NURS 6512N Midterm Exam.docx
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Question 1
To perform the Rinne test, place the tuning fork on the:
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• Question
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Mr. Johnson presents with a freely movable cystic mass in the midline of the high neck region at the base of the tongue. This is most likely a:
• Question 3
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Nuchal rigidity is most commonly associated with:
• Question 4
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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 5
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Bulging of an amber tympanic membrane without mobility is most often associated with:
• Question 6
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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 7
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Which cranial nerves innervate the face?
• Question 8
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The most common form of birth trauma of the scalp is:
• Question 9
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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, differentiator?
• Question 10
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A 22-year-old female nurse is interviewing an 86-year-old male patient. The patient avoids eye contact and answers questions only by saying, "Yeah," "No," or "I guess so." Which of the following is appropriate for the interviewer to say or ask?
• Question 11
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Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure:
• Question 12
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Spasmodic muscular contractions of the head, face, or neck are called:
• Question 13
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When examining the skull of a 4-month-old baby, you should normally find:
• Question 14
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Which of the following occurs when firm pressure is used to apply the stethoscope's bell end-piece to the skin?
• Question 15
Peritonitis produces bowel sounds that are:
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• Question 16
Sweat glands, hair, and nails are all formed from:
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• Question 17
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Mr. Donalds is a 45-year-old roofer. Your inspection to determine color variations of the skin is best conducted:
• Question 18
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Cherry angiomas are a common finding in:
• Question 19
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Mrs. Hartzell is a 34-year-old patient who has presented for nutritional counseling because she is a vegetarian. Deficiency of which of the following is a concern in the vegetarian diet?
• Question 20
Unusual white areas on the skin may be due to:
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• Question 21
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Knowledge of the culture or cultures represented by the patient should be used to:
• Question 22
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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 23
Tangential lighting is best used for inspecting skin:
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• Question 24
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When taking a history, you should:
Selected Answer:
use a chronologic and sequential framework.
• Question 25
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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):
Selected Answer:
progress note.
• Question 26
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A 5-year-old child presents with nasal congestion and a headache. To assess for sinus tenderness you should palpate over the:
Selected Answer:
maxillary and frontal sinuses.
• Question 27
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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?
Selected Answer:
C.
Matrix
• Question 28
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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:
Selected Answer:
normal growth and development.
• Question 29
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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:
Selected Answer:
flex his or her knees.
• Question 30
Expected hair distribution changes in older adults include:
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Selected Answer:
increased terminal hair follicles to the tragus of men’s ears.
• Question 31
Peritonitis produces bowel sounds that are:
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Selected Answer:
hypoactive.
• Question 32
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White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are:
Selected Answer:
aphthous ulcers.
• Question 33
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Which of the following is the most accurate reflection of an individual's food intake?
Selected Answer:
Food diary
• Question 34
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Which part of the information contained in the patient's record may be used in court?
Selected Answer:
All information
• Question 35
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You are using an ophthalmoscope to examine a patient's inner eye. You rotate the lens selector clockwise, then counterclockwise to compensate for:
Selected Answer:
myopi a.
• Question 36
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Mr. Jones is a 45-year-old patient who presents for a physical examination. On examination, you note costochondral beading, enlarged skull, and bowed legs and diagnose him with rickets. A deficiency of which fat-soluble micronutrient can result in rickets?
Selected Answer:
Vitamin D
• Question 37
A guideline for history taking is for caregivers to:
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Selected Answer:
write detailed information as stated by patients so that their priorities are reflected.
• Question 38
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When communicating with older children and teenagers, you should be sensitive to their:
Selected Answer:
typical reluctance to talk.
• Question 39
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A 17-year-old girl presents to the clinic for a sports physical. Physical examination findings reveal bradycardia, multiple erosions of tooth enamel, and scars on her knuckles. She appears healthy otherwise. You should ask her if she:
Selected Answer:
binges and vomits.
• Question 40
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Ms. Jones is a 31-year-old female patient who presents for a routine physical examination. Which examination technique will be used first?
Selected Answer:
Inspecti on
• Question 41
Nasal symptoms that imply an allergic response include:
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Selected Answer:
bluish gray turbinates.
• Question 42
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Coarse, dry, and brittle hair is associated with which metabolic disorder?
Selected Answer:
Hypothyroidis m
• Question 43
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What finding is unique to the documentation of a physical examination of an infant?
Selected Answer:
Fontanel sizes
• Question 44
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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?
Selected Answer:
Positive McBurney sign
• Question 45
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A brief statement of the reason the patient is seeking health care is called the:
Selected Answer:
chief complaint.
• Question 46
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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:
Selected Answer:
A.
plaque.
• Question 47
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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?
Selected Answer:
"With your father's permission, we will examine the stone and request that it be returned to him."
• Question 48
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Mrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the:
Selected Answer:
CAGE
questionnaire.
• Question 49
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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.
Selected Answers:
c.
Sounds may be garbled and difficult to localize
d.
Unable to hear in a crowded room
f.
Loss of high frequency
• Question 50
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As part of your health promotion education for a new patient, you explain that the risk factors for skin cancer include:
Selected Answer:
repeated trauma or irritation to skin.
• Question 51
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Ms. Davis is a 27-year-old patient with a BMI of 33. Based on her BMI, your diagnosis would be:
Selected Answer:
obese.
• Question 52
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The infant should be placed in which position to have his or her height or length measured?
Selected Answer:
Supine on a measuring board
• Question 53
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Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)?
