NSG6020 Midterm Questions

Queston 1 (2 points) When preparing to perform a physical examinaton on an infant, the examiner should: Queston 1 optons: have the parent remove all clothing except the diaper on a boy. instruct the parent to feed th ...

Queston 1 (2 points) When preparing to perform a physical examinaton on an infant, the examiner should: Queston 1 optons: have the parent remove all clothing except the diaper on a boy. instruct the parent to feed the infant immediately before the exam. encourage the infant to suck on a pacifer during the abdominal exam. ask the parent to briefly leave the room when assessing the infant’s vital signs. Save Queston 2 (2 points) A patent’s laboratory data reveal an elevated thyroxine level. The nurse would proceed with an examinaton of the: Queston 2 optons: thyroid gland. parotd gland. 1 2adrenal gland. thyroxine gland. Save Queston 3 (2 points) The nurse practtoner is doing an oral assessment on a 40-year-old black patent and notes the presence of a 1-cm, nontender, grayish-white lesion on the lef buccal mucosa. Which of the following is true concerning this lesion? Queston 3 optons: This lesion is leukoedema and is common in blacks. This is the result of hyperpigmentaton and is normal. This is torus palatnus and would normally only be found in smokers. This type of lesion is indicatve of cancer and should be tested immediately. Save Queston 4 (2 points) 3 4During an examinaton, the nurse knows that Paget’s disease would be indicated by which of the following fndings? Queston 4 optons: Positve Macewen’s sign Premature closure of the sagital suture Headache, vertgo, tnnitus, and deafness Elongated head with heavy eyebrow ridge Save Queston 5 (2 points) A 30-year-old woman with a history of mitral valve problems states that she has been “very tred.” She has started waking up at night and feels like her “heart is pounding.” During the assessment, the nurse practtoner palpates a thrill and lif at the ffh lef intercostal space midclavicular line. In the same area the nurse practtoner also auscultates a blowing, swishing sound right afer S1. These fndings would be most consistent with: Queston 5 optons: heart failure. aortc stenosis. pulmonary edema. 5mitral regurgitaton. Save Queston 6 (2 points) The nurse practtoner notces that a patent’s submental lymph nodes are enlarged. In an effort to identfy the cause of the node enlargement, the nurse would assess the: Queston 6 optons: infraclavicular area. supraclavicular area. area distal to the enlarged node. area proximal to the enlarged node. Save Queston 7 (2 points) During an assessment of a newborn infant, the nurse practtoner recalls that pyloric stenosis would be manifested by: Queston 7 optons: 6 7projectle vomitng. hypoactve bowel actvity. palpable olive-sized mass in right lower quadrant. pronounced peristaltc waves crossing from right to lef. Save Queston 8 (2 points) A patent has been shown to have a sensorineural hearing loss. During the assessment, it would be important for the nurse to: Queston 8 optons: speak loudly so he can hear the questons. assess for middle ear infecton as a possible cause. ask the patent what medicatons he is currently taking. look for the source of the obstructon in the external ear. Save Queston 9 (2 points) 8The most important reason to share informaton and offer brief teaching while performing the physical examinaton is to help: Queston 9 optons: the examiner feel more comfortable and gain control of the situaton. build rapport and increase the patent’s confdence in the examiner. the patent understand his or her disease process and treatment modalites. the patent identfy questons about his or her disease and potental areas of patent educaton. Save Queston 10 (2 points) A patent’s thyroid is enlarged, and the nurse practtoner is preparing to auscultate the thyroid for the presence of a bruit. A bruit is a: Queston 10 optons: low gurgling sound best heard with the diaphragm of the stethoscope. loud, whooshing, blowing sound best heard with the bell of the stethoscope. sof, whooshing, pulsatle sound best heard with the bell of the stethoscope. 9 10high-pitched tnkling sound best heard with the diaphragm of the stethoscope. Save Queston 11 (2 points) During a cardiac assessment on an adult patent in the hospital for “chest pain,” the nurse practtoner fnds the following: jugular vein pulsatons 4 cm above sternal angle when he is elevated at 45 degrees, BP 98/60, HR 130; ankle edema; difculty in breathing when supine; and an S3 on auscultaton. Which of the following best explains the cause of these fndings? Queston 11 optons: Fluid overload Atrial septal defect Myocardial infarcton Heart failure Save Queston 12 (2 points) When examining an infant, the nurse practtoner should examine which area frst? Queston 12 optons: 11 12Ear Nose Throat Abdomen Save Queston 13 (2 points) Which of the following techniques uses the sense of