12/13/25, 9:05 PM NGR 6002 Midterm Flashcards | Quizlet
Science Medicine Nursing
NGR 6002 Midterm EXAM WITH QUESTION AND ANSWER
100% CORRECT
The position on a clock,
Methods for recording locations
topographic notations,
of findings include
anatomic landmarks
inspection
As the advanced practice nurse
greets the client, which
Begin to inspect the patient as you greet him or her as you look
examination technique is first
for signs of distress or disease. Inspect the appearance, gait,
implemented?
orientation, and difficulty in hearing or speech.
A 60-year-old female client subjective data
reports a 5-day history of
constipation. She describes a The client is describing a problem from her own perspective;
sensation of "burning" in her therefore, this data is considered subjective.
perianal area. This information is
considered which part of the
assessment data?
"Can you tell me about your sleep problem from when it started
A client reports difficulty
until now?"
sleeping. Which question would
be the most effective way for
In order to open the interview, the APN should start with an
the advanced practice nurse
open-ended question and then use the OLD CART mnemonic to
(APN) to open the interview?
identify missing data.
variations in contour of the body surface
What is secondary, tangential
Tangential lighting is used to cast shadows to observe contours
lighting most helpful in the
and variations in body surfaces best. More direct lighting is
detection of?
needed when viewing the tonsils, assessing skin color variations,
and observing for foreign objects in the nose or ear.
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formulate a problem list
After the subjective and
After the data have been prioritized, the next step is to begin a
objective data have been
management plan. The first step is to formulate a problem list.
prioritized, what is the next
The problem list is used to develop the differential diagnoses.
step?
Ordering tests, making referrals, or initiating therapy comes after
the problem list, and hypothesizing the diagnosis.
During the review of systems investigate the possibility of physical abuse
within the comprehensive health
history, the advanced practice Physical abuse should be considered if the client has a past
nurse (APN) notes that a client history of repeated injuries or accidents. There is not enough
has multiple previous injuries information for the APN to suspect that the patient has a health
and accidents. Which of the problem that impacts balance. The APN will assess the patient for
following issues is a priority in substance and alcohol abuse during the personal and social
the APN's assessment? history component of the comprehensive health history.
A client reports a ten pound general, musculoskeletal, gastrointestinal
weight loss in the past month, as
well a decreased appetite. In In the review of systems, weight changes should be documented
which areas of the review of under general. Appetite is documented under gastrointestinal.
systems will the advanced When joint pain is present, anorexia (decreased appetite) and
practice nurse (APN) note this weight loss should be documented under musculoskeletal.
information? (select all that
apply)
minimize the number of times that the client must change
positions
The sequence of the physical
examination should be There is no one right way to put together the parts of the
individualized to physical examination. The sequence should be individualized to
minimize the number of times the patient has to change positions
to conserve the client's energy.
limit the indiscriminate use of diagnostics
What can a well-obtained, valid
A comprehensive history with a competent clinical examination
history and physical examination
can lead the advanced practice nurse to generate a more
serve to do?
accurate problem list, and therefore increase the proper usage
of diagnostic testing while limiting its indiscriminate use.
use the client's own terms if possible
To ensure that questions have been correctly understood, be
clear and explicit while using the client's own terms and level of
Which technique is most likely to understanding. Using phrases commonly used by other clients
result in the client's may not help ensure that the questions have been correctly
understanding of questions? understood by this client. Be clear and explicit while using the
client's own terms and level of understanding. Using the simplest
language will not help ensure that the questions have been
correctly understood. It is important to avoid the use of medical
terminology, because the client may not understand it.
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, 12/13/25, 9:05 PM NGR 6002 Midterm Flashcards | Quizlet
acknowledge the client's anger by apologizing for the delay
A client angrily tells the
advanced practice nurse (APN)
When working with an angry client, the APN needs to determine
that, "It's a shame that you
the cause of the anger. If like in this situation the anger is justified,
people can't ever be on time.
the APN should acknowledge the delay and apologize for the
This interview was supposed to
delay. While providing an explanation may help diffuse the
start 30 minutes ago." Which
client's anger, the acknowledgment and apology is needed
technique should the APN use
initially. It may not be possible to reschedule the interview and
to diffuse this client's justified
referring the problem to the administrator will not likely diffuse
anger?
the client's anger.
A middle-aged client who acknowledge his anger and proceed with the history and
becomes restless during the examination
history and says, "I don't have
time for all of this conversation. Acknowledging his anger and proceeding with the history and
I've got to get back to work." examination is the only response that resists the tendency for
What is the most appropriate patient manipulation, pursues the information, and confronts the
response? anger.
