NR509 Week 2 Quiz (2 Versions, Latest-2021) / NR 509 Week 2 Quiz: Advanced Physical Assessment: Chamberlain College of Nursing |100% Correct Q & A,
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NR509 Week 2 Advanced Physical Assessment Quiz (2 Versions, Latest-2021) / NR509 Advanced Physical Assessment Quiz 2: Chamberlain College of Nursing |100% Correct Q & A|
NR 509 Week 2 Quiz / NR509 Week 2 Quiz (Latest): Advanced Physical Assessment: Chamberlain
NR 509 Advanced Physical Assessment Quiz 2 / NR509 Advanced Physical Assessment Quiz 2 (Latest): Chamberlain
NR509 Week 2 Advanced Physical Assessment Quiz / NR 509 Week 2 Advanced Physical Assessment Quiz (Latest): Chamberlain
Question1. The nurse is reviewing theories of illness. The germ theory, which states that microscopic organisms such as bacteria and viruses are responsible for specific disease conditions, is a basic belief of which theory of illness?
Holistic
Biomedical
Naturalistic
Magicoreligious
Question 2. In the hotcold theory, illnesses are believed to be caused by hot or cold entering the body. Which of these patients’ conditions is most consistent with a “cold” condition?
Diabetic patient with renal failure
Teenager with an abscessed tooth
Child with symptoms of itching and a rash
Elderly male with gastrointestinal discomfort
Question 3. The nurse is conducting a heritage assessment. Which question is most appropriate for this assessment?
“What is your religion?”
“Do you mostly participate in the religious traditions of your family?”
“Do you smoke?”
“Do you have a history of heart disease?”
Question 4. The nurse is comparing the concepts of religion and spirituality. Which of the following is an appropriate component of one’s spirituality?
Belief in and the worship of God or gods
Attendance at a specific church
A personal effort to find purpose and meaning in life
Spirituality is closely tied to one’s ethnic background
Question 5. The nurse is reviewing the hotcold theory of health and illness. Which statement best describes the basic tenets of this theory?
The causation of illness is based on supernatural forces that influence the humors of the body.
Herbs and medicines are classified on their physical characteristics of hot and cold and the humors of the body.
The four humors of the body consist of blood, yellow bile, spiritual connectedness, and social aspects of the individual.
The treatment of disease consists of adding or subtracting cold, heat, dryness, or wetness to restore the balance of the humors of the body.
Question 6. An elderly Mexican-American woman with traditional beliefs has been admitted to an inpatient care unit. A culturally-sensitive nurse would
contact the hospital administrator about the best course of action.
automatically get a curandero for her because it is not culturally appropriate for her to request one.
further assess the patient’s cultural beliefs and offer the patient assistance in contacting a curandero or priest if she desires.
ask the family what they would like to do because Mexican-Americans traditionally give control of decisions to their families.
Question 7. The nurse recognizes that working with children with a different cultural perspective may be especially difficult because
children have spiritual needs that are influenced by their stages of development.
children have spiritual needs that are direct reflections of what is occurring in their homes.
religious beliefs rarely affect the parents’ perceptions of the illness.
parents are often the decision makers, and they have no knowledge of their children’s spiritual needs.
Question 8. During morning rounds, the nurse asks a patient, “How are you today?” The patient responds, “You today, you today, you today!” and mumbles the words. This speech pattern is an example of
echolalia.
clanging.
word salad.
perseveration.
Question 9. A patient repeats, “I feel hot. Hot, cot, rot, tot, got. I’m a spot.” The nurse documents this as an illustration of
blocking.
clanging.
echolalia.
neologism.
Question 10. A 26-year-old woman was robbed and beaten a month ago. She is returning to the clinic today for a follow-up assessment. The nurse would want to be certain to ask her which of these questions?
“How are things going with the trial?”
“How are things going with your job?”
“Tell me about your recent engagement!”
“Are you having any disturbing dreams?”
