NU 518 EXAM 3 AND PRACTICE EXAM NEWEST
ACTUAL EXAM WITH 400 QUESTIONS AND
CORRECT VERIFIED ANSWERS |ALREADY GRADED
A+
The nurse is preparing to use the Lawton IADL instrument as part of an assessment.
Which
statement about the Lawton IADL instrument is true?
a The nurse uses direct observation to implement this tool.
b The Lawton IADL instrument is designed as a self-report measure of
. performance rather than ability.
c This instrument is not useful in the acute hospital setting.
d This tool is best used for those residing in an institutional setting. - CORRECT
ANSWERS-B
The nurse is assessing an older adults advanced activities of daily living (AADLs), which
would include:
a Recreational activities.
b Meal preparation.
c Balancing the checkbook.
d Self-grooming activities. - CORRECT ANSWERS-A
When using the various instruments to assess an older persons ADLs, the nurse needs
to
remember that a disadvantage of these instruments includes:
a Reliability of the tools.
B Self or proxy reporting of functional activities.
C Lack of confidentiality during the assessment.
D Insufficient details concerning the deficiencies identified. - CORRECT ANSWERS-B
A patient will be ready to be discharged from the hospital soon, and the patients family
members are concerned about whether the patient is able to walk safely outside alone.
The nurse
will perform which test to assess this?
a Get Up and Go Test
b Performance ADLs
c Physical Performance Test
d Tinetti Gait and Balance Evaluation - CORRECT ANSWERS-A
The nurse is assessing the forms of support an older patient has before she is
discharged.
Which of these examples is an informal source of support?
a Local senior center
b Patients Medicare check
c Meals on Wheels meal delivery service
,d Patients neighbor, who visits with her daily - CORRECT ANSWERS-D
An 85-year-old man has been hospitalized after a fall at home, and his 86-year-old wife
is at
his bedside. She tells the nurse that she is his primary caregiver. The nurse should
assess the
A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a
regular skin check-up. She has just returned from her annual dig site in Greece. She
has fair skin and reddish-blonde hair. She has a family history of melanoma. She has
many freckles scattered across her skin. From this description, which of the following is
not a risk factor for melanoma in
this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure - CORRECT ANSWERS-A
You are speaking to an 8th grade class about health prevention and are preparing to
discuss the ABCDEs of melanoma. Which of the following descriptions correctly defines
the ABCDEs?
A) A = actinic; B = basal cell; C = color changes, especially blue; D = diameter >6 mm;
E =evolution
B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D =
diameter >6 mm; E = evolution
C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E = evolution
D) A = asymmetry; B = regular borders; C = color changes, especially orange; D =
diameter >6 mm; E = evolution - CORRECT ANSWERS-B
You are beginning the examination of the skin on a 25-year-old teacher. You have
previously elicited that she came to the office for evaluation of fatigue, weight gain, and
hair loss. You strongly suspect that she has hypothyroidism. What is the expected
moisture and texture of the skin of a patient with hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough - CORRECT ANSWERS-D
A 28-year-old patient comes to the office for evaluation of a rash. At first there was only
one large patch, but then more lesions erupted suddenly on the back and torso; the
lesions itch. On physical examination, 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 diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema - CORRECT ANSWERS-A
,A 19-year-old construction worker presents for evaluation of a rash. 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 his job.
On physical examination, 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 diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema - CORRECT ANSWERS-B
A 68-year-old retired farmer comes to your office for evaluation of a skin lesion. On the
right temporal area of the forehead, you see a flattened papule the same color as his
skin, covered by a dry scale that is round and feels hard. He has several more of these
scattered on the forehead, arms, and legs. Based on this description, what is your most
likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma - CORRECT ANSWERS-A
A 58-year-old gardener comes to your office for evaluation of a new lesion on her upper
chest. The lesion appears to be "stuck on" and is oval, brown, and slightly elevated with
a flat surface. It has a rough, wartlike texture on palpation. Based on this description,
what is your most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma - CORRECT ANSWERS-B
A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after being in
the hospital for 6 weeks. She was treated for sepsis and respiratory failure and had to
be on the ventilator for 3 weeks. You are completing your initial assessment and are
evaluating her skin condition. On her sacrum there is full-thickness skin loss that is 5 cm
in diameter, with damage to the subcutaneous tissue. The underlying muscle is not
affected. You diagnose this as a pressure ulcer. What is the stage of this ulcer?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4 - CORRECT ANSWERS-C
An 8-year-old girl comes with her mother for evaluation of hair loss. She denies pulling
or twisting her hair, and her mother has not noted this behavior at all. She does not put
her hair in braids. On physical examination, you note a clearly demarcated, round patch
, of hair loss without visible scaling or inflammation. There are no hair shafts visible.
Based on this description, what
is your most likely diagnosis?
A) Alopecia areata
B) Trichotillomania
C) Tinea capitis
D) Traction alopecia - CORRECT ANSWERS-A
A mother brings her 11 month old to you because her mother-in-law and others have
told her that her baby is jaundiced. She is eating and growing well and performing the
developmental milestones she should for her age. On examination you indeed notice a
yellow tone to her skin from head to toe. Her sclerae are white. To which area should
your next questions be related?
A) Diet
B) Family history of liver diseases
C) Family history of blood diseases
D) Ethnicity of the child - CORRECT ANSWERS-A
A new mother is concerned that her child occasionally "turns blue." On further
questioning, she mentions that this is at her hands and feet. She does not remember
the child's lips turning blue. She is otherwise eating and growing well. What would you
do now?
A) Reassure her that this is normal
B) Obtain an echocardiogram to check for structural heart disease and consult
cardiology
C) Admit the child to the hospital for further observation
D) Question the validity of her story - CORRECT ANSWERS-A
You are examining an unconscious patient from another region and notice Beau's lines,
a transverse groove across all of her nails, about 1 cm from the proximal nail fold. What
would you do next?
A) Conclude this is caused by a cultural practice.
B) Conclude this finding is most likely secondary to trauma.
C) Look for information from family and records regarding any problems which occurred
3 months ago.
D) Ask about dietary intake. - CORRECT ANSWERS-C
Dakota is a 14-year-old boy who just noticed a rash at his ankles. There is no history of
exposure to ill people or other agents in the environment. He has a slight fever in the
office. The rash consists of small, bright red marks. When they are pressed, the red
color remains. What should you do?
A) Prescribe a steroid cream to decrease inflammation.
B) Consider admitting the patient to the hospital.
C) Reassure the parents and the patient that this should resolve within a week.
D) Tell him not to scratch them, and follow up in 3 days. - CORRECT ANSWERS-B
ACTUAL EXAM WITH 400 QUESTIONS AND
CORRECT VERIFIED ANSWERS |ALREADY GRADED
A+
The nurse is preparing to use the Lawton IADL instrument as part of an assessment.
Which
statement about the Lawton IADL instrument is true?
a The nurse uses direct observation to implement this tool.
b The Lawton IADL instrument is designed as a self-report measure of
. performance rather than ability.
c This instrument is not useful in the acute hospital setting.
d This tool is best used for those residing in an institutional setting. - CORRECT
ANSWERS-B
The nurse is assessing an older adults advanced activities of daily living (AADLs), which
would include:
a Recreational activities.
b Meal preparation.
c Balancing the checkbook.
d Self-grooming activities. - CORRECT ANSWERS-A
When using the various instruments to assess an older persons ADLs, the nurse needs
to
remember that a disadvantage of these instruments includes:
a Reliability of the tools.
B Self or proxy reporting of functional activities.
C Lack of confidentiality during the assessment.
D Insufficient details concerning the deficiencies identified. - CORRECT ANSWERS-B
A patient will be ready to be discharged from the hospital soon, and the patients family
members are concerned about whether the patient is able to walk safely outside alone.
The nurse
will perform which test to assess this?
a Get Up and Go Test
b Performance ADLs
c Physical Performance Test
d Tinetti Gait and Balance Evaluation - CORRECT ANSWERS-A
The nurse is assessing the forms of support an older patient has before she is
discharged.
Which of these examples is an informal source of support?
a Local senior center
b Patients Medicare check
c Meals on Wheels meal delivery service
,d Patients neighbor, who visits with her daily - CORRECT ANSWERS-D
An 85-year-old man has been hospitalized after a fall at home, and his 86-year-old wife
is at
his bedside. She tells the nurse that she is his primary caregiver. The nurse should
assess the
A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a
regular skin check-up. She has just returned from her annual dig site in Greece. She
has fair skin and reddish-blonde hair. She has a family history of melanoma. She has
many freckles scattered across her skin. From this description, which of the following is
not a risk factor for melanoma in
this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure - CORRECT ANSWERS-A
You are speaking to an 8th grade class about health prevention and are preparing to
discuss the ABCDEs of melanoma. Which of the following descriptions correctly defines
the ABCDEs?
A) A = actinic; B = basal cell; C = color changes, especially blue; D = diameter >6 mm;
E =evolution
B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D =
diameter >6 mm; E = evolution
C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E = evolution
D) A = asymmetry; B = regular borders; C = color changes, especially orange; D =
diameter >6 mm; E = evolution - CORRECT ANSWERS-B
You are beginning the examination of the skin on a 25-year-old teacher. You have
previously elicited that she came to the office for evaluation of fatigue, weight gain, and
hair loss. You strongly suspect that she has hypothyroidism. What is the expected
moisture and texture of the skin of a patient with hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough - CORRECT ANSWERS-D
A 28-year-old patient comes to the office for evaluation of a rash. At first there was only
one large patch, but then more lesions erupted suddenly on the back and torso; the
lesions itch. On physical examination, 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 diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema - CORRECT ANSWERS-A
,A 19-year-old construction worker presents for evaluation of a rash. 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 his job.
On physical examination, 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 diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema - CORRECT ANSWERS-B
A 68-year-old retired farmer comes to your office for evaluation of a skin lesion. On the
right temporal area of the forehead, you see a flattened papule the same color as his
skin, covered by a dry scale that is round and feels hard. He has several more of these
scattered on the forehead, arms, and legs. Based on this description, what is your most
likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma - CORRECT ANSWERS-A
A 58-year-old gardener comes to your office for evaluation of a new lesion on her upper
chest. The lesion appears to be "stuck on" and is oval, brown, and slightly elevated with
a flat surface. It has a rough, wartlike texture on palpation. Based on this description,
what is your most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma - CORRECT ANSWERS-B
A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after being in
the hospital for 6 weeks. She was treated for sepsis and respiratory failure and had to
be on the ventilator for 3 weeks. You are completing your initial assessment and are
evaluating her skin condition. On her sacrum there is full-thickness skin loss that is 5 cm
in diameter, with damage to the subcutaneous tissue. The underlying muscle is not
affected. You diagnose this as a pressure ulcer. What is the stage of this ulcer?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4 - CORRECT ANSWERS-C
An 8-year-old girl comes with her mother for evaluation of hair loss. She denies pulling
or twisting her hair, and her mother has not noted this behavior at all. She does not put
her hair in braids. On physical examination, you note a clearly demarcated, round patch
, of hair loss without visible scaling or inflammation. There are no hair shafts visible.
Based on this description, what
is your most likely diagnosis?
A) Alopecia areata
B) Trichotillomania
C) Tinea capitis
D) Traction alopecia - CORRECT ANSWERS-A
A mother brings her 11 month old to you because her mother-in-law and others have
told her that her baby is jaundiced. She is eating and growing well and performing the
developmental milestones she should for her age. On examination you indeed notice a
yellow tone to her skin from head to toe. Her sclerae are white. To which area should
your next questions be related?
A) Diet
B) Family history of liver diseases
C) Family history of blood diseases
D) Ethnicity of the child - CORRECT ANSWERS-A
A new mother is concerned that her child occasionally "turns blue." On further
questioning, she mentions that this is at her hands and feet. She does not remember
the child's lips turning blue. She is otherwise eating and growing well. What would you
do now?
A) Reassure her that this is normal
B) Obtain an echocardiogram to check for structural heart disease and consult
cardiology
C) Admit the child to the hospital for further observation
D) Question the validity of her story - CORRECT ANSWERS-A
You are examining an unconscious patient from another region and notice Beau's lines,
a transverse groove across all of her nails, about 1 cm from the proximal nail fold. What
would you do next?
A) Conclude this is caused by a cultural practice.
B) Conclude this finding is most likely secondary to trauma.
C) Look for information from family and records regarding any problems which occurred
3 months ago.
D) Ask about dietary intake. - CORRECT ANSWERS-C
Dakota is a 14-year-old boy who just noticed a rash at his ankles. There is no history of
exposure to ill people or other agents in the environment. He has a slight fever in the
office. The rash consists of small, bright red marks. When they are pressed, the red
color remains. What should you do?
A) Prescribe a steroid cream to decrease inflammation.
B) Consider admitting the patient to the hospital.
C) Reassure the parents and the patient that this should resolve within a week.
D) Tell him not to scratch them, and follow up in 3 days. - CORRECT ANSWERS-B