touch when assessing a patent? Queston 13 optons: Palpaton Inspecton Percussion Auscultaton Save Queston 14 (2 points) 13An example of objectve informaton obtained during the physical assessment includes the: Queston 14 optons: patent’s history of allergies. patent’s use of medicatons at home. last menstrual period 1 month ago. 2 Χ 5 cm scar present on the right lower forearm. Save Queston 15 (2 points) The nurse practtoner is obtaining a history from a 30-year-old male patent and is concerned about health promoton actvites. Which of the following questons would be appropriate to use to assess health promoton actvites for this patent? Queston 15 optons: “Do you perform testcular self-exams?” “Have you ever notced any pain in your testcles?” “Have you had any problems with passing your urine?” 14 15“Do you have any history of sexually transmited disease?” Save Queston 16 (2 points) The nurse practtoner notces that an infant has a large, sof lump on the side of his head and that his mother is very concerned. She tells the nurse practtoner that she notced the lump about 8 hours afer her baby’s birth, and that it seems to be getng bigger. One possible explanaton for this is: Queston 16 optons: hydrocephalus. craniosynostosis. cephalhematoma. caput succedaneum. Save Queston 17 (2 points) A mother asks when her newborn infant’s eyesight will be developed. The nurse practtoner should reply: Queston 17 optons: 16 17“Vision is not totally developed untl 2 years of age.” “Infants develop the ability to focus on an object at around 8 months.” “By about 3 months, infants develop more coordinated eye movements and can fxate on an object.” “Most infants have uncoordinated eye movements for the frst year of life.” Save Queston 18 (2 points) The temporomandibular joint is just below the temporal artery and anterior to the: Queston 18 optons: hyoid. vagus. tragus. mandible. Save Queston 19 (2 points) 18The nurse practtoner notes the presence of periorbital edema when performing an eye assessment on a 70-year-old patent. The nurse practtoner will: Queston 19 optons: check for the presence of exophthalmos. suspect that the patent has hyperthyroidism. ask the patent if he or she has a history of heart failure. assess for blepharits because this is ofen associated with periorbital edema. Save Queston 20 (2 points) During an examinaton of a patent in her third trimester of pregnancy, the nurse practtoner notces that the patent’s thyroid gland is slightly enlarged. No enlargement had been noted previously. The nurse practtoner suspects that: Queston 20 optons: she has an iodine defciency. she is exhibitng early signs of goiter. this is a normal fnding during pregnancy. 19 20further tests are needed for possible thyroid cancer. Save Queston 21 (2 points) The mother of a 2-year-old is concerned because her son has had three ear infectons in the past year. What would be an appropriate response by the nurse practtoner? Queston 21 optons: . “It is unusual for a small child to have frequent ear infectons unless there is something else wrong.” “We need to check the immune system of your son to see why he is having so many ear infectons.” “Ear infectons are not uncommon in infants and toddlers because they tend to have more cerumen in the external ear.” “Your son’s eustachian tube is shorter and wider than yours because of his age, which allows for infectons to develop more easily.” Save Queston 22 (2 points) In performing an examinaton of a 3-year-old with a suspected ear infecton, the nurse practtoner would: Queston 22 optons: 21 22omit the otoscopic exam if the child has a fever. pull the ear up and back before insertng the speculum. ask the mother to leave the room while examining the child. perform the otoscopic examinaton at the end of the assessment. Save Queston 23 (2 points) A patent presents with excruciatng headache pain on one side of his head, especially around his eye, forehead, and cheek that lasts about 1/2 to 2 hours, occurring once or twice each day. The nurse practtoner suspects: Queston 23 optons: hypertension. cluster headaches. tension headaches. migraine headaches. Save Queston 24 (2 points) 23The nurse practtoner would use bimanual palpaton technique in which situaton? Queston 24 optons: Palpatng the thorax of an infant Palpatng the kidneys and uterus Assessing pulsatons and vibratons Assessing the presence of tenderness and pain Save Queston 25 (2 points) Percussion notes heard during the abdominal assessment may include: Queston 25 optons: flatness, resonance, and dullness. resonance, dullness, and tympany. tympany, hyperresonance, and dullness. 