NURS 6512 MIDTERM EXAM LATEST 2022-2023 VERSION 1 /NURS6512 WEEK 6 MIDTERM EXAM ADVANCED HEALTH ASSESSMENT: WALDEN UNIVERSITY (ALL 100 QUESTIONS AND CORRECT ANSWERS )

Review Test Submission: Exam – Week 6

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Course NURS-6512N-29,Advanced Health Assessment.2020 Summer Qtr 06/01-

08/23-PT27

Test Exam – Week 6

Started 7/12/20 3:02 PM

Submitted 7/12/20 4:29 PM

Due Date 7/13/20 1:59 AM

Status Completed

Attempt Score 96 out of 100 points

Time Elapsed 1 hour, 26 minutes out of 2 hours

Instructions

Please answer each question below and click Submit when you have

completed the Exam.

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Submitted Answers, Incorrectly Answered Questions

Question 1

0 out of 0 points

When completing this exam, did you comply with Walden University’s Code of Conduct

including the expectations for academic integrity?

Selected Answer:

Yes

Question 2

1 out of 1 points

A tool used to screen adolescents for alcoholism is the:

Selected Answer:

CRAFFT.

Question 3

1 out of 1 points

Which question would be considered a leading question?

Selected Answer:

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

Question 4

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?

Selected Answer:

Auscultation

Question 5

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?

Selected Answer:

“Why do you think you are having these symptoms?”

Question 6

1 out of 1 points

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

Selected Answer:

Use the patient’s own terms if possible.

Question 7

1 out of 1 points

The most superior part of the stomach is the:

Selected Answer:

fundus.

Question 8

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:

Selected

Answer: given the opportunity to be interviewed without the parent at some

point during the interview.

Question 9

1 out of 1 points

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

mucosa are:

Selected Answer:

aphthous ulcers.

Question 10

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:

Selected Answer:

myopia.

Question 11

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?

Selected Answer:

Fat

Question 12

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:

Selected Answer:

B. hyperthyroidism.

Question 13

0 out of 1 points

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

Selected Answer: 44 to 78

Question 14

1 out of 1 points

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

Selected Answer:

Food diary

Question 15

1 out of 1 points

Pigmented, raised, warty lesions over the face and trunk should be assessed by an

experienced practitioner who can distinguish:

Selected Answer:

D. seborrheic keratoses from actinic keratoses.

Question 16

1 out of 1 points

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

with:

Selected Answer:

middle ear effusion.

Question 17

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:

Selected Answer:

C. with illumination provided by daylight.

Question 18

1 out of 1 points

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

Selected Answer:

C. invaginations of epidermis into dermis.

Question 19

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?

Selected Answer:

Past medical data

Question 20

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):

Selected Answer:

functional assessment.

Question 21

1 out of 1 points

Before performing an abdominal examination, the examiner should:

Selected Answer:

have the patient empty his or her bladder.

Question 22

1 out of 1 points

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

Selected Answer:

All information

Question 23

1 out of 1 points

When taking a history, you should:

Selected Answer:

use a chronologic and sequential framework.

Question 24

1 out of 1 points

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

Selected Answer:

C. Flexed toward the side being examined

Question 25

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:

Selected Answer:

cricoid.

Question 26

1 out of 1 points

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

Selected Answer:

providing time for reflection.

Question 27

1 out of 1 points

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

Selected Answer:

right upper quadrant.

Question 28

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:

Selected Answer:

C. a normal thyroid gland.

Question 29

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 30

1 out of 1 points

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

Initially, you should:

Selected Answer:

offer a tissue and let him know it is all right to cry.

Question 31

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:

Selected Answer:

come to the laboratory for a stool guaiac test.

Question 32

1 out of 1 points

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

cultural competence?

Selected

Answer: Realize that cultural values are difficult to change and must be

respected.

Question 33

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:

Selected Answer:

lateralization of sound.

Question 34

1 out of 1 points

During an interview, you have the impression that a patient may be considering suicide.

Which action is essential?

Selected Answer:

Ask whether the patient has considered self-harm.

Question 35

1 out of 1 points

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

Selected Answer:

history of present illness.

Question 36

1 out of 1 points

Which statement is true regarding the relationship of physical characteristics and

culture?

Selected

Answer: There is a difference between distinguishing cultural characteristics and

distinguishing physical characteristics.

Question 37

1 out of 1 points

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

Selected Answer:

Use the patient’s own terms if possible.

Question 38

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:

Selected Answer:

A. plaque.

Question 39

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):

Selected Answer:

progress note.

Question 40

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?

