NURS 6512N Midterm Exam 5 (100 out of 100)

NURS-6512N-44,Advanced Health Assessment - 100 out of 100 points  

1. A 5-year-old child presents with nasal congestion and a headache. To assess for sinus tenderness you should palpate over the:

2. As part of your health promotion education for a new patient, you explain that the risk factors for skin cancer include:

3. 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:

4. 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:

5. 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?

6. Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence?

7. The examiner's evaluation of a patient's mental status belongs in the:

8. 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:

9. 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:

10. The term denoting the caregiver's need to do no harm to the patient is:

11. When hearing is evaluated, which cranial nerve is being tested?

12. 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:

13. Periods of silence during the interview can serve important purposes, such as:

14. 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?

15. 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:

16. Brittle nails are typical findings in:

17. Which statement is true regarding the relationship of physical characteristics and culture?

18. Tracheal tug suggests the presence of a(n):

19. Mrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the:

20. A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the:

21. 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:

22. When examining the skull of a 4-month-old baby, you should normally find:

23. 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.

24. Which of the following occurs when firm pressure is used to apply the stethoscope's bell end-piece to the skin?

25. Regardless of the origin, discharge is described by noting:

26. Cherry angiomas are a common finding in:

27. Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure:

28. Mr. Black is a 44-year-old 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:

29. 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?

30. Coarse, dry, and brittle hair is associated with which metabolic disorder?

31. Inspection of the abdomen should begin with the patient supine and the examiner:

32. Before performing an abdominal examination, the examiner should:

33. Which type of speculum should be used to examine a patient's tympanic membrane?

34. In issues surrounding ethical decision making, beneficence refers to the:

35. Sweat glands, hair, and nails are all formed from:

36. Tympanic thermometers measure body temperature when a probe is placed:

37. 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:

38. Nuchal rigidity is most commonly associated with:

39. A detailed description of the symptoms related to the chief complaint is presented in the:

40. 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):

41. When examining the skull of a 4-month-old baby, you should normally find:

42. The position on a clock, topographic notations, and anatomic landmarks:

43. In examining the neck of a 34-year-old female patient, you note that the uppermost ridge of the tracheal cartilage is at the:

44. Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish:

45. Which question would be considered a leading question?

46. The attitudes of the health care professional:

47. Unusual white areas on the skin may be due to:

48. When taking a history, you should:

49. 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?

50. 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?

51. Macronutrients are so named because they:

52. Which technique is most likely to result in the patient's understanding of questions?

53. Auscultation should be carried out last, except when examining the:

54. A blood pressure cuff bladder should be long enough to:

55. After thorough inspection of the abdomen, the next assessment step is:

56. The examiner's evaluation of a patient's mental status belongs in the:

57. 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.

58. 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?

59. During an interview, you have the impression that a patient may be considering suicide. Which action is essential?

60. When you are questioning a patient regarding alcohol intake, she tells you that she is only a social drinker. Which initial response is appropriate?

61. You are using an ophthalmoscope to examine a patient's inner eye. You rotate the lens selector clockwise, then counterclockwise to compensate for:

62. You are planning to palpate the abdomen of your patient. Which part of the examiner's hand is best for palpating vibration?

63. Under normal circumstances, how much water is lost daily by the body?

64. 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:

65. Peritonitis produces bowel sounds that are:

66. Which of the following organs is part of the alimentary tract?

67. 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:

68. Which of the following is the most accurate reflection of an individual's food intake?

69. 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:

70. Placing the base of a vibrating tuning fork on the midline vertex of the patient's head is a test for:

71. 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:

72. Nasal symptoms that imply an allergic response include:

73. Which cranial nerves innervate the face?

74. Ms. Otten is a 45-year-old patient who presents with a complaint of weight gain. Which medication is frequently associated with weight gain?

75. Ms. Davis is a 27-year-old patient with a BMI of 33. Based on her BMI, your diagnosis would be:

76. Expected normal percussion tones include:

77. 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?

78. During an interview, tears appear in the patient's eyes and his voice becomes shaky. Initially, you should:

79. 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?

80. When communicating with older children and teenagers, you should be sensitive to their:

81. 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?

82. Which part of the information contained in the patient's record may be used in court?

83. A tool used to screen adolescents for alcoholism is the:

84. White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are:

85. Tracheal tug suggests the presence of a(n):

86. 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:

87. Which of the following is an expected change in the assessment of the thyroid during pregnancy?

88. A brief statement of the reason the patient is seeking health care is called the:

89. 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?

90. Which is the best way to position a patient's neck for palpation of the thyroid?

91. To correctly document absent bowel sounds, one must listen continuously for:

92. 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:

93. Spasmodic muscular contractions of the head, face, or neck are called:

94. Expected hair distribution changes in older adults include:

95. A 51-year-old woman calls with complaints of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to:

96. 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?

97. What finding is unique to the documentation of a physical examination of an infant?

98. Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)?

99. Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the:

100. Bulging of an amber tympanic membrane without mobility is most often associated with: