NR509 Bates Test Bank –
hjs hjs hjs hjs
Midterm exam bank questions and ans
hjs hjs hjs hjs hjs hjs
wers verified A+
hjs hjs
Ahjspatienthjspresentshjsforhjsevaluationhjsofhjsahjssharp,hjsachinghjschesthjspainhjswhichhjsincreaseshjswithhjsbreathing.h
jsWhichhjsanatomichjsareahjswouldhjsyouhjslocalizehjsthehjssymptomhjsto?
A)hjsMusculoskeletal
B)hjsReproductive
C)hjsUrinary
D)hjsEndocrinehjs-hjscorrecthjsanswers-A)hjsMusculoskeletal
Chesthjspainhjsmayhjsbehjsduehjstohjsahjsmusculoskeletalhjscondition,hjssuchhjsashjscostochondritishjsor
intercostalhjsmusclehjscramp.hjsThishjswouldhjsbehjsworsenedhjsbyhjsmotionhjsofhjsthehjschesthjswall.hjsPleuritichjschesthj
spainhjsishjsalsohjsahjssharphjschesthjspainhjswhichhjsincreaseshjswithhjsahjsdeephjsbreath.hjsThishjstypehjsofhjspainhjscan
occurhjswithhjsinflammationhjsofhjsthehjspleurahjsfromhjspneumoniahjsorhjsotherhjsconditionshjsandhjspulmonary
embolus.
Ahjspatienthjscomeshjstohjsthehjsemergencyhjsroomhjsforhjsevaluationhjsofhjsshortnesshjsofhjsbreath.hjsTohjswhichhjsanato
michjsregionhjswouldhjsyouhjsassignhjsthehjssymptom?
A)hjsReproductive
B)hjsUrinary
C)hjsCardiac
D)hjsHematologichjs-hjscorrecthjsanswers-C)hjsCardiac
Cardiachjsdisordershjssuchhjsashjscongestivehjshearthjsfailurehjsarehjsthehjsmosthjslikelyhjsonhjsthishjslisthjstohjsresulthjsinhjss
hortnesshjsofhjsbreath.hjsTherehjsarehjscaseshjswithinhjsthehjsotherhjscategorieshjswhichhjsmayhjsalsohjsresult
inhjsshortnesshjsofhjsbreath,hjssuchhjsashjsanemiahjsinhjsthehjshematologichjscategory,hjspregnancyhjsinhjsthehjsreproduc
tive
,category,hjsorhjssepsishjswithhjsUTIhjsinhjsthehjsurinaryhjscategory.
Ahjspatienthjspresentshjsforhjsevaluationhjsofhjsahjscough.hjsWhichhjsofhjsthehjsfollowinghjsanatomichjsregionshjscanhjsbehjs
responsiblehjsforhjsahjscough?
A)hjsOphthalmologic
B)hjsAuditory
C)hjsCardiac
D)hjsEndocrinehjs-hjscorrecthjsanswers-C)hjsCardiachjs
Thehjscardiachjssystemhjscanhjscausehjsahjscoughhjsifhjsthehjspatienthjshashjscongestivehjshearthjsfailure.hjsThishjsresultshjsi
nhjsfluidhjsbuilduphjsinhjsthehjslungs,hjswhichhjsinhjsturnhjscanhjscausehjsahjscoughhjsthathjsproduceshjspink,
frothyhjssputum.hjsAhjsforeignhjsbodyhjsinhjsthehjsearhjsmayhjsalsohjscausehjsahjscoughhjsbyhjsstimulatinghjsArnold'shjsbran
chhjsofhjsthehjsvagushjsnerve,hjsbuthjsthishjsishjslesshjslikelyhjstohjsbehjsseenhjsclinicallyhjsthanhjshearthjsfailure.
Ahjs22-year-oldhjsadvertisinghjscopywriterhjspresentshjsforhjsevaluationhjsofhjsjointhjspain.hjsThehjspainhjsishjsnew,
locatedhjsinhjsthehjswristshjsandhjsfingershjsbilaterally,hjswithhjssomehjssubjectivehjsfever.hjsThehjspatienthjsdenieshjsa
rash;hjsshehjsalsohjsdenieshjsrecenthjstravelhjsorhjscampinghjsactivities.hjsShehjshashjsahjsfamilyhjshistoryhjssignificanthjsfor
rheumatoidhjsarthritis.hjsBasedhjsonhjsthishjsinformation,hjswhichhjsofhjsthehjsfollowinghjspathologichjsprocesses
wouldhjsbehjsthehjsmosthjscorrect?
A)hjsInfectious
B)hjsInflammatory
C)hjsHematologic
D)hjsTraumatichjs-hjscorrecthjsanswers-B)hjsInflammatory
Thehjsdescriptionhjsishjsmosthjsconsistenthjswithhjsanhjsinflammatoryhjsprocess,hjsalthoughhjsallhjsthehjsotherhjsetiologi
eshjsshouldhjsbehjsconsidered.hjsLymehjsdiseasehjsishjsanhjsinfectionhjswhichhjscommonlyhjscauses
arthritis,hjshemophiliahjsishjsahjshematologichjsconditionhjswhichhjscanhjscausehjsbleedinghjsinhjsthehjsjoints,hjsandhjstra
umahjscanhjsobviouslyhjscausehjsjointhjspain.
Ahjs47-year-
oldhjscontractorhjspresentshjsforhjsevaluationhjsofhjsneckhjspain,hjswhichhjshashjsbeenhjsintermittenthjsforhjsseveralhjsye
ars.hjsHehjsnormallyhjstakeshjsover-the-
counterhjsmedicationshjstohjseasehjsthehjspain,hjsbuthjsthishjstimehjstheyhjshaven'thjsworkedhjsashjswellhjsandhjshehjsstillhjs
,hashjsdiscomfort.hjsHehjsrecentlyhjswallpaperedhjsthehjsentirehjssecondhjsfloorhjsinhjshishjshouse,hjswhichhjscausedhjshi
mhjsgreathjsdiscomfort.hjsThehjspainhjsresolvedhjswithhjsrest.hjsHehjsdenieshjsfever,hjschills,hjsrash,hjsupperhjsrespiratory
hjssymptoms,hjstrauma,hjsorhjsinjuryhjstohjsthehjsneck.hjsBasedhjsonhjsthishjsdescription,hjswhathjsishjsthehjsmosthjslikelyhjsp
athologichjsprocess?
A)hjsInfectious
B)hjsNeoplastic
C)hjsDegenerative
D)hjsTraumatichjs-hjscorrecthjsanswers-C)hjsDegenerative
Thehjsdescriptionhjsishjsmosthjsconsistenthjswithhjsdegenerativehjsarthritishjsinhjsthehjsneck.hjsThe
patienthjshashjshadhjsintermittenthjssymptomshjsandhjsthehjsquestionshjsaskedhjstohjselicithjspertinenthjsnegativehjsand
positivehjsfindingshjsarehjsnegativehjsforhjsinfectious,hjstraumatic,hjsorhjsneoplastichjsdisease.
Ahjs15-year-oldhjshighhjsschoolhjssophomorehjscomeshjstohjsthehjsclinichjsforhjsevaluationhjsofhjsahjs3-weekhjshistory
ofhjssneezing;hjsitchy,hjswateryhjseyes;hjsclearhjsnasalhjsdischarge;hjsearhjspain;hjsandhjsnonproductivehjscough.hjsWhic
h
ishjsthehjsmosthjslikelyhjspathologichjsprocess?
A)hjsInfection
B)hjsInflammation
C)hjsAllergic
D)hjsVascularhjs-hjscorrecthjsanswers-C)hjsAllergic
Thishjsdescriptionhjsishjsmosthjsconsistenthjswithhjsallergichjsrhinitis.
Ahjs19-yearhjsold-collegehjsstudenthjspresentshjstohjsthehjsemergencyhjsroomhjswithhjsfever,hjsheadache,hjsand
neckhjspain/stiffness.hjsShehjsishjsconcernedhjsabouthjsthehjspossibilityhjsofhjsmeningococcalhjsmeningitis.
Severalhjsofhjsherhjsdormhjsmateshjshavehjsbeenhjsvaccinated,hjsbuthjsshehjshasn'thjsbeen.hjsWhichhjsofhjsthehjsfollowing
physicalhjsexaminationhjsdescriptionshjsishjsmosthjsconsistenthjswithhjsmeningitis?
A)hjsHeadhjsishjsnormocephalichjsandhjsatraumatic,hjsfundihjswithhjssharphjsdiscs,hjsneckhjssupplehjswithhjsfullhjsrange
, ofhjsmotion
B)hjsHeadhjsishjsnormocephalichjsandhjsatraumatic,hjsfundihjswithhjssharphjsdiscs,hjsneckhjswithhjsparaspinous
musclehjsspasmhjsandhjslimitedhjsrangehjsofhjsmotionhjstohjsthehjsright
C)hjsHeadhjsishjsnormocephalichjsandhjsatraumatic,hjsfundihjswithhjsblurredhjsdischjsmargins,hjsneckhjstenderhjsto
palpation,hjsunablehjstohjsperformhjsrangehjsofhjsmotion
D)hjsHeadhjsishjsnormocephalichjsandhjsatraumatic,hjsfundihjswithhjsblurredhjsdischjsmargins,hjsneckhjssupplehjswith
fullhjsrangehjsofhjsmotionhjs-hjscorrecthjsanswers-
C)hjsHeadhjsishjsnormocephalichjsandhjsatraumatic,hjsfundihjswithhjsblurredhjsdischjsmargins,hjsneckhjstenderhjsto
palpation,hjsunablehjstohjsperformhjsrangehjsofhjsmotion
Blurredhjsdischjsmarginshjsarehjsconsistenthjswithhjspapilledema,hjsandhjsneckhjstendernesshjsandhjslackhjsofhjsrangehjso
fhjsmotionhjsarehjsconsistenthjswithhjsneckhjsstiffness,hjswhichhjsinhjsthishjsscenariohjsishjslikelyhjstohjsbehjscaused
byhjsmeningealhjsinflammation.hjsKernig'shjsandhjsBrudzinski'shjssignshjsarehjsalsohjshelpfulhjsinhjstestinghjsforhjsmenin
gealhjsirritationhjsonhjsexam.
Ahjs37-year-
oldhjsnursehjscomeshjsforhjsevaluationhjsofhjscolickyhjsrighthjsupperhjsquadranthjsabdominalhjspain.hjsThehjspainhjsishjsas
sociatedhjswithhjsnauseahjsandhjsvomitinghjsandhjsoccurshjs1hjstohjs2hjshourshjsafterhjseatinghjsgreasyhjsfoods.hjsWhichhjs
onehjsofhjsthehjsfollowinghjsphysicalhjsexaminationhjsdescriptionshjswouldhjsbehjsmosthjsconsistenthjswithhjsthehjsdiag
nosishjsofhjscholecystitis?
A)hjsAbdomenhjsishjssoft,hjsnontender,hjsandhjsnondistended,hjswithouthjshepatosplenomegalyhjsorhjsmasses.
B)hjsAbdomenhjsishjssofthjsandhjstenderhjstohjspalpationhjsinhjsthehjsrighthjslowerhjsquadrant,hjswithouthjsreboundhjsor
guarding.
C)hjsAbdomenhjsishjssofthjsandhjstenderhjstohjspalpationhjsinhjsthehjsrighthjsupperhjsquadranthjswithhjsinspiration,hjstohjsth
e
pointhjsofhjsstoppinghjsinspiration,hjsandhjstherehjsishjsnohjsreboundhjsorhjsguarding.
D)hjsAbdomenhjsishjssofthjsandhjstenderhjstohjspalpationhjsinhjsthehjsmid-epigastrichjsarea,hjswithouthjsreboundhjsor
guarding.hjs-hjscorrecthjsanswers-
C)hjsAbdomenhjsishjssofthjsandhjstenderhjstohjspalpationhjsinhjsthehjsrighthjsupperhjsquadranthjswithhjsinspiration,hjstohjsth
e
pointhjsofhjsstoppinghjsinspiration,hjsandhjstherehjsishjsnohjsreboundhjsorhjsguarding.
