nsg 6020 midtermquest/NSG 6020 MIDTERM QUESTIONS
Question 1 (2 points)
When preparing to perform a physical examination on an infant, the examiner
... [Show More] should:
Question 1 options:
have the parent remove all clothing except the diaper on a boy.
instruct the parent to feed the infant immediately before the exam.
encourage the infant to suck on a pacifier during the abdominal exam.
ask the parent to briefly leave the room when assessing the infant’s vital signs.
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Question 2 (2 points)
A patient’s laboratory data reveal an elevated thyroxine level. The nurse would proceed with an
examination of the:
Question 2 options:
thyroid gland.
parotid gland.
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adrenal gland.
thyroxine gland.
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Question 3 (2 points)
The nurse practitioner is doing an oral assessment on a 40-year-old black patient and notes the
presence of a 1-cm, nontender, grayish-white lesion on the left buccal mucosa. Which of the following is
true concerning this lesion?
Question 3 options:
This lesion is leukoedema and is common in blacks.
This is the result of hyperpigmentation and is normal.
This is torus palatinus and would normally only be found in smokers.
This type of lesion is indicative of cancer and should be tested immediately.
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Question 4 (2 points)
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4
During an examination, the nurse knows that Paget’s disease would be indicated by which of the
following findings?
Question 4 options:
Positive Macewen’s sign
Premature closure of the sagittal suture
Headache, vertigo, tinnitus, and deafness
Elongated head with heavy eyebrow ridge
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Question 5 (2 points)
A 30-year-old woman with a history of mitral valve problems states that she has been “very tired.” She
has started waking up at night and feels like her “heart is pounding.” During the assessment, the nurse
practitioner palpates a thrill and lift at the fifth left intercostal space midclavicular line. In the same area
the nurse practitioner also auscultates a blowing, swishing sound right after S1. These findings would be
most consistent with:
Question 5 options:
heart failure.
aortic stenosis.
pulmonary edema.
5
mitral regurgitation.
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Question 6 (2 points)
The nurse practitioner notices that a patient’s submental lymph nodes are enlarged. In an effort to
identify the cause of the node enlargement, the nurse would assess the:
Question 6 options:
infraclavicular area.
supraclavicular area.
area distal to the enlarged node.
area proximal to the enlarged node.
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Question 7 (2 points)
During an assessment of a newborn infant, the nurse practitioner recalls that pyloric stenosis would be
manifested by:
Question 7 options:
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projectile vomiting.
hypoactive bowel activity.
palpable olive-sized mass in right lower quadrant.
pronounced peristaltic waves crossing from right to left.
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Question 8 (2 points)
A patient has been shown to have a sensorineural hearing loss. During the assessment, it would be
important for the nurse to:
Question 8 options:
speak loudly so he can hear the questions.
assess for middle ear infection as a possible cause.
ask the patient what medications he is currently taking.
look for the source of the obstruction in the external ear.
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Question 9 (2 points)
8
The most important reason to share information and offer brief teaching while performing the physical
examination is to help:
Question 9 options:
the examiner feel more comfortable and gain control of the situation.
build rapport and increase the patient’s confidence in the examiner.
the patient understand his or her disease process and treatment modalities.
the patient identify questions about his or her disease and potential areas of patient education.
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Question 10 (2 points)
A patient’s thyroid is enlarged, and the nurse practitioner is preparing to auscultate the thyroid for the
presence of a bruit. A bruit is a:
Question 10 options:
low gurgling sound best heard with the diaphragm of the stethoscope.
loud, whooshing, blowing sound best heard with the bell of the stethoscope.
soft, whooshing, pulsatile sound best heard with the bell of the stethoscope.
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high-pitched tinkling sound best heard with the diaphragm of the stethoscope.
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Question 11 (2 points)
During a cardiac assessment on an adult patient in the hospital for “chest pain,” the nurse practitioner
finds the following: jugular vein pulsations 4 cm above sternal angle when he is elevated at 45 degrees,
BP 98/60, HR 130; ankle edema; difficulty in breathing when supine; and an S3 on auscultation. Which of
the following best explains the cause of these findings?
Question 11 options:
Fluid overload
Atrial septal defect
Myocardial infarction
Heart failure
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Question 12 (2 points)
When examining an infant, the nurse practitioner should examine which area first?
Question 12 options:
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Ear
Nose
Throat
Abdomen
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Question 13 (2 points)
Which of the following techniques uses the sense of touch when assessing a patient?
Question 13 options:
Palpation
Inspection
Percussion
Auscultation
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Question 14 (2 points)
13
An example of objective information obtained during the physical assessment includes the:
Question 14 options:
patient’s history of allergies.
patient’s use of medications at home.
last menstrual period 1 month ago.
2 Χ 5 cm scar present on the right lower forearm.
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Question 15 (2 points)
The nurse practitioner is obtaining a history from a 30-year-old male patient and is concerned about
health promotion activities. Which of the following questions would be appropriate to use to assess
health promotion activities for this patient?
Question 15 options:
“Do you perform testicular self-exams?”
“Have you ever noticed any pain in your testicles?”
“Have you had any problems with passing your urine?”
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“Do you have any history of sexually transmitted disease?”
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Question 16 (2 points)
The nurse practitioner notices that an infant has a large, soft lump on the side of his head and that his
mother is very concerned. She tells the nurse practitioner that she noticed the lump about 8 hours after
her baby’s birth, and that it seems to be getting bigger. One possible explanation for this is:
Question 16 options:
hydrocephalus.
craniosynostosis.
cephalhematoma.
caput succedaneum.
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Question 17 (2 points)
A mother asks when her newborn infant’s eyesight will be developed. The nurse practitioner should
reply:
Question 17 options:
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“Vision is not totally developed until 2 years of age.”
“Infants develop the ability to focus on an object at around 8 months.”
“By about 3 months, infants develop more coordinated eye movements and can fixate on an
object.”
“Most infants have uncoordinated eye movements for the first year of life.”
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Question 18 (2 points)
The temporomandibular joint is just below the temporal artery and anterior to the:
Question 18 options:
hyoid.
vagus.
tragus.
mandible.
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Question 19 (2 points)
18
The nurse practitioner notes the presence of periorbital edema when performing an eye assessment on
a 70-year-old patient. The nurse practitioner will:
Question 19 options:
check for the presence of exophthalmos.
suspect that the patient has hyperthyroidism.
ask the patient if he or she has a history of heart failure.
assess for blepharitis because this is often associated with periorbital edema.
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Question 20 (2 points)
During an examination of a patient in her third trimester of pregnancy, the nurse practitioner notices
that the patient’s thyroid gland is slightly enlarged. No enlargement had been noted previously. The
nurse practitioner suspects that:
Question 20 options:
she has an iodine deficiency.
she is exhibiting early signs of goiter.
this is a normal finding during pregnancy [Show Less]