regis Nu650 Final Exam 2022 (graded solution)

Week 15: Final Exam- Requires Respondus LockDown Browser + Webcam

Question 1-50

Question 1

 

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The patient tells you that he has an itchy red rash. Where in the patient note will you include this information?

Select one:

 

a.

Assessment

 

b.

Plan

 

c.

Subjective

 

d.

Objective

Question 2

 

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Which of the following items are included in the PHQ-2 Depression Screen?

1.            Poor appetite or overeating

2.            Feeling tired or having little energy

3.            Little interest or pleasure in doing things

4.            Trouble concentrating on things

5.            Feeling down depressed or hopeless

6.            Trouble falling or staying asleep, or sleeping too much

7.            Thoughts that you would be better off dead, or hurting yourself

Select one:

 

a.

1 and 6

 

b.

3 and 5

 

 

c.

2 and 4

 

d.

5 and 7

Question 3

 

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When palpating the abdomen of a 20-year-old patient, you note the presence of tenderness on deep palpation in the LUQ. Which of the following structures is most likely to be involved?

Select one:

 

a.

Spleen

—The spleen is located in the LUQ, the sigmoid section of the large intestines is located in the LLQ, the appendix is located in the RLQ, and the gallbladder is in the RUQ.

 

b.

Sigmoid

 

c.

Appendix

 

d.

Gallbladder

 

Question 4

 

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When performing an abdominal examination, the rationale for performing auscultation prior to percussion and palpation is which of the following?

Select one:

 

a.

To prevent distortion of vascular sounds such as bruits and hums that might occur after percussion and palpation

 

b.

To determine areas of tenderness before using percussion and palpation

 

c.

To allow the patient to relax and be more comfortable with the physical examination

 

d.

To prevent distortion of bowel sounds that might occur after percussion and palpation

Question 5

 

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What is the proper order for assessing the abdomen?

Select one:

 

a.

Palpation, percussion, auscultation, inspection

 

b.

Inspection, palpation, auscultation, percussion

 

c.

Inspection, auscultation, percussion, palpation

 

d.

Inspection, percussion, palpation, auscultation.

 

Question 6

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The NP suspects appendicitis. He examines the patient and flexes the patient’s right hip and knee, and slowly rotates the right leg internally. The patient reports pain with this movement. The NP will document which of the following signs as positive?

Select one:

 

a.

Rovsing’s sign

 

b.

Psoas sign

 

c.

Obturator sign

 

d.

McBurney’s sign

Question 7

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The NP is completing the health history and ROS for eyes on a healthy 88-year-old woman. The NP would anticipate which age-related change as a normal finding?

Select one:

 

a.

Mildly blurry vision

 

b.

Chronically dry and itchy eyes and eyelids

 

c.

Worsening near vision

 

d.

Tearing and photophobia

Question 8

 

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The NP will diagnose acute otitis media when he notes which of the following?

Select one:

 

a.

Fluid in the middle ear without signs or symptoms of an ear infection

 

b.

Tenderness to the tragus and external ear

 

c.

Fluid in the middle ear accompanied by otalgia and fever

 

d.

Fluid within the middle ear for at least three months

Question 9

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When the Weber test is performed with a tuning fork to assess hearing and there is no lateralization, the NP would note which of the following?

Select one:

 

a.

Conductive deafness

 

b.

Perceptive deafness

 

c.

Normal findings

 

d.

Sensorineural deafness

Question 10

 

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A patient presents with reported sneezing, clear drainage, and nasal congestion. The nasal mucosa of her turbinates is pale. What diagnosis does the NP suspect?

Select one:

 

a.

Allergic rhinitis

 

b.

Viral rhinitis

 

c.

Nasal polyps

 

d.

Sinus infection

Question 41

 

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When doing a breast exam, which finding would be concerning to the nurse practitioner?

Select one:

 

a.

Single, moveable, tender, breast lump

 

b.

Multiple, firm, non-tender, ill-defined breast lumps

 

c.

Single, firm, tender, circumscribed breast lump

 

d.

Single, firm, non-tender, ill-defined breast lump

Question 42

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A positive urine dipstick that was obtained in the office during a patient’s visit should be documented in which part of the note?

Select one:

 

a.

Subjective

 

b.

Objective

 

c.

Assessment

 

d.

Plan

Question 43

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When auscultating heart sounds at the tricuspid and mitral areas of the anterior chest, what would you expect?

Select one:

 

a.

S1 to be present, S2 to be absent

 

b.

S1 to be louder than S2

 

c.

S1 to be the same in intensity as S2

 

d.

S2 to be louder than S1

Question 44

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When palpating the patient’s thyroid gland, the NP will recall that a normal thyroid gland should be which of the following?

Select one:

 

a.

Firm

 

b.

Similar to rubber

 

c.

Soft

 

d.

Tender

Question 45

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The assessment (A) component of the SOAP note is used to document which of the following?

Select one:

 

a.

Physical assessment findings

 

b.

The provider’s interpretation of the findings

 

c.

Patient’s comprehensive health history

 

d.

Plan of care to address the patient’s identified problems

Question 46

 

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The NP notes that the patient is demonstrating signs of anxiety as she reports her symptoms. The NP will help to alleviate this anxiety by doing which of the following?

Select one:

 

a.

Asking clear and direct questions

 

b.

Requesting that the patient relax as much as possible so that the history and exam may be completed

 

c.

Ask the person who accompanied her to the visit to join her in the examination room

 

d.

Acknowledge and validate the patient’s feelings

 

Question 47

 

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The NP will establish a professional relationship with a new patient by doing which of the following?

Select one:

 

a.

Finding commonalities to discuss

 

b.

Introducing themselves by name and title and addressing the patient by the appropriate title (Mr., Mrs., Miss)

 

 

c.

Discussing the weather for today and the upcoming week

 

d.

Standing during the initial patient interview

Question 48

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Which of the following lines represents  documentation of subjective (S) data?

1.            Patient denies change in moles or new onset of rashes.

2.            Nevus on left lateral forearm measures 0.5 cm in diameter. Patient denies itching or bleeding at site.

3.            Patient admits to forgetting to use sunscreen. Face and upper torso are erythematous without open areas.

4.            Vesicular rash on right medial thigh which patient describes as pruritic.

Select one:

 

a.

Line 1

 

b.

Line 2

 

c.

Line 3

Face and neck described as erythematous is an objective finding.

 

d.

Line 4

Question 49

 

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Which of the following lines represents  documentation of objective (O) data?

1.            Patient denies change in moles or new onset of rashes.

2.            Patient denies itching or bleeding at site of nevus on left lateral forearm.

3.            Patient admits to forgetting to use sunscreen.

4.            Vesicular rash on right medial thigh

Select one:

 

a.

Line 1

 

b.

Line 2

 

c.

Line 3

 

d.

Line 4

Question 50

 

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When documenting ‘muscle strength testing’ is the NP  to note the following phrase: “Within normal limits”?

Select one:

 True

 False

 

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