NURS-6512N Advanced Health Assessment 2022-2023 Winter test prep Week 6-answered.NURS-6512, Exams of Nursing

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Question 1

NURS-6512N Advanced Health Assessment 2022-

2023 Winter test prep Week 6-answered.

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

the liver.

Question 2 1 out of 1 points

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.

Question 3 0 out of 1 points 1 out of 1 points 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.

Question 4 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: Selected Answer: repeated trauma or irritation to skin. Question 5 Sweat glands, hair, and nails are all formed from: 1 out of 1 points Selected Answer: C. invaginations of epidermis into dermis. Question 6 Tracheal tug suggests the presence of a(n): 1 out of 1 points Selected Answer: aortic aneurysm. Question 7 Tangential lighting is best used for inspecting skin: 1 out of 1 points Selected Answer: contour. Question 8 The review of systems is a component of the: https://class.waldenu.edu/web 1 out of 1 points

Selected Answer: health history. Question 9 1 out of 1 points Which technique is most likely to result in the patient's understanding of questions? Selected Answer: Use the patient's own terms if possible. Question 10 Nasal symptoms that imply an allergic response include: 1 out of 1 points Selected Answer: bluish gray turbinates. Question 11 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):

Selected

Answer: functional^ assessment.

Question 12 1 out of 1 points 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? Question 13 The

most common form of birth trauma of the scalp is: 1 out of 1 points Selected Answer: caput succedaneum. Question 14 Expected hair distribution changes in older adults include: 1 out of 1 points

Selected Answer: increased terminal hair follicles to the tragus of men’s ears. Question 15 1 out of 1 points Ms. Jones is a 31-year-old female patient who presents for a routine physical examination. Which examination technique will be used first? Selected Answer: Inspection Question 16 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? Selected Answer:

“Why do you think you are having these

symptoms?”

Question 17 Spasmodic muscular contractions of the head, face, or neck are called: 1 out of 1 points Selected Answer: B. tics. Question 18 1 out of 1 points 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? Selected Answer: Race Question 19 1 out of 1 points When you are questioning a patient regarding alcohol intake, she

tells you that she is only a social drinker. Which initial response is appropriate? Selected Answer: "What amount and what kind of alcohol do you drink in a week?" Question 20 1 out of 1 points 4/

Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)? Selected Answer: Brief SOAP note Question 21 To perform the Rinne test, place the tuning fork on the: 1 out of 1 points Selected Answer: mastoid bone. Question 22 0 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: fruit and vegetables. Question 23 1 out of 1 points To correctly document absent bowel sounds, one must listen continuously for: Selected Answer:

5 minutes.

Question 24 1 out of 1 points Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence? Selected Answer:

Realize that cultural values are difficult to change

and must be respected.

Question 25 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? Selected Answer: C. Matrix Question 26 1 out of 1 points

In issues surrounding ethical decision making, beneficence refers to the: Selected Answer: need to do good for the patient. Question 27 A flat, nonpalpable lesion is described as a macule if the diameter is: 1 out of 1 points Selected Answer: less than 1 cm. Question 28 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: Selected Answer: CAGE questionnaire. Question 29 The adult recommended dietary fat intake should be g/day. Selected Answer: 10 to 35 % Question 30 0 out of 1 points 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: Selected Answer: come to the laboratory for a stool guaiac test. Question 31 1 out of 1 points 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: Selected Answer:

tympanometer.

Question 32 1 out of 1 points The infant should be placed in which position to have his or her height or length measured? Selected Answer: Supine on a measuring board Question 33 1 out of 1 points 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.

Question 34 Cherry angiomas are a common finding in: 1 out of 1 points Selected Answer: adults older than 30 years. Question 35 Peritonitis produces bowel sounds that are: 1 out of 1 points Selected Answer:

hypoactive.

Question 36 1 out of 1 points Knowledge of the culture or cultures represented by the patient should be used to:

Selected Answer: help make the interview questions more pertinent. Question 37 A blood pressure cuff bladder should be long enough to: 1 out of 1 points Selected Answer: cover 75% to 80% of the arm circumference.

Question 38 The term denoting the caregiver's need to do no harm to the patient is: 1 out of 1 points Selected Answer: nonmaleficence. Question 39 1 out of 1 points Which part of the information contained in the patient's record may be used in court? Selected Answer: All information Question 40 1 out of 1 points 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.

