NURS 6512 FINAL EXAM:QUESTIONS WITH COMPLETE SOLUTIONS LATEST UPDATE 2023 ASSURED A+, Exams of Nursing

Download NURS 6512 FINAL EXAM:QUESTIONS WITH COMPLETE SOLUTIONS LATEST UPDATE 2023 ASSURED A+ and more Exams Nursing in PDF only on Docsity! NURS 6512 FINAL EXAM:QUESTIONS WITH COMPLETE SOLUTIONS LATEST UPDATE 2023 ASSURED A+ 1. Costovertebral angle tenderness should be assessed whenever you suspect the patient may have: - Polynephritis 2. In older adults, overflow fecal incontinence is commonly due to: -Fecal impaction 3. A 1 month old boy has been vomiting for 2 weeks. How is this symptom of GERD and pyloric stenosis further differentiated in this child’s assessment? – The infant has regurgitation with pyloric stenosis 4. Auscultation of borborygmi is associated with: - Gastroenteritis, early intestinal obstruction, or hunger 5. When auscultating the abdomen, which finding would indicate collateral circulation between the portal and systemic venous systems? – Venous hum 6. Conversion of fat-soluble wastes to water-soluble material for renal excretion is a function of the: - Liver 7. The major function of the large intestine is: -Water absorption 8. Which structure is located in the hypogastric region of the abdomen? –Ileum, bladder, and pregnant uterus 9. A 45 year old man relates a several week history of severe intermittent abdominal burning sensations. He relates that the pain is relieved with small amounts of food. Before starting the physical examination, you review his laboratory work, anticipating a (n): - Positive Helicobacter pylori result 10. You are caring for a patient with trigeminal neuralgia. During the assessment, the patient would describe the pain as: - Burning or shocklike 11. Your 85 year old patient is complaining of right knee pain. She has a history of osteoarthritis for which she is given anti-inflammatory medication. To assess her right knee pain, you should ask her if: - The pain gets better when she sits 12. A 5 year old is complaining of nondescriptive “belly pain.” Your next action should be to ask him to: - Point to the area of pain 13. The perception of pain: - Is variable and is affected by emotions, and cultural background 14. Patients presenting with ascites, jaundice, cutaneous spider veins, and nonpalpable liver exhibit signs of: - Cirrhosis 15. A patient presents to the emergency department after a motor vehicle accident. The patient sustained blunt trauma to the abdomen and complains of pain in the upper left quadrant that radiates to the left shoulder. What organ is most likely injured? – Spleen 33. Light skin and thin body habitus are risk factors for: - Osteoporosis 34. Risk factors for sports-related injuries include: - Failure to warm up before activity 35. Injuries to long bones and joints are more likely to result in fractures than in sprains until: - Adolescence 36. Ligaments are stronger than bone until: - Adolescence 37. The family history for a patient with joint pain should include information about siblings with: -Genetic disorders 38. The Thomas test is used to detect: - Flexion contractures of the hip 39. A goniometer is used to assess: - Range of motion 40. During a football game, a player was struck on the lateral side of the left leg while his feet were firmly planted. He is complaining of left knee pain. To examine the left knee you should initially perform the - test. – Valgus stress 41. You note that a child has a positive Gower Sign. You know that this indicates generalized: - Muscle weakness 42. The dowager hump is: - The hallmark of osteoporosis 43. What temporary disorder may be experienced by pregnant women during the third trimester because of fluid retention? – Carpal tunnel syndrome 44. A common finding in markedly obese and pregnant women is: - Lordosis 45. A 45 year old laborer presents with low back pain, stating that the pain comes from the right buttock and shoots down and across the right anterior thigh, down the shin to the ankle. Which examination finding is considered more indicative of nerve root compression? – Positive straight leg raise result 46. Mrs. Bower is a 57 year old patient who comes in for an office visit. Which of the following disorders is known to be hereditary? – Huntington chorea 47. Testing of cranial nerve is not routinely performed unless a problem is suspected. – I 48. The patient is able to rapidly touch each finger to his thumb in rapid sequence. What does this finding mean? – The patient has appropriate cerebellar function 49. Which question asked by the examiner may hellp to determine prevention strategies for seizures that a patient is experiencing? – “Are there any factors or activities that seem to start the seizures?” 50. A patient has a complaint of dizziness. The patient makes the following statement: “I sometimes feel as if the whole room is spinning.” What type of neurologic dysfunction should the examiner suspect? – Inner ear dysfunction affecting the acoustic nerve 51. The examiner asks the patient to close her eyes, then places a vibrating tuning fork on the patient’s ankle and asks her to indicate what is felt. What is being assessed? – Peripheral nerve sensory function 52. Which of the following findings should an examiner consider a normal finding if associated with pregnancy? – Acroparesthesia 52. Jack is a 52 year old obese man with a history of poorly controlled diabetes. He also smokes. Based on the above data, the examiner should recognize that Jack has several risk factors for: - Cerebrovascular accident 53. Mrs. Jones is a 24 year old patient who presents to your office 2 days postpartum. She complains that she is experiencing foot drop. Which of the following problems should the examiner