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NURS 6521 Midterm Exam-Answer (Version 3), Walden University

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NURS 6521 Midterm Exam-Answer (Version 3), Walden University/ NURS 6521 Midterm Exam-Answer (Version 3), Walden University

 

NURS 6521 Midterm Exam

 

 

•        Question 1

1 out of 1 points

 

When recording physical findings, which data are recorded first for all systems?

 

•        Question 2

1 out of 1 points

 

To approximate vocal frequencies, which tuning fork should be used to assess hearing?

 

•        Question 3

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:

 

•        Question 4

1 out of 1 points

 

Penicillin is considered a

 

•        Question 5

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.

 

•        Question 6

1 out of 1 points

 

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.

 

•        Question 7

1 out of 1 points

 

When assessing abdominal pain in a college-age woman, one must include:

 

•        Question 8

1 out of 1 points

 

The recommended minimum daily protein requirement for the normal adult is ______.

 

It is recommended that the protein content of the diet be 10% to 35% of total calories, or 45 g in adults

 

•        Question 9

1 out of 1 points

 

Coarse, dry, and brittle hair is associated with which metabolic disorder?

 

•        Question 10

1 out of 1 points

 

Which statement is true regarding the relationship of physical characteristics and culture?

 

•        Question 11

1 out of 1 points

 

Mr. Walters, a 32-year-old patient, tells you that his ears are "stopped up." An objective assessment of this complaint is achieved by using the:

 

•        Question 12

1 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:

 

•        Question 13

1 out of 1 points

 

A blood pressure cuff bladder should be long enough to:

 

•        Question 14

1 out of 1 points

 

Bulging of an amber tympanic membrane without mobility is most often associated with:

 

•        Question 15

1 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?

 

•        Question 16

1 out of 1 points

 

Knowledge of the culture or cultures represented by the patient should be used to:

 

•        Question 17

1 out of 1 points

 

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?

 

•        Question 18

1 out of 1 points

 

A guideline for history taking is for caregivers to:

 

•        Question 19

1 out of 1 points

 

The most common form of birth trauma of the scalp is:

 

•        Question 20

1 out of 1 points

 

Peritonitis produces bowel sounds that are:

 

•        Question 21

1 out of 1 points

 

Unusual white areas on the skin may be due to:

 

•        Question 22

1 out of 1 points

 

Cherry angiomas are a common finding in:

 

•        Question 23

1 out of 1 points

 

A flat, nonpalpable lesion is described as a macule if the diameter is:

 

•        Question 24

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:

 

•        Question 25

1 out of 1 points

 

Regardless of the origin, discharge is described by noting:

 

•        Question 26

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?

 

•        Question 27

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?

 

•        Question 28

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?

 

•        Question 29

1 out of 1 points

 

The examiner's evaluation of a patient's mental status belongs in the:

 

•        Question 30

1 out of 1 points

 

Subjective and symptomatic data are:

 

•        Question 31

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:

 

•        Question 32

1 out of 1 points

 

Before performing an abdominal examination, the examiner should:

 

•        Question 33

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?

 

•        Question 34

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:

 

•        Question 35

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):

 

•        Question 36

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:

 

•        Question 37

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?

 

•        Question 38

1 out of 1 points

 

Which of the following is the most accurate reflection of an individual's food intake?

 

•        Question 39

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:

 

•        Question 40

1 out of 1 points

 

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:

 

•        Question 41

1 out of 1 points

 

Tympanic thermometers measure body temperature when a probe is placed:

 

•        Question 42

1 out of 1 points

 

When communicating with older children and teenagers, you should be sensitive to their:

 

•        Question 43

1 out of 1 points

 

Which type of speculum should be used to examine a patient's tympanic membrane?

 

•        Question 44

1 out of 1 points

 

Tangential lighting is best used for inspecting skin:

 

•        Question 45

1 out of 1 points

 

Periods of silence during the interview can serve important purposes, such as:

 

•        Question 46

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:

 

•        Question 47

1 out of 1 points

 

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:

 

•        Question 48

1 out of 1 points

 

Which technique is most likely to result in the patient's understanding of Questions?