24 25resonance, hyperresonance, and flatness. Save Queston 26 (2 points) A patent complains that while studying for an examinaton he began to notce a severe headache in the frontotemporal area of his head that is throbbing and is somewhat relieved when he lies down. He tells the nurse practtoner that his mother also had these headaches. The nurse practtoner suspects that he may be suffering from: Queston 26 optons: hypertension. cluster headaches. tension headaches. migraine headaches. Save Queston 27 (2 points) Which of the following statements regarding the aging adult and abdominal assessment is true? 26 27Queston 27 optons: The abdominal tone is increased. The abdominal musculature is thinner. The abdominal rigidity with acute abdominal conditons is more common. The aging person complains of more pain with an acute abdomen than a younger person would. Save Queston 28 (2 points) When preparing to examine a 6-year-old child, which acton is most appropriate? Queston 28 optons: Start with the thorax, abdomen, and genitalia before examining the head. Avoid talking about the equipment being used because it may increase the child’s anxiety. Keep in mind that a child this age will have a sense of modesty. Have the child undress from the waist up. Save Queston 29 (2 points) 28In assessing the sclera of a black patent, which of the following would be an expected fnding? Queston 29 optons: Yellow faty deposits over the cornea Pallor near the outer canthus of the lower lid Yellow color of the sclera that extends up to the iris The presence of small brown macules on the sclera Save Queston 30 (2 points) In infants, the nurse practtoner knows to elicit the Moro reflex: Queston 30 optons: when the infant is sleeping. at the end of the examinaton. before auscultaton of the thorax. 29 30halfway through the examinaton. Save Queston 31 (2 points) A patent comes to the emergency department afer a boxing match, and his lef eye is swollen almost shut. He has bruises on his face and neck. He says he is worried because he “can’t see well” from his lef eye. The nurse practtoner recognizes that signs of retnal detachment include: Queston 31 optons: loss of central vision. shadow or diminished vision in one quadrant or one half visual feld. loss of peripheral vision. sudden loss of pupillary constricton and accommodaton. Save Queston 32 (2 points) A patent states that she is unable to hear well with her lef ear. The Weber test shows lateralizaton to the right ear. Rinne has AC>BC with rato of 2:1 in both ears, lef-AC 10 sec and BC 5 sec, right-AC 30 sec and BC 15 sec. What would be the interpretaton of these results? 31 32Queston 32 optons: The patent may have sensorineural loss. The test results are reflectve of normal hearing. Conducton of sound through bones is impaired. These results make no sense, so further tests should be done. Save Queston 33 (2 points) When palpatng the abdomen of a 20-year-old patent, the nurse practtoner notes the presence of tenderness in the lef upper quadrant with deep palpaton. Which of the following structures is most likely to be involved? Queston 33 optons: Spleen Sigmoid Appendix Gallbladder Save Queston 34 (2 points) 33When performing the physical assessment, the examiner should: Queston 34 optons: perform the examinaton from the lef side of the bed. examine tender or painful areas frst to help relieve the patent’s anxiety. follow the same examinaton sequence regardless of the patent’s age or conditon. organize the assessment so that the patent does not change positons too ofen. Save Queston 35 (2 points) A patent has been admited to the emergency department with a possible medical diagnosis of pulmonary embolism. The nurse practtoner recognizes which assessment fndings related to this conditon? Queston 35 optons: Absent or decreased breath sounds Productve cough with thin, frothy sputum 34 35Chest pain that is worse on deep inspiraton, dyspnea Diffuse infltrates with areas of dullness upon percussion Save Queston 36 (2 points) During a morning assessment, the nurse practtoner notes that the patent’s sputum is frothy and pink. Which conditon could this fnding indicate? Queston 36 optons: Croup Tuberculosis Viral infecton Pulmonary edema Save Queston 37 (2 points) 36 37The mother of a 3-month-old states that her daughter has not been gaining weight. With further questoning, the nurse practtoner fnds that the infant falls asleep afer nursing and wakes up afer a short amount of tme, hungry again. What other informaton would the nurse practtoner want to have? Queston 37 optons: The positon that baby sleeps in Sibling history of eatng disorders Amount of background noise when eatng Presence of dyspnea or diaphoresis when sucking Save Queston 38 (2 points) The nurse practtoner is aware that a change that may occur in the gastrointestnal system of an aging adult is: Queston 38 optons: increased salivaton. decreased peristalsis. increased esophageal emptying. decreased gastric acid secreton. Save 38Queston 39 (2 points) During an admission assessment, the nurse practtoner notces that a male patent has an enlarged and rather thick skull. The nurse practtoner suspects acromegaly and would further assess for: Queston 39 optons: exophthalmos. bowed long bones. coarse facial features. an acorn-shaped cranium. Save Queston 40 (2 points) In recording the childhood illnesses of a patent who denies having had any, which of the following notes by the nurse would be most accurate? Queston 40 optons: Patent denies usual childhood illnesses. 39 40Patent states he was a “very healthy” child. Patent states sister had measles, but he didn’t. Patent denies measles, mumps, rubella, chickenpox, pertussis, or strep throat. Save Queston 41 (2 points) A woman comes to the clinic and states, “My eyes have goten so puffy, and my eyebrows and hair have become coarse and dry.” The nurse practtoner suspects: Queston 41 optons: cachexia. cretnism. myxedema. scleroderma. Save Queston 42 (2 points) 41 42Which of the following best describes the purpose of a functonal assessment? Queston 42 optons: It assesses how the individual is coping with life at home. It determines how children are meetng developmental milestones. It can identfy any problems with memory the individual may be experiencing. With the elderly, it helps to determine how they are managing day-to-day actvites. Save Queston 43 (2 points) In obtaining the history from the mother of a 2-year-old with pneumonia, the nurse practtoner asks the mother if she smoked or used drugs during her pregnancy. Her response is, “What does that have to do with pneumonia?” How would the nurse practtoner answer her queston? Queston 43 optons: “You don’t need to answer if it makes you uncomfortable.” “It’s not really that important; we just ask everyone the same questons.” “The use of tobacco during pregnancy could be the cause of your daughter’s pneumonia.” “Knowing about your pregnancy gives us a more complete picture of your daughter’s health.” Save 43Queston 44 (2 points) Which of the following statements is true concerning air conducton? Queston 44 optons: It is the most efcient pathway for hearing. It is caused by the vibratons of bones in the skull. The amplitude of sound determines the pitch that is heard. A loss of air conducton is called a conductve hearing loss. Save Queston 45 (2 points) A 2-year-old child has been brought to the clinic for a well-child check-up. How should the examiner proceed with the assessment? Queston 45 optons: Ask the parent to place the child on the examining table. Have the parent remove all the child’s clothing before the examinaton. 44 45Allow the child to keep a security object such as a toy or blanket during the examinaton. Initally focus interactons on the child, essentally “ignoring” the parent, untl the child’s trust has been obtained. Save Queston 46 (2 points) Which statement is true regarding the diaphragm of the stethoscope? Queston 46 optons: Use the diaphragm to listen for high-pitched sounds. Use the diaphragm to listen for low-pitched sounds. Hold the diaphragm lightly against the person’s skin to block out low-pitched sounds. Hold the diaphragm lightly against the person’s skin to listen for extra heart sounds and murmurs. Save Queston 47 (2 points) A male patent with a history of AIDS has come in for an examinaton and he states, “I think that I have the mumps.” The nurse practtoner would begin by examining the: 46 47Queston 47 optons: thyroid gland. parotd gland. cervical lymph nodes. mouth and skin for lesions. Save Queston 48 (2 points) A mother brings her 2-month-old daughter in for an examinaton and says, “My daughter rolled over against the wall and now I have notced that she has this spot that is sof on the top of her head. Is there something terribly wrong?” The nurse practtoner’s response would be: Queston 48 optons: “Perhaps that could be a result of your dietary intake during pregnancy.” “Your baby may have craniosynostosis, a disease of the sutures of the brain.” “That ‘sof spot’ you are referring to may be an indicaton of cretnism or congenital hypothyroidism.” “That ‘sof spot’ is normal, and actually allows for growth of the brain during the frst year of your baby’s life.” Save Queston 49 (2 points) 48During an examinaton of a female patent, the nurse practtoner notes lymphadenopathy and suspects an acute infecton. Acutely infected lymph nodes would be: Queston 49 optons: clumped. unilateral. frm but freely movable. hard and nontender. Save Queston 50 (2 points) A 31-year-old patent tells the nurse that he has notced a progressive loss in his hearing. He says that it does seem to help when people speak louder or if he turns up the volume. The most likely cause of his hearing loss is: Queston 50 optons: otosclerosis. presbycusis. 49 50trauma to the bones. frequent ear infectons. Save Queston 51 (2 points) A patent tells the nurse practtoner that he is very nervous, that he is nauseated, and that he “feels hot.” This type of data would be: Queston 51 optons: objectve. reflectve. subjectve. introspectve Save Queston 52 (2 points) The nurse practtoner is taking a family history. Important diseases or problems to ask the patent about include: 51 52Queston 52 optons: emphysema. head trauma. mental illness. fractured bones. Save Queston 53 (2 points) A 68-year-old woman is in the eye clinic for a checkup. She tells the nurse practtoner that she has been having trouble with reading the paper, sewing, and even seeing the faces of her grandchildren. On examinaton, the nurse practtoner notes that she has some loss of central vision but her peripheral vision is normal. These fndings suggest that: Queston 53 optons: she may have macular degeneraton. her vision is normal for someone her age. she has the beginning stages of cataract formaton. she has increased intraocular pressure or glaucoma. Save Queston 54 (2 points) 53The nurse practtoner is doing an assessment on a 21-year-old patent and notes that his nasal mucosa appears pale, gray, and swollen. What would be the most appropriate queston to ask the patent? Queston 54 optons: “Are you aware of having any allergies?” “Do you have an elevated temperature?” “Have you had any symptoms of a cold?” “Have you been having frequent nosebleeds?” Save Queston 55 (2 points) A 6-month-old infant has been brought to the well-child clinic for a check-up. She is currently sleeping. What should the examiner do frst? Queston 55 optons: Auscultate the lungs and heart while the infant is stll sleeping. Examine the infant’s hips because this procedure is uncomfortable. 54 55Begin with the assessment of the eye and contnue with the remainder of the examinaton in a head-to-toe approach. Wake the infant before beginning any porton of the examinaton to obtain the most accurate assessment of body systems. Save Queston 56 (2 points) During an examinaton, the nurse practtoner knows that the best way to palpate the lymph nodes in the neck is described by which statement? Queston 56 optons: Using gentle pressure, palpate with both hands to compare the two sides. Using strong pressure, palpate with both hands to compare the two sides. Gently pinch each node between one’s thumb and forefnger and move down the neck muscle. Using the index and middle fngers, gently palpate by applying pressure in a rotatng patern. Save Queston 57 (2 points) 56 57A 65-year-old patent with a history of heart failure comes to the clinic with complaints of “being awakened from sleep with shortness of breath.” Which acton by the nurse practtoner is most appropriate? Queston 57 optons: Obtain a detailed history of the patent’s allergies and history of asthma. Tell the patent to sleep on his or her right side to facilitate ease of respiratons. Assess for other signs and symptoms of paroxysmal nocturnal dyspnea. Assure the patent that this is normal and will probably resolve within the next week. Save Queston 58 (2 points) Tenderness on light palpaton in the right lower quadrant could indicate a disorder of which of the following structures? Queston 58 optons: Spleen Sigmoid Appendix Gallbladder Save 58Queston 59 (2 points) A man is at the clinic for a physical examinaton. He states that he is “very anxious” about the physical exam. What steps can the examiner take to make him more comfortable? Queston 59 optons: Appear unhurried and confdent when examining him. Stay in the room when he undresses in case he needs assistance. Ask him to change into an examining gown and take off his undergarments. Defer measuring vital signs untl the end of the examinaton, which allows him. tme to become comfortable. Save Queston 60 (2 points) An adult patent with a history of allergies comes to the clinic complaining of wheezing and difculty in breathing when working in his yard. The assessment fndings include the following: tachypnea, use of accessory neck muscles, prolonged expiraton, intercostal retractons, decreased breath sounds, and expiratory wheezes. This descripton is consistent with: Queston 60 optons: asthma. 59 60atelectasis. lobar pneumonia. congestve heart failure. Save Queston 61 (2 points) A patent tells the nurse that he is allergic to penicillin. What would be the nurse practtoner’s best response to this informaton? Queston 61 optons: “Are you allergic to any other drugs?” “How ofen have you received penicillin?” “I’ll write your allergy on your chart so you won’t receive any.” “Please describe what happens to you when you take penicillin.” Save Queston 62 (2 points) 61 62A 60-year-old man is at the clinic for an eye examinaton. The nurse practtoner suspects that he has a ptosis of one eye. How would the nurse check for this? Queston 62 optons: Perform the confrontaton test. Assess the individual’s near vision. Observe the distance between the palpebral fssures. Perform the corneal light test and look for symmetry of the light reflex. Save Queston 63 (2 points) A female patent tells the nurse that she has had six pregnancies, with four live births at term and two spontaneous abortons. Her four children are stll living. How would the nurse record this informaton? Queston 