NURS 6512N Midterm Exam 11 (100 out of 100)
NURS 6512N Midterm Exam
1. Ms. Jones is a 31-year-old female patient who presents for a routine physical examination. Which examination technique will be used first?
2. 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?
3. Which is the best way to position a patient's neck for palpation of the thyroid?
4. After thorough inspection of the abdomen, the next assessment step is:
5. Bulging of an amber tympanic membrane without mobility is most often associated with:
6. 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?
7. 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?
8. 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?
9. What finding is unique to the documentation of a physical examination of an infant?
10. Differential diagnoses belong in the:
11. Expected hair distribution changes in older adults include:
12. The adult recommended dietary fat intake should be _____ g/day.
13. When examining the skull of a 4-month-old baby, you should normally find:
14. 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:
15. 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:
16. 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?
17. Macronutrients are so named because they:
18. A detailed description of the symptoms related to the chief complaint is presented in the:
19. Regardless of the origin, discharge is described by noting:
20. White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are:
21. Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the:
22. 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:
23. Which of the following is the most vital nutrient?
24. Which of the following is an "ABCD" characteristic of malignant melanoma?
25. 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?
26. The term denoting the caregiver's need to do no harm to the patient is:
27. Under normal circumstances, how much water is lost daily by the body?
28. Nasal symptoms that imply an allergic response include:
29. In issues surrounding ethical decision making, beneficence refers to the:
30. Inspection of the abdomen should begin with the patient supine and the examiner:
31. Peritonitis produces bowel sounds that are:
32. Subjective and symptomatic data are:
33. A brief statement of the reason the patient is seeking health care is called the:
34. 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:
35. Penicillin is considered a
36. Coarse, dry, and brittle hair is associated with which metabolic disorder?
37. 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?
38. 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?
39. In examining the neck of a 34-year-old female patient, you note that the uppermost ridge of the tracheal cartilage is at the:
40. When taking a history, you should:
41. Periods of silence during the interview can serve important purposes, such as:
42. Small, minute bruises are called:
43. When recording physical findings, which data are recorded first for all systems?
44. When are open-ended questions generally most useful?
45. 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?
46. Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence?
47. 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?
48. Ms. Davis is a 27-year-old patient with a BMI of 33. Based on her BMI, your diagnosis would be:
49. A guideline for history taking is for caregivers to:
50. To approximate vocal frequencies, which tuning fork should be used to assess hearing?
51. Nuchal rigidity is most commonly associated with:
52. To correctly document absent bowel sounds, one must listen continuously for:
53. As part of your health promotion education for a new patient, you explain that the risk factors for skin cancer include:
54. When palpating the abdomen, you should note whether the liver is enlarged in the:
55. 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):
56. 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):
57. The position on a clock, topographic notations, and anatomic landmarks:
58. 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:
59. Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish:
60. Underestimation of blood pressure will occur if the blood pressure cuff's width covers:
61. Mr. Donalds is a 45-year-old roofer. Your inspection to determine color variations of the skin is best conducted:
62. Placing the base of a vibrating tuning fork on the midline vertex of the patient's head is a test for:
63. The most common form of birth trauma of the scalp is:
64. Which of the following organs is part of the alimentary tract?
65. The examiner's evaluation of a patient's mental status belongs in the:
66. Mrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the:
67. Which of the following is the most accurate reflection of an individual's food intake?
68. Which of the following is an expected change in the assessment of the thyroid during pregnancy?
69. 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:
70. When assessing abdominal pain in a college-age woman, one must include:
71. A tool used to screen adolescents for alcoholism is the:
72. 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:
73. Fluorescing lesions are best distinguished using a(n):
74. 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:
75. Sweat glands, hair, and nails are all formed from:
76. 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:
77. Cherry angiomas are a common finding in:
78. 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:
79. A 51-year-old woman calls with complaints of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to:
80. 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?
81. Unusual white areas on the skin may be due to:
82. A 5-year-old child presents with nasal congestion and a headache. To assess for sinus tenderness you should palpate over the:
83. Which cranial nerves innervate the face?
84. Which statement is true regarding the relationship of physical characteristics and culture?
85. Ms. Otten is a 45-year-old patient who presents with a complaint of weight gain. Which medication is frequently associated with weight gain?
86. Which question would be considered a leading question?
87. Spasmodic muscular contractions of the head, face, or neck are called:
88. In counseling a client regarding nutrition education, you explain that linoleic acid, a major fatty acid, is thought to be essential for:
89. 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:
90. Tangential lighting is best used for inspecting skin:
91. 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:
92. Before performing an abdominal examination, the examiner should:
93. Expected normal percussion tones include:
94. The review of systems is a component of the:
95. 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?
96. To perform the Rinne test, place the tuning fork on the:
97. The infant should be placed in which position to have his or her height or length measured?
98. Which technique is most likely to result in the patient's understanding of questions?
99. A blood pressure cuff bladder should be long enough to:
100. Which part of the information contained in the patient's record may be used in court?
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