 

•        Question 49

1 out of 1 points

 

The term denoting the caregiver's need to do no harm to the patient is:

 

•        Question 50

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:

 

•        Question 51

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?

 

•        Question 52

1 out of 1 points

 

Which technique is most likely to result in the patient's understanding of Questions?

 

•        Question 53

1 out of 1 points

 

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?

 

•        Question 54

1 out of 1 points

 

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:

 

•        Question 55

1 out of 1 points

 

Before performing an abdominal examination, the examiner should:

 

•        Question 56

1 out of 1 points

 

Peritonitis produces bowel sounds that are:

 

•        Question 57

1 out of 1 points

 

Recommended carbohydrate content of total dietary intake (% total calories) is ____%.

 

•        Question 58

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?

 

•        Question 59

1 out of 1 points

 

Tracheal tug suggests the presence of a(n):

 

•        Question 60

1 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:

 

•        Question 61

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?

 

•        Question 62

1 out of 1 points

 

When palpating the abdomen, you should note whether the liver is enlarged in the:

 

•        Question 63

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:

 

 

•        Question 64

1 out of 1 points

 

White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are:

 

•        Question 65

1 out of 1 points

 

Fluorescing lesions are best distinguished using a(n):

 

•        Question 66

1 out of 1 points

 

Nuchal rigidity is most commonly associated with:

 

•        Question 67

1 out of 1 points

 

Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure:

 

•        Question 68

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)?

 

•        Question 69

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:

 

•        Question 70

1 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:

 

•        Question 71

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:

 

•        Question 72

1 out of 1 points

 

A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the:

 

•        Question 73

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:

 

•        Question 74

1 out of 1 points

 

The review of systems is a component of the:

 

•        Question 75

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?

 

•        Question 76

1 out of 1 points

 

During percussion, a dull tone is expected to be heard over:

 

•        Question 77

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?

 

•        Question 78

1 out of 1 points

 

The position on a clock, topographic notations, and anatomic landmarks:

 

•        Question 79

1 out of 1 points

 

During an interview, you have the impression that a patient may be considering suicide. Which action is essential?

 

•        Question 80

1 out of 1 points

 

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?

 

•        Question 81

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?

 

•        Question 82

1 out of 1 points

 

To perform the Rinne test, place the tuning fork on the:

 

•        Question 83

1 out of 1 points

 

Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the:

 

•        Question 84

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:

 

•        Question 85

1 out of 1 points

 

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?

 

•        Question 86

1 out of 1 points

 

Which of the following is an "ABCD" characteristic of malignant melanoma?

 

•        Question 87

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:

 

•        Question 88

1 out of 1 points

 

Small, minute bruises are called:

 

•        Question 89

1 out of 1 points

 

As you explain your patient's condition to her husband, you notice that he is leaning toward you and pointedly blinking his eyes. Knowing that he is from England, your most appropriate response to this behavior is to:

 

•        Question 90

1 out of 1 points

 

Brittle nails are typical findings in:

 

•        Question 91

1 out of 1 points

 

Which of the following organs is part of the alimentary tract?

 

•        Question 92

1 out of 1 points

 

When assessing abdominal pain in a college-age woman, one must include:

 

•        Question 93

1 out of 1 points

 

Sweat glands, hair, and nails are all formed from:

 

•        Question 94

1 out of 1 points

 

Inspection of the abdomen should begin with the patient supine and the examiner:

 

•        Question 95

1 out of 1 points

 

Expected normal percussion tones include:

 

•        Question 96

0 out of 1 points

 

The adult recommended dietary fat intake should be _____ g/day.

 

•        Question 97

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:

 

•        Question 98

1 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:

 

•        Question 99

1 out of 1 points

 

Macronutrients are so named because they:

 

•        Question 100

1 out of 1 points

 

Underestimation of blood pressure will occur if the blood pressure cuff's width covers:

 

 

 

 

 

 

 

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