Question 41 Auscultation should be carried out last, except when examining the: 1 out of 1 points Selected Answer: abdomen. Question 42 Differential diagnoses belong in the:

1 out of 1 points Selected Answer: assessment. Question 43 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): Selected Answer: progress note. Question 44 1 out of 1 points When assessing abdominal pain in a college-age woman, one must include:

Selected Answer: the first day of the last menstrual period.

Question 45 0 out of 1 points

Recommended carbohydrate content of total dietary intake (% total

calories) is

%.

Selected Answer: 50 Question 46 1 out of 1 points Underestimation of blood pressure will occur if the blood pressure cuff's width covers: Selected Answer: more than two-thirds of the upper arm. Question 47 1 out of 1 points 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? Selected Answer: Past medical data Question 48 1 out of 1 points Which of the following is an expected change in the assessment of the thyroid during pregnancy? Selected Answer: A bruit is auscultated. Question 49 0 out of 1 points Which of the following is the most accurate reflection of an

individual's food intake? Selected Answer: Twenty-four-hour diet recall Question 50 1 out of 1 points 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

Question 51 As you explain your patient's condition to her husband, you notice that he is leaning toward you and pointedly blinking his eyes. Knowing that he is from England, your most appropriate response to this behavior is to: Selected Answer: ask whether he would prefer to speak to the clinician. Question 52 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: Selected Answer: lateralization of sound. Question 53 When are open-ended questions generally most useful? 1 out of 1 points Selected Answer: During the initial part of the interview Question 54 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: Selected Answer: C. a normal thyroid gland.

Question 55 1 out of 1 points 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: Selected Answer: given the opportunity to be interviewed without the parent at some point during the interview. 10/

1/5/2020 Review Test Submission: Exam - Week 6 – NURS-6512N- 34,... Question 56 1 out of 1 points 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? Selected Answer: Consistent right lower quadrant (RLQ pain) Question 57 1 out of 1 points 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." Question 58 1 out of 1 points Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure: Selected Answer: hearing range of normal speech. Question 59 1 out of 1 points Which type of speculum should be used to examine a patient's tympanic membrane? Selected Answer: The largest speculum that will fit comfortably in the ear Question 60 A tool used to screen adolescents for alcoholism is the: 1 out of 1 points Selected Answer:

1/5/2020 Review Test Submission: Exam - Week 6 – NURS-6512N- 34,... Question 56 1 out of 1 CRAFFT. points Question 61 Macronutrients are so named because they: 1 out of 1 points Selected Answer: are required in large amounts.

1/5/2020 Review Test Submission: Exam - Week 6 – NURS-6512N- 34,... 1 out of 1 points Question 62 Subjective and symptomatic data are: Selected Answer: placed in the history section. Question 63 Unusual white areas on the skin may be due to: 1 out of 1 points Selected Answer: C. vitiligo. Question 64 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.

Question 65 Before performing an abdominal examination, the examiner should: 1 out of 1 points Selected Answer: have the patient empty his or her bladder. Question 66 1 out of 1 points 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: Selected Answer: D. a poorly developed subcutaneous fat layer. Question 67

1/5/2020 Review Test Submission: Exam - Week 6 – NURS-6512N- 34,... 1 out of 1 points Question 62^1 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: Selected Answer: maxillary sinuses only. 8

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Question 68 Which of the following is the most vital nutrient? 1 out of 1 points Selected Answer: Water Question 69 1 out of 1 points Which technique is most likely to result in the patient's understanding of questions? Selected Answer: Use the patient's own terms if possible. Question 70 1 out of 1 points 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 Answer: Fat Question 71 1 out of 1 points 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. Question 72 When hearing is evaluated, which cranial nerve is being tested? 1 out of 1 points

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Selected Answer:

VIII

Question 73 0 out of 1 points 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.

Selected Answers: a. Sounds may be garbled and difficult to localize

b. Unable to hear in a crowded room

NURS-6512N-34,Advanced Health Assessment.2022/2023

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f. Bone conduction heard longer than air conduction

Question 74 A guideline for history taking is for caregivers to: 1 out of 1 points Selected Answer: make notes sparingly so that patients can be observed during the history taking. Question 75 1 out of 1 points When communicating with older children and teenagers, you should be sensitive to their: Selected Answer: typical reluctance to talk. Question 76 Regardless of the origin, discharge is described by noting: 1 out of 1 points Selected Answer: color and consistency. Question 77 Expected normal percussion tones include: 1 out of 1 points Selected Answer: tympany over an empty stomach. Question 78 1 out of 1 points