NU 518 Exam 2 Study Questions and Correct
Answers Updated
Question 1
The mother of a 3-month-old infant states that her baby has not been gaining weight.
With further questioning, the nurse finds that the infant falls asleep after nursing and
wakes up after a short time, hungry again. What other information would the nurse
want to have?
A Infants sleeping position
B Sibling history of eating disorders
C Amount of background noise when eating
D Presence of dyspnea or diaphoresis when sucking
Correct Answer
D
Question 2
A foster mother brings a 4-year-old child to see you for an evaluation. She has had
custody of the girl for 2 weeks. She knows that the child was born in your state and
that her maternal grandmother had custody for 6 months. She received good medical
care during that time, but after her biologic mother obtained custody the child was
abused and has had no further medical
care. She says the child has had many behavioral problems and seems to be very
behind on her developmental tasks. When you examine the child you notice short
palpebral fissures, a wide nasal philtrum, and thin lips. Her cardiac, pulmonary,
musculoskeletal, and abdominal examinations are normal. Her Denver Developmental
Screening Test shows most of her milestones have occurred only through the 24th
month. What form of congenital retardation is she most likely to have?
A) Fetal alcohol syndrome
B) Congenital hypothyroidism
C) Down syndrome
Correct Answer
A
Page 1 of 158
,Question 3
A 15-month-old is brought to you for a fever of 38.6 degrees Celsius and fussiness.
The ear examination is as follows: external ear, normal appearance and no tenderness
with manipulation; canal, normal diameter without evidence of inflammation;
tympanic membrane, bulging, erythematous, and opaque. Insufflation is deferred due
to pain. What is your diagnosis?
A) Otitis externa
B) Cholesteatoma
C) Ruptured tympanic membrane
D) Otitis media
Correct Answer
D
Question 4
Josh is a 14-year-old boy who presents with a sore throat. On examination, you notice
dullness in the last intercostal space in the anterior axillary line on his left side with a
deep breath. What does this indicate?
A) His spleen is definitely enlarged and further workup is warranted.
B) His spleen is possibly enlarged and close attention should be paid to further
examination.
C) His spleen is possibly enlarged and further workup is warranted.
D) His spleen is definitely normal.
Correct Answer
B
Question 5
A 6-month-old infant is brought in for a well check. It is noted his head circumference
is off the chart and at a much higher percentile than was previously measured. What
should you do next?
A) Recommend a neurology consult.
B) Order a CT of the head.
C) Remeasure the circumference.
D) Admit the child to the hospital for further workup.
Correct Answer
C
Page 2 of 158
,Question 6
A 50-year-old woman is in the clinic for weakness in her left arm and leg that she has
noticed for the past week. The nurse should perform which type of neurologic
examination?
A Glasgow Coma Scale
B Neurologic recheck examination
C Screening neurologic examination
D Complete neurologic examination
Correct Answer
D
Question 7
During an assessment of a 68-year-old man with a recent onset of right-sided
weakness, the nurse hears a blowing, swishing sound with the bell of the stethoscope
over the left carotid artery. This finding would indicate:
a Valvular disorder.
B Blood flow turbulence.
C Fluid volume overload.
D Ventricular hypertrophy.
Correct Answer
B
Question 8
A patient with longstanding COPD was told by another practitioner that his liver was
enlarged and this needed to be assessed. Which of the following would be reasonable
to do next?
A) Percuss the lower border of the liver
B) Measure the span of the liver
C) Order a hepatitis panel
D) Obtain an ultrasound of the liver
Correct Answer
B
Page 3 of 158
, Question 9
During the taking of the health history, a patient tells the nurse that it feels like the
room is spinning around me. The nurse would document this finding as:
a Vertigo.
B Syncope.
C Dizziness.
D Seizure activity.
Correct Answer
A
Question 10
A patient has a severed spinal nerve as a result of trauma. Which statement is true in
this situation?
a Because there are 31 pairs of spinal nerves, no effect results if only one nerve is
severed.
b The dermatome served by this nerve will no longer experience any sensation.
c The adjacent spinal nerves will continue to carry sensations for the dermatome
served by the severed nerve.
d A severed spinal nerve will only affect motor function of the patient because spinal
nerves have no sensory component.
