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NU 650 predition text
A patient is seen in the office for amenorrhea, for which you obtain a urine pregnancy test in the office that returns negative. You would document this finding in which of the following sections of the ecounter? A. HPI B. CC C. Subjective Data D. Objective Data - Correct answer D. Objective Data A patient you are seeing for the first time in your office, brings their previous medical records for the review. you would document a summer of the previous medical records in which of the following sections of the encounter note? A. HPI B. CC C. Subjective Data D. Objective Data - Correct answer C. Subjective Data The most effective process to elicit the ROS is for the NP to: A. Limit the ROS to systems related to the CC B. Follow the patients lead regarding the order of symptoms C. incorporate the ROS during the physical exam, stopping to make notes as necessary D. Start with general questions on each of the different body systems - Correct answer D. start with general question on each of the different body systems The NP can determine higher cognitive function by asking the patient to perform which of the following tasks?
A. Explain the meaning of a proverb B. Identify the day of the week, month, season, date and year C. Recall details of historical events D. Spell a five-letter word such as WORLD backword - Correct answer A. Explain the meaning of a proverb The NP will ask the patient which of the following questions to assess for depression? A. have you ever been annoyed by other criticizing your alcohol use? B. Over the past two weeks have you felt little interest or pleasure in doing things? C. Over the past two weeks have you been unable to stop or control worrying? D. How often do you have contact with those that you care about or care about you? - Correct answer B. Over the past two weeks have you felt little interest or pleasure in doing things? The NP will document the reason for visit in which of the following sections of the encounter? A. HPI B. CC C. Subjective Data D. Objective Data - Correct answer B. CC The primary care provider will anticipate that what percent of outpatients have mental health disorders? A. 10% B. 15 % C. 20% d. 25% - Correct answer c. 20% Which of the following actions by the NP demonstrations patient-centered interviewing techniques? A. Determine the personal context of the patients symptoms B. Focus on symptoms to identify a disease or condition C. Offer his or her perspective to lead the patients response
C. Keratitis D. Linear - Correct answer B. Zosteriform A wood's lamp is especially useful in diagnosing __________ A. tine versicolor B. herpes zoster C. contact dermatitis D. All of the above - Correct answer A. tine versicolor (woods lamp helps diagnosis yeast infections) Mr. P. has had a "terrible itch" for several months that he has been scratching continuously. Upon examination, the nurse might expect to find: A. a keloid B. a fissue C. keratosis D. Lichenification - Correct answer D. Lichenification The NP has identified a solid, elevated, circumscribed lesion that is less than 1 cm in diameter and palpable into the dermis. This NP will correctly document this finding as a _________ A. bulla B. wheal C. nodule D. papule - Correct answer D. Papule Which of the following objective findings would alert the NP to consider skin cancer in the list of differential diagnoses? A. Annular and symmetrical lesions B. Blurred edges to a raised lesion C. solid red raised lesion D. Diameter of 5 mm - Correct answer B. Blurred edges to a raised lesion Which of the following secondary lesions is usually the result of a self- inflicted abrasion? A. Excoriation
B. Scale C. Lichenification D. Atrophy - Correct answer A. Excoriation You have just read in the patients chart that she has a lesion that is confluent in nature. On exam you would expect to find: A. lesions that run together B. Angular lesions that have grown togeher C. Lesions arranged in a line along a nerve route D. Lesions that are grouped or clustered togther - Correct answer A. Lesions that run together. Which of the following represents the proper position for the NP to assess the patients abdomen? A. Stand at the patients left side and proceed in a systematic fashion. B. Stand at the patients left side and assess any problem areas first C. Stand at the patients right side and process in a systemic fashion D. Stand at the patients right side and assess any problem areas first - Correct answer C. Stand at the patients right side and process in a systemic fashion The NP will demonstrate the correct order of examination for the abdomen by using examination techniques that follows:
- Auscultation
- Inspection
- Palpation
- Percussion A. 1-2-3- B. 2-3-4- C. 3-4-1- D. 2-1-3-4 - Correct answer D. 2-1-3- A 36 year old female patient is seen in the clinic for a reported fever and back pain. She complained of pain when the NP percussed over the left CVA angle. This finding supports which of the following differential diagnosis?
A. Most umbilical hernias disappear by 12 months of age B. The hernia can be surgically repaired before the child reaches adolescence C. This finding indicates that their child is at high risk for other hernias D. There is a strong familial history for umbilical hernias - Correct answer A. Most umbilical hernias disappear by 12 months of age When percussing the abdomen in a patient with constipation, which of the following sounds would you expect to find in the LLQ? A. Tympanic B. Dull C. Resonant D. Hyperresonant - Correct answer B. Dull When percussing the abdomen, you would document the normal finding of percussion over the intestines as: A. Tympanic B. Dull C. Resonant D. Hyperresonant - Correct answer A. Tympanic Which of the following abdominal exam findings would prompt the NP to consider cholecystitis as a differential diagnosis? A. Positive psoas sign B. Positive Rovsing's sign C. Positive Obturator sign D. Positive murphy's sign - Correct answer D. Positive murphy's sign Which of the following symptoms would you expect from a young adolescent in the early phase of appendicitis? A. Abdominal pain two hours after eating B. CVA tenderness C. Severe RLQ pain with pallor and sweating D. Constipation - Correct answer C. Severe RLQ pain with pallor and sweating
A 40 year old male patient presents with sinus pain, pressure and yellow nasal discharge. Your exam would include palpation of: A. Ethmoid and frontal sinuses B. Maxillary and sphenoid sinuses C. Frontal and maxillary sinuses D. Sphenoid and ethmoid sinuses - Correct answer C. Frontal and maxillary sinuses A 60 y.o presents with a 3 day history of left eye irritation. Which of the following findings should be recorded in the ROS? A. Patient denies eye pain or change in vision B. Vision is 20/20 by Snellen Chary C. Yellow crust is visible at the inner canthus of the left eye D. all of the above - Correct answer A. Patient denies eye pain or change in vision During a P.E of the throat, which of the following structures of the mouth/throat should rise when the patient says "aah"? A. Hard palate B. Soft palate C. Lingual frenulum D. Buccal mucosa - Correct answer B. Soft palate In conductive type hearing loss, you would expect: A. sound lateralizes to the good ear when the weber test is used B. sound lateralizes to the affected (bad) ear when the weber test is used C. The weber test remains unaltered with conductive type hearing loss and sound will be heard equally in both ears D. The weber test can cause discomfort in a patient with conductive type hearing loss and should not be used in this situation - Correct answer B. sound lateralizes to the affected (bad) ear when the weber test is used On exam of the poterior pharynx, you are able to visualize the tonsils bilaterally extending just past the anterior and posterior pillars. According to the Friedman Scale, how would you document this finding in your note?
