NURS 612 - Exam 3
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1. A patient's inability to follow simple instructions could indicate which of the
following findings?
A. dysphonia
B. amnesia
C. aphasia
D. depression: D. depression
2. A patient scores a 3 on the Mini-Cog Assessment Instrument for dementia.
What does this score indicate?
A. advanced dementia
B. early dementia
C. need for further evaluation
D. negative screen for dementia: D. negative screen for dementia
3. The examiner asks the patient to complete this statement: "A bird is to air as
a fish is to ..." This is an example of what type of testing?
A. calculation
B. analogy
C. judgment
D. mood & feelings: B. analogy
4. Assume that the patient's response to the question: "A bird is to air as a fish
is to ..." is "scales". What does this response likely reflect?
A. left cerebral hemisphere lesion
B. depression
C. eating disorder
D. aphasia: A. left cerebral hemisphere lesion
5. Which type of assessment should be used to evaluate the mental status of a
patient with head trauma?
A. PHQ
B. perceptual distortion assessment
C. Glasgow Coma Scale
D. functional assessment: C. Glasgow Coma Scale
6. Which of the following indicates possible cognitive impairment?
A. ability to complete personal care without assistance
, NURS 612 - Exam 3
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B. suspiciousness or inappropriate affect
C. articulate communication
D. prudent behavior and calm demeanor: B. suspiciousness or inappropriate affect
7. A 65-year-old woman is brought to the clinic by family members, who report
that they have noticed a change in her mental abilities over the past 2 weeks.
Normally, they say, she is independent, intelligent, and very socially oriented.
Her medical history is unremarkable except for congestive heart failure, for
which she takes digoxin. She has had no major changes in her health. What
question would be the most important for the examiner to ask this woman's
family?
A. is there a family history of Alzheimer disease?
B. how much alcohol does she drink in an average week?
C. when was her digoxin blood level last checked?
D. did you know that mental function begins to decline after the age of 60?: C.
when was her digoxin blood level last checked?
8. A patient who has difficulty writing or drawing is most likely to have which
condition?
A. temporal lobe damage
B. peripheral neuropathy
C. organic brain syndrome
D. psychiatric hallucinations: B. peripheral neuropathy
9. A mother brings her 18-month-old son to the clinic. She states that the child
rarely talks or smiles or makes eye contact. She has also noticed that he does
not like to be held. She says his motor development seems to be normal. These
symptoms are consistent with what condition?
A. dementia
B. autistic disorder
C. ADHD
D. delirium: B. autistic disorder
10. A patient with Alzheimer disease classically displays which of the following?
A. alternating periods of mania and stupor
B. hallucinations and decorticate posturing
, NURS 612 - Exam 3
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C. disintegration of personality
D. rapid onset of symptoms: C. disintegration of personality
11. Which characteristic suggest that a lesion on a patient's breast is Paget
disease and not eczema?
A. itchy predominantly at night
B. Erythematous and crusty
C. confined to the nipple and areola of one breast
D. does not respond to steroids: D. does not respond to steroids
12. How should a breast examination on a patient who had a lumpectomy for
breast cancer differ from a breast examination on a patient who has not had
breast cancer?
A. supraclavicular and infraclavicular lymph nodes are palpated
B. the lateral position with hands over the head is used for palpation
C. the area of the scar is palpated with two fingers using a circular motion
D. the fingertips are used to palpate for intercostal breast tissue: C. the area of the
scar is palpated with two fingers using a circular motion
13. While palpating the axilla, it is best to place the patient in a...
A. sitting position with the arm flexed at the elbow
B. sitting position with the arm at the side
C. supine position with the arms on the hips
D. lateral position with the arms at the sides: A. sitting position with the arm flexed at the elbow
14. Nipple compression should be included as part of the breast examination for
which of the following patients?
A. a 23-year-old woman concerned about "lumps and tenderness" premenstru-
ally
B. a 35-year-old lactating woman with "very sore nipples"
C. a 48-year-old woman reporting two episodes of bloody discharge from the
right nipple
D. a 60-year-old man with gynecomastia: C. a 48-year-old woman reporting two episodes of bloody
discharge from the right nipple
15. A supernumerary nipple is found on a white newborn infant girl. Which of
the following may accompany this finding?
, NURS 612 - Exam 3
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A. increased risk for breast cancer as an adult
B. increased lactation volume as an adult
C. congenital renal or cardiac anomalies
D. mental retardation: C. congenital renal or cardiac anomalies
16. Which are typical descriptors of fibroadenoma?
A. bilateral, stellate, rubbery, non-tender
B. multiple, unilateral, tender, well defined
C. single, discoid, firm, non-tender
D. unilateral, hard, stellate, fixed: C. single, discoid, firm, non-tender
17. Which is the correct position in which to place a patient for breast palpation?
A. supine with the arms at the sides and a pillow under the neck
B. supine with the arms over the head and a small pillow under the shoulder
of the side of the being assessed
C. left lateral position with the arm bent backward
D. sitting slightly forward with the breasts hanging away from the chest; the
hands on the hips: B. supine with the arm over the head and a small pillow under the shoulder of the side
being assessed
18. Which statement made by a 37-year-old woman would make the examiner
suspect fibrocystic disease?
A. I have a lump in my breast that is not tender
B. my right breast is larger than my left breast
C. my nipples are darker than before my baby was born
D. I feel a lump in my breast before my period: D. I feel a lump in my breast before my period
19. A patient, 3 weeks postpartum, tells the examiner that she is currently
breastfeeding but might stop because her nipples are sore. The examiner
observes dry and cracked nipples. Which of the following questions would be
helpful in gaining information relevant to treating the problem?
A. do you pump your breasts
B. how do you clean your breasts
C. have you been able to bond with your infant
D. what medications have you been taking: B. how do you clean your breasts
Study online at https://quizlet.com/_8bhk05
1. A patient's inability to follow simple instructions could indicate which of the
following findings?
A. dysphonia
B. amnesia
C. aphasia
D. depression: D. depression
2. A patient scores a 3 on the Mini-Cog Assessment Instrument for dementia.
What does this score indicate?
A. advanced dementia
B. early dementia
C. need for further evaluation
D. negative screen for dementia: D. negative screen for dementia
3. The examiner asks the patient to complete this statement: "A bird is to air as
a fish is to ..." This is an example of what type of testing?
A. calculation
B. analogy
C. judgment
D. mood & feelings: B. analogy
4. Assume that the patient's response to the question: "A bird is to air as a fish
is to ..." is "scales". What does this response likely reflect?
A. left cerebral hemisphere lesion
B. depression
C. eating disorder
D. aphasia: A. left cerebral hemisphere lesion
5. Which type of assessment should be used to evaluate the mental status of a
patient with head trauma?
A. PHQ
B. perceptual distortion assessment
C. Glasgow Coma Scale
D. functional assessment: C. Glasgow Coma Scale
6. Which of the following indicates possible cognitive impairment?
A. ability to complete personal care without assistance
, NURS 612 - Exam 3
Study online at https://quizlet.com/_8bhk05
B. suspiciousness or inappropriate affect
C. articulate communication
D. prudent behavior and calm demeanor: B. suspiciousness or inappropriate affect
7. A 65-year-old woman is brought to the clinic by family members, who report
that they have noticed a change in her mental abilities over the past 2 weeks.
Normally, they say, she is independent, intelligent, and very socially oriented.
Her medical history is unremarkable except for congestive heart failure, for
which she takes digoxin. She has had no major changes in her health. What
question would be the most important for the examiner to ask this woman's
family?
A. is there a family history of Alzheimer disease?
B. how much alcohol does she drink in an average week?
C. when was her digoxin blood level last checked?
D. did you know that mental function begins to decline after the age of 60?: C.
when was her digoxin blood level last checked?
