NURS-6512N-34, Advanced Health Assessment SPRING QUARTER 2023) Test Exam -, Exams of Health sciences

Download NURS-6512N-34, Advanced Health Assessment SPRING QUARTER 2023) Test Exam - and more Exams Health sciences in PDF only on Docsity! WALDEN UNIVERSITY| NURS 6512N-53 SPRING QUARTER (2023) MIDTERM TEST EXAM NURS-6512N | ADVANCED HEALTH ASSESSMENT SPRING QUARTER 2023. MIDTERM TEST EXAM AND COMPLETE ANSWERS Graded A+ • Question 3 1 out of 1 points NURS 6512: ADVANCED HEALTH ASSESSMENT (Spring Quarter 2023 Exams) Selected Answer: Realize that cultural values are difficult to change and must be respected. Selected Answer: mastoid bone. 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 are concerned about violating a cultural prohibition when you prepare to do his rectal examination. The best tactic would be to: Selected Answer: inform the patient of the reason for the examination and ask if it is acceptable to him. • Question 4 1 out of 1 points When communicating with older children and teenagers, you should be sensitive to their: • Question 1 1 out of 1 points Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence? • Question 2 1 out of 1 points To perform the Rinne test, place the tuning fork on the: • Question 19 1 out of 1 points Selected Answer: progress note. Selected Answer: come to the laboratory for a stool guaiac test. Selected Answer: Wate r Selected Answer: binges and vomits. 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? Selected Answer: "With your father's permission, we will examine the stone and request that it be returned to him." Selected Answer: 45- 65 • Question 21 1 out of 1 points • Question 18 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: • Question 16 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: • Question 20 1 out of 1 points Recommended carbohydrate content of total dietary intake (% total calories) is %. • Question 17 1 out of 1 points Which of the following is the most vital nutrient? • Question 25 1 out of 1 points Tympanic thermometers measure body temperature when a probe is placed: Selected Answer: in the auditory canal. Selected Answer: C. with illumination provided by daylight. Selected Answer: Asymmetric borders Selected Answer: are methods for recording locations of findings. 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 D Selected Answer: C. fluid-filled from solid cysts or masses. • Question 26 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: • Question 22 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: • Question 23 1 out of 1 points Which of the following is an "ABCD" characteristic of malignant melanoma? • Question 24 1 out of 1 points The position on a clock, topographic notations, and anatomic landmarks: • Question 30 1 out of 1 points • Question 31 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: Fontanel sizes Selected Answer: B. hyperthyroidism . Answer: 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 Fa Answer: t Selected Answer: A. plaque. • Question 32 1 out of 1 points • Question 28 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: • Question 27 1 out of 1 points What finding is unique to the documentation of a physical examination of an infant? • Question 29 1 out of 1 points Peritonitis produces bowel sounds that are: Selected hypoactive. Which of the following occurs when firm pressure is used to apply the stethoscope's bell end-piece to the skin? Selected Answer: It functionally converts to a diaphragm end-piece. Selected Answer: Ulnar surface Selected Answer: C. a normal thyroid gland. Selected Answer: normal growth and development. Selected Answer: less than 1 cm. Selected Answer: less than one-half of the upper arm. • Question 50 • Question 49 0 out of 1 points Underestimation of blood pressure will occur if the blood pressure cuff's width covers: • Question 47 1 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: • Question 46 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: • Question 45 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? • Question 48 1 out of 1 points A flat, nonpalpable lesion is described as a macule if the diameter is: 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 Selected Answer: lower liver border. Selected Answer: adults older than 30 years. Selected Answer: CRAFFT . Selected Answer: help make the interview questions more pertinent. Selected Answer: Steroids • Question 55 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? • Question 54 1 out of 1 points Knowledge of the culture or cultures represented by the patient should be used to: • Question 51 1 out of 1 points Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the: 1 out of 1 points • Question 52 1 out of 1 points Cherry angiomas are a common finding in: • Question 53 1 out of 1 points A tool used to screen adolescents for alcoholism is the: Selected Answer: contou r. Selected B1 Answer: 2 George Michaels, a 22-year-old patient, tells the nurse that he is here today to "check his allergies." He has been having "green nasal discharge" for the last 72 hours. How would the nurse document his reason for seeking care? Selected Answer: G.M. is a 22-year-old male here for having “green nasal discharge” for the past 72 hours. 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'm here. You tell me what's wrong!" Which caregiver response would be most appropriate for enhancing communication? Selected Answer: After 3 days, you're tired of coughing. Have you had a fever? Selected Answer: “Why do you think you are having these symptoms?” • Question 61 • Question 57 1 out of 1 points 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? • Question 58 1 out of 1 points • Question 59 1 out of 1 points • Question 56 1 out of 1 points Tangential lighting is best used for inspecting skin: • Question 60 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? • Question 77 1 out of 1 points • Question 76 1 out of 1 points Differential diagnoses belong in the: When palpating the abdomen, you should note whether the liver is enlarged in the: Selected Answer: right upper quadrant. Selected Answer: history of present illness. Selected Answer: providing time for reflection. Answer: Selected Answer: assessme nt. Ms. G. is being seen for her routine physical examination. She is a college graduate and president of a research firm. Although her exact salary is unknown, she has adequate health insurance. Most of the above information is part of Ms. G.'s history. Selected Answer: personal and social • Question 78 • Question 75 1 out of 1 points Penicillin is considered a Selected “hot” medicine. • Question 73 1 out of 1 points A detailed description of the symptoms related to the chief complaint is presented in the: • Question 74 1 out of 1 points Periods of silence during the interview can serve important purposes, such as: • Question 81 1 out of 1 points The attitudes of the health care professional: Selected Answer: are culturally derived. Selected Answer: Ask whether the patient has considered self-harm. Selected Answer: 2 to 2.5 L 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 Selected Answer: Use the patient's own terms if possible. Selected Answer: C. invaginations of epidermis into dermis. • Question 82 1 out of 1 points Which technique is most likely to result in the patient's understanding of questions? • Question 79 1 out of 1 points During an interview, you have the impression that a patient may be considering suicide. Which action is essential? 1 out of 1 points • Question 80 1 out of 1 points Under normal circumstances, how much water is lost daily by the body? • Question 83 1 out of 1 points Sweat glands, hair, and nails are all formed from: • Question 87 1 out of 1 points Selected Answer: abdome n. Selected Answer: D. Nose and thyroid cartilages Selected Answer: CAGE questionnaire. 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: Selected Answer: pull the auricle down and back. Selected Answer: lateralization of sound. Which question would be considered a leading question? • Question 89 1 out of 1 points • Question 88 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: • Question 86 1 out of 1 points Mrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the: • Question 85 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? • Question 84 1 out of 1 points Auscultation should be carried out last, except when examining the: