NURS-6512C-34 >ADVANCED HEALTH ASSESSMENT SUMMER FINAL EXAM (UPDATED VERSION)

NURS-6512C-34 >ADVANCED HEALTH ASSESSMENT SUMMER FINAL EXAM (UPDATED VERSION) Attempt 95 out of 100 points Score • Question 1 When conducting a geriatric assessment, basic activities of daily living (ADLs) include: Selected bathin Answer: g. • Question 2 When palpating breast tissue, the examiner should use the at each site. Selected finger pads, Answer: gliding • Question 3 You are reviewing an ECG of a 43 year old new patient. The patient has a history of second-degree heart block. The ECG shows the PR interval is increases with each beat until a QRS is dropped. What is this type of block called? Selected Second degree heart block, type 1: Wenckebach/Mobitz 1 Answer: • Question 4 Throughout the history and physical examination, the clinician should: Selected evaluate the whole Answer: patient. • Question 5 The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the: Selected QRS Answer: complex. • Question 6 You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should: Selected inquire about previous penile Answer: infections. • Question 7 Loss of immediate and recent memory with retention of remote memory suggests: Selected dementi Answer: a. • Question 8 To hear diastolic heart sounds, you should ask patients to: Selected lie on their left Answer: sides. Selected Answer: • Question 9 While examining a 30-year-old woman, you note that one breast is slightly larger than the other. In response to this finding, you should: Selected note the finding in the patient's Answer: record. • Question 10 To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with: Selected one arm overhead and a pillow under her Answer: shoulder. • Question 11 A pulsation that is diminished to the point of being barely palpable would be graded as: Selected 1 Answer: • Question 12 Which of the following statements is true regarding the examination of peripheral arteries? The pulses are most readily felt over bony prominences. • Question 13 You order an ECG on a patient that c/o feeling heart palpitations, chest pain, shortness of breath. Your ECG shows irregular heart rate and you determine that you need to call EMS immediately because this rhythm can cause death. What rhythm would you suspect the ECG is showing? Selected Ventricular Tachycardia Answer: • Question 14 Breath sounds normally heard over the trachea are called: Selected bronchi Answer: al. • Question 15 The checkout station for preparticipation physical evaluation (PPE) is critical because at this point: Selected coordination of follow-ups is Answer: reviewed. • Question 16 Palpation of epitrochlear nodes is part of the: Selected examination of the upper Answer: extremities. • Question 17 A positive straight leg raise test usually indicates: Selected Answer: Selected lumbar nerve root Answer: irritation. • Question 18 A chest radiography is performed on your patient that complains of having dyspnea, coughing productive sputum and chest pain. The image results shows consolidation and infiltrates. You compare this to your physical exam findings of distant or absent breath sounds and absent vocal fremitus. What is the most likely diagnosis? Selected Answer: Pneumonia • Question 19 The Mini-Mental State Examination: Selected may be used to quantitatively estimate Answer: cognitive changes. • Question 20 A 62 year old female presents to the clinic with complains of chest pain and heart palpitations that started 3 days ago. Patient states she is healthy and only has a history of hypertension and tachycardia. Patient is currently taking Norvasc 10mg daily and Coreg 6.25 mg BID. You order an EKG and it shows heart rate above 200 beats/min and the ECG may look like a sawtooth cog. What is the most likely diagnosis of this patient? Selected Atrial Flutter Answer: • Question 21 Anterior cruciate ligament integrity is assessed via the test. Selected straight leg Answer: raise • Question 22 Which one of the following techniques is used to detect a torn meniscus? Selected McMurray Answer: test • Question 23 Recent unilateral inversion of a previously everted nipple suggests: Selected cance Answer: r. • Question 24 A parent is advised to restrict contact or collision sports participation for their child. An example of a sport in which this child could participate is: riflery . • Question 25 A common finding in markedly obese and pregnant women is: Selected lordosi Answer: s. • Question 26 A cervical polyp usually appears as a: Selected Answer: Selected bright-red soft protrusion from the Answer: endocervical canal. Bimanual examination of the uterus includes: Selected grasping the cervix between the Answer: examining fingers. If your patient has nipple discharge, you will most likely need a: Selected glass slide and Answer: fixative. The foramen ovale should close: Selected within minutes of Answer: birth. You are interviewing a 20-year-old patient with a new-onset psychotic disorder. The patient is apathetic and has disturbed thoughts and language patterns. The nurse recognizes this behavior pattern as consistent with a diagnosis of: Selected Answer: schizophren ia. • Question 31 A patient in the deepest coma would be scored a on the Glasgow Coma Scale. Selected 3 Answer: If pitting edema is unilateral, you would suspect occlusion of a: Selected major Answer: vein. A finding that is indicative of osteoarthritis is: Selected Heberden Answer: nodes. When you attempt to move a 10-month-old child from his mother's lap to the examination table, he screams loudly. Your best action is to: Selected Answer: perform the examination while the child is in the mother's lap. • Question 35 Selected Answer: The reliability of health-related findings and observations is the responsibility of the: Selected professional and the Answer: patient. • Question 36 Which cranial nerves are usually evaluated during the examination of the eyes? Selected III and Answer: VI • Question 37 An apical PMI palpated beyond the left fifth intercostal space may indicate: Selected left ventricular Answer: hypertrophy. • Question 38 Adrian Thompson is a 19-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her mother reports that Andrian, apart from occasional sinus infections, Andrian is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Adrian's current problem? Selected Cocaine Answer: use • Question 39 When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the: Selected presence and form of body Answer: parts. • Question 40 Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of: Selected older Answer: adults. • Question 41 An ophthalmoscopic eye examination involves: Selected lens Answer: inspection. • Question 42 One of the most important aspects to consider in the orthopedic screening examination is: Selected symmetr Answer: y. • Question 43 Examination of the patient in the lithotomy, or knee-chest, position includes: Selected palpation of anal sphincter Answer: tone. • Question 44 If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation? Selected CN XI, spinal Answer: accessory • Question 45 The rectal past medical history of all patients should include inquiry about: Selected hemorrhoid Answer: surgery. • Question 46 Tarry black stool should make you suspect: Selected upper intestinal Answer: bleeding. • Question 47 Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the: Selected P Answer: wave. • Question 48 When assessing a 17-year-old for nuchal rigidity, you gently raise his head off the examination table. He involuntarily flexes his hips and knees. To confirm your suspicions associated with this positive test, you would also perform a test for the sign. Selected Kerni Answer: g • Question 49 Darian is a 14-year-old adolescent who states his right testicle has a soft swollen mass. The testicle is not painful upon palpation. The right inguinal canal is without masses. The mass does transilluminate with a penlight. This collection of symptoms is consistent with: Selected hydroce Answer: le • Question 50 While interviewing a 70-year-old female clinic patient, she tells you that she takes ginkgo biloba and St. John's wort. You make a short note to check for results of the: Selected Mini-Mental State Answer: Examination. • Question 51 The Mini-Mental State Examination should be administered for the patient who: Selected gets lost in her Answer: neighborhood. • Question 52 You are examining a patient in the emergency department who has recently sustained head trauma. In order to initially assess this patient's neurologic status, you would: Selected test the six cardinal points of Answer: gaze. • Question 53 During a routine prenatal visit, Ms. T. was noted as having dependent edema, varicosities of the legs, and hemorrhoids. She expressed concern about these symptoms. You explain to Ms. T. that her enlarged uterus is compressing her pelvic veins and her inferior vena cava. You would further explain that these findings: Selected are usual conditions during Answer: pregnancy. • Question 54 You are examining Mr. S., a 79-year-old diabetic man complaining of claudication. Which of the following physical findings is consistent with the diagnosis of arterial occlusion? Selected Loss of hair over the Answer: extremity • Question 55 It is especially important to test for ankle clonus if: Selected deep tendon reflexes are Answer: hyperactive. • Question 56 Assessing orientation to person, place, and time helps determine: Selected state of Answer: consciousness. • Question 57 When assessing superficial pain, touch, vibration, and position perceptions, you are testing: Selected sensory Answer: function. • Question 58 Kawasaki disease is suspected when assessments of a child reveal: Selected conjunctival injection, strawberry tongue, and edema of Answer: the hands and feet. • Question 59 Diabetic peripheral neuropathy will likely produce: Selected diminished pain Answer: sensation. • Question 60 The Denver II is a tool used to determine: Selected whether a child is developing as Answer: expected. • Question 61 A red, hot swollen joint in a 40-year-old man should lead you to suspect: Selected gou Answer: t. • Question 62 Your patient's chief complaint is repeated pencil-like stools. Further examination should include: Selected digital rectal examination Answer: (DRE). • Question 63 In the adult, the apical impulse should be most visible when the patient is in what position? Selected Uprig Answer: ht • Question 64 A 56-year-old male presents to the clinic to see the nurse practitioner with complaints of shortness of breath for 1 months, 15-pound weight gain and lower extremity edema. Vitals are as follows: HR: 120, Respirations 30, Blood Pressure: 138/90, BMI: 40; Oxygen saturation of 90%. On examination patient is noted to have jugular venous distention, enlarged liver, and crackles are noted on examination. A chest x-ray is completed and shows findings consistent with which diagnosis? Based on this scenario and imaging what is the most likely diagnosis? Selected Right Sided Congestive Heart Failure Answer: • Question 65 During chest assessment, you note the patient's voice quality while auscultating the lung fields. The voice sound is intensified, there is a nasal quality to the voice, and the e's sound like a s. This sound is indicative of: Selected lung Answer: consolidation. • Question 66 You are conducting a clinical breast examination for your 30-year-old patient. Her breasts are symmetrical with bilateral, multiple tender masses that are freely moveable with well-defined borders. You recognize that these symptoms and assessment findings are consistent with: Selected fibrocystic Answer: changes. • Question 67 When is the mental status portion of the neurologic system examination performed? Selected Constantly, throughout the entire interaction with Answer: a patient • Question 68 Which condition is considered progressive rather than reversible? Selected Dement Answer: ia • Question 69 To assess a cremasteric reflex, the examiner strokes the: Selected inner thigh and observes whether the testicle and Answer: scrotum rise on the stroked side. • Question 70 An idiopathic spasm of arterioles in the digits is termed: Selected Raynaud Answer: disease. • Question 71 Which medical condition would exclude a person from sports participation? Selected Asthm Answer: a • Question 72 The musculoskeletal examination should begin when: the patient enters the examination room. • Question 73 While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding: Selected alcohol, tobacco, and Answer: caffeine use. • Question 74 When palpating joints, crepitus may occur when: Selected irregular bony surfaces rub Answer: together. • Question 75 The presence of cervical motion tenderness may indicate: Selected pelvic inflammatory Answer: disease. • Question 76 Which portion of the physical examination is best done with the patient standing? Selected Spin Answer: al • Question 77 The goals of preparticipation sports evaluation include: Selected identifying risk of injury or death during sports Answer: participation. • Question 78 Facial muscle or tongue weakness may result in: Selected aphasi Answer: a. • Question 79 Ulnar deviation and boutonniere deformities are characteristic of: rheumatoid Answer: arthritis. • Question 80 You are conducting an examination of Mr. Curtis's heart and blood vessels and auscultate a grade III murmur. The intensity of this murmur is: Selected moderately Answer: loud. • Question 81 At your first meeting with a patient, it is usually best to say: Selected "Tell me about Answer: yourself." • Question 82 To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested? Selected Patell Answer: ar • Question 83 As Mr. B. enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. You would document Mr. B.'s pattern as: Selected cerebellar Answer: ataxia. • Question 84 Which one of the following is a proper technique for use of a speculum during a vaginal examination? Selected Press introitus downward; insert closed speculum Answer: obliquely. • Question 85 Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify: diabetic ketoacidosis. • Question 86 You are initially evaluating the equilibrium of Ms. Q. You ask her to stand with her feet together and arms at her sides. She loses her balance. Ms. Q. has a positive: Selected Romberg Answer: sign. • Question 87 Part of the screening orthopedic component of the examination includes evaluating the person while he or she is: Selected duck Answer: walking. • Question 88 A patient you are seeing in the emergency department for chest pain is suspected of having a myocardial infarction. During the health history interview of his family history, he relates that his father had died of "heart trouble." The most important follow-up question you should pose is which of the following? Selected "What age was your father at the time of Answer: his death?" • Question 89 You are performing a two-point discrimination test as part of a well physical examination. The area with the ability to discern two points in the shortest distance is the: Selected fingertip Answer: s. • Question 90 Palpation of a normal prostate in an older adult is likely to feel: Selected rubber Answer: y. • Question 91 Functional assessment is most important during the examination of a(n): Selected older Answer: adult. • Question 92 You are assessing Mr. Z.'s fluid volume status as a result of heart failure. If your finger depresses a patient's edematous ankle to a depth of 6 mm, you should record this pitting as: Selected 3 Answer: +. • Question 93 Nerves that arise from the brain rather than the spinal cord are called: Selected crania Answer: l. • Question 94 For purposes of examination and communication of physical findings, the breast is divided into: Selected four quadrants plus a Answer: tail. • Question 95 The finger-to-nose test allows assessment of: Selected coordination and fine motor Answer: function. • Question 96 The strength of the trapezius muscle is evaluated by having the patient: Selected push her head against the Answer: examiner's hand. • Question 97 Your older clinic patient is being seen today as a follow-up for a 2-day history of pneumonia. The patient continues to have a productive cough, shortness of breath, and lethargy and has been spending most of the day lying in bed. You should begin the chest examination by: Selected auscultating the lung bases. • Question 98 The physical assessment technique most frequently used to assess joint symmetry is: Selected inspectio Answer: n. • Question 99 Your 15-year-old patient is athletic and thin. Radiography of an ankle injury reveals a stress fracture. You should question this patient about her: Selected menstrual Answer: cycles. • Question 100 A 40 yr old female presents to the clinic with complaints of low back and buttock pain. Pt states the buttock pain radiates from one side to the other. On examination, the patient is noted to have limited ROM of the shoulders, chest wall, hips, and knees. Upon xray, you find gross postural changes and there is a severe deformity of the vertebral column. What is the most likely diagnosis for this patient? Selected Herniated Lumbar Disk Answer: • Question 1 To perform the Rinne test, place the tuning fork on the: Selected mastoid Answer: bone. • Question 2 1 out of 1 points 1 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 D. thyroglossal duct Answer: cyst. • Question 3 Nuchal rigidity is most commonly associated with: Selected B. meningeal Answer: irritation. • Question 4 1 out of 1 points 1 out of 1 points Mrs. Leonard brings her newborn infant into the pediatrician's office for a first well- baby visit. As the health care provider, you teach her that newborns are more vulnerable to hypothermia due to: Selected D. a poorly developed subcutaneous fat layer. Answer: • Question 5 1 out of 1 points Bulging of an amber tympanic membrane without mobility is most often associated with: Selected middle ear Answer: effusion. • Question 6 1 out of 1 points You are examining a pregnant patient and have noted a vascular lesion. When you blanche over the vascular lesion, the site blanches and refills evenly from the center outward. The nurse documents this lesion as a: Selected B. spider Answer: angioma. • Question 7 Which cranial nerves innervate the face? Selected C. V and Answer: VII • Question 8 The most common form of birth trauma of the scalp is: Selected caput Answer: succedaneum. • Question 9 1 out of 1 points 1 out of 1 points 1 out of 1 points Mr. Sanchez is a 45-year-old gentleman who has presented to the office for a physical examination to establish a new primary care health care provider. Which of the following describes a physical, not a cultural, differentiator? Selected Rac Answer: e • Question 10 1 out of 1 points A 22-year-old female nurse is interviewing an 86-year-old male patient. The patient avoids eye contact and answers questions only by saying, "Yeah," "No," or "I guess so." Which of the following is appropriate for the interviewer to say or ask? Selected Are you uncomfortable talking Answer: with me? • Question 11 1 out of 1 points Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure: Selected hearing range of normal Answer: speech. • Question 12 Spasmodic muscular contractions of the head, face, or neck are called: Selected B. Answer: tics. • Question 13 When examining the skull of a 4-month-old baby, you should normally find: Selected B. closure of the posterior Answer: fontanel. • Question 14 1 out of 1 points 1 out of 1 points 1 out of 1 points Which of the following occurs when firm pressure is used to apply the stethoscope's bell end- piece to the skin? Selected It functionally converts to a diaphragm Answer: end-piece. • Question 15 1 out of 1 points Peritonitis produces bowel sounds that are: Selected hypoactive. Answer: • Question 16 Sweat glands, hair, and nails are all formed from: Selected C. invaginations of epidermis into Answer: dermis. • Question 17 1 out of 1 points 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 C. with illumination provided by Answer: daylight. • Question 18 Cherry angiomas are a common finding in: Selected adults older than 30 Answer: years. • Question 19 Mrs. Hartzell is a 34-year-old patient who has presented for nutritional 1 out of 1 points 1 out of 1 points counseling because she is a vegetarian. Deficiency of which of the following is a concern in the vegetarian diet? Selected Vitamin Answer: B12 • Question 20 Unusual white areas on the skin may be due to: Selected C. Answer: vitiligo. • Question 21 1 out of 1 points 1 out of 1 points Knowledge of the culture or cultures represented by the patient should be used to: Selected help make the interview questions more Answer: pertinent. • Question 22 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 personal and social Answer: history. • Question 23 Tangential lighting is best used for inspecting skin: Selected contou Answer: r. • Question 24 When taking a history, you should: Selected use a chronologic and sequential Answer: framework. • Question 25 1 out of 1 points 1 out of 1 points 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 progress Answer: note. • Question 26 0 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 maxillary and frontal Answer: sinuses. • Question 27 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 C. Answer: Matrix • Question 28 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: Selected normal growth and development. Answer: • Question 29 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 flex his or her knees. Answer: • Question 30 Expected hair distribution changes in older adults include: Selected increased terminal hair follicles to the tragus of Answer: men’s ears. 1 out of 1 points • Question 31 1 out of 1 points Peritonitis produces bowel sounds that are: Selected hypoactive. Answer: • Question 32 1 out of 1 points White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are: Selected aphthous Answer: ulcers. • Question 33 Which of the following is the most accurate reflection of an individual's food intake? Selected Food Answer: diary • Question 34 1 out of 1 points 1 out of 1 points Which part of the information contained in the patient's record may be used in court? Selected All Answer: information • Question 35 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 myopi Answer: a. • Question 36 1 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 Vitamin Answer: D • Question 37 0 out of 1 points A guideline for history taking is for caregivers to: Selected write detailed information as stated by patients so that their Answer: priorities are reflected. • Question 38 1 out of 1 points When communicating with older children and teenagers, you should be sensitive to their: Selected typical reluctance to Answer: talk. • Question 39 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 binges and Answer: vomits. • Question 40 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 Inspecti Answer: on • Question 41 Nasal symptoms that imply an allergic response include: Selected bluish gray Answer: turbinates. • Question 42 1 out of 1 points 1 out of 1 points Coarse, dry, and brittle hair is associated with which metabolic disorder? Selected Hypothyroidis Answer: m • Question 43 What finding is unique to the documentation of a physical examination of an infant? Selected Fontanel Answer: sizes • Question 44 1 out of 1 points 0 out of 1 points Your patient presents with symptoms that lead you to suspect acute appendicitis. Which assessment finding is least likely to be associated with this condition early in its course? Selected Positive McBurney Answer: sign • Question 45 A brief statement of the reason the patient is seeking health care is called the: Selected chief Answer: complaint. • Question 46 1 out of 1 points 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: • Question 47 A. plaque. 1 out of 1 points 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 "With your father's permission, we will examine the stone and Answer: request that it be returned to him." • Question 48 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: Selected CAGE Answer: questionnaire. • Question 49 1 out of 1 points Mr. Akins is a 78-year-old patient who presents to the clinic with complaints of hearing loss. Which of the following are changes in hearing that occur in the elderly? Select all that apply. Selected c. Answers: Sounds may be garbled and difficult to localize d. Unable to hear in a crowded room • Question 50 f. Loss of high frequency 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 repeated trauma or irritation to Answer: skin. Selected Answer: • • Question 51 1 out of 1 points 1 out of 1 points Ms. Davis is a 27-year-old patient with a BMI of 33. Based on her BMI, your diagnosis would be: obese. Question 52 The infant should be placed in which position to have his or her height or length measured? Selected Supine on a measuring Answer: board • Question 53 1 out of 1 points Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)? Selected Brief SOAP Answer: note • Question 54 Which of the following is an expected change in the assessment of the thyroid during pregnancy? Selected A bruit is Answer: auscultated. • Question 55 1 out of 1 points 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 peritoneum. Answer: • Question 56 1 out of 1 points Selected Answer: • 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 D. seborrheic keratoses from actinic Answer: keratoses. • Question 57 considered a “hot” medicine. Selected Answer: 1 out of 1 points Penicillin is • Question 58 Which question would be considered a leading question? Selected "You don't get headaches often, Answer: do you?" • Question 59 the following organs is part of the alimentary tract? Selected Stomach Answer: • Question 60 Small, minute bruises are called: Selected petechi Answer: ae. • Question 61 1 out of 1 points 1 out of 1 points Which of 1 out of 1 points 1 out of 1 points When recording physical findings, which data are recorded first for all systems? Selected Inspecti Answer: on • Question 62 When hearing is evaluated, which cranial nerve is being tested? Selected VIII Answer: • Question 63 1 out of 1 points 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 C. a normal thyroid Answer: gland. • Question 64 Auscultation should be carried out last, except when examining the: Selected abdome Answer: n. • Question 65 1 out of 1 points 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 given the opportunity to be interviewed without the parent at Answer: some point during the interview. • Question 66 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 B. Answer: hyperthyroidism . • Question 67 1 out of 1 points A detailed description of the symptoms related to the chief complaint is presented in the: Selected history of present Answer: illness. • Question 68 1 out of 1 points 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 pull the auricle down and back. Answer: • Question 69 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 cricoi Answer: d. • Question 70 1 out of 1 points A flat, nonpalpable lesion is described as a macule if the diameter is: Selected less than 1 Answer: cm. • Question 71 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 D. record the finding in the Answer: patient’s chart. • Question 72 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 lateralization of Answer: sound. • Question 73 1 out of 1 points Expected normal percussion tones include: Selected tympany over an empty Answer: stomach. • Question 74 Fluorescing lesions are best distinguished using a(n): Selected Wood’s Answer: lamp. • Question 75 1 out of 1 points 0 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 sandwiches and diet Answer: drinks. • Question 76 1 out of 1 points 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 inform the patient of the reason for the examination and ask Answer: if it is acceptable to him. • Question 77 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 Past medical Answer: data • Question 78 1 out of 1 points The term denoting the caregiver's need to do no harm to the patient is: Selected nonmaleficen Answer: ce. • Question 79 When palpating the abdomen, you should note whether the liver is enlarged in the: Selected right upper Answer: quadrant. • Question 80 To correctly document absent bowel sounds, one must listen continuously for: Selected 5 minutes. Answer: • Question 81 1 out of 1 points 1 out of 1 points recommended dietary fat intake should be g/day. Selected 20 to Answer: 35 • Question 82 1 out of 1 points The adult 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 “Why do you think you are having these symptoms?” Answer: • Question 83 Selected fundus. Answer: • Question 84 1 out of 1 points The most superior part of the stomach is the: 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 building and maintaining tissues. Answer: • Question 85 1 out of 1 points Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the: Selected lower liver border. Answer: • Question 86 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 "What amount and what kind of alcohol do you drink Answer: in a week?" • Question 87 Regardless of the origin, discharge is described by noting: Selected color and Answer: consistency. • Question 88 1 out of 1 points 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 Steroids Answer: • Question 89 1 out of 1 points 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 