NURS-6512N midterm exam.

User Course NURS-6512N-53,Advanced Health Assessment.2020 Summer Qtr 06/01-08/23-PT27 Test Exam - Week 6 Started 7/8/20 6:14 PM Submitted 7/8/20 6:40 PM Due Date 7/13/20 1:59 AM Status Completed Attempt Score 98 ...

User Course NURS-6512N-53,Advanced Health Assessment.2020 Summer Qtr 06/01-08/23-PT27 Test Exam - Week 6 Started 7/8/20 6:14 PM Submitted 7/8/20 6:40 PM Due Date 7/13/20 1:59 AM Status Completed Attempt Score 98 out of 100 points Time Elapsed 25 minutes out of 2 hours Instructions Please answer each question below and click Submit when you have completed the Exam. Results Displayed Submitted Answers, Incorrectly Answered Questions • Question 1 1 out of 1 points Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence? • Question 2 1 out of 1 points To perform the Rinne test, place the tuning fork on the: • Question 3 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 4 1 out of 1 points When communicating with older children and teenagers, you should be sensitive to their: • Question 5 1 out of 1 points Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure: • Question 6 1 out of 1 points During percussion, a dull tone is expected to be heard over: • Question 7 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 8 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 9 1 out of 1 points The most superior part of the stomach is the: • Question 10 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 11 1 out of 1 points When hearing is evaluated, which cranial nerve is being tested? • Question 12 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 13 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 14 1 out of 1 points Before performing an abdominal examination, the examiner should: • Question 15 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 16 1 out of 1 points A 51-year-old woman calls with complaints of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to: • Question 17 1 out of 1 points Which of the following is the most vital nutrient? • Question 18 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 19 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 20 1 out of 1 points Recommended carbohydrate content of total dietary intake (% total calories) is ____%. • Question 21 1 out of 1 points Tympanic thermometers measure body temperature when a probe is placed: • Question 22 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 23 1 out of 1 points Which of the following is an "ABCD" characteristic of malignant melanoma? • Question 24 1 out of 1 points The position on a clock, topographic notations, and anatomic landmarks: • Question 25 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 26 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 27 1 out of 1 points What finding is unique to the documentation of a physical examination of an infant? • Question 28 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 29 1 out of 1 points Peritonitis produces bowel sounds that are: • Question 30 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 31 1 out of 1 points 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: • Question 32 1 out of 1 points In issues surrounding ethical decision making, beneficence refers to the: • Question 33 1 out of 1 points Which of the following organs is part of the alimentary tract? • Question 34 1 out of 1 points When taking a history, you should: • Question 35 1 out of 1 points When examining the skull of a 4-month-old baby, you should normally find: • Question 36 1 out of 1 points The review of systems is a component of the: Selected Answer: health history. • Question 37 1 out of 1 points When assessing abdominal pain in a college-age woman, one must include: Selected Answer: the first day of the last menstrual period. • Question 38 1 out of 1 points When assessing abdominal pain in a college-age woman, one must include: Selected Answer: the first day of the last menstrual period. • Question 39 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: Selected Answer: inspect for ecchymosis of the flank. • Question 40 0 out of 1 points The recommended minimum daily protein requirement for the normal adult is ______. • Question 41 1 out of 1 points A brief statement of the reason the patient is seeking health care is called the: • Question 42 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 43 1 out of 1 points When recording physical findings, which data are recorded first for all systems? • Question 44 1 out of 1 points Which of the following occurs when firm pressure is used to apply the stethoscope's bell end-piece to the skin? • Question 45 1 out of 1 points You are planning to palpate the abdomen of your patient. Which part of the examiner's hand is best for palpating vibration? • Question 46 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 47 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 48 1 out of 1 points A flat, nonpalpable lesion is described as a macule if the diameter is: Selected Answer: less than 1 cm. • Question 49 0 out of 1 points Underestimation of blood pressure will occur if the blood pressure cuff's width covers: • Question 50 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 51 1 out of 1 points Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the: Selected Answer: lower liver border. • Question 52 1 out of 1 points Cherry angiomas are a common finding in: Selected Answer: adults older than 30 years. • Question 53 1 out of 1 points A tool used to screen adolescents for alcoholism is the: • Question 54 1 out of 1 points Knowledge of the culture or cultures represented by the patient should be used to: • Question 55 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 56 1 out of 1 points Tangential lighting is best used for inspecting skin: • Question 57 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 58 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 59 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 60 1 out of 1 points 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? • Question 61 1 out of 1 points Which is the best way to position a patient's neck for palpation of the thyroid? • Question 62 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 63 1 out of 1 points Expected normal percussion tones include: • Question 64 1 out of 1 points 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): • Question 65 1 out of 1 points Which type of speculum should be used to examine a patient's tympanic membrane? • Question 66 1 out of 1 points Brittle nails are typical findings in: • Question 67 1 out of 1 points Inspection of the abdomen should begin with the patient supine and the examiner: • Question 68 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 69 1 out of 1 points 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: • Question 70 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 71 1 out of 1 points Mrs. Tuber is a 36-year-old patient who comes into the health center with complaints that her fingernails are not growing. Which structure is the site of new nail growth? • Question 72 1 out of 1 points When palpating the abdomen, you should note whether the liver is enlarged in the: • Question 73 1 out of 1 points A detailed description of the symptoms related to the chief complaint is presented in the: • Question 74 1 out of 1 points Periods of silence during the interview can serve important purposes, such as: • Question 75 1 out of 1 points Penicillin is considered a • Question 76 1 out of 1 points Differential diagnoses belong in the: • Question 77 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 78 1 out of 1 points The attitudes of the health care professional: • 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 Under normal circumstances, how much water is lost daily by the body? • Question 81 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 82 1 out of 1 points Which technique is most likely to result in the patient's understanding of questions? • Question 83 1 out of 1 points Sweat glands, hair, and nails are all formed from: • Question 84 1 out of 1 points Auscultation should be carried out last, except when examining the: • Question 85 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 86 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 87 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 88 1 out of 1 points Placing the base of a vibrating tuning fork on the midline vertex of the patient's head is a test for: • Question 89 1 out of 1 points Which question would be considered a leading question? • Question 90 1 out of 1 points To correctly document absent bowel sounds, one must listen continuously for: • Question 91 1 out of 1 points Expected hair distribution changes in older adults include: • Question 92 1 out of 1 points The term denoting the caregiver's need to do no harm to the patient is: • Question 93 1 out of 1 points Subjective and symptomatic data are: • Question 94 1 out of 1 points The most common form of birth trauma of the scalp is: • Question 95 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 96 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 97 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 98 1 out of 1 points Coarse, dry, and brittle hair is associated with which metabolic disorder? • Question 99 1 out of 1 points Which technique is most likely to result in the patient's understanding of questions? • Question 100 1 out of 1 points Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish: