NSG 6020 Midterm Exam Questions And Answers (Latest): South University

NSG 6020 Midterm Exam Questions And Answers
(Latest): South University

6020 Midterm Testl/ l/




When preparing to perform a physical examination on an infant, the examiner should:
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Question 1 options: l/ l/




have the parent remove all clothing except the diaper on a boy.
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instruct the parent to feed the infant immediately before the exam.
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encourage the infant to suck on a pacifier during the abdominal exam. l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/




ask the parent to briefly leave the room when assessing the infant’s vital signs.
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A patient’s laboratory data reveal an elevated thyroxine level. The nurse would proceed with an examination of the:
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Question 2 options:
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thyroid gland. l/




parotid gland. l/




adrenal gland. l/




thyroxine gland. l/




The nurse practitioner is doing an oral assessment on a 40-year-old black patient and notes the presence of a 1-cm, nontender, grayish-
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white lesion on the left buccal mucosa. Which of the following is true concerning this lesion?
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Question 3 options: l/ l/




This lesion is leukoedema and is common in blacks.
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This is the result of hyperpigmentation and is normal.
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This is torus palatinus and would normally only be found in smokers.
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This type of lesion is indicative of cancer and should be tested immediately.
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During an examination, the nurse knows that Paget’s disease would be indicated by which of the following findings?
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Question 4 options:
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Positive Macewen’s sign l/ l/




Premature closure of the sagittal suture l/ l/ l/ l/ l/




Headache, vertigo, tinnitus, and deafness
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Elongated head with heavy eyebrow ridge l/ l/ l/ l/ l/




A 30-year-old woman with a history of mitral valve problems states that she has been “very tired.” She has started waking up at night and
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feels like her “heart is pounding.” During the assessment, the nurse practitioner palpates a thrill and lift at the fifth left intercostal space
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midclavicular line. In the same area the nurse practitioner also auscultates a blowing, swishing sound right after S1. These findings would
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be most consistent with:
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,Question 5 options:
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heart failure.
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aortic stenosis.
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, pulmonary edema. l/




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regurgitation.
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The nurse practitioner notices that a patient’s submental lymph nodes are enlarged. In an effort to identify the cause of the node
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enlargement, the nurse would assess the:
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Question 6 options: l/ l/




infraclavicular area. l/




supraclavicular area. l/




area distal to the enlarged node.
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area proximal to the enlarged node.
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During an assessment of a newborn infant, the nurse practitioner recalls that pyloric stenosis would be manifested
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by: Question 7 options:
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projectile vomiting. l/




hypoactive bowel activity. l/ l/




palpable olive-sized mass in right lower quadrant. l/ l/ l/ l/ l/ l/




pronounced peristaltic waves crossing from right to left. l/ l/ l/ l/ l/ l/ l/




A patient has been shown to have a sensorineural hearing loss. During the assessment, it would be important for the nurse to:
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Question 8 options:
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speak loudly so he can hear the questions.l/ l/ l/ l/ l/ l/ l/




assess for middle ear infection as a possible cause.
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ask the patient what medications he is currently taking.
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look for the source of the obstruction in the external
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ear.
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The most important reason to share information and offer brief teaching while performing the physical examination is to help:
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Question 9 options:
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the examiner feel more comfortable and gain control of the situation.
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build rapport and increase the patient’s confidence in the examiner.
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the patient understand his or her disease process and treatment modalities.
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the patient identify questions about his or her disease and potential areas of patient
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education.
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A patient’s thyroid is enlarged, and the nurse practitioner is preparing to auscultate the thyroid for the presence of a bruit. A bruit is a:
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Question 10 options:
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low gurgling sound best heard with the diaphragm of the stethoscope.
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loud, whooshing, blowing sound best heard with the bell of the stethoscope.
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