NSG 6020: Health Assessment

Question 1 (2 points) In performing an examination of a 3-year-old with a suspected ear infection, the nurse practitioner would: Question 1 options: omit the otoscopic exam if the child has a fever. pull the ear up and back before inserting the speculum. ask the mother to leave the room while examining the child. Save Question 2 (2 points) A female patient tells the nurse that she has had six pregnancies, with four live births at term and two spontaneous abortions. Her four children are still living. How would the nurse record this information? Question 2 options: P-6, B-4, (S)Ab-2. Patient has had four living babies. perform the otoscopic examination at the end of the assessment. Grav 6, Term 4, (S)Ab 2, Living 4. firm but freely movable. Patient has been pregnant six times. Save Question 3 (2 points) During an examination of a female patient, the nurse practitioner notes lymphadenopathy and suspects an acute infection. Acutely infected lymph nodes would be: Question 3 options: clumped. unilateral. hard and nontender. Save Question 4 (2 points) A visitor from Poland who does not speak English seems to be somewhat apprehensive about the nurse practitioner examining his neck. He would probably be most comfortable with the nurse practitioner examining his thyroid: Question 4 options: from behind with the examiner’s hands placed firmly around his neck. from the side with the examiner’s eyes averted toward the ceiling and thumbs on his neck. from the front with the examiner’s thumbs placed on either side of his trachea and his head tilted backward. Save Question 5 (2 points) When palpating the abdomen of a 20-year-old patient, the nurse practitioner notes the presence of tenderness in the left upper quadrant with deep palpation. Which of the following structures is most likely to be involved? Question 5 options: Sigmoid Appendix Gallbladder Save Question 6 (2 points) A 6-month-old infant has been brought to the well-child clinic for a check-up. She is currently sleeping. What should the examiner do first? Question 6 options: from the front with the examiner’s thumbs placed on either side of his trachea and his head tilted forward. Spleen Auscultate the lungs and heart while the infant is still sleeping. Pulmonary edema Examine the infant’s hips because this procedure is uncomfortable. Begin with the assessment of the eye and continue with the remainder of the examination in a head-to-toe approach. Wake the infant before beginning any portion of the examination to obtain the most accurate assessment of body systems. Save Question 7 (2 points) During a morning assessment, the nurse practitioner notes that the patient’s sputum is frothy and pink. Which condition could this finding indicate? Question 7 options: Croup Tuberculosis Viral infection Save Question 8 (2 points) myxedema. A woman comes to the clinic and states, “My eyes have gotten so puffy, and my eyebrows and hair have become coarse and dry.” The nurse practitioner suspects: Question 8 options: cachexia. cretinism. scleroderma. Save Question 9 (2 points) In performing auscultation of heart sounds, which sequence would the nurse practitioner use? Question 9 options: Pulmonic area—aortic area—Erb’s point—tricuspid area—mitral area Aortic area—tricuspid area—Erb’s point—mitral area—pulmonic area Pulmonic area—Erb’s point—tricuspid area—pulmonic area—mitral area Save Question 10 (2 points) Aortic area—pulmonic area—Erb’s point—tricuspid area—mitral area During an admission assessment, the nurse practitioner notices that a male patient has an enlarged and rather thick skull. The nurse practitioner suspects acromegaly and would further assess for: Question 10 options: exophthalmos. bowed long bones. an acorn-shaped cranium. Save Question 11 (2 points) During an examination of a patient in her third trimester of pregnancy, the nurse practitioner notices that the patient’s thyroid gland is slightly enlarged. No enlargement had been noted previously. The nurse practitioner suspects that: Question 11 options: she has an iodine deficiency. she is exhibiting early signs of goiter. further tests are needed for possible thyroid cancer. Save Question 12 (2 points) coarse facial features. this is a normal finding during pregnancy. During an assessment of a newborn infant, the nurse practitioner recalls that pyloric stenosis would be manifested by: Question 12 options: hypoactive bowel activity. palpable olive-sized mass in right lower quadrant. pronounced peristaltic waves crossing from right to left. Save Question 13 (2 points) The nurse practitioner is obtaining a history from a 30-year-old male patient and is concerned about health promotion activities. Which of the following questions would be appropriate to use to assess health promotion activities for this patient? Question 13 options: “Have you ever noticed any pain in your testicles?” “Have you had any problems with passing your urine?” “Do you have any history of sexually transmitted disease?” projectile vomiting. “Do you perform testicular self-exams?” Save Question 14 (2 points) Which of the following best describes the purpose of a functional assessment? Question 14 options: It assesses how the individual is coping with life at home. It determines how children are meeting developmental milestones. It can identify any problems with memory the individual may be experiencing. Save Question 15 (2 points) A mother brings her newborn in for an assessment and asks, “Is there something wrong with my baby? His head seems so big.” The nurse practitioner knows the following about relative proportions of the head and trunk of the newborn: Question 15 options: At birth, the head is one fifth the total length. The head size reaches 90% of its final size when the child is 3 years old. With the elderly, it helps to determine how they are managing day-to-day activities. Head circumference should be greater than chest circumference at birth. When the anterior fontanel closes at 2 months, the head will be more proportioned to the body. Save Question 16 (2 points) When performing a physical assessment, the technique the nurse practitioner will always use first is: Question 16 options: palpation. percussion. auscultation. Save Question 17 (2 points) The mother of a 2-year-old is concerned because her son has had three ear infections in the past year. What would be an appropriate response by the nurse practitioner? Question 17 options: . “It is unusual for a small child to have frequent ear infections unless there is something else wrong.” “We need to check the immune system of your son to see why he is having so many ear infections.” “Ear infections are not uncommon in infants and toddlers because they tend to have more cerumen in the inspection. external ear.” Save Question 18 (2 points) Which technique of assessment is used to determine the presence of crepitus, swelling, and pulsations? Question 18 options: Inspection Percussion Auscultation Save Question 19 (2 points) Percussion notes heard during the abdominal assessment may include: Question 19 options: flatness, resonance, and dullness. resonance, dullness, and tympany. “Your son’s eustachian tube is shorter and wider than yours because of his age, which allows for infections to develop more easily.” Palpation mental illness. resonance, hyperresonance, and flatness. Save Question 20 (2 points) The nurse practitioner is taking a family history. Important diseases or problems to ask the patient about include: Question 20 options: emphysema. head trauma. fractured bones. Save Question 21 (2 points) The nurse practitioner is preparing to assess a patient’s abdomen by palpation. How should the nurse practitioner proceed? Question 21 options: Avoid palpation of reported “tender” areas because this may cause the patient pain. Quickly palpate the area to avoid any discomfort that the patient may experience. tympany, hyperresonance, and dullness. Meningeal inflammation Begin the assessment with deep palpation, encouraging the patient to relax and take deep breaths. Save Question 22 (2 points) A 19-year-old college student is brought to the emergency department with a severe headache he describes as “Like nothing I’ve ever had before.” His temperature is 104° F, and he has a stiff neck. What do these signs and symptoms suggest? Question 22 options: Head injury Cluster headache Migraine headache Save Question 23 (2 points) A patient has been diagnosed with pernicious anemia. The nurse practitioner knows that this condition could be related to: Start with light palpation to detect surface characteristics and to accustom the patient to being touched. Question 23 options: increased gastric acid secretion. delayed gastrointestinal emptying time. increased gastrointestinal emptying time. Save Question 24 (2 points) A patient presents with excruciating headache pain on one side of his head, especially around his eye, forehead, and cheek that lasts about 1/2 to 2 hours, occurring once or twice each day. The nurse practitioner suspects: Question 24 options: hypertension. tension headaches. migraine headaches. Save Question 25 (2 points) The temporomandibular joint is just below the temporal artery and anterior to the: decreased gastric acid secretion. cluster headaches. tragus. Question 25 options: hyoid. vagus. mandible. Save Question 26 (2 points) The nurse practitioner is preparing to examine a 4-year-old child. Which action is appropriate first? Question 26 options: Explain procedures in detail to alleviate the child’s anxiety. Do not ask the child to remove his clothes because children at this age are usually very private. Perform an examination of the ear, nose, and throat first and then examine the thorax and abdomen. Save Question 27 (2 points)