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NURS 6512 Midterm Exam -Health Assessment

1. 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:
2. When assessing abdominal pain in a college-age woman, one must include:
3. Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure:
4. During percussion, a dull tone is expected to be heard over:
5. 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:
6. The examiner’s evaluation of a patient’s mental status belongs in the:
7. Fluorescing lesions are best distinguished using a(n):
8. What finding is unique to the documentation of a physical examination of an infant?
9. Underestimation of blood pressure will occur if the blood pressure cuff’s width covers:
10. When taking a history, you should:
11. Knowledge of the culture or cultures represented by the patient should be used to:
12. Ms. G. is being seen for her routine physical examination. She is a college graduate and president of a research firm. Although her exact salary is unknown, she has adequate health insurance. Most of the above information is part of Ms. G.’s _____ history.
13. 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:
14. Cherry angiomas are a common finding in:
15. Penicillin is considered a
16. A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the:
17. Which type of speculum should be used to examine a patient’s tympanic membrane?
18. 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?
19. The most superior part of the stomach is the:
20. Ms. Davis is a 27-year-old patient with a BMI of 33. Based on her BMI, your diagnosis would be:
21. 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:
22. 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:
23. When are open-ended questions generally most useful?
24. Which of the following is the most vital nutrient?
25. Nasal symptoms that imply an allergic response include:
26. After thorough inspection of the abdomen, the next assessment step is:
27. Before performing an abdominal examination, the examiner should:
28. Which technique is most likely to result in the patient’s understanding of questions?
29. Macronutrients are so named because they:
30. Under normal circumstances, how much water is lost daily by the body?
31. Peritonitis produces bowel sounds that are:
32. Peritonitis produces bowel sounds that are:
33. In counseling a client regarding nutrition education, you explain that linoleic acid, a major fatty acid, is thought to be essential for:
34. When assessing abdominal pain in a college-age woman, one must include:
35. Before performing an abdominal examination, the examiner should:
36. Regardless of the origin, discharge is described by noting:
37. 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:
38. A 51-year-old woman calls with complaints of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to:
39. Tracheal tug suggests the presence of a(n):
40. You have just completed a skin assessment on Mr. Baker. During your assessment, you have transilluminated a skin lesion. During the physical examination, you know that skin lesions are transilluminated to distinguish:
41. Mrs. Kinder is a 39-year-old patient who presents to the office with complaints of an earache. In explaining to the patient about the function of her ears, which ear structure would you tell her is responsible for equalizing atmospheric pressure when swallowing, sneezing, or yawning?
42. Which question would be considered a leading question?
43. 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?
44. Mr. Mills is a 55-year-old patient who presents to the office for an initial visit for health promotion. A survey of mobility and activities of daily living (ADLs) is part of a(an):
45. A blood pressure cuff bladder should be long enough to:
46. Mr. Black is a 44-year-old patient who presents to the clinic with complaints of neck pain that he thinks is from his job involving computer data entry. As the examiner, you are checking the range of motion in his neck and note the greatest degree of cervical mobility is at:
47. 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?
48. Sweat glands, hair, and nails are all formed from:
49. The term denoting the caregiver’s need to do no harm to the patient is:
50. Mr. Donalds is a 45-year-old roofer. Your inspection to determine color variations of the skin is best conducted:
51. 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.
52. 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?
53. Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence?
54. Which of the following is the most accurate reflection of an individual’s food intake?
55. Mr. Franklin is speaking with you, the health care provider, about his respiratory problem. Mr. Franklin says, “I’ve had this cough for 3 days, and it’s getting worse.” You reply, “Tell me more about your cough.” Mr. Franklin states, “I wish I could tell you more. That’s why I’m here. You tell me what’s wrong!” Which caregiver response would be most appropriate for enhancing communication?
56. As part of your health promotion education for a new patient, you explain that the risk factors for skin cancer include:
57. 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:
58. Small, minute bruises are called:
59. Recommended carbohydrate content of total dietary intake (% total calories) is ____%.
60. Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish:
61. Mr. Johnson 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:
62. You are planning to palpate the abdomen of your patient. Which part of the examiner’s hand is best for palpating vibration?
63. In issues surrounding ethical decision making, beneficence refers to the:
64. Which of the following is an “ABCD” characteristic of malignant melanoma?
65. Coarse, dry, and brittle hair is associated with which metabolic disorder?
66. Tangential lighting is best used for inspecting skin:
67. Which of the following occurs when firm pressure is used to apply the stethoscope’s bell end-piece to the skin?
68. When examining the skull of a 4-month-old baby, you should normally find:
69. Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the:
70. Mrs. Britton brings her 16-year-old son in with a complaint that he is not developing correctly into adolescence. Which structures disproportionately enlarge in the male during adolescence?
71. 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?
72. 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):
73. 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:
74. 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:
75. Mrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the:
76. Which cranial nerves innervate the face?
77. 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?
78. To perform the Rinne test, place the tuning fork on the:
79. 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:
80. 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?
81. When communicating with older children and teenagers, you should be sensitive to their:
82. White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are:
83. 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:
84. A detailed description of the symptoms related to the chief complaint is presented in the:
85. 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?
86. The review of systems is a component of the:
87. A tool used to screen adolescents for alcoholism is the:
88. Which of the following organs is part of the alimentary tract?
89. 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:
90. The infant should be placed in which position to have his or her height or length measured?
91. 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:
92. A fixed image of any group that rejects its potential for originality or individuality is known as a(n):
93. During an interview, you have the impression that a patient may be considering suicide. Which action is essential?
94. Periods of silence during the interview can serve important purposes, such as:
95. When hearing is evaluated, which cranial nerve is being tested?
96. The most common form of birth trauma of the scalp is:
97. Bulging of an amber tympanic membrane without mobility is most often associated with:
98. The position on a clock, topographic notations, and anatomic landmarks:
99. To approximate vocal frequencies, which tuning fork should be used to assess hearing?
100. During an interview, tears appear in the patient’s eyes and his voice becomes shaky. Initially, you should: