NUS 6512 EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS GRADED A+ 2022 UPDATE, Exams of Nursing

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SOLUTIONS GRADED A+ 2022 UPDATE

 Before performing an abdominal examination, the examiner should: Have the patient empty their bladder  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  Which of the following is the most accurate reflection of an individual’s food intake? Food Diary  Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the: Lower liver border  A fixed image of any group that rejects its potential for originality or individuality is known as a: Stereotype  Peritonitis produces bowel sounds that are Decreased/Hypoactive  Brittle nails are typical findings in: Older adults  Which of the following is an expected change in the assessment of the thyroid during pregnancy? A Bruit is auscultated d/t increased vascularity  You are planning to palpate the abdomen of your patient. Which part of the examiner's hand is best for palpating vibration? Ulnar Surface

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 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  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  Unusual white areas on the skin may be due to Vitiligo  You are using an ophthalmoscope to examine a patient’s inner eye. You rotate the lens selector clockwise, then counterclockwise to compensate for: Myopia  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  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  The most superior part of the stomach is the Fundus  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? B  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.  Placing the base of a vibrating tuning fork on the midline vertex of the patient’s head is a test for: Lateralization of Sound  Which technique is most likely to result in the patients understanding of questions? Use the patient's own terms if possible.  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  Nasal symptoms that imply an allergic response include:

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Bluish gray turbinates. ("Turbinates that appear bluish gray or pale pink with a swollen, boggy consistency may indicate allergies"-Seidel p.243)  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?"  When taking a history, you should: Use a chronologic and sequential framework.  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  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: Pull the auricle down and back in an effort to straighten the upward curvature of the canal  Which question would be considered a leading question? You don't get headaches often, do you?"  Mr. Black is a 44y/o 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? C 4 to C 5: C4 and C5 or C5 and C 6 provide the greatest horizontal mobility in adults  The term denoting the caregiver’s need to do no harm to the patient is: Deontologic imperatives.  A tool used to screen adolescents for alcoholism is the: CRAFFT  Under normal circumstances, how much water is lost daily by the body? Under normal circumstances, approximately 2 to 2.5 liters of water is lost daily  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: Transillumination is used to determine the presence of fluid in cysts and masses. Fluid-filled lesions will transilluminate with a red glow, and solid masses will not transilluminate.  Mr. Mills is a 55/y/o patient who presents to the office for an initial visit for health promotion. A survey of mobility and activities of activities of daily living is part of a(n): Functional assessment.  Sweat glands, hair, and nails are all formed from?

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Invagination of epidermis into dermis

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 A brief statement of the reason the patient is seeking health care is called the? Chief concern  Which part of the information contained in the patient’s record may be used in court? Anything that is entered into a patient’s record in paper or electronic form, is a legal document and can be used  Which cranial nerves innervate the face? 5 and 7  In counseling a client regarding nutrition education, you explain that linoleic acid, a major fatty acid, is thought to be essential for? Linoleic acid, found abundantly in milk and dairy fat, is required for normal growth and development, it has been suggested that it can reduce body fat in overweight patient  When are open-ended questions generally most useful? During the initial part of the interview  Knowledge of the culture or cultures represented by the patient should be used to? Help make interview questions more pertinent  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? Auscultation  A guideline for history taking is for caregivers to? Make notes sparingly so that patients can be observed during the history taking  Which type of speculum should be used to examine a patient’s tympanic membrane? The largest speculum that will fit comfortably in ear  You are palpating a patient’s thyroid and find that its broadest dimension measures 4cm. the right lobe is 25% larger than the left. These data would indicate? The description is most likely a normal finding  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? Healthcare provider should be willing to modify delivery and respectful of wishes/culture background  Before performing an abdominal examination, the examiner should? Have the patient empty his or her bladder  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? Telangiectasia  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?

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The English worry about being overheard and tend to speak in a modulated voice, so when they lean toward you, they probably have a question  When palpating the abdomen, you should note whether the liver is enlarged in the? The liver is located in the right upper quadrant of the abdomen  Expected normal percussion tones include? Normal lings produce renaissance percussion tones  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 ate concerned about violating a cultural prohibition when you prepare to do his rectal examination. The best tactic would be to? Inform the patient of the reason for the exam and ask if it is acceptable to him  Fluorescing lesions are best distinguished using a(n)? Wood’s lamp  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  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  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  Penicillin is considered a? Miracle drug for all the reasons except. It was not the first antibiotic.  Small, minute bruises are called? Petechiae  After thorough inspection of the abdomen, the next assessment step is? Auscultation  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?  Regardless of the origin, discharge is described by noting? Color and consistency  Recommended carbohydrate content of total dietary intake (% total calories) is? 50%  Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure? Hearing range of normal speech

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 Auscultation should be carried out last, except when examining the? The abdomen  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  Which of the following is an “ABCD” characteristic of malignant melanoma? Asymmetric borders  Tracheal tug suggests the presence of a(n)? Aortic aneurysm  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  The review of systems is a component of the: Personal and social history  Cherry angiomas are a common finding in: Adults older than 30 years  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.  To correctly document absent bowel sounds, one must listen continuously for: 5 minutes  The adult recommended dietary fat intake should be g/day. 20 to 35  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  A flat, non-palpable lesion is described as a macule if the diameter is: Less than 1 cm  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  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

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 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  To approximate vocal frequencies, which tuning fork should be used to assess hearing? 500 to 1000 Hz  During percussion, a dull tone is expected to be heard over: The liver  The attitudes of the health care professional: Culturally derived/are largely irrelevant to the success of relationships with the patient  When recording physical findings, which data are recorded first for all systems? Inspection  Spasmodic muscular contractions of the head, face, or neck are called: tics  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.  Differential diagnoses belong in the: Assessment  Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish: seborrheic keratoses from actinic keratoses.  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  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.  Tympanic thermometers measure body temperature when a probe is placed: Eardrum (in the ear)  A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the: peritoneum  White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are: aphthous ulcers (canker sores)  When assessing abdominal pain in a college-age woman, one must include: the first day of the last menstrual period.

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 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.  The infant should be placed in which position to have his or her height or length measured? Supine on a measuring board  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?"  Which of the following is the most vital nutrient? water  What finding is unique to the documentation of a physical examination of an infant? Fontanel size  Mrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the: CAGE questionnaire  Mr. D. complains of a headache. During the history he mentions his use of alcohol and illicit drugs. This information would most likely belong in the: personal and social history  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: flex his or her knees  When communicating with older children and teenagers, you should be sensitive to their: typical reluctance to talk  Periods of silence during the interview can serve important purposes, such as: Providing time for reflection.

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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? Before performing an abdominal examination, the examiner should:

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Periods of silence during the interview can serve important purposes, such as: 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? To perform the Rinne test, place the tuning fork on the: As part of your health promotion education for a new patient, you explain that the risk factors for skin cancer include: A brief statement of the reason the patient is seeking health care is called the:

When assessing abdominal pain in a college-age

woman, one must include:

Peritonitis produces bowel sounds that are:

The most superior part of the stomach is the:

To approximate vocal frequencies, which tuning fork should be used to assess hearing?

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Which of the following is the most vital nutrient? Which of the following is an expected change in the assessment of the thyroid during pregnancy? Mr. Donalds is a 45-year-old roofer. Your inspection to determine color variations of the skin is best conducted:

Peritonitis produces bowel sounds that are:

Macronutrients are so named because they: In examining the neck of a 34-year-old female patient, you note that the uppermost ridge of the tracheal cartilage is at the: Which of the following occurs when firm pressure is used to apply the stethoscope's bell end-piece to the skin? 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:

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The position on a clock, topographic notations, and anatomic landmarks:

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?

Ms. Jones is a 31 - year-old female patient who presents for

a routine physical examination. Which examination

technique will be used first?

When recording physical findings, which data are recorded first for all systems?

Percussing at the right midclavicular line, below the umbilicus, and

continuing upward is the correct technique for locating the:

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.

You are planning to palpate the abdomen of your patient.

Which part of the examiner's hand is best for palpating

vibration?

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

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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:

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?

Sweat glands, hair, and nails are all formed from: 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):

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:

Expected normal percussion tones include:

Recommended carbohydrate content of total dietary intake (% total calories) is

%.

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Underestimation of blood pressure will occur if the blood pressure cuff's width covers: Which technique is most likely to result in the patient's understanding of questions? Which question would be considered a leading question? Spasmodic muscular contractions of the head, face, or neck are called: Tangential lighting is best used for inspecting skin: Small, minute bruises are called: When examining the skull of a 4-month-old baby, you should normally find: 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? What finding is unique to the documentation of a physical examination of an infant?

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The recommended minimum daily protein requirement for the normal adult is

.

Ms. Davis is a 27-year-old patient with a BMI of 33. Based on

her BMI, your diagnosis would be:

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:

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

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:

Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure: During an interview, tears appear in the patient's eyes and his voice becomes shaky. Initially, you should:

Tympanic thermometers measure body temperature when

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a probe is placed:

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Under normal circumstances, how much water is lost daily by the body? After thorough inspection of the abdomen, the next assessment step is: 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: Which cranial nerves innervate the face? Which technique is most likely to result in the patient's understanding of questions? Which of the following is the most accurate reflection of an individual's food intake?

When assessing abdominal pain in a college-age

woman, one must include:

The infant should be placed in which position to have his or her height or length measured?

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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: A 5-year-old child presents with nasal congestion and a headache. To assess for sinus tenderness you should palpate over the: Coarse, dry, and brittle hair is associated with which metabolic disorder? A detailed description of the symptoms related to the chief complaint is presented in the:

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?

You are using an ophthalmoscope to examine a patient's inner eye. You rotate the lens selector clockwise, then counterclockwise to compensate for: Tracheal tug suggests the presence of a(n): Auscultation should be carried out last, except when examining the:

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Unusual white areas on the skin may be due to:

A serous membrane that lines the abdominal cavity and forms a

protective cover for many abdominal structures is the:

A blood pressure cuff bladder should be long enough to:

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:

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?

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

During percussion, a dull tone is expected to be heard over:

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:

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The adult recommended dietary fat intake should be g/day.

Before performing an abdominal examination, the examiner should: 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: A flat, nonpalpable lesion is described as a macule if the diameter is: When are open-ended questions generally most useful? When communicating with older children and teenagers, you should be sensitive to their: Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish:

Ms. Otten is a 45-year-old patient who presents with a

complaint of weight gain. Which medication is frequently

associated with weight gain?

The most common form of birth trauma of the scalp is:

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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:

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: Brittle nails are typical findings in: White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are: Which type of speculum should be used to examine a patient's tympanic membrane? The examiner's evaluation of a patient's mental status belongs in the: Bulging of an amber tympanic membrane without mobility is most often associated with:

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When you are questioning a patient regarding alcohol intake, she tells you that she is

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only a social drinker. Which initial response is appropriate?

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?

Mr. Kevin Marks is a new health care provider. What is the best

method to develop cultural competence?

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?

The term denoting the caregiver's need to do no harm to the patient is:

Penicillin is considered a

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:

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):

Mrs. Berger is a 39-year-old woman who presents with a complaint

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of epigastric abdominal pain. You have completed the inspection of

the

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abdomen. What is your next step in the assessment process?

ANOTHER

When completing this exam, did you comply with Walden University’s Code of Conduct

including the expectations for academic integrity?

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When hearing is evaluated, which cranial nerve is being tested?

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Bulging of an amber tympanic membrane without mobility is most often associated with:

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The examiner's evaluation of a patient's mental status belongs in the:

• Question 5 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 6 1 out of 1 points

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

• Question 7 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?

• Question 8 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 9 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?

• Question 10 1 out of 1 points The most superior part of the stomach is the:
• Question 11 1 out of 1 points

Before performing an abdominal examination, the examiner should:

• Question 12 1 out of 1 points