BATES ACTUAL TEST PAPER COMPLETE
QUESTIONS AND ANSWERS FULL
SOLUTION
●● Kyphosis is a late sign of:
A) Old age
B) Osteopenia
C) Osteoporosis
D) Osteoarthritis
Answer: C) Osteoporosis
Kyphosis curvatue of the spine that causes a rounding of the back, which
leads to a slouching posture. Sever thinning of the bones (osteoporosis),
contributes to this curvature in the spine. Symptoms that may occur with
severe cases of kyphosis include difficulty breathing, fatigue, and back
pain.
●● The Lachman maneuver is used to detect which of the following?
A) Knee instability
B) Nerve damage of the knee due to past knee injuries
C) The integrity of the patellar tendon
D) Tears on the meniscus of the knee
Answer: A) knee instability
,The Lachman maneuver is a test performed to assess for knee instability.
Knee instability indicates a tear of the ACL
●● What does a positive posterior drawer sign in a 10 y/o soccer player
signify?
A) An abnormal knee
B) Instability of the knee
C) A large amount of swelling on the knee
D) An injury of the meniscus
Answer: B) Instability of the knee
The drawer sign performed on the knee or ankle to assess for knee
instability. The affected knee will have more laxity when compared to
the unaffected knee.
●● All of the following are false statements regarding acute gastritis?
A) Chronic intake of nonsteroidal anti-inflammatory drugs (NSAIDS)
can cause the disorder
B) Chronic lack of dietary fiber is the main cause of the disorder
C) The screening test for the disorder is the barium swallow test
D) The gold standard to evaluate the disorder is a colonoscopy
Answer: C) The screening test for the disorder is the barium swallow
test
,The gold standard for diagnosing gastric disease is biopsy of gastric
and/or duodenal tissue by upper endoscopy. Chronic use of NSAIDS
disrupts the production of prostaglandins, which decreases blood supply
and then breaks down the protective layer of the mucosa, which leads to
gastric disease.
●● Which of the following is an accurate description of eliciting for
Murphy's sign?
A) Upon deep inspiration by the patient, palpate firmly in the right upper
quadrant of the abdomen below the costoverbral angle?
B) Bend the patient's hips and knees at 90 degrees, then passively rotate
hip externally, then internally
C) Ask the patient to squat, then place the stethoscope on the apical area
D) Press into the abdomen deeply, then release it suddenly
Answer: A) Upon deep inspiration by the patient, palpate firmly in the
RUQ of the abdomen below the costovertebral angle.
Murphy's sign is positive if pain occurs when performing RUQ palpation
while the patient takes a deep inspiration, causing the patient to abruptly
stop the deep breath due to pain. As the liver is palpated, it will descend
and push up against the inflamed gallbladder and cause sharp pain
(cholecystitis).
●● All of the following patients are at higher risk for suicide except:
, A) A 66 y/o white male whose wife of 40 years recently died
B) A high school student with a history of bipolar disorder
C) A depressed 45 y/o female with family history of suicide
D) A 17 y/o teen who has only 1 close friend in school
Answer: D) 17 y/o teen who has one close friend in school.
Risk factors for suicide include:
1) elderly white males (especially after the death of a spouse)
2) Past hx of suicide
3) Family hx of suicide
4) Plans for use of a lethal weapon such as a gun or a knife
5) Female gender has higher attempts, but males have a higher success
6) Personal hx of bipolar disorder or depression
●● A 53 y/o crossing guard complains of twisting his right knee while
working that morning. The knee is swollen and tender to palpation. The
nurse practitioner diagnoses a Grade II sprain. The initial treatment plan
includes which of the following?
A) Application of cold packs the first 24 hours followed by applications
of low heat at bedtime
B) Elevation of the affected limb and intermittent applications of cold
packs for the next 48 hours
C) Rechecking the knee in 24 hours and isometric exercise
QUESTIONS AND ANSWERS FULL
SOLUTION
●● Kyphosis is a late sign of:
A) Old age
B) Osteopenia
C) Osteoporosis
D) Osteoarthritis
Answer: C) Osteoporosis
Kyphosis curvatue of the spine that causes a rounding of the back, which
leads to a slouching posture. Sever thinning of the bones (osteoporosis),
contributes to this curvature in the spine. Symptoms that may occur with
severe cases of kyphosis include difficulty breathing, fatigue, and back
pain.
●● The Lachman maneuver is used to detect which of the following?
A) Knee instability
B) Nerve damage of the knee due to past knee injuries
C) The integrity of the patellar tendon
D) Tears on the meniscus of the knee
Answer: A) knee instability
,The Lachman maneuver is a test performed to assess for knee instability.
Knee instability indicates a tear of the ACL
●● What does a positive posterior drawer sign in a 10 y/o soccer player
signify?
A) An abnormal knee
B) Instability of the knee
C) A large amount of swelling on the knee
D) An injury of the meniscus
Answer: B) Instability of the knee
The drawer sign performed on the knee or ankle to assess for knee
instability. The affected knee will have more laxity when compared to
the unaffected knee.
●● All of the following are false statements regarding acute gastritis?
A) Chronic intake of nonsteroidal anti-inflammatory drugs (NSAIDS)
can cause the disorder
B) Chronic lack of dietary fiber is the main cause of the disorder
C) The screening test for the disorder is the barium swallow test
D) The gold standard to evaluate the disorder is a colonoscopy
Answer: C) The screening test for the disorder is the barium swallow
test
,The gold standard for diagnosing gastric disease is biopsy of gastric
and/or duodenal tissue by upper endoscopy. Chronic use of NSAIDS
disrupts the production of prostaglandins, which decreases blood supply
and then breaks down the protective layer of the mucosa, which leads to
gastric disease.
●● Which of the following is an accurate description of eliciting for
Murphy's sign?
A) Upon deep inspiration by the patient, palpate firmly in the right upper
quadrant of the abdomen below the costoverbral angle?
B) Bend the patient's hips and knees at 90 degrees, then passively rotate
hip externally, then internally
C) Ask the patient to squat, then place the stethoscope on the apical area
D) Press into the abdomen deeply, then release it suddenly
Answer: A) Upon deep inspiration by the patient, palpate firmly in the
RUQ of the abdomen below the costovertebral angle.
Murphy's sign is positive if pain occurs when performing RUQ palpation
while the patient takes a deep inspiration, causing the patient to abruptly
stop the deep breath due to pain. As the liver is palpated, it will descend
and push up against the inflamed gallbladder and cause sharp pain
(cholecystitis).
●● All of the following patients are at higher risk for suicide except:
, A) A 66 y/o white male whose wife of 40 years recently died
B) A high school student with a history of bipolar disorder
C) A depressed 45 y/o female with family history of suicide
D) A 17 y/o teen who has only 1 close friend in school
Answer: D) 17 y/o teen who has one close friend in school.
Risk factors for suicide include:
1) elderly white males (especially after the death of a spouse)
2) Past hx of suicide
3) Family hx of suicide
4) Plans for use of a lethal weapon such as a gun or a knife
5) Female gender has higher attempts, but males have a higher success
6) Personal hx of bipolar disorder or depression
●● A 53 y/o crossing guard complains of twisting his right knee while
working that morning. The knee is swollen and tender to palpation. The
nurse practitioner diagnoses a Grade II sprain. The initial treatment plan
includes which of the following?
A) Application of cold packs the first 24 hours followed by applications
of low heat at bedtime
B) Elevation of the affected limb and intermittent applications of cold
packs for the next 48 hours
C) Rechecking the knee in 24 hours and isometric exercise