63 optons: P-6, B-4, (S)Ab-2. Grav 6, Term 4, (S)Ab 2, Living 4. Patent has had four living babies. Patent has been pregnant six tmes. Save 63Queston 64 (2 points) While performing a well-child assessment on a 5-year-old, the nurse practtoner notes the presence of palpable, bilateral, cervical, and inguinal lymph nodes. They are approximately 0.5 cm in size, round, mobile, and nontender. The nurse practtoner suspects that this: Queston 64 optons: child has chronic allergies. child may have an infecton. is a normal fnding for a well child of this age. child should be referred for additonal evaluaton. Save Queston 65 (2 points) A patent comes into the emergency department afer an accident at work. A machine blew dust into his eyes and he was not wearing safety glasses. The nurse practtoner examines his corneas by shining a light from the side across the cornea. What fndings would suggest that he has suffered a corneal abrasion? Queston 65 optons: 64 65Smooth and clear corneas Opacity of the lens behind the cornea Bleeding from the areas across the cornea A shatered look to the light rays reflectng off the cornea Save Queston 66 (2 points) The primary muscles of respiraton include the: Queston 66 optons: diaphragm and intercostals. sternomastoids and scaleni. trapezius and rectus abdominis. external obliques and pectoralis major. Save Queston 67 (2 points) 66A teenage patent comes to the emergency department with complaints of an inability to “breathe and a sharp pain in my lef chest.” The assessment fndings include the following: cyanosis, tachypnea, tracheal deviaton to the right, decreased tactle fremitus on the lef, hyperresonance on the lef, and decreased breath sounds on the lef. This descripton is consistent with: Queston 67 optons: bronchits. a pneumothorax. acute pneumonia. an asthmatc atack. Save Queston 68 (2 points) During an examinaton of a 3-year-old child, the nurse practtoner notes a bruit over the lef temporal area. What should the nurse practtoner do? Queston 68 optons: Contnue the examinaton because this is a normal fnding for this age. Check for the bruit again in 1 hour. Notfy the parents that a bruit has been detected in their child. 67 68Stop the examinaton and notfy the physician. Save Queston 69 (2 points) A 35-year-old recent immigrant is being seen in the clinic for complaints of a cough that is associated with rust-colored sputum, low-grade afernoon fevers, and night sweats for the past 2 months. The nurse’s preliminary analysis, based on this history, is that this patent may be suffering from: Queston 69 optons: bronchits. pneumonia. tuberculosis. pulmonary edema. Save Queston 70 (2 points) In obtaining a review of systems on a “healthy” 7-year-old girl, the health care provider knows that it would be important to include the: Queston 70 optons: 69 70last glaucoma exam. date of her last electrocardiogram. frequency of breast self-exam. limitatons related to her involvement in sports actvites. Save Queston 71 (2 points) Which of the following statements is true regarding the otoscope? Queston 71 optons: The otoscope is ofen used to direct light onto the sinuses. The otoscope uses a short broad speculum to visualize the ear. The otoscope is used to examine the structures of the internal ear. The otoscope directs light into the ear canal and onto the tympanic membrane. Save Queston 72 (2 points) 71Which technique of assessment is used to determine the presence of crepitus, swelling, and pulsatons? Queston 72 optons: Palpaton Inspecton Percussion Auscultaton Save Queston 73 (2 points) A patent says that she has recently notced a lump in the front of her neck below her “Adam’s apple” that seems to be getng bigger. During the assessment, the fnding that reassures the nurse practtoner that this may not be a cancerous thyroid nodule is that the lump (nodule): Queston 73 optons: is tender. is mobile and not hard. disappears when the patent smiles. 72 73is hard and fxed to the surrounding structures. Save Queston 74 (2 points) Which of the following statements best describes the purpose of a health history? Queston 74 optons: To provide an opportunity for interacton between patent and nurse To provide a form for obtaining the patent’s biographic informaton To document the normal and abnormal fndings of a physical assessment To provide a database of subjectve informaton about the patent’s past and current health Save Queston 75 (2 points) The inspecton phase of the physical assessment: Queston 75 optons: yields litle informaton. 74 75takes tme and reveals a surprising amount of informaton. may be somewhat uncomfortable for the expert practtoner. requires a quick glance at the patent’s body systems before proceeding on with palpaton. Save Queston 76 (2 points) During an assessment of an infant, the nurse practtoner notes that the fontanels are depressed and sunken. The nurse practtoner suspects which conditon? Queston 76 optons: Rickets Dehydraton Mental retardaton Increased intracranial pressure Save Queston 77 (2 points) 76 77When assessing a newborn infant who is just 5 minutes old, the nurse practtoner knows that which of the following would be true? Queston 77 optons: The lef ventricle is larger and weighs more than the right. The circulaton of a newborn is identcal to that of an adult. There is an opening in the atrial septum where blood can flow into the lef side of the heart. The foramen ovale closes just minutes before birth and the ductus arteriosus closes immediately afer. Save Queston 78 (2 points) During an examinaton of a patent’s abdomen, the nurse practtoner notes that the abdomen is rounded and frm to the touch. During percussion, the nurse practtoner notes a drum-like quality of the sound across the quadrants. This type of sound indicates: Queston 78 optons: constpaton. air-flled areas. the presence of a tumor. the presence of dense organs. Save 78Queston 79 (2 points) During a well-baby check, the nurse practtoner notces that a 1-week-old infant’s face looks small compared with his cranium, which seems enlarged. On further examinaton, the nurse practtoner also notes dilated scalp veins and downcast, or “setng sun,” eyes. The nurse practtoner suspects which conditon? Queston 79 optons: Craniotabes Microcephaly Hydrocephalus Caput succedaneum Save Queston 80 (2 points) The nurse practtoner is preparing to percuss to assess the underlying: Queston 80 optons: tssue turgor. 79 80tssue texture. tssue density. tssue consistency. Save Queston 81 (2 points) When examining a 16-year-old male teenager, the examiner should: Queston 81 optons: discuss health teaching with the parent because the teen is unlikely to be interested in promotng wellness. ask his parent to stay in the room during the history and physical examinaton to answer any questons and alleviate his anxiety. talk to him the same as one would talk would a younger child because a teen’s level of understanding may not match his or her speech. provide feedback that his body is developing normally and discuss the wide variaton among teenagers on the rate of growth and development. Save Queston 82 (2 points) 81 82While auscultatng heart sounds, the nurse practtoner hears a murmur. Which of the following should be used to assess this murmur? Queston 82 optons: An electrocardiogram The bell of the stethoscope The diaphragm of the stethoscope Palpaton with the palm of one’s hand Save Queston 83 (2 points) A patent tells the nurse that she has had abdominal pain for the past week. What would be the best response by the nurse? Queston 83 optons: “Can you point to where it hurts?” “We’ll talk more about that later in the interview.” “What have you had to eat in the last 24 hours?” “Have you ever had any surgeries on your abdomen?” Save 83Queston 84 (2 points) The nurse practtoner is assessing a patent’s skin during an ofce visit. What is the best technique to use to best assess the patent’s skin temperature? Queston 84 optons: Use the fngertps because they’re more sensitve to small changes in temperature. Use the dorsal surface of the hand because the skin is thinner than on the palms. Use the ulnar porton of the hand because there is increased blood supply that enhances temperature sensitvity. Use the palmar surface of the hand because it is most sensitve to temperature variatons because of increased nerve supply in this area. Save Queston 85 (2 points) The nurse practtoner is assessing a 16-year-old patent with head injuries from a recent motor vehicle accident. Which of the following statements indicates the most important reason for assessing for any drainage from the canal? Queston 85 optons: If the drum has ruptured, there will be purulent drainage. 84 85Bloody or clear watery drainage can indicate a basal skull fracture. The auditory canal many be occluded from increased cerumen. There may be occlusion of the canal caused by foreign bodies from the accident. Save Queston 86 (2 points) Which of the following statements represents subjectve data obtained from the patent regarding his skin? Queston 86 optons: Skin appears dry. No obvious lesions Denies color change Lesion noted lateral aspect right arm Save Queston 87 (2 points) 86 87In assessing a patent’s major risk factors for heart disease, which would the nurse practtoner want to include when taking a history? Queston 87 optons: Family history, hypertension, stress, age Personality type, high cholesterol, diabetes, smoking Smoking, hypertension, obesity, diabetes, high cholesterol Alcohol consumpton, obesity, diabetes, stress, high cholesterol Save Queston 88 (2 points) A patent has a long history of chronic obstructve pulmonary disease. During the assessment, the nurse practtoner is most likely to observe: Queston 88 optons: unequal chest expansion. increased tactle fremitus. atrophied neck and trapezius muscles. an anteroposterior-to-transverse diameter