8. A patient who has difficulty writing or drawing is most likely to have which
condition?
A. temporal lobe damage
B. peripheral neuropathy
C. organic brain syndrome
D. psychiatric hallucinations: B. peripheral neuropathy
9. A mother brings her 18-month-old son to the clinic. She states that the child
rarely talks or smiles or makes eye contact. She has also noticed that he does
not like to be held. She says his motor development seems to be normal. These
symptoms are consistent with what condition?
A. dementia
B. autistic disorder
C. ADHD
D. delirium: B. autistic disorder
10. A patient with Alzheimer disease classically displays which of the following?
A. alternating periods of mania and stupor
B. hallucinations and decorticate posturing
, NURS 612 - Exam 3
Study online at https://quizlet.com/_8bhk05
C. disintegration of personality
D. rapid onset of symptoms: C. disintegration of personality
11. Which characteristic suggest that a lesion on a patient's breast is Paget
disease and not eczema?
A. itchy predominantly at night
B. Erythematous and crusty
C. confined to the nipple and areola of one breast
D. does not respond to steroids: D. does not respond to steroids
12. How should a breast examination on a patient who had a lumpectomy for
breast cancer differ from a breast examination on a patient who has not had
breast cancer?
A. supraclavicular and infraclavicular lymph nodes are palpated
B. the lateral position with hands over the head is used for palpation
C. the area of the scar is palpated with two fingers using a circular motion
D. the fingertips are used to palpate for intercostal breast tissue: C. the area of the
scar is palpated with two fingers using a circular motion
13. While palpating the axilla, it is best to place the patient in a...
A. sitting position with the arm flexed at the elbow
B. sitting position with the arm at the side
C. supine position with the arms on the hips
D. lateral position with the arms at the sides: A. sitting position with the arm flexed at the elbow
14. Nipple compression should be included as part of the breast examination for
which of the following patients?
A. a 23-year-old woman concerned about "lumps and tenderness" premenstru-
ally
B. a 35-year-old lactating woman with "very sore nipples"
C. a 48-year-old woman reporting two episodes of bloody discharge from the
right nipple
D. a 60-year-old man with gynecomastia: C. a 48-year-old woman reporting two episodes of bloody
discharge from the right nipple
15. A supernumerary nipple is found on a white newborn infant girl. Which of
the following may accompany this finding?
, NURS 612 - Exam 3
Study online at https://quizlet.com/_8bhk05
A. increased risk for breast cancer as an adult
B. increased lactation volume as an adult
C. congenital renal or cardiac anomalies
D. mental retardation: C. congenital renal or cardiac anomalies
16. Which are typical descriptors of fibroadenoma?
A. bilateral, stellate, rubbery, non-tender
B. multiple, unilateral, tender, well defined
C. single, discoid, firm, non-tender
D. unilateral, hard, stellate, fixed: C. single, discoid, firm, non-tender
17. Which is the correct position in which to place a patient for breast palpation?
A. supine with the arms at the sides and a pillow under the neck
B. supine with the arms over the head and a small pillow under the shoulder
of the side of the being assessed
C. left lateral position with the arm bent backward
D. sitting slightly forward with the breasts hanging away from the chest; the
hands on the hips: B. supine with the arm over the head and a small pillow under the shoulder of the side
being assessed
18. Which statement made by a 37-year-old woman would make the examiner
suspect fibrocystic disease?
A. I have a lump in my breast that is not tender
B. my right breast is larger than my left breast
C. my nipples are darker than before my baby was born
D. I feel a lump in my breast before my period: D. I feel a lump in my breast before my period
19. A patient, 3 weeks postpartum, tells the examiner that she is currently
breastfeeding but might stop because her nipples are sore. The examiner
observes dry and cracked nipples. Which of the following questions would be
helpful in gaining information relevant to treating the problem?
A. do you pump your breasts
B. how do you clean your breasts
C. have you been able to bond with your infant
D. what medications have you been taking: B. how do you clean your breasts
