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NURS 6512N Midterm Exam

NURS 6512N Midterm Exam 3 - Question and Answers NURS 6512N Midterm Exam 3 1. 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? 2. Inspection of the abdomen should begin with the patient supine and the examiner: 3. Which of the following is the most vital nutrient? 4. 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: 5. A blood pressure cuff bladder should be long enough to: 6. Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence? 7. 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? 8. 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? 9. The most superior part of the stomach is the: 10. Auscultation should be carried out last, except when examining the: 11. Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish: 12. Brittle nails are typical findings in: 13. In examining the neck of a 34-year-old female patient, you note that the uppermost ridge of the tracheal cartilage is at the: 14. 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? 15. Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the: 16. 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: 17. Differential diagnoses belong in the: 18. The position on a clock, topographic notations, and anatomic landmarks: 19. 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? 20. 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? 21. The review of systems is a component of the: 22. Which technique is most likely to result in the patient's understanding of questions? 23. Coarse, dry, and brittle hair is associated with which metabolic disorder? 24. 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: 25. Placing the base of a vibrating tuning fork on the midline vertex of the patient's head is a test for: 26. Nasal symptoms that imply an allergic response include: 27. The adult recommended dietary fat intake should be _____ g/day. 28. Which of the following occurs when firm pressure is used to apply the stethoscope's bell end-piece to the skin? 29. To correctly document absent bowel sounds, one must listen continuously for: 30. Small, minute bruises are called: 31. Subjective and symptomatic data are: 32. Which cranial nerves innervate the face? 33. Before performing an abdominal examination, the examiner should: 34. Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)? 35. Which question would be considered a leading question? 36. 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? 37. When communicating with older children and teenagers, you should be sensitive to their: 38. In counseling a client regarding nutrition education, you explain that linoleic acid, a major fatty acid, is thought to be essential for: 39. After thorough inspection of the abdomen, the next assessment step is: 40. Penicillin is considered a 41. 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? 42. Mrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the: 43. White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are: 44. Nuchal rigidity is most commonly associated with: 45. Which of the following is the most accurate reflection of an individual's food intake? 46. 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? 47. When taking a history, you should: 48. 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: 49. 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): 50. Ms. Davis is a 27-year-old patient with a BMI of 33. Based on her BMI, your diagnosis would be: 51. A tool used to screen adolescents for alcoholism is the: 52. Peritonitis produces bowel sounds that are: 53. Knowledge of the culture or cultures represented by the patient should be used to: 54. 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: 55. Which of the following is an expected change in the assessment of the thyroid during pregnancy? 56. 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: 57. A 5-year-old child presents with nasal congestion and a headache. To assess for sinus tenderness you should palpate over the: 58. When examining the skull of a 4-month-old baby, you should normally find: 59. A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the: 60. When you are questioning a patient regarding alcohol intake, she tells you that she is only a social drinker. Which initial response is appropriate? 61. Which of the following organs is part of the alimentary tract? 62. 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: 63. Regardless of the origin, discharge is described by noting: 64. Ms. Jones is a 31-year-old female patient who presents for a routine physical examination. Which examination technique will be used first? 65. During an interview, tears appear in the patient's eyes and his voice becomes shaky. Initially, you should: 66. Which technique is most likely to result in the patient's understanding of questions? 67. When are open-ended questions generally most useful? 68. 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: 69. Which part of the information contained in the patient's record may be used in court? 70. Under normal circumstances, how much water is lost daily by the body? 71. Before performing an abdominal examination, the examiner should: 72. When assessing abdominal pain in a college-age woman, one must include: 73. During percussion, a dull tone is expected to be heard over: 74. A guideline for history taking is for caregivers to: 75. 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: 76. Tangential lighting is best used for inspecting skin: 77. Spasmodic muscular contractions of the head, face, or neck are called: 78. Mr. Donalds is a 45-year-old roofer. Your inspection to determine color variations of the skin is best conducted: 79. Mrs. Kinder is a 39-year-old patient who presents to the office 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? 80. A fixed image of any group that rejects its potential for originality or individuality is known as a(n): 81. In issues surrounding ethical decision making, beneficence refers to the: 82. Recommended carbohydrate content of total dietary intake (% total calories) is ____%. 83. Tympanic thermometers measure body temperature when a probe is placed: 84. The most common form of birth trauma of the scalp is: 85. 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: 86. Unusual white areas on the skin may be due to: 87. Periods of silence during the interview can serve important purposes, such as: 88. A brief statement of the reason the patient is seeking health care is called the: 89. When assessing abdominal pain in a college-age woman, one must include: 90. When palpating the abdomen, you should note whether the liver is enlarged in the: 91. You are using an ophthalmoscope to examine a patient's inner eye. You rotate the lens selector clockwise, then counterclockwise to compensate for: 92. 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. 93. The recommended minimum daily protein requirement for the normal adult is ______. 94. Expected hair distribution changes in older adults include: 95. A flat, nonpalpable lesion is described as a macule if the diameter is: 96. To perform the Rinne test, place the tuning fork on the: 97. The term denoting the caregiver's need to do no harm to the patient is: 98. When recording physical findings, which data are recorded first for all systems? 99. 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: 100. 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?

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