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NURS 6512N Midterm Exam with Answers

1. Before performing an abdominal examination, the examiner should:
2. Periods of silence during the interview can serve important purposes, such as:
3. Which of the following organs is part of the alimentary tract?
4. 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?
5. Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish:
6. Recommended carbohydrate content of total dietary intake (% total calories) is ____%.
7. Expected hair distribution changes in older adults include:
8. 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?
9. A brief statement of the reason the patient is seeking health care is called the:
10. Which of the following is an “ABCD” characteristic of malignant melanoma?
11. Which cranial nerves innervate the face?
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. The most common form of birth trauma of the scalp is:
14. Knowledge of the culture or cultures represented by the patient should be used to:
15. 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?
16. Nasal symptoms that imply an allergic response include:
17. A flat, nonpalpable lesion is described as a macule if the diameter is:
18. Macronutrients are so named because they:
19. Which technique is most likely to result in the patient’s understanding of questions?
20. 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?
21. 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:
22. Ms. Jones is a 31-year-old female patient who presents for a routine physical examination. Which examination technique will be used first?
23. Which part of the information contained in the patient’s record may be used in court?
24. Which of the following is an expected change in the assessment of the thyroid during pregnancy?
25. When assessing abdominal pain in a college-age woman, one must include:
26. Underestimation of blood pressure will occur if the blood pressure cuff’s width covers:
27. Penicillin is considered a
28. The review of systems is a component of the:
29. Regardless of the origin, discharge is described by noting:
30. Small, minute bruises are called:
31. The attitudes of the health care professional:
32. 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?
33. Which question would be considered a leading question?
34. 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?
35. When are open-ended questions generally most useful?
36. Which of the following is the most vital nutrient?
37. Which is the best way to position a patient’s neck for palpation of the thyroid?
38. As part of your health promotion education for a new patient, you explain that the risk factors for skin cancer include:
39. A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the:
40. Bulging of an amber tympanic membrane without mobility is most often associated with:
41. The term denoting the caregiver’s need to do no harm to the patient is:
42. The position on a clock, topographic notations, and anatomic landmarks:
43. Coarse, dry, and brittle hair is associated with which metabolic disorder?
44. The examiner’s evaluation of a patient’s mental status belongs in the:
45. After thorough inspection of the abdomen, the next assessment step is:
46. Differential diagnoses belong in the:
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. Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure:
49. The most superior part of the stomach is the:
50. When recording physical findings, which data are recorded first for all systems?
51. 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:
52. You are planning to palpate the abdomen of your patient. Which part of the examiner’s hand is best for palpating vibration?
53. To correctly document absent bowel sounds, one must listen continuously for:
54. In examining the neck of a 34-year-old female patient, you note that the uppermost ridge of the tracheal cartilage is at the:
55. Which technique is most likely to result in the patient’s understanding of questions?
56. 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?
57. Which type of speculum should be used to examine a patient’s tympanic membrane?
58. Tracheal tug suggests the presence of a(n):
59. During percussion, a dull tone is expected to be heard over:
60. Fluorescing lesions are best distinguished using a(n):
61. A blood pressure cuff bladder should be long enough to:
62. 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:
63. Tangential lighting is best used for inspecting skin:
64. Which of the following occurs when firm pressure is used to apply the stethoscope’s bell end-piece to the skin?
65. Which statement is true regarding the relationship of physical characteristics and culture?
66. 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?
67. Under normal circumstances, how much water is lost daily by the body?
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. When you are questioning a patient regarding alcohol intake, she tells you that she is only a social drinker. Which initial response is appropriate?
70. 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):
71. 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?
72. Peritonitis produces bowel sounds that are:
73. 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:
74. A 51-year-old woman calls with complaints of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to:
75. During percussion, a dull tone is expected to be heard over:
76. 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): 
77. Sweat glands, hair, and nails are all formed from:
78. When assessing abdominal pain in a college-age woman, one must include:
79. A detailed description of the symptoms related to the chief complaint is presented in the:
80. When hearing is evaluated, which cranial nerve is being tested?
81. Unusual white areas on the skin may be due to:
82. Subjective and symptomatic data are:
83. Brittle nails are typical findings in:
84. 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:
85. 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:
86. When taking a history, you should:
87. Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)?
88. Ms. Davis is a 27-year-old patient with a BMI of 33. Based on her BMI, your diagnosis would be:
89. Mrs. Berger is a 39-year-old woman who presents with a complaint of epigastric abdominal pain. You have completed the inspection of the abdomen. What is your next step in the assessment process?
90. Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the:
91. Knowledge of the culture or cultures represented by the patient should be used to:
92. 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:
93. 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:
94. 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?
95. 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.
96. You are using an ophthalmoscope to examine a patient’s inner eye. You rotate the lens selector clockwise, then counterclockwise to compensate for:
97. A guideline for history taking is for caregivers to:
98. Mr. Donalds is a 45-year-old roofer. Your inspection to determine color variations of the skin is best conducted:
99. Ms. Jones is a 31-year-old female patient who presents for a routine physical examination. Which examination technique will be used first?
100. When communicating with older children and teenagers, you should be sensitive to their: