nurs6512 week 6 final exam 2022 — 100 answers

Question 1

Cherry angiomas are a common finding in:

 

              adults older than 30 years.

 

              pregnant women.

 

              sunbathers.

 

              newborns.

 

 

 

2

 

Question 2

Expected normal percussion tones include:

 

              tympany over an empty stomach.

 

              dullness over the lungs.

 

              flatness over an empty stomach.

 

              hyperresonance over the lungs.

 

 

Question 3

Which of the following is an “ABCD” characteristic of malignant melanoma?

 

              Asymmetric borders

 

              Color of lesion is uniform

 

              Diameter less than 6 mm

 

              Borders well demarcated

 

Question 4

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

 

              lower liver border.

 

              descending aorta.

 

              upper right kidney ridge.

 

              medial border of the spleen.

 

 

 

5

 

Question 5

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:

 

              C. macule.

 

              B. patch.

 

              D. papule.

 

              A. plaque.

 

 

Question 6

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

 

              Stomach

 

              Liver

 

              Gallbladder

The APRN should always take time to ask patients about their lifestyle and values to:

 

              Make small talk until the patient feels comfortable.

 

              Identify cultural factors pertinent to their health care.

 

              Document their sexuality and any deviations from normal.

 

              Assess their economic status and ability to pay.

Question 8

The APRN is obtaining the chief complaint from the patient. The patient has provided a long detailed list of symptoms. The patient may be exhibiting what issue?

 

              Inappropriate level of concern over their symptoms

 

              Thorough list of symptoms to put in their chart

 

              Exhibiting detail-oriented behaviors

 

              Avoidance of the questions needed for the history

uestion 9

Differential diagnoses belong in the:

 

              physical examination.

 

              plan.

 

              assessment.

 

              history.

uestion 10

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

 

              healthy lung tissue.

 

              most of the abdomen.

 

              emphysemic lungs.

 

              the liver.

Question 11

Which of the following questions may lead to an inaccurate patient response if asked by the APRN?

 

              “Where do you feel the pain?”

 

              “How does this situation make you feel?”

 

              “What happened after you noticed your injury?”

 

              “That was a horrible experience, wasn’t it?”

Question 12

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:

 

              fruit and vegetables.

 

              sandwiches and diet drinks.

 

              pasta and chicken.

 

              lean meat and fish.

uestion 13

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):

 

              social history.

 

              ethnic assessment.

 

              functional assessment.

 

              genetic examination.

Question 14

Auscultation should be carried out last, except when examining the:

 

              heart.

 

              abdomen.

 

              neck area.

 

              lungs.

Question 15

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?

 

              Auscultation

 

              Light palpation

 

              Deep palpation

 

              Percussion

Question 16

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

 

              patient education.

 

              physical examination.

 

              history of present illness.

 

              review of systems.

Question 17

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

 

              torticollis.

 

              caput succedaneum.

 

              cephalhematoma.

 

              cranial bossing.

Question 18

Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence?

 

              Realize that cultural values are difficult to change and must be respected.

 

              Attempt to convince the patient to accept institutional mores.

 

              Ignore one’s own cultural beliefs.

 

              Realize that all members of a cultural group behave in the same way.

Question 19

Mr. Donalds is a 45-year-old roofer. Your inspection to determine color variations of the skin is best conducted:

 

              C. with illumination provided by daylight.

 

              B. under fluorescent lighting.

 

              D. using a Wood’s light.

 

              A. using an episcope.

Question 20

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

 

              periosteum.

 

              mediastinum.

 

              peritoneum.

 

              hilum.

Question 21

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?

 

              Positive McBurney sign

 

              Consistent right lower quadrant (RLQ pain)

 

              Rebound tenderness

 

              Positive psoas sign

Question 22

Before performing an abdominal examination, the examiner should:

 

              don double gloves.

 

              completely disrobe the patient.

 

              ascertain the patient’s HIV status.

 

              have the patient empty his or her bladder.

Question 23

During an interview, the patient describes problems associated with an illness and begins to cry. The best action is to:

 

              Stop the interview

 

              Allow the patient to cry, then resume when the patient is ready.

 

              Change the topic to something less upsetting

 

              Continue the interview while the patient cries to get through it quickly.

Question 24

Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)?

 

              Brief SOAP note

 

              Comprehensive health history

 

              Progress note

 

              Referral note

Question 25

To correctly document absent bowel sounds, one must listen continuously for:

 

              5 minutes.

 

              1 minute.

 

              3 minutes.

 

              30 seconds.

Question 26

Mrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the:

 

              Miller Analogies Test.

 

              CAGE questionnaire.

 

              Glasgow Coma Scale.

 

 

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

 

             

 

              PACES assessment.

Question 28

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):

 

              accident report.

 

              triage note.

 

              progress note.

 

              problem-oriented medical record.

Question 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:

 

              flex his or her knees.

 

              raise his or her head off the pillow.

 

              sit upright.

 

              hold his or her breath.

Question 30

When you are questioning a patient regarding alcohol intake, she tells you that she is only a social drinker. Which initial response is appropriate?

 

              “Do the other people in your household consume alcohol?”

 

              “If you only drink socially, you won t need to worry about always having a designated driver.”

 

              “I’m glad that you are a responsible drinker.”

 

              “What amount and what kind of alcohol do you drink in a week?”

Question 31

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?

 

              Social history

 

              Past medical data

 

              Past surgical data

 

              Age-specific data

 

              To identify disease-producing environmental factors

 

              To provide the patient with a family pedigree

 

              To identify the potential for genetically linked illnesses and risk factors

 

              To prove the patient with knowledge about his health

 

 

Question 33

A Japanese American patient comes into the clinic to discuss new medications prescribed a month ago. During the discussion, the patient continually smiles and nods her head. This nonverbal behavior suggests what to the APRN?

 

              An acceptance of the treatment discussed

 

              Reflecting her cultural values and needs validation

 

              Agrees to keep taking her medication as planned

 

              Understands why the medication is needed

 

Question 34

Which technique is most likely to result in the patient’s understanding of questions?

 

              Use proper medical and technical terminology.

 

              Use the patient’s own terms if possible.

 

              Use the simplest language possible.

 

              Use phrases that are commonly used by other patients in the area.

Question 35

Which technique is most likely to result in the patient’s understanding of questions?

 

              Use the simplest language possible.

 

              Use phrases that are commonly used by other patients in the area.

 

 

              Use the patient’s own terms if possible.

 

 

              Use proper medical and technical terminology.

 

 

Question 36

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?

 

              B12

 

              B6

 

              B1

 

              B2

                            

 

 

Question 37

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

 

              walking around the table.

 

              seated on the patient’s right.

 

              standing at the foot of the table.

 

              standing at the patient’s left.

uestion 38

A review of the patient’s illnesses, surgeries, injuries, and medications may provide pertinent data related to the current complaint. This information is primarily collected during the:

 

              Family history

 

              Systems review

 

              History of present illness

 

              Past medical history

Question 39

Nuchal rigidity is most commonly associated with:

 

              C. Down syndrome.

 

              D. cranial nerve V damage.

 

              B. meningeal irritation.

 

              A. thyroiditis.

Question 40

Which question would be considered a leading question?

 

              “On a scale of 1 to 10, how would you rate the severity of your headaches?”

 

              “What do you think is causing your headaches?”

 

              “You don’t get headaches often, do you?”

 

              “At what time of the day are your headaches the most severe?”

Question 41

When taking a patient’s history, the importance of the review of symptoms is to:

 

              Elicit information about current health practices.

 

              Determine the causes of the present illness.

 

              Prevent omission of essential data that may have been overlooked by the patient or health care professional.

 

              Establish trust and increase comfort during the physical exam.

Question 42

Placing the base of a vibrating tuning fork on the midline vertex of the patient’s head is a test for:

 

              lateralization of sound.

 

              mallear auditory ability.

 

              bone versus air conduction.

 

              air conduction of sound.

Question 43

Ms. Jones is a 31-year-old female patient who presents for a routine physical examination. Which examination technique will be used first?

 

              Inspection

 

              Light palpation

 

              Deep palpation

 

              Percussion

Question 44

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:

 

              assess for rebound tenderness.

 

              auscultate for abdominal bruits.

 

              inspect for ecchymosis of the flank.

 

              percuss for ascites.

Question 45

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

 

              Ask whether the patient has considered self-harm.

 

              Ask whether the patient would like to visit a psychiatrist.

 

              Avoid directly confronting the patient regarding your impression.

 

              Record the impression in the patient’s chart and refer the patient for hospitalization.

Question 47

A patient presents to the emergency room with an open laceration from a dog bite. Pt states the incident occurred 2 days ago but the wound will not stop bleeding. What is the appropriate time frame to suture the site for adequate healing when sutures are needed?

 

              at least 24 hours

 

              at least 48 hours

 

              at least 36 hours

 

              at least 1 week

Question 48

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

 

              Computerized nutrient analysis

 

              Food diary

 

              Twenty-four-hour diet recall

 

              Serum protein assays Question 49

Brittle nails are typical findings in:

 

              A. adolescents.

 

              B. infants.

 

              C. pregnant women.

 

              D. older adults.

 

uestion 50

Penicillin is considered a

 

              “cold” herb.

 

              “lukewarm” oil.

 

              “cold” medicine.

 

              “hot” medicine.

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