NURS 6512N Midterm Exam - Health Assessment, Exams of Nursing

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NURS

6512N Midterm

Exam – Health

Assessment.

• Question

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

• Question

The largest speculum that will fit comfortably in the ear 1 out of 1 points When palpating the abdomen, you should note whether the liver is enlarged in the: Selected Answer:

• Question

right upper quadran t. 1 out of 1 points Which question would be considered a leading question? Selected Answer:

• Question 4

"You don't get headaches often, do you?" (^1) out of 1 points Which of the following is the most vital nutrient? Selected Answer:

- Question

Wat e r 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:

- Question

After 3 days, you're tired of coughing. Have you had a fever? 1 out of 1 points

Peritonitis produces bowel sounds that are: Selected Answer:

- Question

hypoacti ve. 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:

- Question

D. a poorly developed subcutaneous fat layer. 1 out of 1 points Which of the following is an "ABCD" characteristic of malignant melanoma? Selected Answer:

- Question

Asymmet ric borders 1 out of 1 points Tangential lighting is best used for inspecting skin: Select ed Answe r: cont ou r.

- Question

10 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? Select ed Answe r:

I t functionally converts to a diaphragm end-piece.

- Question

11 1 out of 1

points You are using an ophthalmoscope to examine a patient's inner eye. You rotate the lens selector clockwise, then counterclockwise to compensate for: Select ed Answe r: myop i a.

- Question

12 1 out of 1

points

Small, minute bruises are called: Select ed Answe r: petec hi ae.

- Question

13 1 out of 1

points A brief statement of the reason the patient is seeking health care is called the: Select ed Answe r: chief complaint .

- Question

14 1 out of 1

points Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure: Select ed Answe r: hearing range of normal speech.

- Question

15 1 out of 1

points Which of the following organs is part of the alimentary tract? Select ed Answe r: Stomach

- Question

16 1 out of 1

points What finding is unique to the documentation of a physical

examination of an infant? Select ed Answe r: Fontan el sizes

- Question

17 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): Select ed Answe r: progre ss note.

- 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? Select ed Answe r: Ra c e

- Question 19 Fluorescing lesions are best distinguished using a(n): 1 out of 1 points Select ed Answe r: Wood ’s lamp. - Question

20 0 out of 1

points Mr. Black is a 44-year-old patient who presents to the clinic with complaints of neck pain that he thinks is from his job involving computer data entry. As the examiner, you are checking the range of motion in his neck and note the greatest degree of cervical mobility is at: Select ed Answe r: C. C to C4.

- Question 21 When taking a history, you should: 1 out of 1 points Select ed Answe r: use a chronologic and sequential framework. - Question 22

The most common form of birth trauma of the scalp is: 1 out of 1 points Select ed Answe r: caput succedaneu m.

- Question

23 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 CAGE questionna ire.

Answer:

- Question 24 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? Select ed Answe r: G.M. is a 22-year-old male here for having “green nasal discharge” for the past 72 hours. - Question

25 1 out of 1

points During physical examination of a 30-year-old Chinese man, you notice slight asymmetry of his face. The cranial nerve examination is normal. Your best action is to: Select ed Answe r: D. record the finding in the patient’s chart.

- Question

26 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: Select ed Answe r: cric oi d.

- Question

27 0 out of 1

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

Select ed Answe r: less than 5 inches of the lower arm.

- Question

28 1 out of 1

points During percussion, a dull tone is expected to be heard over: Select ed Answe r: the liver.

- Question

29 1 out of 1

points

When assessing abdominal pain in a college-age woman, one must include: Select ed Answe r: the first day of the last menstrual period.

- Question

30 1 out of 1

points When communicating with older children and teenagers, you should be sensitive to their: Select ed Answe r: typical reluctance to talk.

- Question

31 1 out of 1

points 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: Select ed Answe r: inform the patient of the reason for the examination and ask if it is acceptable to him.

- Question

32 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? Select ed Answe r: C. Matrix

- Question

33 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: Select ed Answe r: B. spide r angiom a.

- Question

34 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:

Select ed Answe r: normal growth and development.

- Question

35 1 out of 1

points The term denoting the caregiver's need to do no harm to the patient is: Select ed Answe r: nonmalefice n ce.

