NURS 6512, Final Exam Questions with 100% verified answers Latest Update 2024, Exams of Nursing

Download NURS 6512, Final Exam Questions with 100% verified answers Latest Update 2024 and more Exams Nursing in PDF only on Docsity! NURS 6512, Final Exam Questions with 100% verified answers Latest Update 2024 1. Before performing an abdominal examination, the examiner should: Have the patient empty their bladder 2. During an interview, tears appear in the patient’s eyes and his voice becomes shaky. Initially, you should: Keep the interview moving to distract the patient 3. Which of the following is the most accurate reflection of an individual’s food intake? Food Diary 4. Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the: Lower liver border 5. A fixed image of any group that rejects its potential for originality or individuality is known as a: Stereotype 6. Peritonitis produces bowel sounds that are Decreased/Hypoactive 7. Brittle nails are typical findings in: Older adults 8. Which of the following is an expected change in the assessment of the thyroid during pregnancy? A Bruit is auscultated d/t increased vascularity 9. You are planning to palpate the abdomen of your patient. Which part of the examiner's hand is best for palpating vibration? Ulnar Surface 10. A 5-year-old child presents with nasal congestion and a headache to assess for sinus tenderness you should palpate over the: Maxillary sinuses only 11. During physical examination of a 30-year-old Chinese man you notice a slight asymmetry of his face. the cranial nerve examination is normal. Your best action is to Ask the patient if this characteristic runs in his family 12. Unusual white areas on the skin may be due to Vitiligo 13. You are using an ophthalmoscope to examine a patient’s inner eye. You rotate the lens selector clockwise, then counterclockwise to compensate for: Myopia 14. 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: Building and maintaining tissues 15. Mr. Akins is a 78-y/o 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. c. Loss of high frequency e. Sounds may be garbled, difficult to localize f. Unable to hear in a crowded room 16. The most superior part of the stomach is the Fundus 17. 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? B12 18. A 51-y/o woman calls with complaints of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to: Come to the laboratory for a stool guaiac test. 19. Placing the base of a vibrating tuning fork on the midline vertex of the patient’s head is a test for: Lateralization of Sound 20. Which technique is most likely to result in the patients understanding of questions? Use the patient's own terms if possible. 21. 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 the history? Past medical data 22. Nasal symptoms that imply an allergic response include: Bluish gray turbinates. ("Turbinates that appear bluish gray or pale pink with a swollen, boggy consistency may indicate allergies"-Seidel p.243) 23. 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 am here! You tell me what’s wrong.” Which caregiver response would be the most appropriate for enhancing communication? After 3 days, you're tired of coughing. Have you had a fever?" 24. When taking a history, you should: Use a chronologic and sequential framework. 25. Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)? Brief SOAP note 53. 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? Proteins, calcium, iron, B12, and vitamin D 54. Underestimation of blood pressure will occur if the blood pressure cuff’s width covers? Cuff that are too wide will underestimate blood pressure, which would happen with a cuff that is more than one third of the upper arm 55. Mrs. Britton is a 34-year-old patient who presents to the office with complaints of skin rashes. You have noted a 4’3cm, rough, elevated area of psoriasis. This is an example of a? Plaque 56. Penicillin is considered a? Miracle drug for all the reasons except. It was not the first antibiotic. 57. Small, minute bruises are called? Petechiae 58. After thorough inspection of the abdomen, the next assessment step is? Auscultation 59. When you are questioning a patient regarding alcohol intake, she tells you that she is only a social drinker. Which initial response is appropriate? What amount and what kind of alcohol do you drink in a week? 60. Regardless of the origin, discharge is described by noting? Color and consistency 61. Recommended carbohydrate content of total dietary intake (% total calories) is? 50% 62. Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure? Hearing range of normal speech 63. Auscultation should be carried out last, except when examining the? The abdomen 64. Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence? Realize the cultural values are difficult to change and must be respected 65. Which of the following is an “ABCD” characteristic of malignant melanoma? Asymmetric borders 66. Tracheal tug suggests the presence of a(n)? Aortic aneurysm 67. 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? Consistent right lower quadrant pain 68. The review of systems is a component of the: Personal and social history 69. Cherry angiomas are a common finding in: Adults older than 30 years 70. Mr. Donalds is a 45-year-old roofer. Your inspection to determine color variations of the skin is best conducted: with illumination provided by daylight. 71. To correctly document absent bowel sounds, one must listen continuously for: 5 minutes 72. The adult recommended dietary fat intake should be g/day. 20 to 35 73. 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? Vitamin D 74. A flat, non-palpable lesion is described as a macule if the diameter is: Less than 1 cm 75. 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? Fat 76. Which of the following organs is part of the alimentary tract? continuous tract from the mouth to the esophagus, stomach, small intestine, large intestine, and anus 77. 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? Race 78. To approximate vocal frequencies, which tuning fork should be used to assess hearing? 500 to 1000 Hz 79. During percussion, a dull tone is expected to be heard over: The liver 80. The attitudes of the health care professional: Culturally derived/are largely irrelevant to the success of relationships with the patient 81. When recording physical findings, which data are recorded first for all systems? Inspection 82. Spasmodic muscular contractions of the head, face, or neck are called: tics 83. Which of the following occurs when firm pressure is used to apply the stethoscope’s bell end-piece to the skin? It functionally converts to a diaphragm end-piece. 84. Differential diagnoses belong in the: Assessment 85. Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish: seborrheic keratoses from actinic keratoses. 86. Mr. Walter’s, a 32-year-old patient, tells you that his ears are “stopped up.” An objective assessment of this complaint is achieved by using the: tympanometer 87. 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: a poorly developed subcutaneous fat layer. 88. Tympanic thermometers measure body temperature when a probe is placed: Eardrum (in the ear) 89. A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the: peritoneum 90. White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are: aphthous ulcers (canker sores) 91. When assessing abdominal pain in a college-age woman, one must include: the first day of the last menstrual period. 92. 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: inspect for ecchymosis of the flank. 93. The infant should be placed in which position to have his or her height or length measured? Supine on a measuring board 94. 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? "Why do you think you are having these symptoms?" 95. Which of the following is the most vital nutrient? water 96. What finding is unique to the documentation of a physical examination of an infant?