NURS 6512 Final Exam Graded A+

• Question 1 • Question 2 • Question 3 Selected Answer: Kerni g The reliability of health-related findings and observations is the responsibility of the: Selected Answer: professional and the patient. The finger-to-nose test allows assessment of: Selected Answer: coordination and fine motor function. In the most effective percussion technique of the posterior lung fields, the patient cooperates by: Selected Answer: folding the arms in front. While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding: Selected Answer: alcohol, tobacco, and caffeine use. An idiopathic spasm of arterioles in the digits is termed: Selected Answer: Raynaud disease. A 25 yo AA female has come to the clinic because she has missed her menstrual period this month and 2 months before. She says her cycles are irregular and she wants to be on birth control to help regulate them. She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is to: Selected Answer: suggest a pregnancy test • Question 4 • Question 5 • Question 6 • Question 7 • Question 8 • Question 9 • Question 10 Assessing orientation to person, place, and time helps determine: Selected Answer: state of consciousness. A pulsation that is diminished to the point of being barely palpable would be graded as: Selected 1 Answer: Normal changes of the aging brain include: Selected Answer: diminished perception of touch. A red, hot swollen joint in a 40-year-old man should lead you to suspect: Selected Answer: gou t. A positive straight leg raise test usually indicates: Selected Answer: lumbar nerve root irritation. 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 Answer: Atrial Flutter Which one of the following is a proper technique for use of a speculum during a vaginal examination? • Question 11 • Question 16 • Question 15 • Question 14 • Question 13 • Question 12 Selected Answer: Press introitus downward; insert closed speculum obliquely. An elderly female was recently diagnosed with osteoporosis 2 weeks ago. What is the hallmark appearance of a patient with this diagnosis? Selected Answer: Dowager hump When palpating joints, crepitus may occur when: Selected Answer: irregular bony surfaces rub together. The adnexa of the uterus are composed of the: Selected Answer: fallopian tubes and ovaries. Temporalis and masseter muscles are evaluated by: Selected Answer: having the patient clench his or her teeth. The strength of the trapezius muscle is evaluated by having the patient: Selected Answer: push her head against the examiner's hand. Bimanual examination of the uterus includes: Selected Answer: grasping the cervix between the examining fingers. 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: • Question 17 • Question 18 • Question 19 • Question 20 • Question 21 • Question 22 • Question 23 Selected Answer: cerebellar ataxia. At your first meeting with a patient, it is usually best to say: Selected Answer: "Tell me about yourself." A cervical polyp usually appears as a: Selected Answer: bright-red soft protrusion from the endocervical canal. 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 Answer: Cocaine use The Denver II is a tool used to determine: Selected Answer: whether a child is developing as expected. An examiner has rotated a brush several times into the cervical os. The brush was withdrawn and stroked lightly on a glass slide. The slide was sprayed with fixative. Which type of specimen requires this technique for collection? Selected Answer: Cytology smear An apical PMI palpated beyond the left fifth intercostal space may indicate: Selected Answer: left ventricular hypertrophy. • Question 24 • Question 25 • Question 26 • Question 27 • Question 28 • Question 29 • Question 30 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. If pitting edema is unilateral, you would suspect occlusion of a: Selected Answer: major vein. To hear diastolic heart sounds, you should ask patients to: Selected Answer: lie on their left sides. 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 Answer: Second degree heart block, type 1: Wenckebach/Mobitz 1 Diabetic peripheral neuropathy will likely produce: Selected Answer: diminished pain sensation. Postural hypotension is defined as a when the patient stands, compared with sitting or supine readings. Selected Answer: systolic pressure drop of more than 15 mm Hg with a pulse rate increase 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 perform the examination while the child is in the mother's lap. • Question 31 • Question 32 • Question 33 • Question 34 • Question 35 • Question 36 • Question 37 Answer: Tarry black stool should make you suspect: Selected Answer: upper intestinal bleeding. Palpation of epitrochlear nodes is part of the: Selected Answer: examination of the upper extremities. The Mini-Mental State Examination should be administered for the patient who: Selected Answer: gets lost in her neighborhood. You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should: Selected Answer: inquire about previous penile infections. 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 Answer: are usual conditions during pregnancy. Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of: Selected Answer: older adults. Facial muscle or tongue weakness may result in: • Question 38 • Question 39 • Question 40 • Question 41 • Question 42 • Question 43 Selected Answer: aphasi a. The Mini-Mental State Examination: Selected Answer: may be used to quantitatively estimate cognitive changes. Which one of the following techniques is used to detect a torn meniscus? Selected Answer: McMurray test The checkout station for preparticipation physical evaluation (PPE) is critical because at this point: Selected Answer: coordination of follow-ups is reviewed. When is the mental status portion of the neurologic system examination performed? Selected Answer: Constantly, throughout the entire interaction with a patient Which of the following statements is true regarding the examination of peripheral arteries? Selected Answer: The pulses are most readily felt over bony prominences. The physical assessment technique most frequently used to assess joint symmetry is: Selected Answer: inspectio n. A 56-year-old male presents to the clinic to see the nurse practitioner with complaints of • Question 44 • Question 45 • Question 46 • Question 47 • Question 48 • Question 49 • Question 50 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 Answer: Right Sided Congestive Heart Failure 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: +. Throughout the history and physical examination, the clinician should: Selected Answer: evaluate the whole patient. Montgomery tubercles are most prominent in the breasts of: Selected Answer: pregnant women. 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 Answer: lung consolidation. 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 Answer: Mini-Mental State Examination.