REGIS NU 650 FINAL ACTUAL EXAM Questions with 100% Correct Answers Recently Updated 2024, Exams of Nursing

Download REGIS NU 650 FINAL ACTUAL EXAM Questions with 100% Correct Answers Recently Updated 2024 and more Exams Nursing in PDF only on Docsity! 1 REGIS NU 650 FINAL ACTUAL EXAM Questions with 100% Correct Answers Recently Updated 2024 When percussing the abdomen in a patient with constipation, which of the following sounds would you expect to find in the LLQ? A. Tympanic B. Dull C. Resonant D. Hyperresonant -------- Correct Answer --------- B Which of the following represents the proper position for the NP to assess the patient's abdomen? A. Stand at the patient's left side and proceed in a systematic fashion. B. Stand at the patient's left side and assess any problem areas first C. Stand at the patient's right side and process in a systemic fashion D. Stand at the patient's right side and assess any problem areas first -------- Correct Answer --------- C The NP will demonstrate the correct order of examination for the abdomen by using examination techniques that follows: 1. Auscultation 2. Inspection 3. Palpation 4. Percussion 2 A. 1-2-3-4 B. 2-3-4-1 C. 3-4-1-2 D. 2-1-3-4 -------- Correct Answer --------- D The NP will use which of the following examination techniques to determine muscular resistance, superficial organs and masses in the abdomen A. inspection B. light palpation C. deep palpation D. percussion -------- Correct Answer --------- B The NP will use which of the following methods to help the patient relax during the abdominal exam? A. ask the patient to hold their breath B. Palpate the abdomen after inspiration C. palpate the abdomen after expiration D. Palpate the abdomen using quick short movements -------- Correct Answer --------- C When percussing the abdomen, you would document the normal finding of percussion over the intestines as: A. Tympanic B. Dull C. Resonant D. Hyperresonant -------- Correct Answer --------- A The NP will use her third finger to strike or deliver a rapid tap or blow against another finger placed against the surface of the chest or abdomen to evoke a sound wave. The striking or tapping finger is called the: -------- Correct Answer --------- Plexor finger 5 A. Positive psoas sign B. Positive Rovsing's sign C. Positive Obturator sign D. Positive murphy's sign -------- Correct Answer --------- D Which of the following symptoms would you expect from a young adolescent in the early phase of appendicitis? A. Abdominal pain two hours after eating B. CVA tenderness C. Severe RLQ pain with pallor and sweating D. Constipation -------- Correct Answer --------- C A 57-year-old maintenance worker comes to your office for evaluation of pain in his legs. He has smoked two packs per day since the age of 16, but he is otherwise healthy. You are concerned that he may have peripheral vascular disease. Which of the following is part of common or concerning symptoms for the peripheral vascular system? A) Intermittent claudication B) Chest pressure with exertion C) Shortness of breath D) Knee pain -------- Correct Answer --------- A Which area of the arm drains to the epitrochlear nodes? A) Ulnar surface of the forearm and hand, little and ring fingers, and ulnar middle finger B) Radial surface of the forearm and hand, thumb and index fingers, and radial middle finger C) Ulnar surface of the forearm and hand; second, third, and fourth fingers D) Radial surface of the forearm and hand; second, third, and fourth fingers -------- Correct Answer -------- - A Mr. E complains of cramps and difficulties with walking. The cramps occur in his calves consistently after walking about 100 yards. After a period of rest, he can start to walk again, but after 100 yards these same symptoms recur. Which of the following would suggest spinal stenosis as a cause of this pain? 6 A) Coldness and pallor of the legs B) Relief of the pain with bending at the waist C) Color changes of the skin D) Swelling with tenderness of the skin -------- Correct Answer --------- B Which of the following pairs of ischemic symptoms versus vascular supply is correct? A) Lower calf/superficial femoral B) Erectile dysfunction/iliac or pudendal C) Buttock/common femoral D) Upper calf/tibial or peroneal -------- Correct Answer --------- B A patient demonstrates left facial droop but can wrinkle both sides of the forehead. The examiner should suspect a problem with: (A) Central innervation of cranial nerve VII (facial) (B) Cranial nerve V (trigeminal) (C) Peripheral innervation of cranial nerve VII (D) Frontalis muscle -------- Correct Answer --------- A Mr. T. is complaining of a headache. He has