Nr509 Bates Test Bank – Midterm Questions And Correct Verified Answers

NR509 BATES TEST BANK – MIDTERM
QUESTIONS AND CORRECT VERIFIED
ANSWERS
AA2patientA2presentsA2forA2evaluationA2ofA2aA2sharp,A2achingA2chestA2painA2whichA2increas
esA2withA2breathing.A2WhichA2anatomicA2areaA2wouldA2youA2localizeA2theA2symptomA2to?

A)A2Musculoskeletal
B)A2Reproductive
C)A2Urinary
D)A2EndocrineA2-A2Ans--A)A2Musculoskeletal

ChestA2painA2mayA2beA2dueA2toA2aA2musculoskeletalA2condition,A2suchA2asA2costochondrit
isA2or
intercostalA2muscleA2cramp.A2ThisA2wouldA2beA2worsenedA2byA2motionA2ofA2theA2chestA2w
all.A2PleuriticA2chestA2painA2isA2alsoA2aA2sharpA2chestA2painA2whichA2increasesA2withA2aA2d
eepA2breath.A2ThisA2typeA2ofA2painA2can
occurA2withA2inflammationA2ofA2theA2pleuraA2fromA2pneumoniaA2orA2otherA2conditionsA2an
dA2pulmonary
embolus.

AA2patientA2comesA2toA2theA2emergencyA2roomA2forA2evaluationA2ofA2shortnessA2ofA2breat
h.A2ToA2whichA2anatomicA2regionA2wouldA2youA2assignA2theA2symptom?

A)A2Reproductive
B)A2Urinary
C)A2Cardiac
D)A2HematologicA2-A2Ans--C)A2Cardiac

CardiacA2disordersA2suchA2asA2congestiveA2heartA2failureA2areA2theA2mostA2likelyA2onA2this
A2listA2toA2resultA2inA2shortnessA2ofA2breath.A2ThereA2areA2casesA2withinA2theA2otherA2categ
oriesA2whichA2mayA2alsoA2result
inA2shortnessA2ofA2breath,A2suchA2asA2anemiaA2inA2theA2hematologicA2category,A2pregnan
cyA2inA2theA2reproductive
category,A2orA2sepsisA2withA2UTIA2inA2theA2urinaryA2category.

AA2patientA2presentsA2forA2evaluationA2ofA2aA2cough.A2WhichA2ofA2theA2followingA2anatomi
cA2regionsA2canA2beA2responsibleA2forA2aA2cough?

A)A2Ophthalmologic
B)A2Auditory
C)A2Cardiac
D)A2EndocrineA2-A2Ans--C)A2CardiacA2

,TheA2cardiacA2systemA2canA2causeA2aA2coughA2ifA2theA2patientA2hasA2congestiveA2heartA2f
ailure.A2ThisA2resultsA2inA2fluidA2buildupA2inA2theA2lungs,A2whichA2inA2turnA2canA2causeA2aA2
coughA2thatA2producesA2pink,
frothyA2sputum.A2AA2foreignA2bodyA2inA2theA2earA2mayA2alsoA2causeA2aA2coughA2byA2stimul
atingA2Arnold'sA2branchA2ofA2theA2vagusA2nerve,A2butA2thisA2isA2lessA2likelyA2toA2beA2seenA2
clinicallyA2thanA2heartA2failure.

AA222-year-
oldA2advertisingA2copywriterA2presentsA2forA2evaluationA2ofA2jointA2pain.A2TheA2painA2isA2n
ew,
locatedA2inA2theA2wristsA2andA2fingersA2bilaterally,A2withA2someA2subjectiveA2fever.A2TheA2
patientA2deniesA2a
rash;A2sheA2alsoA2deniesA2recentA2travelA2orA2campingA2activities.A2SheA2hasA2aA2familyA2
historyA2significantA2for
rheumatoidA2arthritis.A2BasedA2onA2thisA2information,A2whichA2ofA2theA2followingA2patholog
icA2processes
wouldA2beA2theA2mostA2correct?