Question 11. A 45-year-old woman is at the clinic for a mental status assessment. In giving her the Four Unrelated Words Test, the nurse would be concerned if she could not _____ four unrelated words _____.
invent; within 5 minutes
invent; within 30 seconds
recall; after a 30-minute delay
recall; after a 60-minute delay
Question 12. The nurse is assessing a 75-year-old man. As the nurse begins the mental status portion of the assessment, the nurse expects that this patient
will have no decrease in any of his abilities, including response time.
will have difficulty on tests of remote memory because this typically decreases with age.
may take a little longer to respond, but his general knowledge and abilities should not have declined.
will have had a decrease in his response time because of language loss and a decrease in general knowledge.
Question 13. A patient has had a cerebrovascular accident, or stroke. He is trying very hard to communicate. He seems driven to speak and says, “I buy obie get spirding and take my train.” What is the best description of this patient’s problem?
Global aphasia
Broca’s aphasia
Echolalia
Wernicke’s aphasia
Question 14. A 20-year-old construction worker has been brought into the emergency department with heat stroke. He has delirium as a result of the fluid and electrolyte imbalance. For the mental status examination, the nurse should first assess the patient’s
affect and mood.
memory and affect.
language abilities.
level of consciousness and cognitive abilities.
Question 15. The nurse is reviewing aspects of substance abuse in preparation for a seminar. Which of these statements illustrates the concept of “tolerance” to an illicit substance? The person
has a physiologic dependence on a substance.
requires an increased amount of the substance to produce the same effect.
requires daily use of the substance in order to function, and is unable to stop using it.
experiences a syndrome of physiologic symptoms if the substance is not used.
Question 16. The nurse is assessing bruising on an injured patient. Which color indicates a new bruise that is less than two hours old?
Red
Purple-blue
Greenish-brown
Brownish-yellow
Question 17. The nurse is examining a 3-year-old child who was brought to the emergency room after a fall. Which bruise, if found, would be of most concern?
A bruise on the knee
A bruise on the elbow
Bruising on the abdomen
A bruise on the shin
Question 18. A 16-year-old girl is being seen at the clinic for gastrointestinal complaints and weight loss. The nurse determines that many of her complaints may be related to erratic eating patterns, eating predominantly fast foods, and high caffeine intake. In this situation, which is most appropriate when collecting current dietary intake information?
Schedule a time for direct observation of the adolescent during meals.
Ask the patient for a 24-hour diet recall and assume this is reflective of a typical day for her.
Have the patient complete a food diary for three days, including two weekdays and one weekend day.
Use the food frequency questionnaire to identify the amount of intake of specific foods.
Question 19. The nurse is evaluating patients for obesity-related diseases by calculating the waist-to-hip ratios. Which one of these patients would be at increased risk?
29-year-old woman whose waist is 33 inches and whose hips are 36 inches
32-year-old man whose waist is 34 inches and whose hips are 36 inches
38-year-old man whose waist is 35 inches and whose hips are 38 inches
46-year-old woman whose waist is 30 inches and whose hips are 38 inches
Question 20. The nurse is providing care for a 68-year-old woman who is complaining of constipation. What concern exists regarding her nutritional status?
The absorption of nutrients may be impaired.
The constipation may represent a food allergy.
She may need emergency surgery for the problem.
The gastrointestinal problem will increase her caloric demand.
Question 21. Which of these conditions is due to an inadequate intake of both protein and calories?
Obesity
Bulimia
Marasmus
Kwashiorkor
Question 22. After completing a diet assessment on a 30-year-old woman, the nurse suspects that she may be deficient in iron. Laboratory studies to obtain to verify this condition would be
hemoglobin and hematocrit.
cholesterol and triglycerides.
urinalysis.
serum albumin.
Question 23. When assessing a patient’s nutritional status, the nurse recalls that the best definition of optimal nutritional status is
nutrients in excess of daily body requirements.
sufficient nutrients to provide for the minimum body needs.
sufficient nutrients for daily body requirements but not for increased metabolic demands.
sufficient nutrients to provide for daily body requirements and for increased metabolic demands.
Question 24. A patient tells the nurse that his food just doesn’t have any taste anymore. The nurse’s best response would be
“That must be really frustrating.”
“When did you first notice this change?”
“My food doesn’t always have a lot of taste either.”
“Sometimes that happens but your taste will come back.”
Question 25. The nurse is concerned about the skeletal protein reserves of a patient who has been hospitalized frequently for chronic lung disease. Which of these measurements would be necessary to include in the assessment?
Body mass index
Weight and height
Mid-arm muscle area
Ideal body weight and frame size
NR 509 Week 2 Quiz / NR509 Week 2 Quiz (Latest): Advanced Physical Assessment: Chamberlain
NR 509 Advanced Physical Assessment Quiz 2 / NR509 Advanced Physical Assessment Quiz 2 (Latest): Chamberlain
NR 509 Week 2 Advanced Physical Assessment Quiz / NR509 Week 2 Advanced Physical Assessment Quiz (Latest): Chamberlain
1. A mother brings her two month old daughter in for an examination says “my daughter rolled over against the wall and now I have noticed that she has the spot soft on the top of her head, is there something terribly wrong?” The FNP‘s best response would be:
2. During percussion the FNP knows that a dull percussion note elicited over a lung lobe. This most likely results from:
3. The patient is unable to differentiate between sharp and dull stimulation to both sides of her face. The FNP suspects Damage to:
4. When examining the face, the FNP is aware that the two pairs of salivary gland‘s that are accessible to examination are the _____ glands
5. A patient comes to the clinic complaining of neck and shoulder pain and is unable to turn her head. The FNP suspects damage to cranial nerve ____ and proceeds with the examination by____
6. When examining a patient’s cranial nerve function, the FNP remembers that the muscles in the neck that are innervated by CN XI are the:
7. The patient’s laboratory data reveal an elevated thyroxine level. The FNP would proceed with an examination of the _____ gland
8. A patient says that she has recently noticed a lump in the front of her neck below her “Adams apple” that seems to be getting bigger. During the assessment, the finding that leaves the FNP to suspect that this may not be a cancerous thyroid nodule is that the lump:
9. The FNP notices that the patient’s submental lymph nodes are enlarged. In an effort to identify the cause of the node enlargement, the FNP would assess the patient’s:
10. The FNP is aware that the four areas in the body were lymph nodes accessible are the:
11. A 52-year-old patient describes the presence of occasional floaters or spots moving in front of his eyes. The FNP should know that floaters are usually not significant and are caused by:
12. The FNP is preparing to assess the visual acuity of a 16-year-old patient. How should the FNP proceed?
13. A patient’s vision is recorded as 20/30 when the Snellen eye chart is used. The FNP interprets these results to indicate that:
14. A patient is unable to read even the largest letters on the Snellen chart. The FNP should take which action next:
15. A patient’s vision is reported as 20/80 in each eye. The FNP interprets this finding to mean that
16. When performing the corneal light reflex assessment, the FNP notes that the light is reflected at 2 o’clock in each eye. The FNP should
17. The FNP is performing the diagnostic positions test. Normal findings would be which of these results?
18. During an assessment of the sclera of an African-American patient, the FNP would consider which of these an expected finding?
19. A 60-year-old man is at the clinic for an examination. The FNP suspects that he has ptosis of one eye. How should the FNP check for this?
20. The FNP is doing an assessment on a 21-year-old patient and notices that his nasal mucosa appears pale gray and swollen. What would be the most appropriate question to ask the patient?
21. The FNP is palpating the sinus areas. If the findings are normal, then the patient should report which sensation?
22. During an oral assessment of a 30-year-old African-American patient, the FNP notices bluish lips and a dark line along the gingival margin. What would the FNP do in response to these findings
23. During an assessment of a 20-year-old patient with a three day history of nausea and vomiting the FNP notices dry mucous and deep vertical fissures on the tongue. These findings are reflective of:
24. The FNP is reviewing the technique of palpating for tactile fremitus with a new graduate. Which statement by the graduate FNP reflects a correct understanding of tactile fremitus?
25. The FNP student is reviewing physical assessment findings of the HEENT system associated with pregnancy. Which statement by the graduate FNP reflects a correct understanding of expected HEENT changes associated with pregnancy? During pregnancy [Show Less]