Selected Answer:
Brief SOAP note
• Question 54
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Which of the following is an expected change in the assessment of the thyroid during pregnancy?
Selected Answer:
A bruit is auscultated.
• Question 55
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A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the:
Selected Answer:
peritoneum.
• Question 56
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Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish:
Selected Answer:
D. seborrheic keratoses from actinic keratoses.
• Question 57
Penicillin is considered a
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Selected Answer:
“hot” medicine.
• Question 58
Which question would be considered a leading question?
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Selected Answer:
"You don't get headaches often, do you?"
• Question 59
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Which of the following organs is part of the alimentary tract?
Selected Answer:
Stomach
• Question 60
Small, minute bruises are called:
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Selected Answer:
petechi ae.
• Question 61
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When recording physical findings, which data are recorded first for all systems?
Selected Answer:
Inspecti on
• Question 62
When hearing is evaluated, which cranial nerve is being tested?
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Selected Answer:
VIII
• Question 63
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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:
Selected Answer:
C. a normal thyroid gland.
• Question 64
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Auscultation should be carried out last, except when examining the:
Selected Answer:
abdome n.
• Question 65
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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:
Selected Answer:
given the opportunity to be interviewed without the parent at some point during the interview.
• Question 66
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Mr. Mathews is a 47-year-old patient who presents for a routine physical examination. On examination, you have noted a bruit heard over the thyroid. This is suggestive of:
Selected Answer:
B.
hyperthyroidism
.
• Question 67
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A detailed description of the symptoms related to the chief complaint is presented in the:
Selected Answer:
history of present illness.
• Question 68
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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:
Selected Answer:
pull the auricle down and back.
• Question 69
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In examining the neck of a 34-year-old female patient, you note that the uppermost ridge of the tracheal cartilage is at the:
Selected Answer:
cricoi d.
• Question 70
A flat, nonpalpable lesion is described as a macule if the diameter is:
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Selected Answer:
less than 1 cm.
• Question 71
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During physical examination of a 30-year-old Chinese man, you notice slight asymmetry of his face. The cranial nerve examination is normal. Your best action is to:
Selected Answer:
D. record the finding in the patient’s chart.
• Question 72
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Placing the base of a vibrating tuning fork on the midline vertex of the patient's head is a test for:
Selected Answer:
lateralization of sound.
• Question 73
Expected normal percussion tones include:
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Selected Answer:
tympany over an empty stomach.
• Question 74
Fluorescing lesions are best distinguished using a(n):
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Selected Answer:
Wood’s lamp.
• Question 75
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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:
Selected Answer:
sandwiches and diet drinks.
• Question 76
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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:
Selected Answer:
inform the patient of the reason for the examination and ask if it is acceptable to him.
• Question 77
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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?
Selected Answer:
Past medical data
• Question 78
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The term denoting the caregiver's need to do no harm to the patient is:
Selected Answer:
nonmaleficen ce.
• Question 79
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When palpating the abdomen, you should note whether the liver is enlarged in the:
Selected Answer:
right upper quadrant.
• Question 80
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To correctly document absent bowel sounds, one must listen continuously for:
Selected Answer:
5 minutes.
• Question 81
The adult recommended dietary fat intake should be g/day.
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Selected Answer:
20 to
35
• Question 82
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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?
Selected Answer:
“Why do you think you are having these symptoms?”
• Question 83
The most superior part of the stomach is the:
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Selected Answer:
fundus.
• Question 84
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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:
Selected Answer:
building and maintaining tissues.
• Question 85
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Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the:
Selected Answer:
lower liver border.
• Question 86
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When you are questioning a patient regarding alcohol intake, she tells you that she is only a social drinker. Which initial response is appropriate?
Selected Answer:
"What amount and what kind of alcohol do you drink in a week?"
• Question 87
Regardless of the origin, discharge is described by noting:
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Selected Answer:
color and consistency.
• Question 88
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Ms. Otten is a 45-year-old patient who presents with a complaint of weight gain. Which medication is frequently associated with weight gain?
Selected Answer:
Steroids
• Question 89
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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?
Selected Answer:
G.M. is a 22-year-old male here for having “green nasal discharge” for the past 72 hours.
• Question 90
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To approximate vocal frequencies, which tuning fork should be used to assess hearing?
Selected Answer:
500 to 1000
Hz
• Question 91
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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:
Selected Answer:
assess for rebound tenderness.
• Question 92
You have just completed a skin assessment on Mr. Baker. During your
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assessment, you have transilluminated a skin lesion. During the physical examination, you know that skin lesions are transilluminated to distinguish:
Selected Answer:
C. fluid-filled from solid cysts or masses.
• Question 93
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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?
Selected Fa
Answer: t
• Question 94
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In issues surrounding ethical decision making, beneficence refers to the:
Selected Answer:
need to do good for the patient.
• Question 95
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Which statement is true regarding the relationship of physical characteristics and culture?
Selected Answer:
There is a difference between distinguishing cultural characteristics and distinguishing physical characteristics.
• Question 96
The review of systems is a component of the:
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Selected Answer:
health history.
• Question 97
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The recommended minimum daily protein requirement for the normal adult is
.
Selected Answer:
10% to 35% of total calories
• Question 98
Subjective and symptomatic data are:
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Selected Answer:
documented with the examination findings.
• Question 99
When are open-ended questions generally most useful?
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Selected Answer:
After several close-ended questions have been asked
• Question 100
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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?
Selected B1
Answer: 2 [Show Less]