- Question

36 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: Select ed Answe r: building and maintaining tissues.

- Question

37 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: Select ed Answe r: C. a normal thyroid gland.

- Question 38 Brittle nails are typical findings in: 1 out of 1 points

Select ed Answe r: D. old er adults .

- Question

39 1 out of 1

points When assessing abdominal pain in a college-age woman, one must include: Select ed Answe r: the first day of the last menstrual period.

- Question

40 1 out of 1

points

To correctly document absent bowel sounds, one must listen continuously for: Select ed Answe r: 5 minutes.

- Question 41 Auscultation should be carried out last, except when examining the: 1 out of 1 points Select ed Answe r: abdom e n. - Question

42 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: Select ed Answe r: B. hyperthyroidism .

- Question

43 1 out of 1

points 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? Select ed Answe r: Vitam in B 12

- Question

44 1 out of 1

points To approximate vocal frequencies, which tuning fork should be used to assess hearing? Select ed Answe r: 500 to 1000 Hz

- Question

45 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: Select ed Answe r: come to the laboratory for a stool guaiac test.

- Question

46 1 out of 1

points 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? Select ed Answe r: Vitam in D

- Question

47 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: Select ed Answe r: lateralizatio n of sound.

- Question 48 The attitudes of the health care professional: 1 out of 1 points Select ed Answe r: are culturally derived. - Question 49 Macronutrients are so named because they: 1 out of 1 points Select ed Answe r: are required in large amounts. - Question 50

Penicillin is considered a 0 out of 1 points Select ed Answe r: “cold” medici ne.

- Question

51 1 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. Select ed Answe rs: a. Unable to hear in a crowded room

e. Loss of high frequency f. Sounds may be garbled and difficult to localize

- Question 52 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: Select ed Answe r: tympanometer. - Question

53 1 out of 1

points After thorough inspection of the abdomen, the next assessment step is: Select ed Answe r: auscultati on.

- Question

54 0 out of 1

points Recommended carbohydrate content of total dietary intake (% total calories) is %. Selected 5 Answer: 0

- Question 55 Nuchal rigidity is most commonly associated with: 1 out of 1 points Select ed Answe r: B. mening eal irritation.

- Question

56 1 out of 1

points Tympanic thermometers measure body temperature when a probe is placed: Select ed Answe r: in the auditory canal.

- Question

57 1 out of 1

points

To perform the Rinne test, place the tuning fork on the: Select ed Answe r: mastoid bone.

- Question

58 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: Select ed Answe r: repeated trauma or irritation to skin.

- Question

59 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: Select ed Answe r: inspect for ecchymosis of the flank.

- Question

60 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: Select ed Answe r: pull the auricle down and back.

- Question

61 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? Select ed Answe r: "With your father's permission, we will examine the stone and request that it be returned to him."

- Question 62 A guideline for history taking is for caregivers to: 1 out of 1 points

Select ed Answe r: make notes sparingly so that patients can be observed during the history taking.

- Question 63 Peritonitis produces bowel sounds that are: 1 out of 1 points Select ed Answe r: hypoactive. - Question

64 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: Select ed Answe r: C. with illumination provided by daylight.

- Question 65 The most superior part of the stomach is the: 1 out of 1 points Select ed Answe r: fundus. - Question 66 A flat, nonpalpable lesion is described as a macule if the diameter is: 1 out of 1 points Select ed Answe r: less than 1 cm.

- Question

67 1 out of 1

points When recording physical findings, which data are recorded first for all systems? Select ed Answe r: Inspe cti on

- Question

68 1 out of 1

points Inspection of the abdomen should begin with the patient supine and the examiner: Selected seated^ on^ the patient's right.

Answer:

- Question 69 0 out of 1 points Which is the best way to position a patient's neck for palpation of the thyroid? Select ed Answe r: D. Hyperextended directly backward - Question

70 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? Select ed Answe r: Eustachian tube

- Question

71 1 out of 1

points The position on a clock, topographic notations, and anatomic landmarks: Select ed Answe r: are methods for recording locations of findings.

- Question

72 1 out of 1

points During an interview, tears appear in the patient's eyes and his voice becomes shaky. Initially, you should: