In which age group are milia an expected finding?
A. Newborns
B. Young children
C. Adolescents
D. Older adults - correct answer A
On
... [Show More] palpation of an older individual's skin, you observe "tenting." Which of the following would be most appropriate for you to do in regard to this condition?
A. Have the individual further evaluated for dehydration.
B. Refer the client for punch biopsy of the skin.
C. Inform the individual to be especially vigilant in self-screening for skin cancer.
D.Observe the skin carefully for other manifestations of loss of skin integrity. - correct answer A
Skin color is dependent on which of the following cells?
A. Carotenocytes
B. Melanocytes
C. Dermatocytes
D. Keratinocytes - correct answer B
Wrinkling of the skin is less marked in individuals who:
A. are obese.
B. demonstrate premature graying.
C. are white.
D. have overactive sebaceous and sweat gland activity. - correct answer A
Molding of the infant's head is caused by:
A. premature closure of the fontanels.
B. shifting and overlapping of the skull bones during birth.
C. subperiosteal edema.
D. increased cerebrospinal fluid. - correct answer B
In addition to the head, neck, axilla, and inguinal areas, the examiner may also assess lymph nodes:
A. on the palmar aspect of the hands.
B. in the popliteal region.
C. in the patellar region.
D. on the dorsum of the foot. - correct answer B
When you ask the patient to clench the teeth and then to smile, which cranial nerve are you testing?
A. Trochlear
B. Abducens
C. Facial
D. Vagus - correct answer C
The color of the nasal mucosa should appear:
A. deep pink.
B. red.
C. bluish gray.
D. pale pink. - correct answer A
The pneumatic attachment to the otoscope is used to evaluate which characteristic of the tympanic membrane?
A.Vibrations
B.Mobility
C.Tension
D.Strength - correct answer B
A tympanic membrane that is retracted is also more:
A. concave.
B. convex.
C. impacted.
D. dilated. - correct answer A
To which problem are older individuals more prone?
A. Increased sensitivity to tastes
B. Hyperactivity of the salivary glands
C. Decreased salivation
D. Edema of the tongue - correct answer C
During the course of the interview, a patient indicates that he has been given the drug gentamicin (an aminoglycoside antibiotic) for an upper respiratory infection. Based on this information, you would check for which type of problem?
A. Dizziness and vertigo
B. Recurrent nosebleeds
C. Hearing loss
D. Oral lesions - correct answer C
A function of cerumen in the ear canal is to provide:
A. vibration.
B. lubrication.
C. sound transmission.
D. adhesiveness. - correct answer B
Which of the following situations is an indication for transillumination?
A. The patient complains of epistaxis.
B. The patient has crepitus with jaw movement.
C. The parotid gland is palpable and tender.
D. The patient complains of pain over the sinuses with palpation - correct answer D
Which finding is most likely to cause an examiner to suspect a foreign object in the nose of a young child?
A. There is a purulent discharge from the child's nose.
B. The turbinates appear bluish gray and boggy.
C. The child cries when the soft tissue of the nose is palpated.
D. Unilateral nasal flaring is present. - correct answer A
In the older adult patient, stature begins to decline at:
A. 40 years of age.
50 years of age.
60 years of age.
70 years of age. - correct answer
Present problem - correct answer Step-by-step evaluation of circumstances
Focused history - correct answer Taken during an acute situation requiring immediate attention
Interim history - correct answer A chronicle of events since last meeting with the patient
Chief complaint - correct answer Brief description of the perceived problem
Medical history - correct answer Previous childhood and adult illness
Social history - correct answer Education, home environment, hobbies
Inventory history - correct answer Touches on major points of concern without detail
Systems review - correct answer Organized physiologic data
Family history - correct answer Pedigree diagram or genogram
Complete history - correct answer A history completed the first time a patient is seen
A 4x3cm rough, elevated area of psoriasis is an example of - correct answer plaque
A musical squeaking noise heard b auscultation of the lungs is called - correct answer wheezing
An apical PMI palpated beyond the left fifth intercostal space indicated - correct answer left ventricular enlargement
Behavior approved by the group standards is - correct answer the norm
Blood pressure - correct answer is a peripheral measurement of cardiovascular function
Coarse, dry, brittle hair is associated with which metabolic disorder - correct answer hypothyroidism
Contraction of the ventricles causes - correct answer closure of the mitral and tricuspid valves
If the apical pulse is more vigorous than expected to the chest wall, it is called - correct answer heave or lift
In barrel chest, the ratio of the AP diameter to the transverse is - correct answer equals 1.0:1.0 or greater
Mr. Harris is a 42-year-old patient who is evaluated in the clinic. Currently he is on disability and his diet is poor. You are concerned that he has a vitamin C deficiency. Which of the following foods would increase his vitamin C intake? - correct answer Raw green vegetables
Painful vesicles are associated with - correct answer herpes zoster
Skin turgor checks are performed in order to determine - correct answer hydration
To palpate inguinal nodules, you should have the patient - correct answer lie supine with the knee slightly flexed
When examining a infant's middle ear the practitioner should use one hand to stabilize the otoscope against the head while using the other hand to - correct answer pull the auricle down
Where would the nurse palpate when assessing the submental lymph nodes? - correct answer Midline behind the tip of the mandible
When hearing is being tested what cranial nerve is being tested? - correct answer VIII
Which is a function of Vitamin D? - correct answer Helps enzymes that aid in calcium absorption
Which statement best describes the role of Vitamin E in the human body? - correct answer Protects cell membranes from oxidation
Which statement best describes the chief complaint?
A. General health and illness
B. The reason the individual is seeking care
C. Information to make the diagnosis
D. Concerns about confidentiality and trust - correct answer B
A conversation with a parent concerning a 5-year-old child:
A. violates the child's need for privacy.
B. is inappropriate because the child is able to talk with you.
C. provides significant information about family dynamics.
D. causes distrust in the child toward the examiner. - correct answer C
J.F. shares with you that he has an uncle and a brother with sickle cell disease. Where would this information best be documented?
A. Chief complaint
B. Medical history
C. Social history
D. Family history - correct answer D
A mother runs into the emergency department with her 6-year-old son. She says that her son fell 15 feet from a tree. The child is screaming and has an open fracture of the left forearm. You would conduct a(n):
A. complete history.
B. focused history.
C. problem-oriented history.
D. interim history. - correct answer B
Some older adults may have sensory losses that make communication more difficult. Some degree of hearing loss is common in older adults. One action that tends to worsen hearing or communication problems is:
A. positioning yourself so the patient is looking at your face.
B. speaking clearly and slowly.
C. using a high-pitched voice.
D. avoiding noisy interviewing rooms. - correct answer C
A health care provider develops a cultural knowledge base to:
A. anticipate the patient's adherence to a treatment plan.
B. predict behaviors and attitudes.
C. understand the behaviors, practices, and problems observed.
D. change undesirable behavior or practices to conform to health care practice. - correct answer C
A common mistake made by health care professionals is to:
A. acknowledge the practice of folk or herbal remedies.
B. adapt health care concepts to meet the needs of individuals of other cultures.
C. stereotype individuals based on their color or ethnic group.
D. overestimate the ability of individuals from diverse cultures to understand health care concepts. - correct answer C
Cultural beliefs and behaviors that will have an effect on your assessment of the patient include which of the following?
A. Diet and nutritional practices.
B. The nature of relationships within a family
C. Modes of communication: the uses of speech, body language, and space
D. All of the above - correct answer D
What part of the hand is best for the examiner to use to palpate a superficial mass detected in the skin?
A. Finger pads
B. Heel of the hand
C. Dorsal surface of the hand
D. Ulnar surface of the hand - correct answer A
According to the Centers for Disease Control and Prevention, the health care provider should apply infection control measures to which group of patients?
A. Patients with a known infectious disease
B. Patients with a possible infectious disease
C. Patients who appear ill
D. All patients regardless of their infectious status - correct answer D
In which of the following situations is transillumination an appropriate examination technique?
A. Assessment of vesicles on the skin
B. Detection of fluid within the sinuses
C. Measurement of bone density in the skull
D. Determination of a mass in the abdomen - correct answer B
Temperature changes are best assessed by:
A. the ulnar surface of the hand.
B. the dorsal aspect of the hand.
C. the tips of the fingers.
D. the ventral aspect of the fingers. - correct answer B
During auscultation of a patient's heart, the sounds from the TV are interfering with adequate hearing of the heart sounds. Which of the following options would be best in this situation?
A. Ask the patient to turn off/mute the TV for a couple of minutes.
B. Turn up the sound on the stethoscope.
C. Come back when the TV is off.
D. Skip the auscultation examination for this time. - correct answer A
How is a blood pressure reading affected if a wide adult cuff is used on a small child?
A. Blood pressure readings will be lower.
B. Blood pressure readings will be higher.
C. Systolic readings will be falsely high and diastolic falsely low.
D. Blood pressure readings will be variable because correct cuff size is a matter of comfort. - correct answer A
Pain has been referred to as the fifth vital sign. Which statement is true of pain and its management?
A. Pain is exclusively a physiologic response.
B. The patient determines what is an unacceptable pain level.
C. Tolerance and addiction to pain medication are universal phenomena.
D. There is a single cause of pain for each patient. - correct answer B
In the older adult patient, stature begins to decline at:
A. 40 years of age.
B. 50 years of age.
C. 60 years of age.
D. 70 years of age. - correct answer B
Which occurrence marks the completion of skeletal growth?
A. Fused epiphyses of long bones
B Eighteenth birthday
C. Fused epiphyses of all bones
D. Fifteenth birthday - correct answer A
A baby's height, until 2 years of age, is measured by:
A. the recumbent length.
B. stadiometer.
C. height weight parameters.
D. skinfold thickness. - correct answer A
Which factor accounts for the decline in stature of an older adult?
A. Increased trifold skin thickness
B. Decreased weight compared with height
C. Kyphosis
D. Decreased muscle mass - correct answer C
The tool that uses physical and neuromuscular findings to confirm the gestational age of a newborn is:
A. the Keating Fetal Assessment.
B. the Ballard Clinical Assessment.
C. the Winslow Fetal Growth Assessment.
D. all of the above. - correct answer B
A history of an individual's food intake is important because it:
A. allows estimation of the adequacy of the diet.
B. identifies foods from the food pyramid.
C. compares the recommended dietary allowances to the US Department of Agriculture food pyramid.
D. compares diet and exercise. - correct answer A
A skin lesion that may be associated with neurofibromatosis or pulmonary stenosis is:
A. café au lait spots.
B. nevus vasculosus.
C. port wine limb stain.
D. spider angioma. - correct answer A
Which of the following techniques helps the examiner determine whether a palpable skin mass is filled with fluid?
A. Using a Wood's lamp
B. Biopsy
C Transillumination
D. Noting the odor of the lesion - correct answer C
Which of the following findings suggests that a patient has a fungal infection of the nail beds?
A. The nail bed is wide and thick.
B The nail plate has a central depression, causing a spoon appearance.
C. Superficial white spots are present in the nail plate.
D. The nail plate is yellow and crumbling. - correct answer D
Skin color is dependent on which of the following cells?
A. Carotenocytes
B. Melanocytes
C. Dermatocytes
D. Keratinocytes - correct answer B
Wrinkling of the skin is less marked in individuals who:
A. are obese.
B. demonstrate premature graying.
C. are white.
D. have overactive sebaceous and sweat gland activity. - correct answer A
On palpation of an older individual's skin, you observe "tenting." Which of the following would be most appropriate for you to do in regard to this condition?
A. Have the individual further evaluated for dehydration.
B. Refer the client for punch biopsy of the skin.
C. Inform the individual to be especially vigilant in self-screening for skin cancer.
D. Observe the skin carefully for other manifestations of loss of skin integrity. - correct answer A
Mr. Jones is a 55-year-old gentleman with diabetes. To visualize his macula, the examiner should ask Mr. Jones to:
A. blink the eye several times quickly.
B. lie in a supine position.
C. look directly into the light of the ophthalmoscope.
D. direct eye gaze on an object to the left and then to the right. - correct answer C
Which is the correct technique for performing a fundoscopic examination with a traditional ophthalmoscope? Examine the patient's:
A. right eye with your right eye, and the left eye with your left eye.
B. right eye with your left eye, and the left eye with your right eye.
C. right and left eyes with your dominant eye.
D. right and left eyes with your nondominant eye. - correct answer A
Which of the following cranial nerves directly connects the eye to the brain?
A. Abducens
B. Trochlear
C. Optic
D. Oculomotor - correct answer C
Which finding is most likely to cause an examiner to suspect a foreign object in the nose of a young child?
A. There is a purulent discharge from the child's nose.
B. The turbinates appear bluish gray and boggy.
C. The child cries when the soft tissue of the nose is palpated.
D. Unilateral nasal flaring is present. - correct answer A
A function of cerumen in the ear canal is to provide:
A. vibration.
B. lubrication.
C. sound transmission.
D. adhesiveness. - correct answer B
To which problem are older individuals more prone?
A. Increased sensitivity to tastes
B. Hyperactivity of the salivary glands
C. Decreased salivation
D. Edema of the tongue - correct answer C
A tympanic membrane that is retracted is also more:
A. concave.
B. convex.
C. impacted.
D. dilated. - correct answer A
Which type of breath sounds are normally auscultated over most of the lung fields?
A. Vesicular
B. Bronchovesicular
C. Bronchial
D. Tubular - correct answer A
Breath sounds normally heard over the trachea are called: [Show Less]