NURS 6512 WEEK 6 MID TERM EXAM / NURS6512 WEEK 6 MIDTERM EXAM (LATEST): ADVANCED HEALTH ASSESSMENT: W ALDEN UNIVERSITY (AL READY GRADED A) NURS 6512 Week 6 Midterm Exam - NURS6512 Week 6 Midterm Exam (Latest) Advanced Health Assessment: Walden University (Already graded A) NURS 6512 Week 6 Midterm Exam / NURS6512 Week 6 Midterm Exam (Latest): Advanced Health Assessment: Walden University 1. Before performing an abdominal examination, the examiner should: Have the patient empty their bladder 2. During an interview, tears appear in the patient’s eyes and his voice becomes shaky. Initially, you should: Keep the interview moving to distract the patient 3. Which of the following is the most accurate reflection of an individual’s food intake? Food diary 4. Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the: Lower liver border 5. A fixed image of any group that rejects its potential for originality or individuality is known as a: Stereotype 6. Peritonitis produces bowel sounds that are Decreased/Hypoactive 7. Brittle nails are typical findings in:Older adults 8. Which of the following is an expected change in the assessment of the thyroid during pregnancy? A bruit is auscultated d/t increased vascularity 9. You are planning to palpate the abdomen of your patient. Which part of the examiner's hand is best for palpating vibration? Ulnar surface 10. A 5-year -old child presents with nasal congestion and a headache to assess for sinus tenderness you should palpate over the: Maxillary sinuses only 11. During physical examination of a 30-year -old Chinese man you notice a slight asymmetry of his face. the cranial nerve examination is normal. Your best action is to – Ask the patient if this characteristic runs in the family 12. Unusual white areas on the skin may be due to- Vitiligo 13. You are using an ophthalmoscope to examine a patient’s inner eye. You rotate the lens selector clockwise, then counterclockwise to compensate for: Myopia 14. 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: Buildin g and maintaining tissues 15. Mr. Akins is a 78 -y/o 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. Loss of high frequency -sounds may be garbled, difficult to localize – unable to hear in a crowded room 16. The most superior part of the stomach is the - Fundus 17. 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 18. A 51-y/o woman calls with complaints of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to: Come to the laboratory for a stool guaiac NURS 6512 WEEK 6 MID TERM EXAM / NURS6512 WEEK 6 MIDTERM EXAM (LATEST): ADVANCED HEALTH ASSESSMENT: W ALDEN UNIVERSITY (AL READY GRADED A) 19. Placing the base of a vibrating tuning fork on the midline vertex of the patient’s head is a test for: Lateralization of sound 20. Which technique is most likely to result in the patients understanding of questions? Use the patient’s own terms if possible 21. 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 the history? Past medical data 22. Nasal symptoms that imply an allergic response include: Bluish gray turbinates (Turbinates that appear bluish gray or pale pink with a swollen body consistency may indicate allergies. Seidel 243 23. 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 am here! You tell me what’s wrong.” Which caregiver response would be the most appropriate for enhancing communication? After 3 days, you’re tired of coughing. Have you had a fever? 24. When taking a history, you should: Use a chronologic and sequential framework 25. Which of the following formats would be used for visits that address problems not yet identifi ed in the problem -oriented medical record (POMR)? Brief SOAP note 26. 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: Pull the auricle down and back in an effort to straighten the upward curvature of the canal 27. Which question would be considered a leading question? You don’t get headaches often, do you? 28. Mr. Black is a 44y/o 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? C4 to C5; C4 and C5 and C6 provide the greatest horizontal mobility in adults 29. The term denoting the caregiver’s need to do no harm to the patient is: Deontologic imperatives 30. A tool used to screen adolescents for alcoholism is the: CRAFFT 31. Under normal circumstances, how much water is lost daily by the body? Approx. 2 to 2.5 liters of water is lost daily 32. 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: Transillumination is used to determine the presence of fluid in cysts and masses. Fluid filled lesions will transilluminate with a red glow, and solid masses will not transilluminate. 33. Mr. Mills is a 55/y/o patient who presents to the office for an initial visit for health promotion. A survey of mobility and activities of activities of daily living is part of a(n): Functional assessment 34. Sweat glands, hair, and nails are all formed from? Invagination of epidermis into dermis NURS 6512 WEEK 6 MID TERM EXAM / NURS6512 WEEK 6 MIDTERM EXAM (LATEST): ADVANCED HEALTH ASSESSMENT: W ALDEN UNIVERSITY (AL READY GRADED A) 35. A brief statement of the reason the patient is seeking health care is called the? Chief concern 36. Which part of the information contained in the patient’s record may be used in court? Anything that is entered into a patient’s record in paper or electronic form is a legal document that can be used 37. Which cranial nerves innervate the face? 5 and 7 38. In counseling a client regarding nutrition education, you explain that linoleic acid, a major fatty acid, is thought to be essential for? Linoleic acid, found abundantly in milk and dairy fat is require d for normal growth and development, it has been suggested that it can reduce body fat in overweight patient 39. When are open -ended questions generally most useful? During the initial part of the interview 40. Knowledge of the culture or cultures represented by the patient should be used to? Help make interview questions more pertinent 41. 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 42. A guide for history taking is for caregivers to- Make notes sparingly so that patients can be observed during the history taking 43. Which type of speculum should be used to examine a patient’s tympanic membrane? 44. You are palpating a patient’s thyroid and find that its broadest dimension measures 4cm. the right lobe is 25% larger than the left. These data would indicate? 45. 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? 46. Before performing an abdominal examination, the examiner should? 47. 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? 48. 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? 49. When palpating the abdomen, you should note whether the liver is enlarged in the? 50. Expected normal percussion tones include? 51. 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 ate concerned about violating a cultural prohibition when you prepare to do his rectal examination. The best tactic would be to? 52. Fluorescing lesions are best distinguished using a(n)? 53. 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? NURS 6512 WEEK 6 MID TERM EXAM / NURS6512 WEEK 6 MIDTERM EXAM (LATEST): ADVANCED HEALTH ASSESSMENT: W ALDEN UNIVERSITY (AL READY GRADED A) 54. Underestimation of blood pressure will occur if the blood pressure cuff’s width covers? 55. Mrs. Britton is a 34 -year -old patient who presents to the office with complaints of skin rashes. You have noted a 4’3cm, rough, elevated area of psoriasis. This is an example of a? Plaque 56. Penicillin is considered a? 57. Small, minute bruises are called? 58. After thorough inspection of the abdomen, the next assessment step is? 59. When you are questioning a patient regarding alcohol intake, she tells you that she is only a social drinker. Which initial response is appropriate? 60. Regardless of the origin, discharge is described by noting? 61. Recommended carbohydrate content of total dietary intake (% total calories) is? 50% 62. Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure? 63. Auscultation should be carried out last, except when examining the? 64. Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence? 65. Which of the following is an “ABCD” characteristic of malignant melanoma? 66. Tracheal tug suggests the presence of a(n)? 67. 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? 68. The review of systems is a component of the: 69. Cherry angiomas are a common finding in: 70. Mr. Donalds is a 45-year -old roofer. Your inspection to determine color variations of the skin is best conducted: 71. To correctly document absent bowel sounds, one must listen continuously for: 72. The adult recommended dietary fat intake should be g/day. 73. 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? 75. 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? 76. Which of the following organs is part of the alimentary tract? 77. 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? 78. To approximate vocal frequencies, which tuning fork should be used to assess hearing?