consider? – Lumbosacral plexopathy 54. The examiner is assessing deep tendon reflex response in a 12 year old boy. The response is an expected reflex response. Which of the following scores should be documented? – 2+ 55. A 68 year old patient presents to your office for follow-up. He tells you, “I have a hard time finding the right words when I am talking;” he also is experiencing numbness. On examination, you note postural instability. This symptom may be: - A late symptom of Parkinson’s disease 56. Motor maturation proceeds in an orderly progression from: - Head to toe 57. The thalamus is the major integration center for perception of: - Pain 58. The examiner should be concerned about neurologic competence if a social smile cannot be elicited by the time a child is old. – 3 months 77. When collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding: - Alcohol, tobacco, and caffeine use 78. What risk factor is associated with cervical cancer? – HPV 79. A 23 year old female presents with severe right lower quadrant tenderness. All of the following should be considered in the differential except: - Classis diverticulitis 80. What is the initial diagnostic radiology test that should be ordered if you suspect a ruptured ovarian cyst? – Abdominal and transvaginal ultrasound 81. A 17 year old male was brought into the emergency room with testicular/scrotal pain. The differential diagnosis should include all except: - Inguinal herniation 82. The nursing mother complains that her breasts are tender. You assess hard, shiny, and erythremic breasts bilaterally. You should advise the patient to: - Massage gently and continue nursing 83. A normal vas deferens should feel: - Smooth 84. In a woman complaining of a breast lump, it is most important to ask about: - Its relationship to menses 85. The finding of a painless indurated lesion on the glans penis is most consistent with: - Chancre 86. Thrombosed hemorrhoids are: - Blue, shiny, painful masses 87. Pregnancy-related cervical changes include: - Softening and bluish coloring 88. You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should: - Inquire about previous penile infections 89. An adolescent male is being seen for acute onset of left testicular pain. The pain started 3 hours ago. He complains of nausea and denies dysuria or fever. Your prioritized assessment should be to: - Establish absent cremasteric reflex 90. A 23 year old white woman has come to the clinic because she has missed two menstrual periods. She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is: - Suggest pregnancy testing 91. What accommodations should be used in the position of a hearing-impaired woman for a pelvic examination? – The head of the table should be elevated 92. Sexual differentiation in the fetus has occurred by weeks gestation. - 12 93. You are performing a clinical breast examination for a 55 year old woman. While palpating the supraclavicular area, you suspect that you felt a node. In order to improve your hooked technique, you should: -Ask the patient to turn her head toward that side 94. If a firm, transverse ridge of compressed tissue is felt bilaterally along the lower edge of a 40 year old patient’s breast, you should: - Record the finding in the patient’s record 95. A therapeutic technique for dealing with grieving individuals is to: - Tell them that is good to cry and to share feelings When a patient dies, the grieving family and friends need attention for their emotional needs. It is often difficult to find words, and often the words may be cliché and not seem appropriate for the moment. It is allright to tell them that it is good to cry and to share feelings. It is permissible to talk about what has been lost and what will not be realized for the future. All of the other answers are not therapeutic for a grieving family member or friend. 96. The examination of the newborn should begin with: - Inspection noting skin color, flaccidity, tension, gross deformities, or distortions of facies 97. Which one of the following patient characteristics is most likely to limit patient reliability during history taking? – Patient is sleep and sensory deprived 98. In crying infants, it is often difficult to: - Auscultate heart sounds Question 3 1 out of 1 points The difference in blood pressure readings between the right and the left arms is considered normal up to mm Hg. Question 4 1 out of 1 points You are assessing Mr. Z.'s fluid volume status as a result of heart failure. If your finger depresses a patient's edematous ankle to a depth of 6 mm, you should record this pitting as: Question 5 1 out of 1 points Kawasaki disease is suspected when assessments of a child reveal: Question 6 1 out of 1 points The finger-to-nose test allows assessment of: Question 7 1 out of 1 points In the adult, the apical impulse should be most visible when the patient is in what position? Question 8 1 out of 1 points The strength of the trapezius muscle is evaluated by having the patient: Question 9 1 out of 1 points When palpating joints, crepitus may occur when: Question 10 1 out of 1 points Palpation of a normal prostate in an older adult is likely to feel: Which condition is considered progressive rather than reversible? Question 16 1 out of 1 points When assessing a 17-year-old for nuchal rigidity, you gently raise his head off the examination table. He involuntarily flexes his hips and knees. To confirm your suspicions associated with this positive test, you would also perform a test for the sign. Question 17 1 out of 1 points An idiopathic spasm of arterioles in the digits is termed: Question 18 1 out of 1 points Which portion of the physical examination is best done with the patient standing? Question 19 1 out of 