Advanced Health Assessment Midterm Exam 2020, Exams of Nursing

Download Advanced Health Assessment Midterm Exam 2020 and more Exams Nursing in PDF only on Docsity!

ASSESSMENT midterm exam 2020 Upgraded

verified and passed by expert tutor 2023

• Question 3

1 out of 1 points

NURS 6512 ADVANCED HEALTH ASSESSMENT midterm

exam 2020 Upgraded verified and passed by expert tutor

User Course NURS-6512N-53,Advanced Health Assessment. Summer Qtr 06/01-08/23-PT Test Exam - Week 6 Started 7/8/20 6:14 PM Submitted 7/8/20 6:40 PM Due Date 7/13/20 1:59 AM Status Completed Attempt Score

98 out of 100 points

Time Elapsed 25 minutes out of 2 hours Instructions Please answer each question below and click^ Submit^ when you have completed the Exam. Results Displayed

Submitted Answers, Incorrectly Answered Questions

Selected Answer:

Realize that cultural values are difficult to change and must be respected.

Selected Answer:

mastoid bone.

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:

Selected

Answer:

• Question 1

1 out of 1 points Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence?

• Question 2

1 out of 1 points To perform the Rinne test, place the tuning fork on the:

ASSESSMENT midterm exam 2020 Upgraded

verified and passed by expert tutor 2023

inform the

patient of the reason for the examination and askif it is acceptable to him.

• Question 4

1 out of 1 points When communicating with older children and teenagers, you should be sensitive to their:

ASSESSMENT midterm exam 2020 Upgraded

verified and passed by expert tutor 2023

• Question^9

1 out of 1 points

• Question 7

1 out of 1 points 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:

Selected Answer:

typical reluctance to talk.

Selected Answer:

hearing range of normal speech.

Answer:

Selected Answer:

lean meat and fish.

Selected Answer:

maxillary sinuses only.

The most superior part of the stomach is the:

Selected Answer:

fundus.

• Question 10

1 out of 1 points

• Question 8

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

• Question 6

1 out of 1 points During percussion, a dull tone is expected to be heard over:

Selected the liver.

• Question 5

1 out of 1 points Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure:

ASSESSMENT midterm exam 2020 Upgraded

verified and passed by expert tutor 2023

• Question 13

1 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:

flex his or her knees.

Selected Answer:

VIII

Selected Answer:

obese.

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.

Selected Answer:

have the patient empty his or her bladder.

• Question 15

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):

• Question 12

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:

• Question^11

1 out of 1 points When hearing is evaluated, which cranial nerve is being tested?

• Question^14

1 out of 1 points Before performing an abdominal examination, the examiner should:

ASSESSMENT midterm exam 2020 Upgraded

verified and passed by expert tutor 2023

• Question 19

1 out of 1 points

Selected Answer:

progress note.

Selected Answer:

come to the laboratory for a stool guaiac test.

Selected Answer:

Wate r

Selected Answer:

binges and vomits.

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."

Selected Answer:

45-

• Question 21

1 out of 1 points

• Question^20

1 out of 1 points Recommended carbohydrate content of total dietary intake (% total calories) is %.

• Question^18

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:

• Question 16

1 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:

• Question 17

1 out of 1 points Which of the following is the most vital nutrient?

ASSESSMENT midterm exam 2020 Upgraded

verified and passed by expert tutor 2023

• Question 25

1 out of 1 points

Tympanic thermometers measure body temperature when a probe is placed:

Selected Answer:

in the auditory canal.

Selected Answer:

C. with illumination provided by daylight.

Selected Answer:

Asymmetric borders

Selected Answer:

are methods for recording locations of findings.

Mr. J one s is a 45 - year- o l d p a ti e nt who p res e nts f o r a phy sica l 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

Selected Answer:

C. fluid-filled from solid cysts or masses.

• Question^26

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:

• Question^22

1 out of 1 points Mr. Donalds is a 45-year-old roofer. Your inspection to determine color variations of the skin is best conducted:

• Question 23

1 out of 1 points Which of the following is an "ABCD" characteristic of malignant melanoma?

• Question^24

1 out of 1 points The position on a clock, topographic notations, and anatomic landmarks:

ASSESSMENT midterm exam 2020 Upgraded

verified and passed by expert tutor 2023

• Question^30

1 out of 1 points

• Question 31

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:

Fontanel sizes

Selected Answer:

B. hyperthyroidism .

Answer:

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?

Selected Fa Answer: t

Selected Answer:

A. plaque.

• Question^32

1 out of 1 points

• Question^29

1 out of 1 points Peritonitis produces bowel sounds that are:

Selected hypoactive.

• Question 28

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:

• Question 27

1 out of 1 points What finding is unique to the documentation of a physical examination of an infant?

ASSESSMENT midterm exam 2020 Upgraded

verified and passed by expert tutor 2023

• Question^33

1 out of 1 points

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

Selected Answer:

need to do good for the patient.

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

Selected Answer:

Stomach

Selected Answer:

use a chronologic and sequential framework.

Selected Answer:

B. closure of the posterior fontanel.

Selected Answer:

health history.

Selected Answer:

the first day of the last menstrual period.

When assessing abdominal pain in a college-age woman, one must include:

• Question 38

1 out of 1 points

• Question 37

1 out of 1 points When assessing abdominal pain in a college-age woman, one must include:

• Question^34

1 out of 1 points When taking a history, you should:

• Question^35

1 out of 1 points When examining the skull of a 4 - month-old baby, you should normally find:

• Question 36

1 out of 1 points The review of systems is a component of the:

ASSESSMENT midterm exam 2020 Upgraded

verified and passed by expert tutor 2023

• Question 39

1 out of 1 points

Selected Answer:

the first day of the last menstrual period.

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.

Selected Answer:

grams

Selected Answer:

chief complaint.

Selected Answer:

peritoneum.

Selected Answer:

Inspecti on

• Question^44

1 out of 1 points

• Question^42

1 out of 1 points A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the:

• Question^40

0 out of 1 points The recommended minimum daily protein requirement for the normal adult is .

• Question 41

1 out of 1 points A brief statement of the reason the patient is seeking health care is called the:

• Question 43

1 out of 1 points When recording physical findings, which data are recorded first for all systems?

ASSESSMENT midterm exam 2020 Upgraded

verified and passed by expert tutor 2023

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

Selected Answer:

It functionally converts to a diaphragm end-piece.

Selected Answer:

Ulnar surface

Selected Answer:

C. a normal thyroid gland.

Selected Answer:

normal growth and development.

Selected Answer:

less than 1 cm.

Selected Answer:

less than one-half of the upper arm.

• Question 50

• Question 49

0 out of 1 points Underestimation of blood pressure will occur if the blood pressure cuff's width covers:

• Question 47

1 out of 1 points In counseling a client regarding nutrition education, you explain that linoleic acid, a major fatty acid, is thought to be essential for:

• Question 46

1 out of 1 points 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:

• Question 45

1 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?

• Question 48

1 out of 1 points A flat, nonpalpable lesion is described as a macule if the diameter is:

ASSESSMENT midterm exam 2020 Upgraded

verified and passed by expert tutor 2023

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 B 12

Selected Answer:

lower liver border.

Selected Answer:

adults older than 30 years.

Selected Answer:

CRAFFT .

Selected Answer:

help make the interview questions more pertinent.

Selected Answer:

Steroids

• Question 55

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?

• Question^54

1 out of 1 points Knowledge of the culture or cultures represented by the patient should be used to:

• Question 51

1 out of 1 points Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the:

1 out of 1 points

• Question^52

1 out of 1 points Cherry angiomas are a common finding in:

• Question^53

1 out of 1 points A tool used to screen adolescents for alcoholism is the:

ASSESSMENT midterm exam 2020 Upgraded

verified and passed by expert tutor 2023

• Question 58

1 out of 1 points

• Question^59

1 out of 1 points

Selected Answer:

contou r.

Selected B 1 Answer: 2

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?

Selected Answer:

G.M. is a 22-year-old male here for having “green nasal discharge” for the past 72 hours.

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?

Selected Answer:

After 3 days, you're tired of coughing. Have you had a fever?

Selected Answer:

“Why do you think you are having these symptoms?”

• Question 61

• Question^57

1 out of 1 points Mrs. Grace is a 58 - year-old patient who has a diagnosis of pernicious anemia. Which B vitamin is deficient in patients with pernicious anemia?

• Question^56

1 out of 1 points Tangential lighting is best used for inspecting skin:

• Question^60

1 out of 1 points 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?

ASSESSMENT midterm exam 2020 Upgraded

verified and passed by expert tutor 2023

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

Selected Answer:

C. Flexed toward the side being examined

Selected Answer:

B. spider angioma.

Selected Answer:

tympany over an empty stomach.

Selected Answer:

functional assessment.

Selected Answer:

The largest speculum that will fit comfortably in the ear

Selected Answer:

D. older adults.

• Question 65

1 out of 1 points Which type of speculum should be used to examine a patient's tympanic membrane?

