Review Test Submission: Exam - Week 6 Content Test Exam - Week 6 Started 12/31/19 1:26 PM Submitted 12/31/19 3:24 PM Due Date 1/6/20 1:59 AM Status
... [Show More] Completed Attempt Score 79 out of 100 points Question 1 1 out of 1 points Which cranial nerves innervate the face? Selected Answer: C. V and VII Question 2 0 out of 1 points You are planning to palpate the abdomen of your patient. Which part of the examiner's hand is best for palpating vibration? Selected Answer: Finger pads Question 3 1 out of 1 points A detailed description of the symptoms related to the chief complaint is presented in the: Selected Answer: history of present illness. Question 4 1 out of 1 points false contact: [email protected] The position on a clock, topographic notations, and anatomic landmarks: Selected Answer: are methods for recording locations of findings. Question 5 1 out of 1 points Nasal symptoms that imply an allergic response include: Selected Answer: bluish gray turbinates. Question 6 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: Selected Answer: repeated trauma or irritation to skin. Question 7 1 out of 1 points 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 8 0 out of 1 points Mrs. Britton brings her 16-year-old son in with a complaint that he is not developing correctly into adolescence. Which structures disproportionately enlarge in the male during adolescence? Selected Answer: C. Mandible and maxilla bones Question 9 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: Selected Answer: pull the auricle down and back. Question 10 1 out of 1 points A fixed image of any group that rejects its potential for originality or individuality is known as a(n): Selected Answer: stereotype. Question 11 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, differentiator? Selected Answer: Race Question 12 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: Selected Answer: personal and social history. Question 13 1 out of 1 points Which technique is most likely to result in the patient's understanding of questions? Selected Answer: Use the patient's own terms if possible. Question 14 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? Selected Answer: "What amount and what kind of alcohol do you drink in a week?" Question 15 1 out of 1 points 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 16 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: Selected Answer: A. plaque. Question 17 1 out of 1 points 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 18 1 out of 1 points A brief statement of the reason the patient is seeking health care is called the: Selected Answer: chief complaint. Question 19 1 out of 1 points Regardless of the origin, discharge is described by noting: Selected Answer: color and consistency. Question 20 0 out of 1 points Which of the following is an expected change in the assessment of the thyroid during pregnancy? Selected Answer: The gland is tender upon palpation. Question 21 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? Selected Answer: Eustachian tube Question 22 1 out of 1 points The examiner's evaluation of a patient's mental status belongs in the: Selected Answer: physical examination. Question 23 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: Selected Answer: B. spider angioma. Question 24 1 out of 1 points Before performing an abdominal examination, the examiner should: Selected Answer: have the patient empty his or her bladder. Question 25 1 out of 1 points When examining the skull of a 4-month-old baby, you should normally find: Selected Answer: B. closure of the posterior fontanel. Question 26 1 out of 1 points Which technique is most likely to result in the patient's understanding of questions? Selected Answer: Use the patient's own terms if possible. Question 27 1 out of 1 points 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: myopia. Question 28 1 out of 1 points Tracheal tug suggests the presence of a(n): Selected Answer: aortic aneurysm. Question 29 1 out of 1 points Spasmodic muscular contractions of the head, face, or neck are called: Selected Answer: B. tics. Question 30 0 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? Selected Answer: D. Nail bed Question 31 0 out of 1 points Bulging of an amber tympanic membrane without mobility is most often associated with: Selected Answer: healed tympanic membrane perforation. Question 32 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? Selected Answer: Inspection Question 33 0 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? Selected Answer: Most sounds are occluded. Question 34 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? Selected Answer: "With your father's permission, we will examine the stone and request that it be returned to him." Question 35 1 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. Selected Answers: c. Loss of high frequency e. Sounds may be garbled and difficult to localize f. Unable to hear in a crowded room Question 36 1 out of 1 points Knowledge of the culture or cultures represented by the patient should be used to: Selected Answer: help make the interview questions more pertinent. Question 37 1 out of 1 points 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 38 1 out of 1 points To perform the Rinne test, place the tuning fork on the: Selected Answer: mastoid bone. Question 39 0 out of 1 points Which is the best way to position a patient's neck for palpation of the thyroid? Selected Answer: D. Hyperextended directly backward Question 40 1 out of 1 points Expected hair distribution changes in older adults include: Selected Answer: increased terminal hair follicles to the tragus of men’s ears. Question 41 1 out of 1 points During percussion, a dull tone is expected to be heard over: Selected Answer: the liver. Question 42 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: Selected Answer: D. a poorly developed subcutaneous fat layer. Question 43 1 out of 1 points When hearing is evaluated, which cranial nerve is being tested? Selected Answer: VIII Question 44 1 out of 1 points Tangential lighting is best used for inspecting skin: Selected Answer: contour. Question 45 1 out of 1 points Cherry angiomas are a common finding in: Selected Answer: adults older than 30 years. Question 46 1 out of 1 points 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: cricoid. Question 47 1 out of 1 points When assessing abdominal pain in a college-age woman, one must include: Selected Answer: the first day of the last menstrual period. Question 48 1 out of 1 points Penicillin is considered a Selected Answer: “hot” medicine. Question 49 1 out of 1 points 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? Selected Answer: Vitamin B12 Question 50 1 out of 1 points White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are: Selected Answer: aphthous ulcers. Question 51 1 out of 1 points When are open-ended questions generally most useful? Selected Answer: During the initial part of the interview Question 52 1 out of 1 points A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the: Selected Answer: peritoneum. Question 53 1 out of 1 points Subjective and symptomatic data are: Selected Answer: placed in the history section. Question 54 0 out of 1 points Expected normal percussion tones include: Selected Answer: flatness over an empty stomach. Question 55 1 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: Selected Answer: ask whether he has any questions. Question 56 1 out of 1 points When communicating with older children and teenagers, you should be sensitive to their: Selected Answer: typical reluctance to talk. Question 57 1 out of 1 points In issues surrounding ethical decision making, beneficence refers to the: Selected Answer: need to do good for the patient. Question 58 0 out of 1 points 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: Selected Answer: A. parotid gland tumor. Question 59 1 out of 1 points Tympanic thermometers measure body temperature when a probe is placed: Selected Answer: in the auditory canal. Question 60 1 out of 1 points Which question would be considered a leading question? Selected Answer: "You don't get headaches often, do you?" Question 61 1 out of 1 points 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 62 1 out of 1 points Auscultation should be carried out last, except when examining the: Selected Answer: abdomen. Question 63 1 out of 1 points To correctly document absent bowel sounds, one must listen continuously for: Selected Answer: 5 minutes. Question 64 1 out of 1 points 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 65 1 out of 1 points Before performing an abdominal examination, the examiner should: Selected Answer: have the patient empty his or her bladder. Question 66 0 out of 1 points The recommended minimum daily protein requirement for the normal adult is ______. Selected Answer: 45-55 Question 67 1 out of 1 points 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 68 1 out of 1 points Peritonitis produces bowel sounds that are: Selected Answer: hypoactive. Question 69 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): Selected Answer: progress note. Question 70 0 out of 1 points Which type of speculum should be used to examine a patient's tympanic membrane? Selected Answer: The shortest speculum available Question 71 1 out of 1 points What finding is unique to the documentation of a physical examination of an infant? Selected Answer: Fontanel sizes Question 72 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: Selected Answer: C. fluid-filled from solid cysts or masses. Question 73 1 out of 1 points Unusual white areas on the skin may be due to: Selected Answer: C. vitiligo. Question 74 1 out of 1 points 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 75 1 out of 1 points 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? Selected Answer: Are you uncomfortable talking with me? Question 76 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? Selected Answer: Past medical data Question 77 0 out of 1 points 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: A. ask the patient if this characteristic runs in his family. Question 78 1 out of 1 points The review of systems is a component of the: Selected Answer: health history. Question 79 0 out of 1 points Recommended carbohydrate content of total dietary intake (% total calories) is ____%. Selected Answer: 10 Question 80 0 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: Selected Answer: providing energy source for brain. Question 81 1 out of 1 points A tool used to screen adolescents for alcoholism is the: Selected Answer: CRAFFT. Question 82 1 out of 1 points Small, minute bruises are called: Selected Answer: petechiae. Question 83 0 out of 1 points Sweat glands, hair, and nails are all formed from: Selected Answer: B. closely packed squamous cells. Question 84 0 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: Selected Answer: exercise and eat more fiber. Question 85 1 out of 1 points After thorough inspection of the abdomen, the next assessment step is: Selected Answer: auscultation. Question 86 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: Selected Answer: inspect for ecchymosis of the flank. Question 87 1 out of 1 points The most superior part of the stomach is the: Selected Answer: fundus. Question 88 0 out of 1 points A blood pressure cuff bladder should be long enough to: Selected Answer: cover 45% to 50% of the arm circumference. Question 89 1 out of 1 points Mrs. Berger is a 39-year-old woman who presents with a complaint of epigastric abdominal pain. You have completed the inspection of the abdomen. What is your next step in the assessment process? Selected Answer: Auscultation Question 90 0 out of 1 points A flat, nonpalpable lesion is described as a macule if the diameter is: Selected Answer: greater than 1 cm. Question 91 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. Selected Answer: personal and social Question 92 1 out of 1 points Fluorescing lesions are best distinguished using a(n): Selected Answer: Wood’s lamp. Question 93 0 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: Selected Answer: sit upright. Question 94 1 out of 1 points 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 95 0 out of 1 points A guideline for history taking is for caregivers to: Selected Answer: ask direct questions before open-ended questions so that data move from simple to complex. Question 96 0 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: Selected Answer: tuning fork. Question 97 1 out of 1 points When palpating the abdomen, you should note whether the liver is enlarged in the: Selected Answer: right upper quadrant. Question 98 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: Selected Answer: inspect for ecchymosis of the flank. Question 99 1 out of 1 points Coarse, dry, and brittle hair is associated with which metabolic disorder? Selected Answer: Hypothyroidism Question 100 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: Selected Answer: CAGE questionnaire. [Show Less]