NURS-6512N-29 Advanced Health Assessment Review Test Submission: Exam - Week 6

Content Status Completed Score 96 out of 100 points Results Displayed Submitted Answers, Incorrectly Answered Questions • Question 1 0 out of 0 points When completing this exam, did you comply with Walden University's Code of Conduct including the expectations for academic integrity? Selected Answer: Yes • Question 2 0 out of 1 points A tool used to screen adolescents for alcoholism is the: lOMoARcPSD| Selected Answer: CRAFFT. • Question 3 1 out of 1 points Which question would be considered a leading question? Selected Answer: "You don't get headaches often, do you?" • Question 4 1 out of 1 points Mrs. Berger is a 39-year-old woman who presents with a complaint of epigastric abdominal pain. You have completed the inspection of the abdomen. What is your next step in the assessment process? Selected Answer: Auscultation • Question 5 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 6 lOMoARcPSD| 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 7 1 out of 1 points The most superior part of the stomach is the: Selected Answer: fundus. • Question 8 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 Answer: given the opportunity to be interviewed without the parent at some point during the interview. • Question 9 1 out of 1 points White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are: lOMoARcPSD| Selected Answer: aphthous ulcers. • Question 10 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 Answer: myopia. • Question 11 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 12 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 Answer: B. hyperthyroidism. • Question 13 lOMoARcPSD| 0 out of 1 points The adult recommended dietary fat intake should be g/day. Selected Answer: 44 to 78 • Question 14 1 out of 1 points Which of the following is the most accurate reflection of an individual's food intake? Selected Answer: Food diary • Question 15 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 16 1 out of 1 points Bulging of an amber tympanic membrane without mobility is most often associated with: Selected Answer: middle ear effusion. lOMoARcPSD| • Question 17 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 18 1 out of 1 points Sweat glands, hair, and nails are all formed from: Selected Answer: C. invaginations of epidermis into dermis. • Question 19 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 20 1 out of 1 points lOMoARcPSD| 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 21 1 out of 1 points Before performing an abdominal examination, the examiner should: Selected Answer: have the patient empty his or her bladder. • Question 22 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 23 1 out of 1 points When taking a history, you should: Selected Answer: use a chronologic and sequential framework. lOMoARcPSD| • Question 24 1 out of 1 points Which is the best way to position a patient's neck for palpation of the thyroid? Selected Answer: C. Flexed toward the side being examined • Question 25 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 Answer: cricoid. • Question 26 1 out of 1 points Periods of silence during the interview can serve important purposes, such as: Selected Answer: providing time for reflection. • Question 27 1 out of 1 points When palpating the abdomen, you should note whether the liver is enlarged in the: lOMoARcPSD| Selected Answer: right upper quadrant. • Question 28 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 Answer: C. a normal thyroid gland. • Question 29 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 flank. • Question 30 1 out of 1 points During an interview, tears appear in the patient's eyes and his voice becomes shaky. Initially, you should: Selected Answer: offer a tissue and let him know it is all right to cry. • Question 31 lOMoARcPSD| 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 32 1 out of 1 points Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence? Selected Answer: Realize that cultural values are difficult to change and must be respected. • Question 33 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 34 1 out of 1 points During an interview, you have the impression that a patient may be considering suicide. Which action is essential? lOMoARcPSD| Selected Answer: Ask whether the patient has considered self-harm. • Question 35 1 out of 1 points A detailed description of the symptoms related to the chief complaint is presented in the: Selected Answer: history of present illness. • Question 36 1 out of 1 points Which statement is true regarding the relationship of physical characteristics and culture? Selected Answer: There is a difference between distinguishing cultural characteristics and distinguishing physical characteristics. • Question 37 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 38 1 out of 1 points lOMoARcPSD| 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: A. plaque. • Question 39 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 40 1 out of 1 points Mrs. Hartzell is a 34-year-old patient who has presented for nutritional counseling because she is a vegetarian. Deficiency of which of the following is a concern in the vegetarian diet? Selected Answer: Vitamin B12 • Question 41 1 out of 1 points Fluorescing lesions are best distinguished using a(n):