just awakened from a nap and states that the headache always begins behind one eye, "feels like an icepick," and is accompanied by tearing and a runny nose. You suspect Mr. T has: (A) Migraine headache (B) Tension headache (C) Cluster headache (D) A stroke -------- Correct Answer --------- C The muscles in the neck that are innervated by cranial nerve XI are: (A) Spinal accessory and omohyoid (B) Sternomastoid and trapezius (C) Trapezius and sternomandibular 7 (D) Sternomandibular and spinal accessory -------- Correct Answer --------- B During your examination you note that your client's eyes are puffy. You further assess coarse and dry hair. You suspect: (A) Scleroderma (B) Cachexia (C) Myxedema (D) Cretinism -------- Correct Answer --------- C You have just completed your examination and you document that the patient is unable to differentiate between sharp and dull touch bilaterally. You interpret this as: (A) Bell's palsy (B) Scleroderma of the face and cheeks (C) Damage to cranial nerve V (trigeminal nerve) (D) Paralysis -------- Correct Answer --------- C A 28-year-old housewife presents to your office for a 6-week postpartum checkup. She complains of fatigue greater than expected and palpitations. Her hair is falling out as well. She denies sadness or depression symptoms. Before this, she had not had any medical problems. She is breastfeeding her child and is not on any birth control. She had her first period since giving birth last week. A pregnancy test done in the office is negative. What is your most likely diagnosis? (A) Thyroiditis (B) Iron-deficiency anemia (C) Addison's disease (D) Sheehan's syndrome -------- Correct Answer --------- A Which of the following percussion notes would you obtain over the gastric bubble? A) Resonance B) Tympany C) Hyperresonance D) Flatness -------- Correct Answer --------- B 10 A young woman undergoes cranial nerve testing. On touching the soft palate, her uvula deviates to the left. Which of the following is likely? A) CN IX lesion on the left B) CN IX lesion on the right C) CN X lesion on the left D) CN X lesion on the right -------- Correct Answer --------- D Restrictions of internal and external hip rotation are sensitive indicators of a disease such as -------- Correct Answer --------- Arthritis The purpose in asking a patient who complains of neck or lower back pain about bowel or bladder dysfunction is to assess for -------- Correct Answer --------- Associated deficit indicating neurological involvement When testing for carpal tunnel syndrome, numbness or tingling in the distribution of the median nerve (palmar surface of thumb, index, middle and medial 4th finger) when hands are pressed together in acute flexion for 60 seconds is a positive -------- Correct Answer --------- Phalen's sign Which of the following areas of musculoskeletal examination tests joint function and stability -------- Correct Answer --------- Range of motion Which test is used to detect an injury or tear or the medial or lateral collateral ligament -------- Correct Answer --------- Stress test (abduction/adduction) The area of the body surface innervated by a particular spinal nerve is called a -------- Correct Answer ----- ---- dermatome Two of the most common symptoms patients with neurologic disorders describe are -------- Correct Answer --------- generalized weakness and pain One way to test cranial nerves IX and X -------- Correct Answer --------- assess gag reflex 11 Cranial nerves III, IV, and VI are all related to -------- Correct Answer --------- ocular movement One way to test cranial nerve XI is -------- Correct Answer --------- Ask the patient to shrug shoulders against resistant pressure of examiner's hands One way to test cranial nerve VIII is -------- Correct Answer --------- weber test The best test to assess cranial nerve II is -------- Correct Answer --------- snellen chart and reading newspaper print Cranial nerve VII assesses nerves associated with -------- Correct Answer --------- the face, facial movement One way to test cranial nerve XII -------- Correct Answer --------- ask patient to stick out tongue One way to test cranial nerve V is -------- Correct Answer --------- check for facial sensation The best test for assessing cranial nerve I is -------- Correct Answer --------- Ask the patient to sniff vanilla The ability to identify a number or letter written on the palm of your hand -------- Correct Answer --------- graphesthesia A test to evaluate position sense -------- Correct Answer --------- Romberg test The ability to identify an object by feeling it (tactile sensation) -------- Correct Answer --------- stereognosis Mark is a 35 year old police officer who is seeing you for his annual check up. When taking his sexual history it is important to: select all that apply. -------- Correct Answer --------- 1. Ask about sexual partners and any history of sexually transmitted infections2. As he states he is sexually active, ask about safer sex with condoms 12 The NP is preparing to complete a vaginal examination. Best practice includes -------- Correct Answer ------ --- Avoid unexpected or sudden movements, drape patient from midabdomen and depress drape between the knees to provide eye contact Common scrotal swellings include -------- Correct Answer --------- Indirect inquinal hernias When discussing modifiable risk factors for breast cancer in a 57 year old female, the NP recognizes that he/she can include discussion about which of the following? -------- Correct Answer --------- Use of hormonal replacement treatment (HRT) Normal findings of a prostate exam include which of the following -------- Correct Answer --------- Prostate measures 2.5 cm, rubbery, nontender Which of the following is most likely benign on breast examination? -------- Correct Answer --------- One breast larger than the other Mary is a 48 year old female who is seen today for a change in her menstrual flow. Her normal periods are have been every 28-30 days, but in the last 6 months she only had a period twice. A pregnancy test is negative and pelvic exam is normal. You schedule a follow up visit in 2 months and encourage her to call with any questions. You discuss peri-menopausal symptoms with her. When documenting her office visit the best choice for a differential diagnosis is: -------- Correct Answer --------- oligomenorrhea Which of the following findings on a urine dipstick is indicative of an infection -------- Correct Answer ------ --- Positive leukocytes, nitrites and blood Dullness noted during percussion of the abdomen could indicate all of the following Except: -------- Correct Answer --------- air filled intestines When performing a genital exam on a 25-year-old man, the nurse notices deeply pigmented, wrinkled scrotal skin with large sebaceous follicles. On the basis of this information, the practitioner would -------- Correct Answer --------- Consider this a normal finding and proceed with the examination A 22 year old woman is being seen at the clinic for problems with vulvar pain, dysuria, and fever. On physical examination, the practitioner notices clusters of small shallower vesicles with surrounding 15 Proper order of examining the female genitalia -------- Correct Answer --------- Speculum examination, bimanual examination, rectovaginal examination Swelling around the inguinal ring alongside the pubic hair that is not painful and reduces without difficulty when in the supine position -------- Correct Answer --------- A direct inguinal hernia Breast palpation that is most suggestive of cancer -------- Correct Answer --------- Firm, nontender lump that is fixed to underlying tissue To prepare female patient for a pelvic exam and pap smear -------- Correct Answer --------- Assure the woman that she can stop the exam at anytime she feels discomfort Associated with increased breast cancer risk -------- Correct Answer --------- Heavy alcohol usefirst degree relative with breast canceradvancing age Assessment of normal prostate -------- Correct Answer --------- It is heart shaped with a palpable grooveIt surface is smoothIt has a elasticity, rubbery consistency To determine the patient's gender identity the NP should -------- Correct Answer --------- Incorporate open-ended, neutral questions into the sexual history Normal testicular exam -------- Correct Answer --------- Testes that feel ovoid and mobile, and slight sensation is felt by the patient upon compression Rectal examination = firm, irregularly shaped mass -------- Correct Answer --------- Report the finding and refer the patient to GI for further examination. Pelvic Inflammatory Disease -------- Correct Answer --------- Cervical Motion Tenderness (CMT) HPI for Abdomen -------- Correct Answer --------- - always ask for last bowel movement and LMP for females 16 -Onset, location, character, radiation, palliative, provoking or associating factors, past medical/social/surgical hx -Describe the pain in your own words? -Any bowel movements? -Hows your appetite? The NP will use which of the following methods to help the patient relax during the abdominal exam? ---- ---- Correct Answer --------- -Pay special attention to draping. -Put a pillow under their head and knees -Warm hands ( under hot water) -Distract w/ conversation -Nervous pt?: Places patients hand under yours