• Question 64

1 out of 1 points 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):

• Question 62

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:

1 out of 1 points

• Question 63

1 out of 1 points Expected normal percussion tones include:

• Question^66

1 out of 1 points Brittle nails are typical findings in:

ASSESSMENT midterm exam 2020 Upgraded

verified and passed by expert tutor 2023

• Question 68

1 out of 1 points

• Question^69

1 out of 1 points

Selected Answer:

seated on the patient's right.

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?

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:

building and maintaining tissues.

Selected Answer:

repeated trauma or irritation to skin.

Selected Answer:

C. Matrix

• Question 72

1 out of 1 points

• Question 71

1 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?

• Question 70

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:

• Question 67

1 out of 1 points Inspection of the abdomen should begin with the patient supine and the examiner:

ASSESSMENT midterm exam 2020 Upgraded

verified and passed by expert tutor 2023

• Question^77

1 out of 1 points

When palpating the abdomen, you should note whether the liver is enlarged in the:

Selected Answer:

right upper quadrant.

Selected Answer:

history of present illness.

Selected Answer:

providing time for reflection.

Answer:

Selected Answer:

assessme nt.

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 78

• Question 75

1 out of 1 points Penicillin is considered a

Selected “hot” medicine.

• Question 73

1 out of 1 points A detailed description of the symptoms related to the chief complaint is presented in the:

• Question^74

1 out of 1 points Periods of silence during the interview can serve important purposes, such as:

• Question 76

1 out of 1 points Differential diagnoses belong in the:

ASSESSMENT midterm exam 2020 Upgraded

verified and passed by expert tutor 2023

• Question^81

1 out of 1 points

The attitudes of the health care professional:

Selected Answer:

are culturally derived.

Selected Answer:

Ask whether the patient has considered self-harm.

Selected Answer:

2 to 2. L

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

Selected Answer:

Use the patient's own terms if possible.

Selected Answer:

C. invaginations of epidermis into dermis.

• Question 82

1 out of 1 points Which technique is most likely to result in the patient's understanding of questions?

• Question 79

1 out of 1 points During an interview, you have the impression that a patient may be considering suicide. Which action is essential?

1 out of 1 points

• Question 80

1 out of 1 points Under normal circumstances, how much water is lost daily by the body?

• Question 83

1 out of 1 points Sweat glands, hair, and nails are all formed from:

ASSESSMENT midterm exam 2020 Upgraded

verified and passed by expert tutor 2023

• Question 87

1 out of 1 points

Selected Answer:

abdome n.

Selected Answer:

D. Nose and thyroid cartilages

Selected Answer:

CAGE questionnaire.

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.

Selected Answer:

lateralization of sound.

Which question would be considered a leading question?

• Question 89

1 out of 1 points

• Question 88

1 out of 1 points Placing the base of a vibrating tuning fork on the midline vertex of the patient's head is a test for:

• Question^86

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:

• Question^85

1 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?

• Question^84

1 out of 1 points Auscultation should be carried out last, except when examining the:

ASSESSMENT midterm exam 2020 Upgraded

verified and passed by expert tutor 2023

Selected Answer:

Selected Answer:

"You don't get headaches often, do you?"

5 minutes.

Selected Answer:

increased terminal hair follicles to the tragus of men’s ears.

Selected Answer:

nonmaleficen ce.

Selected Answer:

placed in the history section.

Selected Answer:

caput succedaneum.

Selected Brief SOAP

• Question^95

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)?

• Question 90

1 out of 1 points To correctly document absent bowel sounds, one must listen continuously for:

• Question 91

1 out of 1 points Expected hair distribution changes in older adults include:

• Question 92

1 out of 1 points The term denoting the caregiver's need to do no harm to the patient is:

• Question^93

1 out of 1 points Subjective and symptomatic data are:

• Question 94

1 out of 1 points The most common form of birth trauma of the scalp is:

ASSESSMENT midterm exam 2020 Upgraded

verified and passed by expert tutor 2023

• Question 96

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?

Answer: note

Selected Answer:

Auscultation

Selected Answer:

cricoi d.

Selected Answer:

Hypothyroidis m

Selected Answer:

Use the patient's own terms if possible.

Selected Answer:

Selected Answer:

D. seborrheic keratoses from actinic keratoses.

Ye s

• Question 100

1 out of 1 points Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish:

• Question 99

1 out of 1 points Which technique is most likely to result in the patient's understanding of questions?

• Question 97

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:

• Question^98

1 out of 1 points Coarse, dry, and brittle hair is associated with which metabolic disorder?

ASSESSMENT midterm exam 2020 Upgraded

verified and passed by expert tutor 2023