Correct Answer
C
Page 4 of 158
Answers Updated
Question 1
The mother of a 3-month-old infant states that her baby has not been gaining weight.
With further questioning, the nurse finds that the infant falls asleep after nursing and
wakes up after a short time, hungry again. What other information would the nurse
want to have?
A Infants sleeping position
B Sibling history of eating disorders
C Amount of background noise when eating
D Presence of dyspnea or diaphoresis when sucking
Correct Answer
D
Question 2
A foster mother brings a 4-year-old child to see you for an evaluation. She has had
custody of the girl for 2 weeks. She knows that the child was born in your state and
that her maternal grandmother had custody for 6 months. She received good medical
care during that time, but after her biologic mother obtained custody the child was
abused and has had no further medical
care. She says the child has had many behavioral problems and seems to be very
behind on her developmental tasks. When you examine the child you notice short
palpebral fissures, a wide nasal philtrum, and thin lips. Her cardiac, pulmonary,
musculoskeletal, and abdominal examinations are normal. Her Denver Developmental
Screening Test shows most of her milestones have occurred only through the 24th
month. What form of congenital retardation is she most likely to have?
A) Fetal alcohol syndrome
B) Congenital hypothyroidism
C) Down syndrome
Correct Answer
A
Page 1 of 158
,Question 3
A 15-month-old is brought to you for a fever of 38.6 degrees Celsius and fussiness.
The ear examination is as follows: external ear, normal appearance and no tenderness
with manipulation; canal, normal diameter without evidence of inflammation;
tympanic membrane, bulging, erythematous, and opaque. Insufflation is deferred due
to pain. What is your diagnosis?
A) Otitis externa
B) Cholesteatoma
C) Ruptured tympanic membrane
D) Otitis media
Correct Answer
D
Question 4
Josh is a 14-year-old boy who presents with a sore throat. On examination, you notice
dullness in the last intercostal space in the anterior axillary line on his left side with a
deep breath. What does this indicate?
A) His spleen is definitely enlarged and further workup is warranted.
B) His spleen is possibly enlarged and close attention should be paid to further
examination.
C) His spleen is possibly enlarged and further workup is warranted.
D) His spleen is definitely normal.
Correct Answer
B
Question 5
A 6-month-old infant is brought in for a well check. It is noted his head circumference
is off the chart and at a much higher percentile than was previously measured. What
should you do next?
A) Recommend a neurology consult.
B) Order a CT of the head.
C) Remeasure the circumference.
D) Admit the child to the hospital for further workup.
Correct Answer
C
Page 2 of 158
,Question 6
A 50-year-old woman is in the clinic for weakness in her left arm and leg that she has
noticed for the past week. The nurse should perform which type of neurologic
examination?
A Glasgow Coma Scale
B Neurologic recheck examination
C Screening neurologic examination
D Complete neurologic examination
Correct Answer
D
Question 7
During an assessment of a 68-year-old man with a recent onset of right-sided
weakness, the nurse hears a blowing, swishing sound with the bell of the stethoscope
over the left carotid artery. This finding would indicate:
a Valvular disorder.
B Blood flow turbulence.
C Fluid volume overload.
D Ventricular hypertrophy.
Correct Answer
B
Question 8
A patient with longstanding COPD was told by another practitioner that his liver was
enlarged and this needed to be assessed. Which of the following would be reasonable
to do next?
A) Percuss the lower border of the liver
B) Measure the span of the liver
C) Order a hepatitis panel
D) Obtain an ultrasound of the liver
Correct Answer
B
Page 3 of 158
, Question 9
During the taking of the health history, a patient tells the nurse that it feels like the
room is spinning around me. The nurse would document this finding as:
a Vertigo.
B Syncope.
C Dizziness.
D Seizure activity.
Correct Answer
A
Question 10
A patient has a severed spinal nerve as a result of trauma. Which statement is true in
this situation?
a Because there are 31 pairs of spinal nerves, no effect results if only one nerve is
severed.
b The dermatome served by this nerve will no longer experience any sensation.
c The adjacent spinal nerves will continue to carry sensations for the dermatome
served by the severed nerve.
d A severed spinal nerve will only affect motor function of the patient because spinal
nerves have no sensory component.
Correct Answer
C
Page 4 of 158
