NURS 6512N - NURS6512D-NURS6512C Midterm Exam 6 (100 out of 100)
NURS 6512N Week 6 Midterm Exam
1. Unusual white areas on the skin may be due to:
2. 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:
3. 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:
4. 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:
5. In counseling a client regarding nutrition education, you explain that linoleic acid, a major fatty acid, is thought to be essential for:
6. 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?
7. Ms. Otten is a 45-year-old patient who presents with a complaint of weight gain. Which medication is frequently associated with weight gain?
8. Subjective and symptomatic data are:
9. 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:
10. Small, minute bruises are called:
11. 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:
12. When assessing abdominal pain in a college-age woman, one must include:
13. When examining the skull of a 4-month-old baby, you should normally find:
14. A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the:
15. 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?
16. Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence?
17. Auscultation should be carried out last, except when examining the:
18. As part of your health promotion education for a new patient, you explain that the risk factors for skin cancer include:
19. Nasal symptoms that imply an allergic response include:
20. 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:
21. When are open-ended questions generally most useful?
22. 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.
23. During an interview, tears appear in the patient's eyes and his voice becomes shaky. Initially, you should:
24. When taking a history, you should:
25. Tympanic thermometers measure body temperature when a probe is placed:
26. Which of the following is the most accurate reflection of an individual's food intake?
27. In examining the neck of a 34-year-old female patient, you note that the uppermost ridge of the tracheal cartilage is at the:
28. Spasmodic muscular contractions of the head, face, or neck are called:
29. Macronutrients are so named because they:
30. 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):
31. Underestimation of blood pressure will occur if the blood pressure cuff's width covers:
32. Which technique is most likely to result in the patient's understanding of questions?
33. When palpating the abdomen, you should note whether the liver is enlarged in the:
34. The recommended minimum daily protein requirement for the normal adult is ______.
35. 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:
36. Expected normal percussion tones include:
37. Which of the following is an expected change in the assessment of the thyroid during pregnancy?
38. Peritonitis produces bowel sounds that are:
39. 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:
40. Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the:
41. A 51-year-old woman calls with complaints of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to:
42. 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:
43. A guideline for history taking is for caregivers to:
44. Regardless of the origin, discharge is described by noting:
45. The review of systems is a component of the:
46. 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:
47. A fixed image of any group that rejects its potential for originality or individuality is known as a(n):
48. 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?
49. 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:
50. Fluorescing lesions are best distinguished using a(n):
51. Placing the base of a vibrating tuning fork on the midline vertex of the patient's head is a test for:
52. To correctly document absent bowel sounds, one must listen continuously for:
53. A 5-year-old child presents with nasal congestion and a headache. To assess for sinus tenderness you should palpate over the:
54. The examiner's evaluation of a patient's mental status belongs in the:
55. Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish:
56. Which of the following occurs when firm pressure is used to apply the stethoscope's bell end-piece to the skin?
57. What finding is unique to the documentation of a physical examination of an infant?
58. 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:
59. 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?
60. When recording physical findings, which data are recorded first for all systems?
61. A blood pressure cuff bladder should be long enough to:
62. During an interview, you have the impression that a patient may be considering suicide. Which action is essential?
63. Which of the following organs is part of the alimentary tract?
64. Which type of speculum should be used to examine a patient's tympanic membrane?
65. Which technique is most likely to result in the patient's understanding of questions?
66. The attitudes of the health care professional:
67. 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?
68. 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?
69. Which question would be considered a leading question?
70. 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:
71. Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure:
72. When assessing abdominal pain in a college-age woman, one must include:
73. You are using an ophthalmoscope to examine a patient's inner eye. You rotate the lens selector clockwise, then counterclockwise to compensate for:
74. 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?
75. 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?
76. Which is the best way to position a patient's neck for palpation of the thyroid?
77. 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:
78. Peritonitis produces bowel sounds that are:
79. In issues surrounding ethical decision making, beneficence refers to the:
80. Cherry angiomas are a common finding in:
81. Brittle nails are typical findings in:
82. During percussion, a dull tone is expected to be heard over:
83. Which statement is true regarding the relationship of physical characteristics and culture?
84. 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?
85. When hearing is evaluated, which cranial nerve is being tested?
86. 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?
87. Differential diagnoses belong in the:
88. 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?
89. The most common form of birth trauma of the scalp is:
90. The adult recommended dietary fat intake should be _____ g/day.
91. Which of the following is the most vital nutrient?
92. 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:
93. A flat, nonpalpable lesion is described as a macule if the diameter is:
94. Nuchal rigidity is most commonly associated with:
95. When you are questioning a patient regarding alcohol intake, she tells you that she is only a social drinker. Which initial response is appropriate?
96. Tracheal tug suggests the presence of a(n):
97. After thorough inspection of the abdomen, the next assessment step is:
98. A tool used to screen adolescents for alcoholism is the:
99. Periods of silence during the interview can serve important purposes, such as:
100. 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?
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