1 points While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding: Question 20 1 out of 1 points A finding that is indicative of osteoarthritis is: Question 21 1 out of 1 points One of the most important aspects to consider in the orthopedic screening examination is: Question 22 Question 27 1 out of 1 points A pulsation that is diminished to the point of being barely palpable would be graded as: Question 28 1 out of 1 points Postural hypotension is defined as a when the patient stands, compared with sitting or supine readings. Question 29 1 out of 1 points In the most effective percussion technique of the posterior lung fields, the patient cooperates by: Question 30 0 out of 1 points Bimanual examination of the uterus includes: Question 31 1 out of 1 points A cervical polyp usually appears as a: Question 32 1 out of 1 points The physical assessment technique most frequently used to assess joint symmetry is: Question 33 1 out of 1 points Inspection of the scrotum should reveal: Question 34 1 out of 1 points A patient you are seeing in the emergency department for chest pain is suspected of having a myocardial infarction. During the health history interview of his family history, he relates that his father had died of "heart trouble." The most important follow-up question you should pose is which of the following? Question 35 1 out of 1 points As Mr. B. enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. You would document Mr. B.'s pattern as: Question 41 1 out of 1 points The Denver II is a tool used to determine: Question 42 1 out of 1 points Tarry black stool should make you suspect: Question 43 1 out of 1 points Palpation of epitrochlear nodes is part of the: Question 44 1 out of 1 points To hear diastolic heart sounds, you should ask patients to: Question 45 1 out of 1 points Assessing orientation to person, place, and time helps determine: Question 46 1 out of 1 points Montgomery tubercles are most prominent in the breasts of: Question 52 1 out of 1 points While interviewing a 70-year-old female clinic patient, she tells you that she takes ginkgo biloba and St. John's wort. You make a short note to check for results of the: Question 53 1 out of 1 points For purposes of examination and communication of physical findings, the breast is divided into: Question 54 1 out of 1 points Ulnar deviation and boutonniere deformities are characteristic of: Question 55 1 out of 1 points You are conducting an examination of Mr. Curtis's heart and blood vessels and auscultate a grade III murmur. The intensity of this murmur is: Question 56 1 out of 1 points At your first meeting with a patient, it is usually best to say: Question 57 1 out of 1 points The best way to ease the apprehension of a 3-year-old child before a physical examination is to: Question 58 1 out of 1 points Breath sounds normally heard over the trachea are called: Question 59 1 out of 1 points The goals of preparticipation sports evaluation include: Question 65 1 out of 1 points An apical PMI palpated beyond the left fifth intercostal space may indicate: Question 66 1 out of 1 points The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the: Question 67 1 out of 1 points Your older clinic patient is being seen today as a follow-up for a 2-day history of pneumonia. The patient continues to have a productive cough, shortness of breath, and lethargy and has been spending most of the day lying in bed. You should begin the chest examination by: Question 68 1 out of 1 points Your patient's chief complaint is repeated pencil-like stools. Further examination should include: Question 69 1 out of 1 points When palpating breast tissue, the examiner should use the at each site. Question 70 1 out of 1 points Normal changes of the aging brain include: Question 71 1 out of 1 points 1 out of 1 points A common finding in markedly obese and pregnant women is: Question 77 1 out of 1 points To assess a cremasteric reflex, the examiner strokes the: Question 78 1 out of 1 points When conducting a geriatric assessment, basic activities of daily living (ADLs) include: Question 79 1 out of 1 points You are interviewing a 20-year-old patient with a new-onset psychotic disorder. The patient is apathetic and has disturbed thoughts and language patterns. The nurse recognizes this behavior pattern as consistent with a diagnosis of: Question 80 1 out of 1 points Nerves that arise from the brain rather than the spinal cord are called: Question 81 1 out of 1 points During a routine prenatal visit, Ms. T. was noted as having dependent edema, varicosities of the legs, and hemorrhoids. She expressed concern about these symptoms. You explain to Ms. T. that her enlarged uterus is compressing her pelvic veins and her inferior vena cava. You would further explain that these findings: Question 82 1 out of 1 points The Mini-Mental State Examination: Question 83 1 out of 1 points Facial muscle or tongue weakness may result in: Question 84 Question 89 1 out of 1 points The presence of cervical motion tenderness may indicate: Question 90 1 out of 1 points Nancy Walker is a 16-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her mother reports that Nancy, apart from occasional colds, Nancy is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Nancy's current problem? Question 91 1 out of 1 points Cranial nerve XII may be assessed in an infant by: Question 92 1 out of 1 points When you attempt to move a 10-month-old child from his mother's lap to the examination table, he screams loudly. Your best action is to: Question 93 1 out of 1 points It is especially important to test for ankle clonus if: Question 94 1 out of 1 points To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with: Question 95