NURS 6512N MIDTERM (Graded A) EXAM – QUESTION AND ANSWERS ,Complete solutions

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• Question 1 To perform the Rinne test, place the tuning fork on the: 1 out of 1 points Selected Answer: • Question 2 mastoid bone. 1 out of 1 points Mr. Johns... on presents with a freely movable cystic mass in the midline of the high neck region at the base of the tongue. This is most likely a: Selected Answer: • Question 3 D. thyroglossal duct cyst. 1 out of 1 points Nuchal rigidity is most commonly associated with: Selected Answer: • Question 4 B. meningeal irritation. 1 out of 1 points Mrs. Leonard brings her newborn infant into the pediatrician's office for a first well-baby visit. As the health care provider, you teach her that newborns are more vulnerable to hypothermia due to: Selected Answer: • Question 5 D. a poorly developed subcutaneous fat layer. 1 out of 1 points Bulging of an amber tympanic membrane without mobility is most often associated with: Selected Answer: • Question 6 middle ear effusion. 1 out of 1 points You are examining a pregnant patient and have noted a vascular lesion. When you blanche over the vascular lesion, the site blanches and refills evenly from the center outward. The nurse documents this lesion as a: Selected Answer: • Question 7 B. spider angioma. 1 out of 1 points Which cranial nerves innervate the face? Selected Answer: • Question 8 C. V and VII 1 out of 1 points The most common form of birth trauma of the scalp is: Selected Answer: • Question 9 caput succedaneum. 1 out of 1 points Mr. Sanchez is a 45-year-old gentleman who has presented to the office for a physical examination to establish a new primary care health care provider. Which of the following describes a physical, not a cultural, differentiator? Selected Answer: Rac e • Question 10 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? Selected Answer: Are you uncomfortable talking with me? • Question 11 1 out of 1 points Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure: Selected Answer: hearing range of normal speech. • Question 12 1 out of 1 points Spasmodic muscular contractions of the head, face, or neck are called: Selected Answer: B. tics. • Question 13 1 out of 1 points When examining the skull of a 4-month-old baby, you should normally find: Selected Answer: B. closure of the posterior fontanel. • Question 14 1 out of 1 points Which of the following occurs when firm pressure is used to apply the stethoscope's bell end-piece to the skin? Selected Answer: It functionally converts to a diaphragm end-piece. • Question 15 Peritonitis produces bowel sounds that are: 1 out of 1 points Selected Answer: hypoactive. • Question 16 Sweat glands, hair, and nails are all formed from: 1 out of 1 points Selected Answer: C. invaginations of epidermis into dermis. • Question 17 1 out of 1 points Mr. Donalds is a 45-year-old roofer. Your inspection to determine color variations of the skin is best conducted: Selected Answer: C. with illumination provided by daylight. • Question 18 1 out of 1 points Cherry angiomas are a common finding in: Selected Answer: adults older than 30 years. • Question 19 1 out of 1 points Mrs. Hartzell is a 34-year-old patient who has presented for nutritional counseling because she is a vegetarian. Deficiency of which of the following is a concern in the vegetarian diet? Selected Answer: Vitamin B12 • Question 20 Unusual white areas on the skin may be due to: 1 out of 1 points Selected Answer: C. vitiligo. • Question 21 1 out of 1 points Knowledge of the culture or cultures represented by the patient should be used to: Selected Answer: help make the interview questions more pertinent. • Question 22 1 out of 1 points Mr. D. complains of a headache. During the history, he mentions his use of alcohol and illicit drugs. This information would most likely belong in the: Selected Answer: personal and social history. • Question 23 Tangential lighting is best used for inspecting skin: 1 out of 1 points Selected Answer: contou r. • Question 24 1 out of 1 points When taking a history, you should: Selected Answer: use a chronologic and sequential framework. • Question 25 1 out of 1 points Your patient returns for a blood pressure check 2 weeks after a visit during which you performed a complete history and physical. This visit would be documented by creating a(n): Selected Answer: progress note. • Question 26 0 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: Selected Answer: maxillary and frontal sinuses. • Question 27 1 out of 1 points Mrs. Tuber is a 36-year-old patient who comes into the health center with complaints that her fingernails are not growing. Which structure is the site of new nail growth? Selected Answer: C. Matrix • Question 28 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: Selected Answer: normal growth and development. • Question 29 1 out of 1 points You are completing a general physical examination on Mr. Rock, a 39-year-old man with complaints of constipation. When examining a patient with tense abdominal musculature, a helpful technique is to have the patient: Selected Answer: flex his or her knees. • Question 30 Expected hair distribution changes in older adults include: 1 out of 1 points Selected Answer: increased terminal hair follicles to the tragus of men’s ears. • Question 31 Peritonitis produces bowel sounds that are: 1 out of 1 points Selected Answer: hypoactive. • Question 32 1 out of 1 points White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are: Selected Answer: aphthous ulcers. • Question 33 1 out of 1 points Which of the following is the most accurate reflection of an individual's food intake? Selected Answer: Food diary • Question 34 1 out of 1 points Which part of the information contained in the patient's record may be used in court? Selected Answer: All information • Question 35 1 out of 1 points You are using an ophthalmoscope to examine a patient's inner eye. You rotate the lens selector clockwise, then counterclockwise to compensate for: Selected Answer: myopi a. • Question 36 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, enlarged skull, and bowed legs and diagnose him with rickets. A deficiency of which fat-soluble micronutrient can result in rickets? Selected Answer: Vitamin D • Question 37 A guideline for history taking is for caregivers to: 0 out of 1 points Selected Answer: write detailed information as stated by patients so that their priorities are reflected. • Question 38 1 out of 1 points When communicating with older children and teenagers, you should be sensitive to their: Selected Answer: typical reluctance to talk. • Question 39 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: Selected Answer: binges and vomits. • Question 40 1 out of 1 points Ms. Jones is a 31-year-old female patient who presents for a routine physical examination. Which examination technique will be used first? Selected Answer: Inspecti on • Question 41 Nasal symptoms that imply an allergic response include: 1 out of 1 points Selected Answer: bluish gray turbinates. • Question 42 1 out of 1 points Coarse, dry, and brittle hair is associated with which metabolic disorder? Selected Answer: Hypothyroidis m • Question 43 1 out of 1 points What finding is unique to the documentation of a physical examination of an infant? Selected Answer: Fontanel sizes • Question 44 0 out of 1 points Your patient presents with symptoms that lead you to suspect acute appendicitis. Which assessment finding is least likely to be associated with this condition early in its course? Selected Answer: Positive McBurney sign • Question 45 1 out of 1 points A brief statement of the reason the patient is seeking health care is called the: Selected Answer: chief complaint. • Question 46 1 out of 1 points Mrs. Britton is a 34-year-old patient who presents to the office with complaints of skin rashes. You have noted a 4' 3-cm, rough, elevated area of psoriasis. This is an example of a: Selected Answer: A. plaque. • Question 47 1 out of 1 points Mr. L. presents to the clinic with severe groin pain and a history of kidney stones. Mr. L.'s son tells you that, for religious reasons, his father wishes to keep any stone that is passed into the urine filter that he has been using. What is your most appropriate response? Selected Answer: "With your father's permission, we will examine the stone and request that it be returned to him." • Question 48 1 out of 1 points Mrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the: Selected Answer: CAGE questionnaire. • Question 49 1 out of 1 points Mr. Akins is a 78-year-old patient who presents to the clinic with complaints of hearing loss. Which of the following are changes in hearing that occur in the elderly? Select all that apply. Selected Answers: c. Sounds may be garbled and difficult to localize d. Unable to hear in a crowded room f. Loss of high frequency • Question 50 1 out of 1 points As part of your health promotion education for a new patient, you explain that the risk factors for skin cancer include: Selected Answer: repeated trauma or irritation to skin. • Question 51 1 out of 1 points Ms. Davis is a 27-year-old patient with a BMI of 33. Based on her BMI, your diagnosis would be: Selected Answer: obese. • Question 52 1 out of 1 points The infant should be placed in which position to have his or her height or length measured? Selected Answer: Supine on a measuring board • Question 53 1 out of 1 points Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)? Selected Answer: Brief SOAP note • Question 54 1 out of 1 points Which of the following is an expected change in the assessment of the thyroid during pregnancy? Selected Answer: A bruit is auscultated. • Question 55 1 out of 1 points A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the: Selected Answer: peritoneum. • Question 56 1 out of 1 points Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish: Selected Answer: D. seborrheic keratoses from actinic keratoses. • Question 57 Penicillin is considered a 1 out of 1 points Selected Answer: “hot” medicine. • Question 58 Which question would be considered a leading question? 1 out of 1 points Selected Answer: "You don't get headaches often, do you?" • Question 59 1 out of 1 points Which of the following organs is part of the alimentary tract? Selected Answer: Stomach • Question 60 Small, minute bruises are called: 1 out of 1 points Selected Answer: petechi ae. • Question 61 1 out of 1 points When recording physical findings, which data are recorded first for all systems? Selected Answer: Inspecti on • Question 62 When hearing is evaluated, which cranial nerve is being tested? 1 out of 1 points Selected Answer: VIII • Question 63 1 out of 1 points You are palpating a patient's thyroid and find that its broadest dimension measures 4 cm. The right lobe is 25% larger than the left. These data would indicate: Selected Answer: C. a normal thyroid gland. • Question 64 1 out of 1 points Auscultation should be carried out last, except when examining the: Selected Answer: abdome n. • Question 65 1 out of 1 points You are collecting a history from an 11-year-old girl. Her mother is sitting next to her in the examination room. When collecting history from older children or adolescents, they should be: Selected Answer: given the opportunity to be interviewed without the parent at some point during the interview. • Question 66 1 out of 1 points Mr. Mathews is a 47-year-old patient who presents for a routine physical examination. On examination, you have noted a bruit heard over the thyroid. This is suggestive of: Selected Answer: B. hyperthyroidism . • Question 67 1 out of 1 points A detailed description of the symptoms related to the chief complaint is presented in the: Selected Answer: history of present illness. • Question 68 1 out of 1 points Mr. and Mrs. Johnson have presented to the office with their infant son with complaints of ear drainage. When examining an infant's middle ear, the nurse should use one hand to stabilize the otoscope against the head while using the other hand to: Selected Answer: pull the auricle down and back. • Question 69 1 out of 1 points In examining the neck of a 34-year-old female patient, you note that the uppermost ridge of the tracheal cartilage is at the: Selected Answer: cricoi d. • Question 70 A flat, nonpalpable lesion is described as a macule if the diameter is: 1 out of 1 points Selected Answer: less than 1 cm. • Question 71 1 out of 1 points During physical examination of a 30-year-old Chinese man, you notice slight asymmetry of his face. The cranial nerve examination is normal. Your best action is to: Selected Answer: D. record the finding in the patient’s chart. • Question 72 1 out of 1 points Placing the base of a vibrating tuning fork on the midline vertex of the patient's head is a test for: Selected Answer: lateralization of sound. • Question 73 Expected normal percussion tones include: 1 out of 1 points Selected Answer: tympany over an empty stomach. • Question 74 Fluorescing lesions are best distinguished using a(n): 1 out of 1 points Selected Answer: Wood’s lamp. • Question 75 0 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 consumes mostly: Selected Answer: sandwiches and diet drinks. • Question 76 1 out of 1 points Mr. Abdul is a 40-year-old Middle Eastern man who presents to the office for a first visit with the complaint of new abdominal pain. You are concerned about violating a cultural prohibition when you prepare to do his rectal examination. The best tactic would be to: Selected Answer: inform the patient of the reason for the examination and ask if it is acceptable to him. • Question 77 1 out of 1 points Mr. Williams, age 25, has recovered recently from an upper and lower respiratory infection. He describes a long-standing nasal dripping. He is seeking treatment for a mild hearing loss that has not gone away. Information concerning his chronic postnasal drip should be documented within which section of his history? Selected Answer: Past medical data • Question 78 1 out of 1 points The term denoting the caregiver's need to do no harm to the patient is: Selected Answer: nonmaleficen ce. • Question 79 1 out of 1 points When palpating the abdomen, you should note whether the liver is enlarged in the: Selected Answer: right upper quadrant. • Question 80 1 out of 1 points To correctly document absent bowel sounds, one must listen continuously for: Selected Answer: 5 minutes. • Question 81 The adult recommended dietary fat intake should be g/day. 1 out of 1 points Selected Answer: 20 to 35 • Question 82 1 out of 1 points Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic. Which question has the most potential for exploring a patient's cultural beliefs related to a health problem? Selected Answer: “Why do you think you are having these symptoms?” • Question 83 The most superior part of the stomach is the: 1 out of 1 points Selected Answer: fundus. • Question 84 1 out of 1 points Mrs. Webb is a 38-year-old patient who has been changing her lifestyle to eat in a healthy way and lose weight. During your health promotion education regarding her nutritional status, you explain the function of dietary protein as: Selected Answer: building and maintaining tissues. • Question 85 1 out of 1 points Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the: Selected Answer: lower liver border. • Question 86 1 out of 1 points When you are questioning a patient regarding alcohol intake, she tells you that she is only a social drinker. Which initial response is appropriate? Selected Answer: "What amount and what kind of alcohol do you drink in a week?" • Question 87 Regardless of the origin, discharge is described by noting: 1 out of 1 points Selected Answer: color and consistency. • Question 88 1 out of 1 points Ms. Otten is a 45-year-old patient who presents with a complaint of weight gain. Which medication is frequently associated with weight gain? Selected Answer: Steroids • Question 89 1 out of 1 points George Michaels, a 22-year-old patient, tells the nurse that he is here today to "check his allergies." He has been having "green nasal discharge" for the last 72 hours. How would the nurse document his reason for seeking care? Selected Answer: G.M. is a 22-year-old male here for having “green nasal discharge” for the past 72 hours. • Question 90 1 out of 1 points To approximate vocal frequencies, which tuning fork should be used to assess hearing? Selected Answer: 500 to 1000 Hz • Question 91 0 out of 1 points Your patient is complaining of acute, intense sharp epigastric pain that radiates to the back and left scapula with nausea and vomiting. Based on this history, your prioritized physical examination should be to: Selected Answer: assess for rebound tenderness. • Question 92 You have just completed a skin assessment on Mr. Baker. During your 1 out of 1 points assessment, you have transilluminated a skin lesion. During the physical examination, you know that skin lesions are transilluminated to distinguish: Selected Answer: C. fluid-filled from solid cysts or masses. • Question 93 1 out of 1 points Mrs. Raymonds is a 24-year-old patient who has presented for a routine concern over her current weight. In your patient teaching with her, you explain the importance of macronutrients. Which of the following is a macronutrient? Selected Fa Answer: t • Question 94 1 out of 1 points In issues surrounding ethical decision making, beneficence refers to the: Selected Answer: need to do good for the patient. • Question 95 1 out of 1 points Which statement is true regarding the relationship of physical characteristics and culture? Selected Answer: There is a difference between distinguishing cultural characteristics and distinguishing physical characteristics. • Question 96 The review of systems is a component of the: 1 out of 1 points Selected Answer: health history. • Question 97 1 out of 1 points The recommended minimum daily protein requirement for the normal adult is . Selected Answer: 10% to 35% of total calories • Question 98 Subjective and symptomatic data are: 0 out of 1 points Selected Answer: documented with the examination findings. • Question 99 When are open-ended questions generally most useful? 0 out of 1 points Selected Answer: After several close-ended questions have been asked • Question 100 1 out of 1 points Mrs. Grace is a 58-year-old patient who has a diagnosis of pernicious anemia. Which B vitamin is deficient in patients with pernicious anemia? Selected B1 Answer: 2 [Show More]

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