NURS 5512 Week 6 Midterm Exam
Question 1
During percussion, a dull tone is expected to be heard over:
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1 out of 1 points
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 3
0 out of 1 points
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 4
1 out of 1 points
As part of your health promotion education for a new patient, you explain that the risk factors for skin cancer include:
Question 5
Sweat glands, hair, and nails are all formed from:
1 out of 1 points
Question 6
Tracheal tug suggests the presence of a(n):
1 out of 1 points
Question 7
Tangential lighting is best used for inspecting skin:
1 out of 1 points
Question 8
The review of systems is a component of the:
1 out of 1 points
Question 9
1 out of 1 points
Which technique is most likely to result in the patient's understanding of questions?
Question 10
Nasal symptoms that imply an allergic response include:
1 out of 1 points
.
Question 11
1 out of 1 points
Mr. Mills is a 55-year-old patient who presents to the office for an initial visit for health promotion. A survey of mobility and activities of daily living (ADLs) is part of a(an):
Question 12
1 out of 1 points
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?
Question 13
The most common form of birth trauma of the scalp is:
1 out of 1 points
Question 14
Expected hair distribution changes in older adults include:
1 out of 1 points
Question 15
1 out of 1 points
Ms. Jones is a 31-year-old female patient who presents for a routine physical examination. Which examination technique will be used first?
Question 16
1 out of 1 points
Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic. Which question has the most potential for exploring a patient's cultural beliefs related to a health problem?
Question 17
Spasmodic muscular contractions of the head, face, or neck are called:
1 out of 1 points
Question 18
1 out of 1 points
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, di"erentiator?
Question 19
1 out of 1 points
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 20
1 out of 1 points
4/18
Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)?
Question 21
To perform the Rinne test, place the tuning fork on the:
1 out of 1 points
Question 22
0 out of 1 points
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
1 out of 1 points
To correctly document absent bowel sounds, one must listen continuously for:
Question 24
1 out of 1 points
Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence?
Question 25
1 out of 1 points
Mrs. Tuber is a 36-year-old patient who comes into the health center with complaints that her fingernails are not growing. Which structure is the site of new nail growth?
Question 26
1 out of 1 points
In issues surrounding ethical decision making, beneficence refers to the:
Question 27
A flat, nonpalpable lesion is described as a macule if the diameter is:
1 out of 1 points
Question 28
1 out of 1 points
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 29
The adult recommended dietary fat intake should be g/day.
Question 30
0 out of 1 points
1 out of 1 points
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 31
1 out of 1 points
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 32
1 out of 1 points
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In counseling a client regarding nutrition education, you explain that linoleic acid, a major fatty acid, is thought to be essential for:
Question 33
1 out of 1 points
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 34
Fluorescing lesions are best distinguished using a(n):
1 out of 1 points
Question 35
1 out of 1 points
Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the:
.
Question 36
The position on a clock, topographic notations, and anatomic landmarks:
1 out of 1 points
Question 37
0 out of 1 points
Tympanic thermometers measure body temperature when a probe is placed:
Question 38
1 out of 1 points
7/18
Periods of silence during the interview can serve important purposes, such as:
Question 39
1 out of 1 points
Mr. Donalds is a 45-year-old roofer. Your inspection to determine color variations of the skin is best conducted:
Question 40
1 out of 1 points
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 41
Auscultation should be carried out last, except when examining the:
1 out of 1 points
Question 42
Di"erential diagnoses belong in the:
1 out of 1 points
Question 43
1 out of 1 points
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 44
1 out of 1 points
When assessing abdominal pain in a college-age woman, one must include:
Question 45
0 out of 1 points
Recommended carbohydrate content of total dietary intake (% total calories) is
%.
Question 46
1 out of 1 points
Underestimation of blood pressure will occur if the blood pressure cu"'s width covers:
Question 47
1 out of 1 points
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 48
1 out of 1 points
Which of the following is an expected change in the assessment of the thyroid during pregnancy?
Question 49
0 out of 1 points
Which of the following is the most accurate reflection of an individual's food intake?
