NURSING NUR 3065 PA Midterm Exam. Graded A

NURSING NUR 3065 PA Midterm Exam A brief statement of the reason the patient is seeking health care is called the: • Question 2 1 out of 1 points A tool used to screen adolescents for alcoholism is the: ...

NURSING NUR 3065 PA Midterm Exam A brief statement of the reason the patient is seeking health care is called the: • Question 2 1 out of 1 points A tool used to screen adolescents for alcoholism is the: • Question 3 1 out of 1 points A 36-year-old woman complains that she has had crushing chest pain for the past 2 days. She seems nervous as she speaks to you. An appropriate response is to: • Question 4 1 out of 1 points Behaviors that diffuse anxiety during the interview include: • Question 5 1 out of 1 points A pedigree diagram is drafted for the purpose of obtaining: Selected Answer: c. • Question 6 1 out of 1 points A guideline for history taking is for caregivers to: • Question 7 1 out of 1 points After you ask a patient about her family history, she says, “Tell me about your family now.” Which response is generally most appropriate? • Question 8 1 out of 1 points Constitutional symptoms in the ROS refer to: • Question 9 1 out of 1 points A stethoscope is used in a head and neck examination to assess: • Question 10 1 out of 1 points During a head and neck assessment of a neonate, it is important to screen for: • Question 11 0 out of 1 points Closure of the anterior skull fontanel should occur by ______________. Selected Answer: 24 months • Question 12 1 out of 1 points A 29-year-old woman presents to the urgent care center with a history of a severe headache of 2 hours’ duration. She describes it as bandlike and constricting. In interviewing the woman about her complaint, you would ask: • Question 13 1 out of 1 points A bruit, or blowing sound, over the skull or temporal region of an adult indicates a: • Question 14 1 out of 1 points Coarse, dry, and brittle hair is associated with which metabolic disorder? • Question 15 1 out of 1 points During a 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: • Question 16 1 out of 1 points An inconsequential finding on the head of an adult is a palpable: • Question 17 0 out of 1 points An example of a cold food is: • Question 18 1 out of 1 points A 22-year-old female nurse is interviewing an 86-year-old male patient. The patient avoids eye contact and answers questions only by saying, “Yeah,” “No,” or “I guess so.” Which of the following is appropriate for the interviewer to say or ask? • Question 19 1 out of 1 points As the health care provider, you are informing a patient that he or she has a terminal illness. This discussion is most likely to be discouraged in which cultural group? Selected Answer: d. • Question 20 1 out of 1 points An image of any group that rejects its potential for originality or individuality is known as a(n): • Question 21 1 out of 1 points An aspect of traditional Western medicine that may be troublesome to many Hispanics, Native Americans, Asians, and Arabs is Western medicine’s attempts to: • Question 22 1 out of 1 points An example of a cold condition would be: • Question 23 1 out of 1 points Adolescents most likely to smoke, abuse substances, perform poorly in school, and be depressed are those who are: • Question 24 1 out of 1 points Bulging of an amber tympanic membrane without mobility is usually associated with: • Question 25 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: • Question 26 1 out of 1 points A 6-month-old who can hear well can be expected to: • Question 27 1 out of 1 points An infant’s auditory canal, compared with an adult’s, is: • Question 28 1 out of 1 points A hairy tongue with yellowish brown to black elongated papillae on the dorsum: • Question 29 1 out of 1 points A smooth red tongue with a slick appearance may indicate: • Question 30 1 out of 1 points A newborn whose serum bilirubin level is greater than 20 mg/100 mL has a risk of later: • Question 31 1 out of 1 points An ear auricle with a low-set or unusual angle may indicate chromosomal aberration or: • Question 32 1 out of 1 points A rubber or plastic ring should be around the bell endpiece of a stethoscope to: • Question 33 1 out of 1 points During percussion, a dull tone is expected to be heard over: • Question 34 1 out of 1 points A scale used to assess patients’ weight should be calibrated: • Question 35 1 out of 1 points A patient in the emergency department has a concussion. You suspect the patient may also have a retinal hemorrhage. You are using the ophthalmoscope to examine the retina of this patient. Which aperture of the ophthalmoscope is most appropriate for this patient? • Question 36 1 out of 1 points Auscultation should be carried out last, except when examining the: Selected Answer: c. abdomen. • Question 37 1 out of 1 points According to the guidelines for Standard Precautions, the caregiver’s hands should be washed: • Question 38 1 out of 1 points A variant of the percussion hammer is the neurologic hammer, which is equipped with which of the following? • Question 39 1 out of 1 points During auscultation, you can limit your perceptual field best by: • Question 40 1 out of 1 points A 44-year-old male patient who complains of a cough has presented to the emergency department. He admits to smoking one pack per day. During your inspection of his chest, the most appropriate lighting source to highlight chest movement is: • Question 41 1 out of 1 points A 29-year-old patient presents with a new complaint of productive cough, with purulent sputum. He also complains of right lower quadrant abdominal pain. You suspect pneumonia in which lobe? • Question 42 1 out of 1 points A musical squeaking noise heard on auscultation of the lungs is called: • Question 43 1 out of 1 points A pregnant woman is expected to develop: • Question 44 1 out of 1 points A cause for alarm during chest assessment of a newborn is: • Question 45 1 out of 1 points A slightly elevated brownish papule with indistinct borders is a typical characteristic of a(n) _____ nevus. • Question 46 1 out of 1 points A 17-year-old student complains of a “rash for 3 days.” You note pale, erythematous oval plaques over the trunk. They have fine scales and are arranged in a fernlike pattern, with parallel alignment. What is the nurse’s next action? • Question 47 1 out of 1 points A flat, nonpalpable lesion is described