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NURS 6512N Midterm Exam 4 with Answers

1. To perform the Rinne test, place the tuning fork on the:
2. 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:
3. Nuchal rigidity is most commonly associated with:
4. 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:
5. Bulging of an amber tympanic membrane without mobility is most often associated with:
6. 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:
7. Which cranial nerves innervate the face?
8. The most common form of birth trauma of the scalp is:
9. 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?
10. 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?
11. Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure:
12. Spasmodic muscular contractions of the head, face, or neck are called:
13. When examining the skull of a 4-month-old baby, you should normally find:
14. Which of the following occurs when firm pressure is used to apply the stethoscope’s bell end-piece to the skin?
15. Peritonitis produces bowel sounds that are:
16. Sweat glands, hair, and nails are all formed from:
17. Mr. Donalds is a 45-year-old roofer. Your inspection to determine color variations of the skin is best conducted:
18. Cherry angiomas are a common finding in:
19. 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?
20. Unusual white areas on the skin may be due to:
21. Knowledge of the culture or cultures represented by the patient should be used to:
22. 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:
23. Tangential lighting is best used for inspecting skin:
24. When taking a history, you should:
25. 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):
26. A 5-year-old child presents with nasal congestion and a headache. To assess for sinus tenderness you should palpate over the:
27. 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?
28. In counseling a client regarding nutrition education, you explain that linoleic acid, a major fatty acid, is thought to be essential for:
29. 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:
30. Expected hair distribution changes in older adults include:
31. Peritonitis produces bowel sounds that are:
32. White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are:
33. Which of the following is the most accurate reflection of an individual’s food intake?
34. Which part of the information contained in the patient’s record may be used in court?
35. You are using an ophthalmoscope to examine a patient’s inner eye. You rotate the lens selector clockwise, then counterclockwise to compensate for:
36. 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?
37. A guideline for history taking is for caregivers to:
38. When communicating with older children and teenagers, you should be sensitive to their:
39. 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:
40. Ms. Jones is a 31-year-old female patient who presents for a routine physical examination. Which examination technique will be used first?
41. Nasal symptoms that imply an allergic response include:
42. Coarse, dry, and brittle hair is associated with which metabolic disorder?
43. What finding is unique to the documentation of a physical examination of an infant?
44. 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?
45. A brief statement of the reason the patient is seeking health care is called the:
46. 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:
47. 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?
48. Mrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the:
49. 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.
50. As part of your health promotion education for a new patient, you explain that the risk factors for skin cancer include:
51. Ms. Davis is a 27-year-old patient with a BMI of 33. Based on her BMI, your diagnosis would be:
52. The infant should be placed in which position to have his or her height or length measured?
53. Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)?
54. Which of the following is an expected change in the assessment of the thyroid during pregnancy?
55. A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the:
56. Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish:
57. Penicillin is considered a
58. Which question would be considered a leading question?
59. Which of the following organs is part of the alimentary tract?
60. Small, minute bruises are called:
61. When recording physical findings, which data are recorded first for all systems?
62. When hearing is evaluated, which cranial nerve is being tested?
63. 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:
64. Auscultation should be carried out last, except when examining the:
65. 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:
66. 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:
67. A detailed description of the symptoms related to the chief complaint is presented in the:
68. 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:
69. In examining the neck of a 34-year-old female patient, you note that the uppermost ridge of the tracheal cartilage is at the:
70. A flat, nonpalpable lesion is described as a macule if the diameter is:
71. 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:
72. Placing the base of a vibrating tuning fork on the midline vertex of the patient’s head is a test for:
73. Expected normal percussion tones include:
74. Fluorescing lesions are best distinguished using a(n):
75. 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:
76. 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:
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. The term denoting the caregiver’s need to do no harm to the patient is:
79. When palpating the abdomen, you should note whether the liver is enlarged in the:
80. To correctly document absent bowel sounds, one must listen continuously for:
81. The adult recommended dietary fat intake should be _____ g/day.
82. 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?
83. The most superior part of the stomach is the:
84. 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:
85. Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the:
86. When you are questioning a patient regarding alcohol intake, she tells you that she is only a social drinker. Which initial response is appropriate?
87. Regardless of the origin, discharge is described by noting:
88. Ms. Otten is a 45-year-old patient who presents with a complaint of weight gain. Which medication is frequently associated with weight gain?
89. 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?
90. To approximate vocal frequencies, which tuning fork should be used to assess hearing?
91. 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:
92. 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:
93. 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?
94. In issues surrounding ethical decision making, beneficence refers to the:
95. Which statement is true regarding the relationship of physical characteristics and culture?
96. The review of systems is a component of the:
97. The recommended minimum daily protein requirement for the normal adult is ______.
98. Subjective and symptomatic data are:
99. When are open-ended questions generally most useful?
100. 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?