rato of 1:1. Save 88Queston 89 (2 points) When performing a physical assessment, the technique the nurse practtoner will always use frst is: Queston 89 optons: palpaton. inspecton. percussion. auscultaton. Save Queston 90 (2 points) A visitor from Poland who does not speak English seems to be somewhat apprehensive about the nurse practtoner examining his neck. He would probably be most comfortable with the nurse practtoner examining his thyroid: Queston 90 optons: from behind with the examiner’s hands placed frmly around his neck. 89 90from the side with the examiner’s eyes averted toward the ceiling and thumbs on his neck. from the front with the examiner’s thumbs placed on either side of his trachea and his head tlted forward. from the front with the examiner’s thumbs placed on either side of his trachea and his head tlted backward. Save Queston 91 (2 points) When examining the aging adult, the nurse practtoner should: Queston 91 optons: avoid touching the patent too much. atempt to perform the entre physical during one visit. speak loudly and slowly because most aging adults have hearing defcits. arrange the sequence to allow as few positon changes as possible. Save Queston 92 (2 points) 91 92With which of the following patents would it be most appropriate to use games during the assessment, such as, having the patent “blow out” the light on the penlight? Queston 92 optons: An infant A preschool child A school-age child An adolescent Save Queston 93 (2 points) A patent is unable to read the 20/100 line on the Snellen chart. The nurse practtoner would: Queston 93 optons: refer the patent to an ophthalmologist or optometrist for further evaluaton. assess whether the patent can count the nurse’s fngers when they are placed in front of his or her eyes. ask the patent to put on his or her reading glasses and atempt to read the Snellen chart again. shorten the distance between the patent and the chart and ask him or her to read the smallest line of print possible. Save Queston 94 (2 points) 93In performing auscultaton of heart sounds, which sequence would the nurse practtoner use? Queston 94 optons: Aortc area—pulmonic area—Erb’s point—tricuspid area—mitral area Pulmonic area—aortc area—Erb’s point—tricuspid area—mitral area Aortc area—tricuspid area—Erb’s point—mitral area—pulmonic area Pulmonic area—Erb’s point—tricuspid area—pulmonic area—mitral area Save Queston 95 (2 points) A patent is suspected of having inflammaton of the gallbladder, or cholecystts. The nurse practtoner will conduct which of the following to assess for this conditon? Queston 95 optons: Obturator test Murphy’s sign 94 95Assess for rebound tenderness Iliopsoas muscle test Save Queston 96 (2 points) A 19-year-old college student is brought to the emergency department with a severe headache he describes as “Like nothing I’ve ever had before.” His temperature is 104° F, and he has a stff neck. What do these signs and symptoms suggest? Queston 96 optons: Head injury Cluster headache Migraine headache Meningeal inflammaton Save Queston 97 (2 points) 96 97A patent, an 85-year-old woman, is complaining about the fact that the bones in her face have become more notceable. What explanaton should the nurse practtoner give to her? Queston 97 optons: Diets low in protein and high in carbohydrates may cause enhanced facial bones. It is probably because she doesn’t use a dermatologically approved moisturizer. It is probably due to a combinaton of factors such as decreased elastcity, subcutaneous fat, and moisture in her skin. Facial skin becomes more elastc with age. This increased elastcity causes the skin to be more taught, drawing atenton to the facial bones. Save Queston 98 (2 points) A 59-year-old patent, J.M., tells the nurse that he is here today to “check his ulceratve colits.” He has been having “black stools” for the last 24 hours. How would the nurse document his reason for seeking care? Queston 98 optons: J. M. is a 59-year-old male here for “ulceratve colits.” J. M. came into the clinic complaining of black stools for the past 24 hours. J. M., a 59-year-old male, states he has ulceratve colits and wants it checked. J. M. is a 59-year-old male here for having “black stools” for the past 24 hours. Save 98Queston 99 (2 points) The nurse practtoner suspects that a patent has hyperthyroidism and laboratory data indicate that the patent’s thyroxine and tri-iodothyronine hormone levels are elevated. Which of the following fndings would the nurse practtoner most likely fnd on examinaton? Queston 99 optons: Tachycardia Constpaton Rapid dyspnea Atrophied nodular thyroid Save Queston 100 (2 points) The nurse practtoner is assessing a patent for possible peptc ulcer disease and knows that which conditon ofen causes this problem? Queston 100 optons: Hypertension 99 100Streptococcus infectons History of constpaton and frequent laxatve use Frequent use of nonsteroidal ant-inflammatory drugs Save