NU 518 Exam 1 Study Questions and
Verified Answers
Question 1
A mother brings her 15-month-old daughter to your office for evaluation of a rash
and fever.
She says the rash started one day and the fever developed the next day. Her daughter
has had all
of her vaccinations up to 10 months. The mother sheepishly admits that she hasn't
had time to
bring her daughter in since her 10-month check-up. On examination you see a mildly
sickappearing toddler with a 102-degree temperature. Looking at her skin you see at
least 100 of a
variety of papules, vesicles, and ulcers in different stages of development.
What illness prevented by proper vaccination does this toddler have?
A) Varicella (chickenpox)
B) Measles
C) Smallpox
Correct Answer
A
Question 2
Mrs. Buckley is a 75-year-old widow who wants you to look at her teeth because over
the
past 2 weeks she has had right-sided jaw pain when eating. It does not occur
otherwise. She
also has had a headache. Which of the following should be considered?
A) Palpation of her temples
B) Dental referral
C) Ultrasound of the gallbladder
D) Inquiry about anosmia
Correct Answer
A
Page 1 of 141
,Question 3
The following information is best placed in which category?
"The patient had a stent placed in the left anterior descending artery (LAD) in 1999."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Correct Answer
A
Question 4
Which of the following is commonly seen in aging men?
A) Erectile dysfunction in 20% of all men
B) Testicles ride higher within the scrotum
C) Strong response to visual erotic cues
D) Persistent sexual interest
Correct Answer
D
Question 5
Mrs. Geller is somewhat quiet today. She has several bruises of different colors on the
ulnar
aspects of her forearms and on her abdomen. She otherwise has no complaints and
her diabetes
and hypertension are well managed. Her son from out of state accompanies her today
and has
recently moved in to help her. What should you suspect?
A) Overuse of aspirin
B) Frequent falls
C) Elder abuse
D) Depression
Correct Answer
C
Page 2 of 141
,Question 6
The following information is recorded in the health history: "I feel really tired."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Correct Answer
A
Question 7
A patient comes to the emergency room for evaluation of shortness of breath. To
which
anatomic region would you assign the symptom?
A) Reproductive
B) Urinary
C) Cardiac
D) Hematologic
Correct Answer
C
Question 8
To assess a rectal temperature accurately in an adult, the nurse would:
A Use a lubricated blunt tip thermometer.
B Insert the thermometer 2 to 3 inches into the rectum.
C Leave the thermometer in place up to 8 minutes if the patient is febrile.
D Wait 2 to 3 minutes if the patient has recently smoked a cigarette.
Correct Answer
A
Page 3 of 141
, Question 9
A 37-year-old nurse comes for evaluation of colicky right upper quadrant abdominal
pain. The
pain is associated with nausea and vomiting and occurs 1 to 2 hours after eating
greasy foods.
Which one of the following physical examination descriptions would be most
consistent with the diagnosis of cholecystitis?
A) Abdomen is soft, nontender, and nondistended, without hepatosplenomegaly or
masses.
B) Abdomen is soft and tender to palpation in the right lower quadrant, without
rebound or
guarding.
C) Abdomen is soft and tender to palpation in the right upper quadrant with
inspiration, to the
point of stopping inspiration, and there is no rebound or guarding.
D) Abdomen is soft and tender to palpation in the mid-epigastric area, without
rebound or
guarding.
Correct Answer
C
Question 10
During an examination of a child, the nurse considers that physical growth is the best
index of
a childs:
a General health.
B Genetic makeup.
C Nutritional status.
D Activity and exercise patterns.
Correct Answer
A
Page 4 of 141
Verified Answers
Question 1
A mother brings her 15-month-old daughter to your office for evaluation of a rash
and fever.
She says the rash started one day and the fever developed the next day. Her daughter
has had all
of her vaccinations up to 10 months. The mother sheepishly admits that she hasn't
had time to
bring her daughter in since her 10-month check-up. On examination you see a mildly
sickappearing toddler with a 102-degree temperature. Looking at her skin you see at
least 100 of a
variety of papules, vesicles, and ulcers in different stages of development.
What illness prevented by proper vaccination does this toddler have?
A) Varicella (chickenpox)
B) Measles
C) Smallpox
Correct Answer
A
Question 2
Mrs. Buckley is a 75-year-old widow who wants you to look at her teeth because over
the
past 2 weeks she has had right-sided jaw pain when eating. It does not occur
otherwise. She
also has had a headache. Which of the following should be considered?
A) Palpation of her temples
B) Dental referral
C) Ultrasound of the gallbladder
D) Inquiry about anosmia
Correct Answer
A
Page 1 of 141
,Question 3
The following information is best placed in which category?
"The patient had a stent placed in the left anterior descending artery (LAD) in 1999."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Correct Answer
A
Question 4
Which of the following is commonly seen in aging men?
A) Erectile dysfunction in 20% of all men
B) Testicles ride higher within the scrotum
C) Strong response to visual erotic cues
D) Persistent sexual interest
Correct Answer
D
Question 5
Mrs. Geller is somewhat quiet today. She has several bruises of different colors on the
ulnar
aspects of her forearms and on her abdomen. She otherwise has no complaints and
her diabetes
and hypertension are well managed. Her son from out of state accompanies her today
and has
recently moved in to help her. What should you suspect?
A) Overuse of aspirin
B) Frequent falls
C) Elder abuse
D) Depression
Correct Answer
C
Page 2 of 141
,Question 6
The following information is recorded in the health history: "I feel really tired."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Correct Answer
A
Question 7
A patient comes to the emergency room for evaluation of shortness of breath. To
which
anatomic region would you assign the symptom?
A) Reproductive
B) Urinary
C) Cardiac
D) Hematologic
Correct Answer
C
Question 8
To assess a rectal temperature accurately in an adult, the nurse would:
A Use a lubricated blunt tip thermometer.
B Insert the thermometer 2 to 3 inches into the rectum.
C Leave the thermometer in place up to 8 minutes if the patient is febrile.
D Wait 2 to 3 minutes if the patient has recently smoked a cigarette.
Correct Answer
A
Page 3 of 141
, Question 9
A 37-year-old nurse comes for evaluation of colicky right upper quadrant abdominal
pain. The
pain is associated with nausea and vomiting and occurs 1 to 2 hours after eating
greasy foods.
Which one of the following physical examination descriptions would be most
consistent with the diagnosis of cholecystitis?
A) Abdomen is soft, nontender, and nondistended, without hepatosplenomegaly or
masses.
B) Abdomen is soft and tender to palpation in the right lower quadrant, without
rebound or
guarding.
C) Abdomen is soft and tender to palpation in the right upper quadrant with
inspiration, to the
point of stopping inspiration, and there is no rebound or guarding.
D) Abdomen is soft and tender to palpation in the mid-epigastric area, without
rebound or
guarding.
Correct Answer
C
Question 10
During an examination of a child, the nurse considers that physical growth is the best
index of
a childs:
a General health.
B Genetic makeup.
C Nutritional status.
D Activity and exercise patterns.
Correct Answer
A
Page 4 of 141
