Nurs Midterm Exam Week 6

Review Test Submission: Exam - Week 6 Content User Course Advanced Health Assessment.2020 Summer Exam - Week 6 Test Started Submitted Due Date Status Attempt Score Time Elapsed Instructions 7/12/20 3:02 PM 7/12/20 4:29 PM 7/13/20 1:59 AM Completed 96 out of 100 points 1 hour, 26 minutes out of 2 hours Please answer each question below and click Submit when you have completed the Exam. Results Displayed 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