C. Left ear, right ear, neck, lungs, heart and nose D. Lungs, heart, mouth, nose, and right ear. - Correct answer B. Neck, lungs, heart, mouth, nose, left ear, right ear Which of the following describes the proper technique for examination of the ear canal and drum for a 5 year old? A. Use the smallest ear speculum, position the pt. head so that you see comfortable, straighten the ear canal by grasping the auricle firmly and pulling it upward and backward, slightly away from the head. B. use the largest ear speculum that inserts easily in the canal, position the patients head so that you see comfortable, straighten the ear canal by grasping the auricle firmly and pulling it downward and backward, slightly away from the head - Correct answer B. use the largest ear speculum that inserts easily in the canal, position the patients head so that you see comfortable, straighten the ear canal by grasping the auricle firmly and pulling it downward and backward, slightly away from the head Which of the following findings on exam of the nasal mucosa and septum would most likely indicate allergic rhinitis? A. Reddened nasal mucosa with purulent drainage B. pale or bluish nasal mucosa with clear drainage C. fresh blood or crusting of the nasal mucosa D. Asymmetry in appearance between the right and left sides - Correct answer B. pale or bluish nasal mucosa with clear drainage Which of the following is/are normal in the examination of the oral cavity? A. a midline lingual frenulum extending from the tongue to the floor of the mouth B. papillae covering the dorsum of the tongue C. Pink buccal mucosa lining the cheeks D. All of the above are normal - Correct answer D. All of the above are normal Which of the following techniques identifies the correct way to use an ophthalmascope to inspect the optic disc and retina in the patients left eye? The NP will hold the ophthalmoscope:
A. in their left hand and examine the patients left eye with his or hear left eye B. in the right hand and examine the patients left eye with her or her right eye. C. In their dominant hand and examine both of the patients eyes with his/her dominant eye D. According to personal preference and experience - Correct answer A. in their left hand and examine the patients left eye with his or hear left eye Yoi are examining a 4 y.o boy who presents to the office with his mother who complains that he gets bloody noses frequently. You know that the most common cause of epitaxis in the age group is: A. Chronic rhinitis B. Foreign body C. picking their nose D. Allergic rhinitis - Correct answer C. picking their nose You are examining a 9 month old in your office and do not see a red reflex on the fundoscopic exam. This finding would cause concern as it can be indicative of which of the following? A. Glaucoma B. Dacryostenosis C. Cararacts D. Retinoblastoma - Correct answer D. Retinoblastoma A newborn is in the office with cold symptoms. you go into the room to see a distressed mom who is very concerned about her baby. She expresses to you that something is wrong. Your initial thought that comes to mind is that this could be RSV. You must look for signs of respiratory distress. Those signs include________________ A. Vomiting and diarrhea B. coughing, pulling legs up C. retractions, nasal flaring, tachypnea, grunting D. fever of 100.4 or higher, tachypnea, vomiting - Correct answer C. retractions, nasal flaring, tachypnea, grunting
A. healthy 2 month baby girl B. primagravida at 32 weeks C. 60 y.o male with hx CHF D. 45 y.o femal with BMI of 42 - Correct answer A. healthy 2 month baby girl The NP will nose a history of chronic cough based on the patients report of symptoms lasting for: A. 1 week B. 4 weeks C. 6 weeks D. 10 weeks - Correct answer D. 10 weeks When compared to wheezes and rhonchi, the NP notes that on asucultation, crackles are: A. musical in quality B. prolonged sounds, typically persisting throughout the respiratory cycle C. intermittent and discontinuous sounds D. Relatively low-pitched with a snoring quality - Correct answer C. intermittent and discontinuous sounds Which breath sound is normally heard over the sternal notch? A. Bronchial B. Bronchovesicular C. Vesicular D. Tracheal - Correct answer A. Bronchial Which of the following findings will alert the NP to include pneumonia as a differential diagnosis? A. decreased tactile fremitus B. symmetrical chest expanision/lung excusion C. hyperresonance with percussion D. positive bronchophony - Correct answer D. positive bronchophony Which of the following is an expected change of aging?
A. supraclavicular retractions with inspiration B. Kyphosis C. There is a decrease of the elastic properties within lungs D. Pectus excavatum - Correct answer C. There is a decrease of the elastic properties within lungs