CRRAFT
A tool used to screen
The CRAFFT tool is used to screen for alcoholism in adolescents.
adolescents for alcoholism is
The CAGE test is used to screen for alcoholism in adults. PACES
the:
is used to screen adolescents for important issues in their life.
HITS is the screen for domestic violence.
perform the examination while the child is in the mother's lap
When you attempt to move a 10-
month-old child from his
The parent's lap is a great examination table because it helps the
mother's lap to the examination
child feel more at ease and is also a good way to observe the
table, he screams loudly. Your
nature of the parent-child relationship. All the other actions
best action is to:
would not comfort the patient or make the situation better.
increase in psychosocial stress
The nurse is completing an
Subjective data is that which the patient says is occurring. The
assessment of a patient who
patient would describe the experience of increased psycho-
reports two episodes of fainting
social stress and the nature of the stress in relation to her own
in the late afternoon. Which data
perception of it. The nurse would not be able to observe a
would the nurse categorize as
patient's stress. Objective information is that which is observed
subjective?
during an assessment. Blood pressure, respiratory rate, and heart
rate/rhythm are all objective data.
the quality of the data may be low
An advanced practice nurse
(APN) assesses an older adult Due to client confusion, the quality of the data obtained directly
client with confusion. When from the client will likely be low. In order to ensure the quality of
collecting clinical information the client data, the APN will need to confer with colleagues and
from the client, which factor is client family members. In addition, the APN should review the
the most important for the APN client history and pertinent literature to clarify uncertainties. The
to consider? incorrect options may be likely; however, they are not possible if
the APN is unable to obtain reliable assessment data.
When you are questioning a "What amount and what kind of alcohol do you drink in a week?"
patient regarding alcohol intake,
she tells you that she is "only a "What amount and what kind of alcohol do you drink in a week?"
social drinker." Which initial clarifies the patient's own statement without asking a leading
response is appropriate? question or being judgmental.
https://quizlet.com/846846227/ngr-6002-midterm-flash-cards/ 3/19
Science Medicine Nursing
NGR 6002 Midterm EXAM WITH QUESTION AND ANSWER
100% CORRECT
The position on a clock,
Methods for recording locations
topographic notations,
of findings include
anatomic landmarks
inspection
As the advanced practice nurse
greets the client, which
Begin to inspect the patient as you greet him or her as you look
examination technique is first
for signs of distress or disease. Inspect the appearance, gait,
implemented?
orientation, and difficulty in hearing or speech.
A 60-year-old female client subjective data
reports a 5-day history of
constipation. She describes a The client is describing a problem from her own perspective;
sensation of "burning" in her therefore, this data is considered subjective.
perianal area. This information is
considered which part of the
assessment data?
"Can you tell me about your sleep problem from when it started
A client reports difficulty
until now?"
sleeping. Which question would
be the most effective way for
In order to open the interview, the APN should start with an
the advanced practice nurse
open-ended question and then use the OLD CART mnemonic to
(APN) to open the interview?
identify missing data.
variations in contour of the body surface
What is secondary, tangential
Tangential lighting is used to cast shadows to observe contours
lighting most helpful in the
and variations in body surfaces best. More direct lighting is
detection of?
needed when viewing the tonsils, assessing skin color variations,
and observing for foreign objects in the nose or ear.
https://quizlet.com/846846227/ngr-6002-midterm-flash-cards/ 1/19
,12/13/25, 9:05 PM NGR 6002 Midterm Flashcards | Quizlet
formulate a problem list
After the subjective and
After the data have been prioritized, the next step is to begin a
objective data have been
management plan. The first step is to formulate a problem list.
prioritized, what is the next
The problem list is used to develop the differential diagnoses.
step?
Ordering tests, making referrals, or initiating therapy comes after
the problem list, and hypothesizing the diagnosis.
During the review of systems investigate the possibility of physical abuse
within the comprehensive health
history, the advanced practice Physical abuse should be considered if the client has a past
nurse (APN) notes that a client history of repeated injuries or accidents. There is not enough
has multiple previous injuries information for the APN to suspect that the patient has a health
and accidents. Which of the problem that impacts balance. The APN will assess the patient for
following issues is a priority in substance and alcohol abuse during the personal and social
the APN's assessment? history component of the comprehensive health history.
A client reports a ten pound general, musculoskeletal, gastrointestinal
weight loss in the past month, as
well a decreased appetite. In In the review of systems, weight changes should be documented
which areas of the review of under general. Appetite is documented under gastrointestinal.
systems will the advanced When joint pain is present, anorexia (decreased appetite) and
practice nurse (APN) note this weight loss should be documented under musculoskeletal.
information? (select all that
apply)
minimize the number of times that the client must change
positions
The sequence of the physical
examination should be There is no one right way to put together the parts of the
individualized to physical examination. The sequence should be individualized to
minimize the number of times the patient has to change positions
to conserve the client's energy.
limit the indiscriminate use of diagnostics
What can a well-obtained, valid
A comprehensive history with a competent clinical examination
history and physical examination
can lead the advanced practice nurse to generate a more
serve to do?
accurate problem list, and therefore increase the proper usage
of diagnostic testing while limiting its indiscriminate use.
use the client's own terms if possible
To ensure that questions have been correctly understood, be
clear and explicit while using the client's own terms and level of
Which technique is most likely to understanding. Using phrases commonly used by other clients
result in the client's may not help ensure that the questions have been correctly
understanding of questions? understood by this client. Be clear and explicit while using the
client's own terms and level of understanding. Using the simplest
language will not help ensure that the questions have been
correctly understood. It is important to avoid the use of medical
terminology, because the client may not understand it.
https://quizlet.com/846846227/ngr-6002-midterm-flash-cards/ 2/19
, 12/13/25, 9:05 PM NGR 6002 Midterm Flashcards | Quizlet
acknowledge the client's anger by apologizing for the delay
A client angrily tells the
advanced practice nurse (APN)
When working with an angry client, the APN needs to determine
that, "It's a shame that you
the cause of the anger. If like in this situation the anger is justified,
people can't ever be on time.
the APN should acknowledge the delay and apologize for the
This interview was supposed to
delay. While providing an explanation may help diffuse the
start 30 minutes ago." Which
client's anger, the acknowledgment and apology is needed
technique should the APN use
initially. It may not be possible to reschedule the interview and
to diffuse this client's justified
referring the problem to the administrator will not likely diffuse
anger?
the client's anger.
A middle-aged client who acknowledge his anger and proceed with the history and
becomes restless during the examination
history and says, "I don't have
time for all of this conversation. Acknowledging his anger and proceeding with the history and
I've got to get back to work." examination is the only response that resists the tendency for
What is the most appropriate patient manipulation, pursues the information, and confronts the
response? anger.
CRRAFT
A tool used to screen
The CRAFFT tool is used to screen for alcoholism in adolescents.
adolescents for alcoholism is
The CAGE test is used to screen for alcoholism in adults. PACES
the:
is used to screen adolescents for important issues in their life.
HITS is the screen for domestic violence.
perform the examination while the child is in the mother's lap
When you attempt to move a 10-
month-old child from his
The parent's lap is a great examination table because it helps the
mother's lap to the examination
child feel more at ease and is also a good way to observe the
table, he screams loudly. Your
nature of the parent-child relationship. All the other actions
best action is to:
would not comfort the patient or make the situation better.
increase in psychosocial stress
The nurse is completing an
Subjective data is that which the patient says is occurring. The
assessment of a patient who
patient would describe the experience of increased psycho-
reports two episodes of fainting
social stress and the nature of the stress in relation to her own
in the late afternoon. Which data
perception of it. The nurse would not be able to observe a
would the nurse categorize as
patient's stress. Objective information is that which is observed
subjective?
during an assessment. Blood pressure, respiratory rate, and heart
rate/rhythm are all objective data.
the quality of the data may be low
An advanced practice nurse
(APN) assesses an older adult Due to client confusion, the quality of the data obtained directly
client with confusion. When from the client will likely be low. In order to ensure the quality of
collecting clinical information the client data, the APN will need to confer with colleagues and
from the client, which factor is client family members. In addition, the APN should review the
the most important for the APN client history and pertinent literature to clarify uncertainties. The
to consider? incorrect options may be likely; however, they are not possible if
the APN is unable to obtain reliable assessment data.
When you are questioning a "What amount and what kind of alcohol do you drink in a week?"
patient regarding alcohol intake,
she tells you that she is "only a "What amount and what kind of alcohol do you drink in a week?"
social drinker." Which initial clarifies the patient's own statement without asking a leading
response is appropriate? question or being judgmental.
https://quizlet.com/846846227/ngr-6002-midterm-flash-cards/ 3/19