G.M. is a 22-year-old male here for having “green nasal Answer: discharge” for the past 72 hours. • Question 90 1 out of 1 points To approximate vocal frequencies, which tuning fork should be used to assess hearing? Selected 500 to 1000 Answer: Hz • Question 91 0 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 assess for rebound Answer: tenderness. • Question 92 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 C. fluid-filled from solid cysts or Answer: masses. • Question 93 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 Fa Answer: t • Question 94 In issues surrounding ethical decision making, beneficence refers to the: Selected need to do good for the Answer: patient. • Question 95 1 out of 1 points 1 out of 1 points Which statement is true regarding the relationship of physical characteristics and culture? Selected There is a difference between distinguishing cultural Answer: characteristics and distinguishing physical characteristics. • Question 96 The review of systems is a component of the: Selected health Answer: history. • Question 97 1 out of 1 points 1 out of 1 points The recommended minimum daily protein requirement for the normal adult is . Selected 10% to 35% of total Answer: calories • Question 98 Subjective and symptomatic data are: Selected documented with the examination Answer: findings. • Question 99 When are open-ended questions generally most useful? Selected After several close-ended questions have Answer: been asked • Question 100 0 out of 1 points 0 out of 1 points 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? Selected B1 Answer: 2 history, your prioritized physical examination should be to: Selected Answer: inspect for ecchymosis of the flank. Question 3 0 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 would prefer to speak to the clinician. Question 4 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 5 1 out of 1 points Sweat glands, hair, and nails are all formed from: Selected Answer: C. invaginations of epidermis into dermis. Question 6 1 out of 1 points Tracheal tug suggests the presence of a(n): Selected Answer: aortic aneurysm. Question 7 1 out of 1 points Tangential lighting is best used for inspecting skin: Selected Answer: contour. Question 8 1 out of 1 points The review of systems is a component of the: Selected Answer: health history. Question 9 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 10 1 out of 1 points Nasal symptoms that imply an allergic response include: Selected Answer: bluish gray turbinates. Question 11 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 12 1 out of 1 points 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? Question 13 1 out of 1 points The most common form of birth trauma of the scalp is: Selected Answer: caput succedaneum. Question 14 1 out of 1 points Expected hair distribution changes in older adults include: Selected Answer: increased terminal hair follicles to the tragus of men’s ears. Question 15 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 rst? Selected Answer: Inspection Question 16 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 17 1 out of 1 points Spasmodic muscular contractions of the head, face, or neck are called: Selected Answer: B. tics. Question 18 1 out of 1 points Mr. Sanchez is a 45-year-old gentleman who has presented to the o ce for a physical examination to establish a new primary care health care provider. Which of the following describes a physical, not a cultural, di erentiator? Selected Answer: Race Question 19 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 20 1 out of 1 points 4/18 Which of the following formats would be used for visits that address problems not yet identi ed in the problem-oriented medical record (POMR)? Selected Answer: Brief SOAP note Question 21 1 out of 1 points To perform the Rinne test, place the tuning fork on the: Selected Answer: mastoid bone. Question 22 0 out of 1 points A college student comes to the student health center complaining of di culty in concentrating during class and while studying. The diet that would contribute to this problem is one that consumes mostly: Selected Answer: fruit and vegetables. Question 23 1 out of 1 points To correctly document absent bowel sounds, one must listen continuously for: Selected Answer: 5 minutes. Question 24 1 out of 1 points Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence? Selected Realize that cultural values are difficult to change and must be Answer: respected. Question 25 1 out of 1 points Mrs. Tuber is a 36-year-old patient who comes into the health center with complaints that her ngernails are not growing. Which structure is the site of new nail growth? Selected Answer: C. Matrix Question 26 1 out of 1 points In issues surrounding ethical decision making, bene cence refers to the: Selected Answer: need to do good for the patient. Question 27 1 out of 1 points A at, nonpalpable lesion is described as a macule if the diameter is: Selected Answer: less than 1 cm. Question 28 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: Selected Answer: CAGE questionnaire. Question 29 0 out of 1 points The adult recommended dietary fat intake should be g/day. Selected Answer: 10 to 35 % Question 30 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 31 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 ank. Question 32 1 out of 1 points 8 In counseling a client regarding nutrition education, you explain that linoleic acid, a major fatty acid, is thought to be essential for: Selected Answer: normal growth and development. Question 33 1 out of 1 points You are examining a pregnant patient and have noted a vascular lesion. When you blanche over the vascular lesion, the site blanches and re lls evenly from the center outward. The nurse documents this lesion as a: Selected Answer: B. spider angioma. Question 34 1 out of 1 points Fluorescing lesions are best distinguished using a(n): Selected Answer: Wood’s lamp. Question 35 1 out of 1 points Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the: Selected Answer: lower liver border. Question 36 1 out of 1 points The position on a clock, topographic notations, and anatomic landmarks: Selected Answer: are methods for recording locations of ndings. Question 37 0 out of 1 points Tympanic thermometers measure body temperature when a probe is placed: Selected Answer: anterior to the ear. Question 38 1 out of 1 points 7/18 Periods of silence during the interview can serve important purposes, such as: Selected Answer: providing time for re ection. Question 39 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 40 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 41 1 out of 1 points Auscultation should be carried out last, except when examining the: Selected Answer: abdomen. Question 42 1 out of 1 points Di erential diagnoses belong in the: Selected Answer: assessment. Question 43 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 44 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 45 0 out of 1 points Recommended carbohydrate content of total dietary intake (% total calories) is %. Selected Answer: 50 Question 46 1 out of 1 points Underestimation of blood pressure will occur if the blood pressure cu 's width covers: Selected Answer: more than two-thirds of the upper arm. Question 47 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 48 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 49 0 out of 1 points Which of the following is the most accurate re ection of an individual's food intake? Selected Answer: Twenty-four-hour diet recall Question 50 1 out of 1 points Mrs. Kinder is a 39-year-old patient who presents to the o ce 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 51 1 out of 1 points Mr. and Mrs. Johnson have presented to the o ce 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. Question 52 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 53 1 out of 1 points When are open-ended questions generally most useful? Selected Answer: During the initial part of the interview Question 54 1 out of 1 points You are palpating a patient's thyroid and nd 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 55 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 given the opportunity to be interviewed without the parent at some point Answer: during the interview. 10/18 Question 56 1 out of 1 points Your patient presents with symptoms that lead you to suspect acute appendicitis. Which assessment nding is least likely to be associated with this condition early in its course? Selected Answer: Consistent right lower quadrant (RLQ pain) Question 57 1 out of 1 points 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 lter that he has been using. What is your most appropriate response? Selected "With your father's permission, we will examine the stone and request that it Answer: be returned to him." Question 58 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 59 1 out of 1 points Which type of speculum should be used to examine a patient's tympanic membrane? Selected Answer: The largest speculum that will t comfortably in the ear Question 60 1 out of 1 points A tool used to screen adolescents for alcoholism is the: Selected Answer: CRAFFT. Question 61 1 out of 1 points Macronutrients are so named because they: Selected Answer: are required in large amounts. Question 62 1 out of 1 points Subjective and symptomatic data are: Selected Answer: placed in the history section. Question 63 1 out of 1 points Unusual white areas on the skin may be due to: Selected Answer: C. vitiligo. Question 64 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 65 1 out of 1 points Before performing an abdominal examination, the examiner should: Selected Answer: have the patient empty his or her bladder. Question 66 1 out of 1 points Mrs. Leonard brings her newborn infant into the pediatrician's o ce for a rst well- baby visit. As the health care provider, you teach her that newborns are more vulnerable to hypothermia due to: Selected Answer: D. a poorly developed subcutaneous fat layer. Question 67 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. 8 Question 68 1 out of 1 points Which of the following is the most vital nutrient? Selected Answer: Water Question 69 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 70 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 71 1 out of 1 points Which of the following occurs when rm pressure is used to apply the stethoscope's bell endpiece to the skin? Selected Answer: It functionally converts to a diaphragm end-piece. Question 72 1 out of 1 points When hearing is evaluated, which cranial nerve is being tested? Selected Answer: VIII Question 73 0 out of 1 points Mr. Akins is a 78-year-old patient who presents to the clinic with complaints of hearing loss. Which of the following are changes in hearing that occur in the elderly? Select all that apply. Selected Answers: a. Sounds may be garbled and difficult to localize b. Unable to hear in a crowded room f. Bone conduction heard longer than air conduction Question 74 1 out of 1 points A guideline for history taking is for caregivers to: Selected make notes sparingly so that patients can be observed during the history Answer: taking. Question 75 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 76 1 out of 1 points Regardless of the origin, discharge is described by noting: Selected Answer: color and consistency. Question 77 1 out of 1 points Expected normal percussion tones include: Selected Answer: tympany over an empty stomach. Question 78 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. uid- lled from solid cysts or masses. Question 79 1 out of 1 points Ms. G. is being seen for her routine physical examination. She is a college graduate and president of a research rm. Although her exact salary is unknown, she has adequate health insurance. Most of the above information is part of Ms. G.'s history. 8 Selected Answer: personal and social Question 80 1 out of 1 points Which of the following is an "ABCD" characteristic of malignant melanoma? Selected Answer: Asymmetric borders Question 81 1 out of 1 points Mrs. Britton is a 34-year-old patient who presents to the o ce 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 82 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 83 1 out of 1 points A xed image of any group that rejects its potential for originality or individuality is known as a(n): Selected Answer: stereotype. Question 84 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 85 1 out of 1 points After thorough inspection of the abdomen, the next assessment step is: Selected Answer: auscultation. 15/18 Question 86 1 out of 1 points Nuchal rigidity is most commonly associated with: Selected Answer: B. meningeal irritation. Question 87 1 out of 1 points Which of the following organs is part of the alimentary tract? Selected Answer: Stomach Question 88 1 out of 1 points Which question would be considered a leading question? Selected Answer: "You don't get headaches often, do you?" Question 89 1 out of 1 points Peritonitis produces bowel sounds that are: Selected Answer: hypoactive. Question 90 1 out of 1 points Mr. Abdul is a 40-year-old Middle Eastern man who presents to the o ce for a rst 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 inform the patient of the reason for the examination and ask if it is Answer: acceptable to him. Question 91 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 92 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 93 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 94 1 out of 1 points Cherry angiomas are a common nding in: Selected Answer: adults older than 30 years. Question 95 1 out of 1 points Peritonitis produces bowel sounds that are: Selected Answer: hypoactive. Question 96 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 97 1 out of 1 points A blood pressure cu bladder should be long enough to: Selected Answer: cover 75% to 80% of the arm circumference. Question 98 1 out of 1 points The term denoting the caregiver's need to do no harm to the patient is: Selected Answer: nonmale cence. Question 99 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 100 1 out of 1 points 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 G.M. is a 22-year-old male here for having “green nasal Answer: discharge” for the past 72 hours. ← OK • Question 1 1 out of 1 points To perform the Rinne test, place the tuning fork on the: Selected mastoid Answer: bone. • Question 2 1 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 D. thyroglossal duct Answer: cyst. • Question 3 Nuchal rigidity is most commonly associated with: Selected B. meningeal Answer: irritation. • Question 4 1 out of 1 points 1 out of 1 points Mrs. Leonard brings her newborn infant into the pediatrician's office for a first wellbaby visit. As the health care provider, you teach her that newborns are more vulnerable to hypothermia due to: Selected D. a poorly developed subcutaneous fat layer. Answer: • Question 5 1 out of 1 points Bulging of an amber tympanic membrane without mobility is most often associated with: Selected middle ear Answer: effusion. • Question 6 1 out of 1 points You are examining a pregnant patient and have noted a vascular lesion. When you blanche over the vascular lesion, the site blanches and refills evenly from the center outward. The nurse documents this lesion as a: Selected B. spider Answer: angioma. • Question 7 Which cranial nerves innervate the face? Selected C. V and Answer: VII • Question 8 The most common form of birth trauma of the scalp is: Selected caput Answer: succedaneum. • Question 9 1 out of 1 points 1 out of 1 points 1 out of 1 points Mr. Sanchez is a 45-year-old gentleman who has presented to the office for a physical examination to establish a new primary care health care provider. Which of the following describes a physical, not a cultural, differentiator? Selected Rac Answer: e • Question 10 1 out of 1 points A 22-year-old female nurse is interviewing an 86-year-old male patient. The patient avoids eye contact and answers questions only by saying, "Yeah," "No," or "I guess so." Which of the following is appropriate for the interviewer to say or ask? Selected Are you uncomfortable talking Answer: with me? • Question 11 1 out of 1 points Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure: Selected hearing range of normal Answer: speech. • Question 12 Spasmodic muscular contractions of the head, face, or neck are called: Selected B. Answer: tics. • Question 13 When examining the skull of a 4-month-old baby, you should normally find: Selected B. closure of the posterior Answer:fontanel. • Question 14 1 out of 1 points 1 out of 1 points 1 out of 1 points Which of the following occurs when firm pressure is used to apply the stethoscope's bell end- piece to the skin? Selected It functionally converts to a diaphragm Answer: end-piece. • Question 15 Peritonitis produces bowel sounds that are: Selected hypoactive. 1 out of 1 points • Question 1 1 out of 1 points During chest assessment, you note the patient's voice quality while auscultating the lung fields. The voice sound is intensified, there is a nasal quality to the voice, and the e's sound like a s. This sound is indicative of: Selected lung Answer: consolidation. As Mr. B. enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. You would document Mr. B.'s pattern as: Selected cerebellar Answer: ataxia. Diabetic peripheral neuropathy will likely produce: Selected diminished pain Answer: sensation. Montgomery tubercles are most prominent in the breasts of: Selected pregnant Answer: women. Which one of the following techniques is used to detect a torn meniscus? Se