should:

                Question 61        Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)?

•             Question 62        Which statement is true regarding the relationship of physical characteristics and culture?

•             Question 63        Your patient is complaining of acute, intense sharp epigastric pain that radiates to the back and left scapula with nausea and vomiting. Based on this history, your prioritized physical examination should be to:

•             Question 64        Mrs. Raymonds is a 24-year-old patient who has presented for a routine concern over her current weight. In your patient teaching with her, you explain the importance of macronutrients. Which of the following is a macronutrient?

•             Question 65        Tangential lighting is best used for inspecting skin:

•             Question 66        Mr. Abdul is a 40-year-old Middle Eastern man who presents to the office for a first visit with the complaint of new abdominal pain. You are concerned about violating a cultural prohibition when you prepare to do his rectal examination. The best tactic would be to:

•             Question 67        When are open-ended questions generally most useful?

•             Question 68        Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish:

                Question 69        Regardless of the origin, discharge is described by noting:

                Question 70        When assessing abdominal pain in a college-age woman, one must include:

•             Question 71        A detailed description of the symptoms related to the chief complaint is presented in the:

•             Question 72        Mr. Mathews is a 47-year-old patient who presents for a routine physical examination. On examination, you have noted a bruit heard over the thyroid. This is suggestive of:

                Question 73        Expected hair distribution changes in older adults include:

•             Question 74        To perform the Rinne test, place the tuning fork on the:

•             Question 75        Bulging of an amber tympanic membrane without mobility is most often associated with:

•             Question 76        Subjective and symptomatic data are:

•             Question 77        Placing the base of a vibrating tuning fork on the midline vertex of the patient’s head is a test for:

•             Question 78        Which of the following is an expected change in the assessment of the thyroid during pregnancy?

                Question 79        Mrs. Britton is a 34-year-old patient who presents to the office with complaints of skin rashes. You have noted a 4′ 3-cm, rough, elevated area of psoriasis. This is an example of a:

•             Question 80        Mrs. Webb is a 38-year-old patient who has been changing her lifestyle to eat in a healthy way and lose weight. During your health promotion education regarding her nutritional status, you explain the function of dietary protein as:

•             Question 81        Mr. Sanchez is a 45-year-old gentleman who has presented to the office for a physical examination to establish a new primary care health care provider. Which of the following describes a physical, not a cultural, differentiator?

•             Question 82        Mr. Johnson presents with a freely movable cystic mass in the midline of the high neck region at the base of the tongue. This is most likely a:

•             Question 83        The most common form of birth trauma of the scalp is:

•             Question 84        The examiner’s evaluation of a patient’s mental status belongs in the:

•             Question 85        A 51-year-old woman calls with complaints of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to:

                Question 86        The review of systems is a component of the:

•             Question 87        Mr. L. presents to the clinic with severe groin pain and a history of kidney stones. Mr. L.’s son tells you that, for religious reasons, his father wishes to keep any stone that is passed into the urine filter that he has been using. What is your most appropriate response?

                Question 88        Recommended carbohydrate content of total dietary intake (% total calories) is __50__%.•                Question 89        When hearing is evaluated, which cranial nerve is being tested?

•             Question 90        Small, minute bruises are called:

•             Question 91        The infant should be placed in which position to have his or her height or length measured?

•             Question 92        When examining the skull of a 4-month-old baby, you should normally find:

•             Question 93        Cherry angiomas are a common finding in:

•             Question 94        Mrs. Leonard brings her newborn infant into the pediatrician’s office for a first well-baby visit. As the health care provider, you teach her that newborns are more vulnerable to hypothermia due to:

•             Question 95        Mr. Black is a 44-year-old patient who presents to the clinic with complaints of neck pain that he thinks is from his job involving computer data entry. As the examiner, you are checking the range of motion in his neck and note the greatest degree of cervical mobility is at:

•             Question 96        Which technique is most likely to result in the patient’s understanding of questions?

•             Question 97        During an interview, tears appear in the patient’s eyes and his voice becomes shaky. Initially, you should:

•             Question 98        Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence?

•             Question 99        When palpating the abdomen, you should note whether the liver is enlarged in the:

•             Question 100     As you explain your patient’s condition to her husband, you notice that he is leaning toward you and pointedly blinking his eyes. Knowing that he is from England, your most appropriate response to this behavior is to:

•             Question 101     When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?