6020 MIDTERM QUESTIONS AND
ANSWERS
A bpatient btells bthe bnurse bthat bshe bhas bhad babdominal bpain bfor bthe bpast bweek.
bWhat bwould bbe bthe bbest bresponse bby bthe bnurse? b- bcorrect banswer✔✔"Can byou
bpoint bto bwhere bit bhurts?"
A bpatient's blaboratory bdata breveal ban belevated bthyroxine blevel. bThe bnurse bwould
bproceed bwith ban bexamination bof bthe: b- bcorrect banswer✔✔Thyroid
A b6-month-old binfant bhas bbeen bbrought bto bthe bwell-child bclinic bfor ba bcheck-up.
bShe bis bcurrently bsleeping. bWhat bshould bthe bexaminer bdo bfirst? b- bcorrect
banswer✔✔Auscultate bthe blungs band bheart bwhile bthe binfant bis bstill bsleeping
When bpreparing bto bexamine ba b6-year-old bchild, bwhich baction bis bmost bappropriate?
b- bcorrect banswer✔✔Start bwith bthe bthorax, babdomen, band bgenitalia bbefore
bexamining bthe bhead. bAvoid btalking babout bthe bequipment bbeing bused bbecause bit
bmay bincrease bthe bchild's banxiety. bKeep bin bmind bthat ba bchild bthis bage bwill bhave ba
bsense bof bmodesty. bHave bthe bchild bundress bfrom bthe bwaist bup.
68-year-old bwoman bis bin bthe beye bclinic bfor ba bcheckup. bShe btells bthe bnurse bthat
bshe bhas bbeen bhaving btrouble bwith breading bthe bpaper, bsewing, band beven bseeing
bthe bfaces bof bher bgrandchildren. bOn bexamination, bthe bnurse bnotes bthat bshe bhas
bsome bloss bof bcentral bvision bbut bher bperipheral bvision bis bnormal. bThese bfindings
bsuggest bthat: b- bcorrect banswer✔✔She bmay bhave bmacular bdegeneration
In bassessing ba bpatient's bmajor brisk bfactors bfor bheart bdisease, bwhich bwould bthe
bnurse bwant bto binclude bwhen btaking ba bhistory?
1.Family bhistory, bhypertension, bstress, bage
2.Personality btype, bhigh bcholesterol, bdiabetes, bsmoking
3.Smoking, bhypertension, bobesity, bdiabetes, bhigh bcholesterol
4.Alcohol bconsumption, bobesity, bdiabetes, bstress, bhigh bcholesterol b- bcorrect
banswer✔✔3. bSmoking, bhypertension, bobesity, bdiabetes, bhigh bcholesterol
A bteenage bpatient bcomes bto bthe bemergency bdepartment bwith bcomplaints bof ban
binability bto bbreathe band ba bsharp bpain bin bthe bleft bside bof bhis bchest. bThe
bassessment bfindings binclude bcyanosis, btachypnea, btracheal bdeviation bto bthe bright,
bdecreased btactile bfremitus bon bthe bleft, bhyperresonance bon bthe bleft, band
bdecreased bbreath bsounds bon bthe bleft. bThe bnurse binterprets bthat bthese
bassessment bfindings bare bconsistent
with: b- bcorrect banswer✔✔a bpneumothorax
, During ba bhearing bassessment bthe bnurse bpractitioner bfinds bthat bsound blateralizes
bto bthe bpatient's bleft bear bwith bthe bWeber btest. bWhat bcan bthe bnurse bpractitioner
bconclude bfrom bthis? b- bcorrect banswer✔✔The bpatient bhas ba bconductive bhearing
bloss bin bthe bright bear. bLateralization bis ba bnormal bfinding bwith bthe bWeber btest. bThe
bpatient bcould bhave beither ba bsensorineural bor ba bconductive bloss. bA bmistake bhas
boccurred; bthe btest bmust bbe brepeated.
The bmost bimportant breason bto bshare binformation band boffer bbrief bteaching bwhile
bperforming bthe bphysical bexamination bis bto bhelp:
1.the bexaminer bfeel bmore bcomfortable band bgain bcontrol bof bthe bsituation.
2.build brapport band bincrease bthe bpatient's bconfidence bin bthe bexaminer.
3.the bpatient bunderstand bhis bor bher bdisease bprocess band btreatment bmodalities.
4.the bpatient bidentify bquestions babout bhis bor bher bdisease band bpotential bareas bof
bpatient beducation. b- bcorrect banswer✔✔2. bbuild brapport band bincrease bthe bpatient's
bconfidence bin bthe bexaminer.
In bassessing bthe bsclera bof ba bblack bpatient, bwhich bof bthe bfollowing bwould bbe ban
bexpected bfinding? b- bcorrect banswer✔✔The bpresence bof bsmall bbrown bmacules bon
bthe bsclera
During ban bexamination, bthe bnurse bknows bthat bthe bbest bway bto bpalpate bthe blymph
bnodes bin bthe bneck bis bdescribed bby bwhich bstatement? b- bcorrect banswer✔✔Using
bgentle bpressure, bpalpate bwith bboth bhands bto bcompare bthe btwo bsides.
The bnurse bis bobtaining ba bhistory bfrom ba b30-year-old bmale bpatient band bis
bconcerned babout bhealth bpromotion bactivities. bWhich bof bthe bfollowing bquestions
bwould bbe bappropriate bto buse bto bassess bhealth bpromotion bactivities bfor bthis
bpatient?
1. b"Do byou bperform btesticular bself-exams?"
2. b"Have byou bever bnoticed bany bpain bin byour btesticles?"
3. b"Have byou bhad bany bproblems bwith bpassing byour burine?"
4. b"Do byou bhave bany bhistory bof bsexually btransmitted bdisease?" b- bcorrect
banswer✔✔1. b"Do byou bperform btesticular bself-exams?"
When bexamining ba b16-year-old bmale bteenager, bthe bexaminer bshould: b- bcorrect
banswer✔✔provide bfeedback bthat bhis bbody bis bdeveloping bnormally band bdiscuss
bthe bwide bvariation bamong bteenagers bon bthe brate bof bgrowth band bdevelopment.
Which bof bthe bfollowing bstatements bregarding bthe baging badult band babdominal
bassessment bis btrue? b- bcorrect banswer✔✔the babdominal bmusculature bis bthinner
In brecording bthe bchildhood billnesses bof ba bpatient bwho bdenies bhaving bhad bany,
bwhich bof bthe bfollowing bnotes bby bthe bnurse bwould bbe bmost baccurate?
1. bPatient bdenies busual bchildhood billnesses.
2. bPatient bstates bhe bwas ba b"very bhealthy" bchild.
ANSWERS
A bpatient btells bthe bnurse bthat bshe bhas bhad babdominal bpain bfor bthe bpast bweek.
bWhat bwould bbe bthe bbest bresponse bby bthe bnurse? b- bcorrect banswer✔✔"Can byou
bpoint bto bwhere bit bhurts?"
A bpatient's blaboratory bdata breveal ban belevated bthyroxine blevel. bThe bnurse bwould
bproceed bwith ban bexamination bof bthe: b- bcorrect banswer✔✔Thyroid
A b6-month-old binfant bhas bbeen bbrought bto bthe bwell-child bclinic bfor ba bcheck-up.
bShe bis bcurrently bsleeping. bWhat bshould bthe bexaminer bdo bfirst? b- bcorrect
banswer✔✔Auscultate bthe blungs band bheart bwhile bthe binfant bis bstill bsleeping
When bpreparing bto bexamine ba b6-year-old bchild, bwhich baction bis bmost bappropriate?
b- bcorrect banswer✔✔Start bwith bthe bthorax, babdomen, band bgenitalia bbefore
bexamining bthe bhead. bAvoid btalking babout bthe bequipment bbeing bused bbecause bit
bmay bincrease bthe bchild's banxiety. bKeep bin bmind bthat ba bchild bthis bage bwill bhave ba
bsense bof bmodesty. bHave bthe bchild bundress bfrom bthe bwaist bup.
68-year-old bwoman bis bin bthe beye bclinic bfor ba bcheckup. bShe btells bthe bnurse bthat
bshe bhas bbeen bhaving btrouble bwith breading bthe bpaper, bsewing, band beven bseeing
bthe bfaces bof bher bgrandchildren. bOn bexamination, bthe bnurse bnotes bthat bshe bhas
bsome bloss bof bcentral bvision bbut bher bperipheral bvision bis bnormal. bThese bfindings
bsuggest bthat: b- bcorrect banswer✔✔She bmay bhave bmacular bdegeneration
In bassessing ba bpatient's bmajor brisk bfactors bfor bheart bdisease, bwhich bwould bthe
bnurse bwant bto binclude bwhen btaking ba bhistory?