A)A2Infectious
B)A2Inflammatory
C)A2Hematologic
D)A2TraumaticA2-A2Ans--B)A2Inflammatory

TheA2descriptionA2isA2mostA2consistentA2withA2anA2inflammatoryA2process,A2althoughA2allA
2theA2otherA2etiologiesA2shouldA2beA2considered.A2LymeA2diseaseA2isA2anA2infectionA2whic
hA2commonlyA2causes
arthritis,A2hemophiliaA2isA2aA2hematologicA2conditionA2whichA2canA2causeA2bleedingA2inA2t
heA2joints,A2andA2traumaA2canA2obviouslyA2causeA2jointA2pain.

AA247-year-
oldA2contractorA2presentsA2forA2evaluationA2ofA2neckA2pain,A2whichA2hasA2beenA2intermitte
ntA2forA2severalA2years.A2HeA2normallyA2takesA2over-the-
counterA2medicationsA2toA2easeA2theA2pain,A2butA2thisA2timeA2theyA2haven'tA2workedA2asA2
wellA2andA2heA2stillA2hasA2discomfort.A2HeA2recentlyA2wallpaperedA2theA2entireA2secondA2fl
oorA2inA2hisA2house,A2whichA2causedA2himA2greatA2discomfort.A2TheA2painA2resolvedA2with
A2rest.A2HeA2deniesA2fever,A2chills,A2rash,A2upperA2respiratoryA2symptoms,A2trauma,A2orA2i
njuryA2toA2theA2neck.A2BasedA2onA2thisA2description,A2whatA2isA2theA2mostA2likelyA2patholo
gicA2process?

A)A2Infectious
B)A2Neoplastic
C)A2Degenerative
D)A2TraumaticA2-A2Ans--C)A2Degenerative

TheA2descriptionA2isA2mostA2consistentA2withA2degenerativeA2arthritisA2inA2theA2neck.A2The

,patientA2hasA2hadA2intermittentA2symptomsA2andA2theA2questionsA2askedA2toA2elicitA2pertin
entA2negativeA2and
positiveA2findingsA2areA2negativeA2forA2infectious,A2traumatic,A2orA2neoplasticA2disease.

AA215-year-
oldA2highA2schoolA2sophomoreA2comesA2toA2theA2clinicA2forA2evaluationA2ofA2aA23-
weekA2history
ofA2sneezing;A2itchy,A2wateryA2eyes;A2clearA2nasalA2discharge;A2earA2pain;A2andA2nonprod
uctiveA2cough.A2Which
isA2theA2mostA2likelyA2pathologicA2process?

A)A2Infection
B)A2Inflammation
C)A2Allergic
D)A2VascularA2-A2Ans--C)A2Allergic

ThisA2descriptionA2isA2mostA2consistentA2withA2allergicA2rhinitis.

AA219-yearA2old-
collegeA2studentA2presentsA2toA2theA2emergencyA2roomA2withA2fever,A2headache,A2and
neckA2pain/
stiffness.A2SheA2isA2concernedA2aboutA2theA2possibilityA2ofA2meningococcalA2meningitis.
SeveralA2ofA2herA2dormA2matesA2haveA2beenA2vaccinated,A2butA2sheA2hasn'tA2been.A2Whi
chA2ofA2theA2following
physicalA2examinationA2descriptionsA2isA2mostA2consistentA2withA2meningitis?

A)A2HeadA2isA2normocephalicA2andA2atraumatic,A2fundiA2withA2sharpA2discs,A2neckA2suppl
eA2withA2fullA2range
ofA2motion
B)A2HeadA2isA2normocephalicA2andA2atraumatic,A2fundiA2withA2sharpA2discs,A2neckA2withA2
paraspinous
muscleA2spasmA2andA2limitedA2rangeA2ofA2motionA2toA2theA2right
C)A2HeadA2isA2normocephalicA2andA2atraumatic,A2fundiA2withA2blurredA2discA2margins,A2ne
ckA2tenderA2to
palpation,A2unableA2toA2performA2rangeA2ofA2motion
D)A2HeadA2isA2normocephalicA2andA2atraumatic,A2fundiA2withA2blurredA2discA2margins,A2ne
ckA2suppleA2with
fullA2rangeA2ofA2motionA2-A2Ans--
C)A2HeadA2isA2normocephalicA2andA2atraumatic,A2fundiA2withA2blurredA2discA2margins,A2ne
ckA2tenderA2to
palpation,A2unableA2toA2performA2rangeA2ofA2motion

BlurredA2discA2marginsA2areA2consistentA2withA2papilledema,A2andA2neckA2tendernessA2an
dA2lackA2ofA2rangeA2ofA2motionA2areA2consistentA2withA2neckA2stiffness,A2whichA2inA2thisA2s
cenarioA2isA2likelyA2toA2beA2caused

, byA2meningealA2inflammation.A2Kernig'sA2andA2Brudzinski'sA2signsA2areA2alsoA2helpfulA2in
A2testingA2forA2meningealA2irritationA2onA2exam.


AA237-year-
oldA2nurseA2comesA2forA2evaluationA2ofA2colickyA2rightA2upperA2quadrantA2abdominalA2pai
n.A2TheA2painA2isA2associatedA2withA2nauseaA2andA2vomitingA2andA2occursA21A2toA22A2hour
sA2afterA2eatingA2greasyA2foods.A2WhichA2oneA2ofA2theA2followingA2physicalA2examinationA
2descriptionsA2wouldA2beA2mostA2consistentA2withA2theA2diagnosisA2ofA2cholecystitis?


A)A2AbdomenA2isA2soft,A2nontender,A2andA2nondistended,A2withoutA2hepatosplenomegaly
A2orA2masses.
B)A2AbdomenA2isA2softA2andA2tenderA2toA2palpationA2inA2theA2rightA2lowerA2quadrant,A2with
outA2reboundA2or
guarding.
C)A2AbdomenA2isA2softA2andA2tenderA2toA2palpationA2inA2theA2rightA2upperA2quadrantA2with
A2inspiration,A2toA2the
pointA2ofA2stoppingA2inspiration,A2andA2thereA2isA2noA2reboundA2orA2guarding.
D)A2AbdomenA2isA2softA2andA2tenderA2toA2palpationA2inA2theA2mid-
epigastricA2area,A2withoutA2reboundA2or
guarding.A2-A2Ans--
C)A2AbdomenA2isA2softA2andA2tenderA2toA2palpationA2inA2theA2rightA2upperA2quadrantA2with
A2inspiration,A2toA2the
pointA2ofA2stoppingA2inspiration,A2andA2thereA2isA2noA2reboundA2orA2guarding.

InA2cholecystitis,A2theA2pain,A2whichA2originatesA2fromA2theA2gallbladder,A2isA2locatedA2inA2
the
rightA2upperA2quadrant.A2SeverityA2ofA2painA2withA2inspirationA2thatA2isA2sufficientA2toA2sto
pA2furtherA2inhalation
isA2alsoA2knownA2asA2Murphy'sA2sign,A2which,A2ifA2present,A2isA2furtherA2indicativeA2ofA2infl
ammationA2ofA2the
gallbladder.

AA255-year-
oldA2dataA2entryA2operatorA2comesA2toA2theA2clinicA2toA2establishA2care.A2SheA2hasA2theA2f
ollowing
symptoms:A2headache,A2neckA2pain,A2sinusA2congestion,A2soreA2throat,A2ringingA2inA2ears
,A2sharpA2briefA2chest
painsA2atA2rest,A2burningA2abdominalA2painA2withA2spicyA2foods,A2constipation,A2urinaryA2fr
equencyA2thatA2isA2worseA2withA2coughingA2andA2sneezing,A2andA2swellingA2inA2legs.A2Thi
sA2clusterA2ofA2symptomsA2isA2explained
by:

A)A2OneA2diseaseA2process
B)A2MoreA2thanA2oneA2diseaseA2processA2-A2Ans--B)A2MoreA2thanA2oneA2diseaseA2process