Selected Answer:

Vitamin B12

Question 41

1 out of 1 points

Fluorescing lesions are best distinguished using a(n):

Selected Answer:

Wood’s lamp.

Question 42

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 43

1 out of 1 points

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

Selected Answer:

the liver.

Question 44

1 out of 1 points

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

Selected Answer:

need to do good for the patient.

Question 45

1 out of 1 points

Nuchal rigidity is most commonly associated with:

Selected Answer:

B. meningeal irritation.

Question 46

1 out of 1 points

Subjective and symptomatic data are:

Selected Answer:

placed in the history section.

Question 47

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:

Selected Answer:

repeated trauma or irritation to skin.

Question 48

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?

Selected Answer:

C. Matrix

Question 49

1 out of 1 points

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

Selected Answer:

5 minutes.

Question 50

1 out of 1 points

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

Selected Answer:

Asymmetric borders

Question 51

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?

Selected Answer:

Ulnar surface

Question 52

0 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?

Selected Answer:

Vitamin K

Question 53

0 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:

Selected Answer:

A. parotid gland tumor.

Question 54

0 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:

Selected Answer:

building and maintaining

tissues.

Question 55

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?

Selected Answer:

Eustachian tube

Question 56

1 out of 1 points

Regardless of the origin, discharge is described by noting:

Selected Answer:

color and consistency.

Question 57

1 out of 1 points

Ms. Jones is a 31-year-old female patient who presents for a routine physical

examination. Which examination technique will be used first?

Selected Answer:

Inspection

Question 58

1 out of 1 points

Penicillin is considered a

Selected Answer:

“hot” medicine.

Question 59

1 out of 1 points

Peritonitis produces bowel sounds that are:

Selected Answer:

hypoactive.

Question 60

1 out of 1 points

When are open-ended questions generally most useful?

Selected Answer:

During the initial part of the interview

Question 61

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?

Selected Answer:

D. Nose and thyroid cartilages

Question 62

1 out of 1 points

Before performing an abdominal examination, the examiner should:

Selected Answer:

have the patient empty his or her bladder.

Question 63

1 out of 1 points

Nasal symptoms that imply an allergic response include:

Selected Answer:

bluish gray turbinates.

Question 64

1 out of 1 points

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

Selected Answer:

Hypothyroidism

Question 65

1 out of 1 points

The infant should be placed in which position to have his or her height or length

measured?

Selected Answer:

Supine on a measuring board

Question 66

1 out of 1 points

Cherry angiomas are a common finding in:

Selected Answer:

adults older than 30 years.

Question 67

1 out of 1 points

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

Selected Answer:

more than two-thirds of the upper arm.

Question 68

1 out of 1 points

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

Selected Answer:

hearing range of normal speech.

Question 69

1 out of 1 points

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

Selected Answer:

abdomen.

Question 70

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:

Selected Answer:

C. fluid-filled from solid cysts or masses.

Question 71

1 out of 1 points

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

Selected Answer:

Stomach

Question 72

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 73

1 out of 1 points

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

Selected Answer:

mastoid bone.

Question 74

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:

Selected Answer:

maxillary sinuses only.

Question 75

1 out of 1 points

A serous membrane that lines the abdominal cavity and forms a protective cover for

many abdominal structures is the:

Selected Answer:

peritoneum.

Question 76

1 out of 1 points

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

Selected Answer:

seated on the patient’s right.

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?

Selected Answer:

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

Question 78

1 out of 1 points

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:

Selected Answer:

D. record the finding in the patient’s chart.

Question 79

1 out of 1 points

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

Selected Answer:

chief complaint.

Question 80

1 out of 1 points

Unusual white areas on the skin may be due to:

Selected Answer:

C. vitiligo.

Question 81

1 out of 1 points

When examining the skull of a 4-month-old baby, you should normally find:

Selected Answer:

B. closure of the posterior fontanel.

Question 82

1 out of 1 points

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

Selected Answer:

500 to 1000 Hz

Question 83

1 out of 1 points

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

pregnancy?

Selected Answer:

A bruit is auscultated.

Question 84

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:

Selected Answer:

tympanometer.

Question 85

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?

Selected Answer:

Steroids

Question 86

1 out of 1 points

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

Selected Answer:

nonmaleficence.

Question 87

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:

Selected Answer:

D. C4 to C5.

Question 88

1 out of 1 points

Peritonitis produces bowel sounds that are:

Selected Answer:

hypoactive.

Question 89

1 out of 1 points

Macronutrients are so named because they:

Selected Answer:

are required in large amounts.

Question 90

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:

Selected Answer:

ask whether he has any questions.

Question 91

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:

Selected Answer:

binges and vomits.

