NURS 6512, Week 6 Midterm Exam

NURS 6512, Week 6 Midterm Exam

QUESTIONS

1. Before performing an abdominal examination, the examiner should:

Have the patient empty their bladder

• During an interview, tears appear in the patient’s eyes and his voice becomes shaky. Initially, you should:

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

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

Food Diary

• Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct

technique for locating the:

Lower liver border

• A fixed image of any group that rejects its potential for originality or individuality is known as a:

Stereotype

7. Brittle nails are typical findings in:

Older adults

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

A Bruit is auscultated d/t increased vascularity

• You are planning to palpate the abdomen of your patient. Which part of the examiner's hand is best for

palpating vibration?Ulnar Surface

• 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 - Only the maxillary and the frontal sinuses are accessiblefor physical examination; however, the young child doesnot develop frontal sinuses until 7 to 8 years of age

• Unusual white areas on the skin may be due to

Vitiligo

• You are using an ophthalmoscope to examine a patient’s inner eye. You rotate the lens selector clockwise,

then counterclockwise to compensate for:

Myopia (nearsighted) (or hyperopia (farsighted)

• 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:

Building and maintaining tissues

• 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 1 / 2

• The most superior part of the stomach is the

Fundus

• 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

• 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 test.

• Placing the base of a vibrating tuning fork on the midline vertex of the patient’s head is a test for:

Lateralization of Sound

• Which technique is most likely to result in the patients understanding of questions?

Use the patient’s own terms if possible.

• 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, boggy consistency may indicate allergies")

• 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.

• Which of the following formats would be used for visits that address problems not yet identified in the

problem-oriented medical record (POMR)?Brief SOAP note

• 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

• Which question would be considered a leading question?

You don't get headaches often, do you?"

• 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?C 4 to C 5: C4 and C5 or C5 and C 6 provide the greatest horizontal mobility in adults

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