NURS 6512 FINAL EXAM

NURS 6512 FINAL EXAM 1. Costovertebral angle tenderness should be assessed whenever you suspect the patient may have: - Polynephritis 2. In older adults, overflow fecal incontinence is commonly due to: -Fecal imp ...

NURS 6512 FINAL EXAM 1. Costovertebral angle tenderness should be assessed whenever you suspect the patient may have: - Polynephritis 2. In older adults, overflow fecal incontinence 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 33. Light skin and thin body habitus are risk factors for: - Osteoporosis 34. Risk factors for sports-related injuries include: - Failure to warm up before activity 35. Injuries to long bones and joints are more likely to result in fractures than in sprains until: - Adolescence 36. Ligaments are stronger than bone until: - Adolescence 37. The family history for a patient with joint pain should include information about siblings with: -Genetic disorders 38. The Thomas test is used to detect: - Flexion contractures of the hip 39. A goniometer is used to assess: - Range of motion 40. During a football game, a player was struck on the lateral side of the left leg while his feet were firmly planted. He is complaining of left knee pain. To examine the left knee you should initially perform the - test. – Valgus stress 41. You note that a child has a positive Gower Sign. You know that this indicates generalized: - Muscle weakness 42. The dowager hump is: - The hallmark of osteoporosis 43. What temporary disorder may be experienced by pregnant women during the third trimester because of fluid retention? –Carpal tunnel syndrome 44. A common finding in markedly obese and pregnant women is: - Lordosis 45. A 45 year old laborer presents with low back pain, stating that the pain comes from the right buttock and shoots down and across the right anterior thigh, down the shin to the ankle. Which examination finding is considered more indicative of nerve root compression? – Positive straight leg raise result 46. Mrs. Bower is a 57 year old patient who comes in for an office visit. Which of the following disorders is known to be hereditary? – Huntington chorea 47. Testing of cranial nerve is not routinely performed unless a problem is suspected. – I 48. The patient is able to rapidly touch each finger to his thumb in rapid sequence. What does this finding mean? – The patient has appropriate cerebellar function 49. Which question asked by the examiner may hellp to determine prevention strategies for seizures that a patient is experiencing? – “Are there any factors or activities that seem to start the seizures?” 50. A patient has a complaint of dizziness. The patient makes the following statement: “I sometimes feel as if the whole room is spinning.” What type of neurologic dysfunction should the examiner suspect? – Inner ear dysfunction affecting the acoustic nerve ......................................................................CONTINUED..................................