NURS 6512 Final Exam (Questions and Answers)

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NURS 6512 Final Exam (Questions and Answers) 1. Costovertebral angle tenderness should be assessed whenever you suspect the patient may have: - Polynephritis 2. In older adults, overflow fecal incon... tinence 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 16. Imaging studies reveal that a patient has dilation of the renal pelvis from an obstruction in the ureter, what condition will be documented in this patient’s health record? – Hydronephrosis 17. Visible intestinal peristalsis may indicate: - Intestinal obstruction 18. Infants born weighing less than 1500g are at higher risk for: - Necrotizing enterocolitis 19. Which of the following factors is not known to affect patient compliance with his or her treatment regimen? – The patient’s age and social status 20. One of the most important aspects to consider in the orthopedic screening examination is: - Symmetry 21. The sequence of the physical examination should be individualized to: - Minimize the number of times the patient has to change positions to conserve the patient’s energy 22. As you greet the patient, which examination technique is first implemented? - Inspection 23. Which of the following is most likely to enhance examiner reliability? – The examiner attempts to qualify data 24. A 7 year old boy is brought to your office with a chief complaint of possible fracture to his left third finger. He jammed it while playing basketball 2 days ago. The mother states that she really does not think it is broken because he can move it. What is your best response? – This is common misconception, and the finger may be broken. An x-ray is indicated. 25. A patient presenting for the first time with typical low back pain should receive which of the following diagnostic tests? – None of the above. X-ray is not indicated because lumbar pain is usually musculoskeletal etiology. 26. Skeletal changes in older adults are the result of: -Increased bone resorption 27. A positive straight leg raise test usually indicates: - Lumbar nerve root irritation 28. What technique is performed at every infant examination during the first year of life to detect hip dislocation? – Barlow-Ortolani maneuvers 29. Expected normal findings during inspection of spinal alignment include: - Convex lumbar curve 30. Temporalis and masseter muscles are evaluated by: - Having the patient clench his or her teeth 31. When palpating joints, crepitus may be caused when: - Irregular bony surfaces rub together 32. A 3 year old is brought to the clinic complaining of a painful right elbow. He is holding the right arm slightly flexed and pronated and refuses to move it. the mother states that symptoms started right after his older brother had been swinging him around by his arms. This presentation supports a diagnosis of: - Radial head subluxation ...............continued....... [Show More]

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