as a macule if the diameter is: • Question 48 1 out of 1 points A 29-year-old white woman appears jaundiced. Liver disease as a cause has been excluded. What history questions should the nurse ask? • Question 49 1 out of 1 points A 5-year-old child presents with discrete vesicles on an erythematous base (dew drops on a rose petal appearance) that began near her scalp and are spreading to the trunk. The child has a low-grade fever and feels tired. What is the nurse’s next action? • Question 50 1 out of 1 points A Dennie-Morgan fold is probably caused by: • Question 51 1 out of 1 points Age spots are also called: • Question 52 1 out of 1 points A single transverse line seen in the palm of a small child may imply: Selected Answer: a. Down syndrome. • Question 53 1 out of 1 points Mr. Miles is a 45-year-old man who is being evaluated for obesity. Advising Mr. Miles to reduce which macronutrient will produce the greatest calorie reduction per gram? • Question 54 1 out of 1 points Macronutrients are so named because they: • Question 55 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: • Question 56 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, an enlarged skull, and bowed legs and diagnose him with rickets. A deficiency of which fat-soluble micronutrient can result in rickets? • Question 57 1 out of 1 points 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: • Question 58 1 out of 1 points Mr. Williams, a 62-year-old patient, presents for a physical examination. You suspect a vitamin D deficiency. Which of the following assessment findings might lead the examiner to suspect vitamin D deficiency? • Question 59 1 out of 1 points Monitoring a patient’s waist-to-hip ratio provides data concerning: • Question 60 1 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 contains mostly: • Question 61 1 out of 1 points An abnormal growth of conjunctiva extending over the cornea from the limbus is known as: Selected Answer: d. a pterygium. • Question 62 Bone spicule pigmentation is a hallmark of: • Question 63 A condition in which the eyelids do not completely meet to cover the globe is called: Selected Answer: c. lagophthalmos. • Question 64 1 out of 1 points An increased level of lysozyme in the tears will occur normally during which life stage? • Question 65 1 out of 1 points Changes seen in proliferative diabetic retinopathy are the result of: • Question 66 Ask the patient to look directly at the light of the ophthalmoscope when you are ready to examine the: • Question 67 A condition that typically develops by the age of 45 years is: • Question 68 A pterygium is more common in people heavily exposed to: • Question 69 Appropriateness of logic, sequence, cohesion, and relevance to topics are markers for the assessment of: • Question 70 1 out of 1 points An aversion to touch or being held, along with delayed or absent language development, is characteristic of: • Question 71 An older adult is administered the Set Test and scores a 14. The nurse interprets this score as indicative of: • Question 72 1 out of 1 points Flight of ideas or loosening of associations is associated with: • Question 73 1 out of 1 points Facial muscle or tongue weakness may result in: • Question 74 1 out of 1 points A 69-year-old truck driver presents with a sudden loss of the ability to understand spoken language. This indicates a lesion in the: • Question 75 Assessing orientation to person, place, and time helps determine: • Question 76 1 out of 1 points A clinical syndrome of failing memory and impairment of other intellectual functions, usually related to obvious structural diseases of the brain, describes: • Question 77 Needs Result If only two blood pressure values are recorded, they are the _______________ sounds. Selected Answer: systolic and diastolic • Question 78 Needs Result A normal adult’s pulse pressure should range from _____ to _____ mm Hg. • Question 79 1 out of 1 points Body language that leads you to suspect that a person is in pain is: • Question 80 In a syndrome in which regional pain extends beyond this specific peripheral nerve injury, you would notice which of the following: (Select all that apply.) b. Blood flow changes c. Allodynia d. Edema e. Numbness • Question 81 During respiration, the internal intercostals: • Question 82 If a sufficiently large cuff is unavailable to fit an obese arm, which technique may be used to assess blood pressure? • Question 83 A blood pressure cuff bladder should be long enough to: • Question 84 Hypertension in the adult is generally defined as pressure in excess of: • Question 85 Equipment for examining the lymphatic system includes a: • Question 86 As adults age, their ability to resist infection is reduced because of the lymphatic nodes becoming more: • Question 87 A red streak that follows the course of the lymphatic collecting duct is a finding associated with: • Question 88 Cells that line the lymph node sinuses perform the specific function of: • Question 89 Hodgkin disease is most common in ______________________. • Question 90 A congenital defect in the immune system of a 2-week-old infant may be suspected if: • Question 91 Enlarged inguinal nodes are likely to be associated with: • Question 92 An organ that is essential to the development of protective immune function in the infant but has little or no demonstrated function in the adult is the: • Question 93 A pregnant woman of normal prepregnancy weight should be expected to gain how much weight per week during the second and third trimesters of pregnancy? • Question 94 A woman with a normal prepregnancy body mass index (BMI) should gain approximately _____ pounds during pregnancy. • Question 95 A Mexican American mother brings her 12-year-old daughter to the clinic because this child is not maturing as quickly as her classmates. You examine the daughter and determine that her growth and physical findings are within normal limits. You should explain to the family that: • Question 96 An 11-year-old boy is brought in for an annual physical examination by his mother. You suspect _______________ when you measure his arm span at 65 inches and his height at 60 inches. • Question 97 A marker for nutritional status is the: • Question 98 A prominent forehead, large nose, large jaw, and elongation of the facial bones and extremities are signs of: At what age does peak height growth velocity occur in boys?