NR509 MIDTERM EXAM , NR 509

NR509 MIDTERM EXAM , NR 509

PRACTICE EXAM, ADVANCED PHYSICA L

ASSESSMENT, NR509 QUESTIONS AND

ANSWERS, CHAMBERLAIN NR509,

NURSING EXAM PREP, CLINICAL

ASSESSMENT TEST

Question: A 53-year-old caterer comes to the clinic for a

routine examination. She has type 2 diabetes mellitus, which is well controlled on medication. Her history from her last visit reveals that she smoked one pack of cigarettes a day at that time. The 5 As Model is a useful approach to take with trying to help patients to quit smoking. What is the 5 As Model?

• Arrange, aggravating factors, action, attitude, able
• Affable, associated manifestations, ask, admonish,

available

• Agitate, assist, alleviating factors, able, action
• Admonish, action, available, assess, alleviating factors
• Ask, advise, assess, assist, arrange

Correct Answer: E

Question: The CAGE questionnaire is a short screening

examination administered in the office to evaluate for which of the following?

• Risk for illicit substance abuse
• Major depressive disorder
• Likelihood that the patient complaints are

"psychosomatic"

• Bipolar disorder
• Alcohol misuse

Correct Answer: E

Question: A physician assistant (PA) has had a long day and

has seen many patients. The last patient of the day is an 80- year-old woman brought to the office by her 35-year-old granddaughter. This is the patient's first visit to the office. As part of the patient's past history, the PA obtains information about childhood illnesses and adult illnesses and then moves on to inquire about the family history. Which important area of the past history has she omitted?

• Social history
• Chief complaint
• Medications
• Allergies
• Immunizations

Correct Answer: E

Question: A 19-year-old student of art history presents to

clinic after a syncopal (fainting) episode at school. He is notably thin; on a thorough review of his medical history, he

admits that he eats only minimally to maintain a very low body weight that he feels is ideal. He is embarrassed that his issues were discussed by peers after this episode, especially because he believes that this is a problem that is only faced by girls and women. Concerning the two most common eating disorders (anorexia nervosa and bulimia nervosa), which of the following statements is true?

• The prognosis is similar regardless of whether individuals

are diagnosed and treated in the early or late stage of these disorders.

• Both of these eating disorders are associated with a body

mass index (BMI) of <17.5.

• Both of these eating disorders are associated with a real or

imagined fear of appearing fat.

D. Men and women are both afflicted, but with a female:male

prevalence ratio estimated at ~2:1.

Correct Answer: C

Question: A first-semester physician assistant student reports

to his supervisor that he has trouble determining the diastolic blood pressure. On manual blood pressure, which of the following provides the best estimate of the true diastolic blood pressure?

• The average reading between the onset of the auscultatory

gap and the resumption of Korotkoff sounds.

• The recommencement of Korotkoff sounds following the

lower point of the auscultatory gap.

• The average between the highest and lowest points of the

auscultatory gap.

• The disappearance of Korotkoff sounds following initial

muffling.

• The point at which Korotkoff sounds first muffle after

systolic blood pressure is discerned.

Correct Answer: D

Question: A 72-year-old retiree presents to the cardiology

clinic with palpitations after several months of symptoms. An electrocardiogram (ECG) shows a tachyarrhythmia, which the cardiologist diagnoses as atrial fibrillation. In measuring the blood pressure of a patient with chronic atrial fibrillation, which of the following statements is true?

• Single automated measurement in the office setting

provides a reliable value for the true blood pressure.

• The precise blood pressure is measured by taking the

average of three pressures in both arms over a span of 20 minutes.

• Because atrial fibrillation is an uncommon arrhythmia,

blood pressure management of these patients does not have widespread significance in office or ambulatory practice.