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Test Bank Lewis Medical-Surgical
Nursing: Assessment and Management
of Clinical Problems 12th Edition By
Harding & Kwong
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MIDTERM CLINICAL EXAM STUDY GUIDE
– MULTIPLE CHOICE PRACTICE
(ADVANCED NURSING & MEDICAL
TRAINING) approved by the best
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Practice question 1
An 18-year-old patient comes to the office for Assessment of a skin eruption. At first
there was only one large patch, but then more lesions erupted suddenly on the back
and torso; the lesions itch. On physical assesment, you note that the pattern of eruption
is like a Christmas tree and that there are a variety of erythematous papules and
macules on the cleavage lines of the back. Based on this description, what is the most
likely assesment?
Pityriasis rosea
Psoriasis
Atopic eczema
Tinea versicolor
Practice question 2
A 19-year-old construction worker reports for Assessment of a skin eruption. He notes
that it started on his back with a multitude of spots and is also on his arms, chest, and
neck. It itches a lot. He does sweat more than before because being outdoors is part of
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his job. On physical assesment, you note dark tan patches with a reddish cast that has
sharp borders and fine scales, scattered more prominently around the upper back,
chest, neck, and upper arms as well as under the arms. Based on this description, what
is your most likely assesment?
Psoriasis
Tinea versicolor
Atopic eczema
Pityriasis rosea
Practice question 3
You are examining a child with severe cerebral palsy. When you suddenly
move his foot dorsally, a sustained “beating” of the foot against your hand
ensues. What does this represent?
Clonus
Reinforcement
A focal seizure
Extinction
Practice question 4
A patient reports with a daily cranial ache which has worsened over the past several
months. On funduscopic assesment, you notice that the disk edge is indistinct and the
veins do not pulsate. Which is most likely?
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Detached retina
Glaucoma
Migraine
Increased intracranial pressure
Practice question 5
A patient complains of nasal bleed. Which other cause should be considered?
Hematemesis