NURS 6512, Week 6 Midterm Exam This exam is a test of your knowledge in preparation for your certification exam. No outside resources including books,
... [Show More] notes, websites, or any other type of resource ar e to be used to complete this exam. You are expected to comply with Walden University’s Code of Conduct. This exam will be on topics covered in weeks 1, 2, 3, 4, 5, and 6. Prior to starting the exam, you should review all of your materials. This exam is timed with a limit of two hours for completion. When time is up, your exam will automatically submit. Submission and Grading Information Submit Your Midterm Exam by Day 7 QUESTIONS 1. Before performing an abdominal examination, the examiner should: Have the patient empty their bladder 2. During an interview, tears appear in the patient’s eyes and his voice becomes shaky. Initially, you should: Keep the interview moving to distract the patient 3. Which of the following is the most accurate reflection of an individual’s food intake? Food Diary 4. Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the: Lower liver border 5. A fixed image of any group that rejects its potential for originality or individuality is known as a: Stereotype 6. Peritonitis produces bowel sounds that are Decreased/Hypoactive 7. Brittle nails are typical findings in: Older adults 8. Which of the following is an expected change in the assessment of the thyroid during pregnancy? A Bruit is auscultated d/t increased vascularity 9. You are planning to palpate the abdomen of your patient. Which part of the examiner's hand is best for palpating vibration? Ulnar Surface 10. A 5-year-old child presents with nasal congestion and a headache to assess for sinus tenderness you should palpate over the: Maxillary sinuses only 11. During physical examination of a 30-year-old Chinese man you notice a slight asymmetry of his face. the cranial nerve examination is normal. Your best action is to Ask the patient if this characteristic runs in his family 12. Unusual white areas on the skin may be due to Vitiligo 13. You are using an ophthalmoscope to examine a patient’s inner eye. You rotate the lens selector clockwise, then counterclockwise to compensate for: Myopia 14. 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: Building and maintaining tissues 15. Mr. Akins is a 78-y/o 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. c. Loss of high frequency e. Sounds may be garbled, difficult to localize f. Unable to hear in a crowded room 16. The most superior part of the stomach is the Fundus 17. 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? B12 18. A 51-y/o woman calls with complaints of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to: Come to the laboratory for a stool guaiac test. 19. Placing the base of a vibrating tuning fork on the midline vertex of the patient’s head is a test for: Lateralization of Sound 20. Which technique is most likely to result in the patients understanding of questions? Use the patient's own terms if possible. 21. 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 the history? Past medical data 22. Nasal symptoms that imply an allergic response include: Bluish gray turbinates. ("Turbinates that appear bluish gray or pale pink with a swollen, boggy consistency may indicate allergies"-Seidel p.243) 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 am here! You tell me what’s wrong.” Which caregiver response would be the most appropriate for enhancing communication? After 3 days, you're tired of coughing. Have you had a fever?" 24. When taking a history, you should: Use a chronologic and sequential framework. 25. Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)? Brief SOAP note 26. 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: Pull the auricle down and back in an effort to straighten the upward curvature of the canal 27. Which question would be considered a leading question? You don't get headaches often, do you?" 28. Mr. Black is a 44y/o 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? C 4 to C 5: C4 and C5 or C5 and C 6 provide the greatest horizontal mobility in adults [Show Less]