Question 92

1 out of 1 points

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:

Selected Answer:

personal and social history.

Question 93

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:

Selected Answer:

lean meat and fish.

Question 94

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:

Selected Answer:

flex his or her knees.

Question 95

1 out of 1 points

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

Selected Answer:

Fontanel sizes

Question 96

1 out of 1 points

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

their:

Selected Answer:

typical reluctance to talk.

Question 97

1 out of 1 points

Under normal circumstances, how much water is lost daily by the body?

Selected Answer:

2 to 2.5 L

Question 98

1 out of 1 points

A fixed image of any group that rejects its potential for originality or individuality is

known as a(n):

Selected Answer:

stereotype.

Question 99

1 out of 1 points

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

Selected Answer:

help make the interview questions more pertinent.

Question 100

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:

Selected Answer:

building and maintaining

tissues.

Question 101

1 out of 1 points

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

Selected Answer:

Inspection

Sunday, July 12, 2020 4:29:18 PM EDT

Question 11 out of 1 pointsTo perform the Rinne test, place the tuning fork on the:Selected Answer:mastoid bone.Question 21 out of 1 pointsMr. 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:Selected Answer:D. thyroglossal duct cyst.Question 31 out of 1 pointsNuchal rigidity is most commonly associated with:Selected Answer:B. meningeal irritation.Question 41 out of 1 pointsMrs. 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:Selected Answer:D. a poorly developed subcutaneous fat layer.Question 51 out of 1 pointsBulging of an amber tympanic membrane without mobility is most often associated with:Selected Answer:middle ear effusion.Question 61 out of 1 pointsYou 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 thecenter outward. The nurse documents this lesion as a:
Selected Answer:B. spider angioma.Question 71 out of 1 pointsWhich cranial nerves innervate the face?Selected Answer:C. V and VIIQuestion 81 out of 1 pointsThe most common form of birth trauma of the scalp is:Selected Answer:caput succedaneum.Question 91 out of 1 pointsMr. 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?Selected Answer:RaceQuestion 101 out of 1 pointsA 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?Selected Answer:Are you uncomfortable talking with me?Question 111 out of 1 pointsTuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure:Selected Answer:hearing range of normal speech.Question 12
1 out of 1 pointsSpasmodic muscular contractions of the head, face, or neck are called:Selected Answer:B. tics.Question 131 out of 1 pointsWhen examining the skull of a 4-month-old baby, you should normally find:Selected Answer:B. closure of the posterior fontanel.Question 141 out of 1 pointsWhich of the following occurs when firm pressure is used to apply the stethoscope’s bell end-piece to the skin?Selected Answer:It functionally converts to a diaphragm end-piece.Question 151 out of 1 pointsPeritonitis produces bowel sounds that are:Selected Answer:hypoactive. Question 161 out of 1 pointsSweat glands, hair, and nails are all formed from:Selected Answer:C. invaginations of epidermis into dermis.Question 171 out of 1 pointsMr. Donalds is a 45-year-old roofer. Your inspection to determine color variations of the skin is best conducted:Selected Answer:C. with illumination provided by daylight.Question 181 out of 1 points
Cherry angiomas are a common finding in:Selected Answer:adults older than 30 years.Question 191 out of 1 pointsMrs. 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?Selected Answer:Vitamin B12 Question 201 out of 1 pointsUnusual white areas on the skin may be due to:Selected Answer:C. vitiligo.Question 211 out of 1 pointsKnowledge of the culture or cultures represented by the patient should be used to:Selected Answer:help make the interview questions more pertinent.Question 221 out of 1 pointsMr. 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:Selected Answer:personal and social history.Question 231 out of 1 pointsTangential lighting is best used for inspecting skin:Selected Answer:contour.Question 241 out of 1 points
When taking a history, you should:Selected Answer:use a chronologic and sequential framework.Question 251 out of 1 pointsYour 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):Selected Answer:progress note.Question 260 out of 1 pointsA 5-year-old child presents with nasal congestion and a headache. To assess for sinus tenderness you should palpate over the:Selected Answer:maxillary and frontal sinuses.Question 271 out of 1 pointsMrs. 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 newnail growth?Selected Answer:C. MatrixQuestion 281 out of 1 pointsIn counseling a client regarding nutrition education, you explain thatlinoleic acid, a major fatty acid, is thought to be essential for:Selected Answer:normal growth and development.Question 291 out of 1 pointsYou are completing a general physical examination on Mr. Rock, a 39-year-old man with complaints of constipation. When examining apatient with tense abdominal musculature, a helpful technique is to have the patient:
Selected Answer:flex his or her knees.Question 301 out of 1 pointsExpected hair distribution changes in older adults include:Selected Answer:increased terminal hair follicles to the tragus of men’s ears.Question 311 out of 1 pointsPeritonitis produces bowel sounds that are:Selected Answer:hypoactive.Question 321 out of 1 pointsWhite, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are:Selected Answer:aphthous ulcers.Question 331 out of 1 pointsWhich of the following is the most accurate reflection of an individual’s food intake?Selected Answer:Food diaryQuestion 341 out of 1 pointsWhich part of the information contained in the patient’s record may be used in court?Selected Answer:All informationQuestion 351 out of 1 pointsYou are using an ophthalmoscope to examine a patient’s inner eye. You rotate thelens selector clockwise, then counterclockwise to compensate for:
Selected Answer:myopia.Question 361 out of 1 pointsMr. 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?Selected Answer:Vitamin DQuestion 370 out of 1 pointsA guideline for history taking is for caregivers to:Selected Answer:write detailed information as stated by patients so that their priorities are reflected.Question 381 out of 1 pointsWhen communicating with older children and teenagers, you should be sensitive to their:Selected Answer:typical reluctance to talk.Question 391 out of 1 pointsA 17-year-old girl presents to the clinic for a sports physical. Physical examinationfindings reveal bradycardia, multiple erosions of tooth enamel, and scars on her knuckles. She appears healthy otherwise. You should ask her if she:Selected Answer:binges and vomits.Question 401 out of 1 pointsMs. Jones is a 31-year-old female patient who presents for a routine physical examination. Which examination technique will be used first?Selected Answer:InspectionQuestion 41
1 out of 1 pointsNasal symptoms that imply an allergic response include:Selected Answer:bluish gray turbinates.Question 421 out of 1 pointsCoarse, dry, and brittle hair is associated with which metabolic disorder?Selected Answer:HypothyroidismQuestion 431 out of 1 pointsWhat finding is unique to the documentation of a physical examination of an infant?Selected Answer:Fontanel sizesQuestion 440 out of 1 pointsYour 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?Selected Answer:Positive McBurney signQuestion 451 out of 1 pointsA brief statement of the reason the patient is seeking health care is called the:Selected Answer:chief complaint.Question 461 out of 1 pointsMrs. 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:Selected Answer:A. plaque.
Question 471 out of 1 pointsMr. 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?Selected Answer:”With your father’s permission, we will examine the stone and request that it be returned to him.”Question 481 out of 1 pointsMrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the:Selected Answer:CAGE questionnaire.Question 491 out of 1 pointsMr. 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.Selected Answers:c. Sounds may be garbled and difficult to localized. Unable to hear in a crowded roomf. Loss of high frequencyQuestion 501 out of 1 pointsAs part of your health promotion education for a new patient, you explain that therisk factors for skin cancer include:Selected Answer:repeated trauma or irritation toskin.Question 511 out of 1 pointsMs. Davis is a 27-year-old patient with a BMI of 33. Based on her BMI, your diagnosis would be:Selected Answer:obese.
Question 521 out of 1 pointsThe infant should be placed in which position to have his or her height or length measured?Selected Answer:Supine on a measuring boardQuestion 531 out of 1 pointsWhich of the following formats would be used for visits that address problems notyet identified in the problem-oriented medical record (POMR)?Selected Answer:Brief SOAP noteQuestion 541 out of 1 pointsWhich of the following is an expected change in the assessment of the thyroid during pregnancy?Selected Answer:A bruit is auscultated.Question 551 out of 1 pointsA serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the:Selected Answer:peritoneum.Question 561 out of 1 pointsPigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish:Selected Answer:D. seborrheic keratoses from actinic keratoses.Question 571 out of 1 pointsPenicillin is considered aSelected Answer:“hot” medicine.
Question 581 out of 1 pointsWhich question would be considered a leading question?Selected Answer:”You don’t get headaches often, do you?”Question 591 out of 1 pointsWhich of the following organs is part of the alimentary tract?Selected Answer:StomachQuestion 601 out of 1 pointsSmall, minute bruises are called:Selected Answer:petechiae.Question 611 out of 1 pointsWhen recording physical findings, which data are recorded first for all systems?Selected Answer:InspectionQuestion 621 out of 1 pointsWhen hearing is evaluated, which cranial nerve is being tested?Selected Answer:VIIIQuestion 631 out of 1 pointsYou 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:Selected Answer:C. a normal thyroid gland.Question 641 out of 1 points
Auscultation should be carried out last, except when examining the:Selected Answer:abdomen.Question 651 out of 1 pointsYou 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:Selected Answer:given the opportunity to be interviewed without the parent at some point during the interview.Question 661 out of 1 pointsMr. 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. Thisis suggestive of:Selected Answer:B. hyperthyroidism.Question 671 out of 1 pointsA detailed description of the symptoms related to the chief complaint is presented in the:Selected Answer:history of present illness.Question 681 out of 1 pointsMr. 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 otoscopeagainst the head while using the other hand to:Selected Answer:pull the auricle down and back.Question 691 out of 1 pointsIn examining the neck of a 34-year-old female patient, you note that the uppermost ridge of the tracheal cartilage is at the:
Selected Answer:cricoid.Question 701 out of 1 pointsA flat, nonpalpable lesion is described as a macule if the diameter is:Selected Answer:less than 1 cm.Question 711 out of 1 pointsDuring 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:Selected Answer:D. record the finding in the patient’s chart.Question 721 out of 1 pointsPlacing the base of a vibrating tuning fork on the midline vertex of the patient’s head is a test for:Selected Answer:lateralization of sound.Question 731 out of 1 pointsExpected normal percussion tones include:Selected Answer:tympany over an empty stomach.Question 741 out of 1 pointsFluorescing lesions are best distinguished using a(n):Selected Answer:Wood’s lamp.Question 750 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:Selected Answer:sandwiches and diet drinks.Question 761 out of 1 pointsMr. 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:Selected Answer:inform the patient of the reason for the examination and askif it is acceptable to him.Question 771 out of 1 pointsMr. 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 chronicpostnasal drip should be documented within which section of his history?Selected Answer:Past medical dataQuestion 781 out of 1 pointsThe term denoting the caregiver’s need to do no harm to the patient is:Selected Answer:nonmaleficence.Question 791 out of 1 pointsWhen palpating the abdomen, you should note whether the liver is enlarged in the:Selected Answer:right upper quadrant.Question 801 out of 1 pointsTo correctly document absent bowel sounds, one must listen continuously for:
Selected Answer:5 minutes. Question 811 out of 1 pointsThe adult recommended dietary fat intake should be _ g/day.Selected Answer:20 to 35Question 821 out of 1 pointsMr. 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?Selected Answer:“Why do you think you are having these symptoms?”Question 831 out of 1 pointsThe most superior part of the stomach is the:Selected Answer:fundus.Question 841 out of 1 pointsMrs. 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:Selected Answer:building and maintaining tissues.Question 851 out of 1 pointsPercussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the:Selected Answer:lower liver border.Question 861 out of 1 pointsWhen you are questioning a patient regarding alcohol intake, she tells you that she is only a social drinker. Which initial response is appropriate? Selected Answer:”What amount and what kind of alcohol do you drink in a week?”Question 871 out of 1 pointsRegardless of the origin, discharge is described by noting:Selected Answer:color and consistency.Question 881 out of 1 pointsMs. Otten is a 45-year-old patient who presents with a complaint of weight gain. Which medication is frequently associated with weight gain?Selected Answer:SteroidsQuestion 891 out of 1 pointsGeorge 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?Selected Answer:G.M. is a 22-year-old male here for having “green nasal discharge” for the past 72 hours.Question 901 out of 1 pointsTo approximate vocal frequencies, which tuning fork should be used to assess hearing?Selected Answer:500 to 1000 HzQuestion 910 out of 1 pointsYour 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:assess for rebound tenderness. Question 921 out of 1 pointsYou 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:Selected Answer:C. fluid-filled from solid cysts or masses.Question 931 out of 1 pointsMrs. 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?Selected Answer:FatQuestion 941 out of 1 pointsIn issues surrounding ethical decision making, beneficence refers to the:Selected Answer:need to do good for the patient.Question 951 out of 1 pointsWhich statement is true regarding the relationship of physical characteristics and culture?Selected Answer:There is a difference between distinguishing cultural characteristics and distinguishing physical characteristics.Question 961 out of 1 pointsThe review of systems is a component of the:Selected Answer:health history.Question 971 out of 1 pointsThe recommended minimum daily protein requirement for the normal adult is __.
Selected Answer:10% to 35% of total caloriesQuestion 980 out of 1 pointsSubjective and symptomatic data are:Selected Answer:documented with the examination findings.Question 990 out of 1 pointsWhen are open-ended questions generally most useful?Selected Answer:After several close-ended questions have been askedQuestion 1001 out of 1 pointsMrs. Grace is a 58-year-old patient who has a diagnosis of pernicious anemia. Which B vitamin is deficient in patients with pernicious anemia?Selected Answer:B12