NRNP-6552-14-Advanced Nursing Practice Reproductive Health

NURS-6512N-48-Advanced Health Assessment-2021-Fall-QTR-Term-wks-1-thru-11-(08/30/2021-11/14/2021)-PT2

NURS-6512N-48-Advanced Health Assessment-2021-Fall-QTR-Term-wks-1-thru-11-(08/30/2021-11/14/2021)-PT2

Question 1

Subjective and symptomatic data are:

D

Question 2

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:

B

Question 3

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?

B

Question 4

During an interview, tears appear in the patient’s eyes and his voice becomes shaky. Initially, you should:

A

Question 5

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?

B

Question 6

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

D

Question 7

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

D

Question 8

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:

A

Question 9

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

D

Question 10

After thorough inspection of the abdomen, the next assessment step is:

C

Question 11

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?

A

Question 12

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

D

Question 13

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

B

Question 14

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

A

Question 15

A 5-year-old child presents with nasal congestion and a headache. To assess for sinus tenderness you should palpate over the:

C

Question 16

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

A

Question 17

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

C

Question 18

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:

D

Question 19

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.

B, E, F

Question 20

Which is the best way to position a patient’s neck for palpation of the thyroid?

C

Question 21

You are using an ophthalmoscope to examine a patient’s inner eye. You rotate the lens selector clockwise, then counterclockwise to compensate for:

A

Question 22

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:

D

Question 23

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:

C

Question 24

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?

A

Question 25

Ms. Otten is a 45-year-old patient who presents with a complaint of weight gain. Which medication is frequently associated with weight gain?

B

Question 26

Before performing an abdominal examination, the examiner should:

A

Question 27

When are open-ended questions generally most useful?

C

Question 28

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?

D

Question 29

Cherry angiomas are a common finding in:

A

Question 30

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

D

Question 31

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

14-20% of total calories

Question 32

A detailed description of the symptoms related to the chief complaint is presented in the:

C

Question 33

A brief statement of the reason the patient is seeking health care is called the:

B

Question 34

Peritonitis produces bowel sounds that are:

A

Question 35

Macronutrients are so named because they:

A

Question 36

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? 

A

Question 37

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

Question 38

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

B

Question 39

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

A

Question 40

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

B

Question 41

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

B

Question 42

When hearing is evaluated, which cranial nerve is being tested?

D

Question 43

Fluorescing lesions are best distinguished using a(n):

D

Question 44

Differential diagnoses belong in the:

D

Question 45

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):

D

Question 46

As part of your health promotion education for a new patient, you explain that the risk factors for skin cancer include:

C

Question 47

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

B

Question 48

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?

B

Question 49

Spasmodic muscular contractions of the head, face, or neck are called:

B

Question 50

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:

A

Question 51

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?

A

Question 52

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?

C

Question 53

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

C

Question 54

A 51-year-old woman calls with complaints of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to:

B

Question 55

Unusual white areas on the skin may be due to:

C

Question 56

Expected hair distribution changes in older adults include:

C

Question 58

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

D

Question 59

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:

A

Question 60

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

C

Question 61

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:

C

Question 62

In issues surrounding ethical decision making, beneficence refers to the:

C

Question 63

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:

C

Question 64

Before performing an abdominal examination, the examiner should:

C

Question 65

Regardless of the origin, discharge is described by noting:

D

Question 66

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

C

Question 67

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

A

Question 68

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

D

Question 69

A tool used to screen adolescents for alcoholism is the:

A

Question 70

Brittle nails are typical findings in:

D

Question 71

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:

A

Question 72

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

C

Question 73

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

D

Question 74

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

D

Question 75

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:

C

Question 76

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

A

Question 77

What finding is unique to the documentation of a physical examination of an infant?

D

Question 78

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

A

Question 79

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

C

Question 80

The review of systems is a component of the:

A

Question 81

Peritonitis produces bowel sounds that are:

A

Question 82

A blood pressure cuff bladder should be long enough to:

D

Question 83

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:

D

Question 84

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

A

Question 85

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

A

Question 86

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

C

Question 87

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

C

Question 88

Which of the following is an expected change in the assessment of the thyroid during pregnancy?

D

Question 89

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:

C

Question 90

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:

C

Question 91

The attitudes of the health care professional:

A

Question 92

Nuchal rigidity is most commonly associated with:

B

Question 93

In counseling a client regarding nutrition education, you explain that linoleic acid, a major fatty acid, is thought to be essential for:

D

Question 94

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?

C

Question 95

You are planning to palpate the abdomen of your patient. Which part of the examiner’s hand is best for palpating vibration?

A

Question 96

Which part of the information contained in the patient’s record may be used in court?

B

Question 97

Which of the following is the most vital nutrient?

B

Question 98

Expected normal percussion tones include:

A

Question 99

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

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