1.Family bhistory, bhypertension, bstress, bage
2.Personality btype, bhigh bcholesterol, bdiabetes, bsmoking
3.Smoking, bhypertension, bobesity, bdiabetes, bhigh bcholesterol
4.Alcohol bconsumption, bobesity, bdiabetes, bstress, bhigh bcholesterol b- bcorrect
banswer✔✔3. bSmoking, bhypertension, bobesity, bdiabetes, bhigh bcholesterol
A bteenage bpatient bcomes bto bthe bemergency bdepartment bwith bcomplaints bof ban
binability bto bbreathe band ba bsharp bpain bin bthe bleft bside bof bhis bchest. bThe
bassessment bfindings binclude bcyanosis, btachypnea, btracheal bdeviation bto bthe bright,
bdecreased btactile bfremitus bon bthe bleft, bhyperresonance bon bthe bleft, band
bdecreased bbreath bsounds bon bthe bleft. bThe bnurse binterprets bthat bthese
bassessment bfindings bare bconsistent
with: b- bcorrect banswer✔✔a bpneumothorax
, During ba bhearing bassessment bthe bnurse bpractitioner bfinds bthat bsound blateralizes
bto bthe bpatient's bleft bear bwith bthe bWeber btest. bWhat bcan bthe bnurse bpractitioner
bconclude bfrom bthis? b- bcorrect banswer✔✔The bpatient bhas ba bconductive bhearing
bloss bin bthe bright bear. bLateralization bis ba bnormal bfinding bwith bthe bWeber btest. bThe
bpatient bcould bhave beither ba bsensorineural bor ba bconductive bloss. bA bmistake bhas
boccurred; bthe btest bmust bbe brepeated.
The bmost bimportant breason bto bshare binformation band boffer bbrief bteaching bwhile
bperforming bthe bphysical bexamination bis bto bhelp:
1.the bexaminer bfeel bmore bcomfortable band bgain bcontrol bof bthe bsituation.
2.build brapport band bincrease bthe bpatient's bconfidence bin bthe bexaminer.
3.the bpatient bunderstand bhis bor bher bdisease bprocess band btreatment bmodalities.
4.the bpatient bidentify bquestions babout bhis bor bher bdisease band bpotential bareas bof
bpatient beducation. b- bcorrect banswer✔✔2. bbuild brapport band bincrease bthe bpatient's
bconfidence bin bthe bexaminer.
In bassessing bthe bsclera bof ba bblack bpatient, bwhich bof bthe bfollowing bwould bbe ban
bexpected bfinding? b- bcorrect banswer✔✔The bpresence bof bsmall bbrown bmacules bon
bthe bsclera
During ban bexamination, bthe bnurse bknows bthat bthe bbest bway bto bpalpate bthe blymph
bnodes bin bthe bneck bis bdescribed bby bwhich bstatement? b- bcorrect banswer✔✔Using
bgentle bpressure, bpalpate bwith bboth bhands bto bcompare bthe btwo bsides.
The bnurse bis bobtaining ba bhistory bfrom ba b30-year-old bmale bpatient band bis
bconcerned babout bhealth bpromotion bactivities. bWhich bof bthe bfollowing bquestions
bwould bbe bappropriate bto buse bto bassess bhealth bpromotion bactivities bfor bthis
bpatient?
1. b"Do byou bperform btesticular bself-exams?"
2. b"Have byou bever bnoticed bany bpain bin byour btesticles?"
3. b"Have byou bhad bany bproblems bwith bpassing byour burine?"
4. b"Do byou bhave bany bhistory bof bsexually btransmitted bdisease?" b- bcorrect
banswer✔✔1. b"Do byou bperform btesticular bself-exams?"
When bexamining ba b16-year-old bmale bteenager, bthe bexaminer bshould: b- bcorrect
banswer✔✔provide bfeedback bthat bhis bbody bis bdeveloping bnormally band bdiscuss
bthe bwide bvariation bamong bteenagers bon bthe brate bof bgrowth band bdevelopment.
Which bof bthe bfollowing bstatements bregarding bthe baging badult band babdominal
bassessment bis btrue? b- bcorrect banswer✔✔the babdominal bmusculature bis bthinner
In brecording bthe bchildhood billnesses bof ba bpatient bwho bdenies bhaving bhad bany,
bwhich bof bthe bfollowing bnotes bby bthe bnurse bwould bbe bmost baccurate?
1. bPatient bdenies busual bchildhood billnesses.
2. bPatient bstates bhe bwas ba b"very bhealthy" bchild.