Question 50
1 out of 1 points
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 51
1 out of 1 points
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 52
1 out of 1 points
Placing the base of a vibrating tuning fork on the midline vertex of the patient's head is a test for:
Question 53
When are open-ended questions generally most useful?
1 out of 1 points
Question 54
1 out of 1 points
You are palpating a patient's thyroid and find that its broadest dimension measures 4 cm. The right lobe is 25% larger than the left. These data would indicate:
Question 55
1 out of 1 points
You are collecting a history from an 11-year-old girl. Her mother is sitting next to her in the examination room. When collecting history from older children or adolescents, they should be:
10/18
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 57
1 out of 1 points
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 58
1 out of 1 points
Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure:
Question 59
1 out of 1 points
Which type of speculum should be used to examine a patient's tympanic membrane?
Question 60
A tool used to screen adolescents for alcoholism is the:
1 out of 1 points
Question 61
Macronutrients are so named because they:
1 out of 1 points
Subjective and symptomatic data are:
Question 63
Unusual white areas on the skin may be due to:
1 out of 1 points
Question 64
1 out of 1 points
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 65
Before performing an abdominal examination, the examiner should:
1 out of 1 points
.
Question 66
1 out of 1 points
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 67
1 out of 1 points
A 5-year-old child presents with nasal congestion and a headache. To assess for sinus tenderness you should palpate over the:
8
Question 68
Which of the following is the most vital nutrient?
1 out of 1 points
Question 69
1 out of 1 points
Which technique is most likely to result in the patient's understanding of questions?
Question 70
1 out of 1 points
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 71
1 out of 1 points
Which of the following occurs when firm pressure is used to apply the stethoscope's bell end- piece to the skin?
Question 72
When hearing is evaluated, which cranial nerve is being tested?
1 out of 1 points
Question 73
0 out of 1 points
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.
f. Bone conduction heard longer than air conduction
Question 74
A guideline for history taking is for caregivers to:
1 out of 1 points
Question 75
1 out of 1 points
When communicating with older children and teenagers, you should be sensitive to their:
Question 76
Regardless of the origin, discharge is described by noting:
1 out of 1 points
Question 77
Expected normal percussion tones include:
1 out of 1 points
Question 78
1 out of 1 points
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 79
1 out of 1 points
Ms. G. is being seen for her routine physical examination. She is a college graduate and president of a research firm. Although her exact salary is unknown, she has adequate health insurance. Most of the above information is part of Ms. G.'s history.
8
Question 80
Which of the following is an "ABCD" characteristic of malignant melanoma?
1 out of 1 points
Question 81
1 out of 1 points
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 82
1 out of 1 points
Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish:
Question 83
1 out of 1 points
A fixed image of any group that rejects its potential for originality or individuality is known as a(n):
Question 84
1 out of 1 points
A brief statement of the reason the patient is seeking health care is called the:
Question 85
After thorough inspection of the abdomen, the next assessment step is:
1 out of 1 points
15/18
Question 86
Nuchal rigidity is most commonly associated with:
1 out of 1 points
Question 87
Which of the following organs is part of the alimentary tract?
1 out of 1 points
Question 88
Which question would be considered a leading question?
1 out of 1 points
Question 89
Peritonitis produces bowel sounds that are:
1 out of 1 points
Question 90
1 out of 1 points
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 91
1 out of 1 points
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 92
1 out of 1 points
The infant should be placed in which position to have his or her height or length measured?
Question 93
1 out of 1 points
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 94
Cherry angiomas are a common finding in:
1 out of 1 points
Question 95
Peritonitis produces bowel sounds that are:
1 out of 1 points
Question 96
1 out of 1 points
Knowledge of the culture or cultures represented by the patient should be used to:
Question 97
A blood pressure cu" bladder should be long enough to:
1 out of 1 points
Question 98
The term denoting the caregiver's need to do no harm to the patient is:
1 out of 1 points
Question 99
1 out of 1 points
Which part of the information contained in the patient's record may be used in court?
Question 100
1 out of 1 points
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?
Sunday, January 5, 2020 5:18:12 PM EST
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