NSG 6020 MIDTERM EXAM 1 – QUESTION
WITH ANSWERS
1
When preparing to perform a physical examination on an infant, the examiner should:
Question 1 options:
have the parent remove all clothing except the diaper on a boy.
instruct the parent to feed the infant immediately before the exam.
encourage the infant to suck on a pacifier during the abdominal exam.
ask the parent to briefly leave the room when assessing the infant’s vital signs.
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Question 2 (2 points)
2
A patient’s laboratory data reveal an elevated thyroxine level. The nurse would proceed with an
examination of the:
Question 2 options:
thyroid gland.
parotid gland.
adrenal gland.
, thyroxine gland.
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Question 3 (2 points)
3
The nurse practitioner is doing an oral assessment on a 40-year-old black patient and notes the
presence of a 1-cm, nontender, grayish-white lesion on the left buccal mucosa. Which of the following is
true concerning this lesion?
Question 3 options:
This lesion is leukoedema and is common in blacks.
This is the result of hyperpigmentation and is normal.
This is torus palatinus and would normally only be found in smokers.
This type of lesion is indicative of cancer and should be tested immediately.
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Question 4 (2 points)
4
During an examination, the nurse knows that Paget’s disease would be indicated by which of the
following findings?
Question 4 options:
Positive Macewen’s sign
Premature closure of the sagittal suture
, Headache, vertigo, tinnitus, and deafness
Elongated head with heavy eyebrow ridge
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Question 5 (2 points)
5
A 30-year-old woman with a history of mitral valve problems states that she has been “very tired.” She
has started waking up at night and feels like her “heart is pounding.” During the assessment, the nurse
practitioner palpates a thrill and lift at the fifth left intercostal space midclavicular line. In the same area
the nurse practitioner also auscultates a blowing, swishing sound right after S1. These findings would be
most consistent with:
Question 5 options:
heart failure.
aortic stenosis.
pulmonary edema.
mitral regurgitation.
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Question 6 (2 points)
6
The nurse practitioner notices that a patient’s submental lymph nodes are enlarged. In an effort to
identify the cause of the node enlargement, the nurse would assess the:
Question 6 options:
, infraclavicular area.
supraclavicular area.
area distal to the enlarged node.
area proximal to the enlarged node.
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Question 7 (2 points)
7
During an assessment of a newborn infant, the nurse practitioner recalls that pyloric stenosis would be
manifested by:
Question 7 options:
projectile vomiting.
hypoactive bowel activity.
palpable olive-sized mass in right lower quadrant.
pronounced peristaltic waves crossing from right to left.
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Question 8 (2 points)
8
A patient has been shown to have a sensorineural hearing loss. During the assessment, it would be
important for the nurse to:
Question 8 options:
WITH ANSWERS
1
When preparing to perform a physical examination on an infant, the examiner should:
Question 1 options:
have the parent remove all clothing except the diaper on a boy.
instruct the parent to feed the infant immediately before the exam.
encourage the infant to suck on a pacifier during the abdominal exam.
ask the parent to briefly leave the room when assessing the infant’s vital signs.
Save
Question 2 (2 points)
2
A patient’s laboratory data reveal an elevated thyroxine level. The nurse would proceed with an
examination of the:
Question 2 options:
thyroid gland.
parotid gland.
adrenal gland.
, thyroxine gland.
Save
Question 3 (2 points)
3
The nurse practitioner is doing an oral assessment on a 40-year-old black patient and notes the
presence of a 1-cm, nontender, grayish-white lesion on the left buccal mucosa. Which of the following is
true concerning this lesion?
Question 3 options:
This lesion is leukoedema and is common in blacks.
This is the result of hyperpigmentation and is normal.
This is torus palatinus and would normally only be found in smokers.
This type of lesion is indicative of cancer and should be tested immediately.
Save
Question 4 (2 points)
4
During an examination, the nurse knows that Paget’s disease would be indicated by which of the
following findings?
Question 4 options:
Positive Macewen’s sign
Premature closure of the sagittal suture
, Headache, vertigo, tinnitus, and deafness
Elongated head with heavy eyebrow ridge
Save
Question 5 (2 points)
5
A 30-year-old woman with a history of mitral valve problems states that she has been “very tired.” She
has started waking up at night and feels like her “heart is pounding.” During the assessment, the nurse
practitioner palpates a thrill and lift at the fifth left intercostal space midclavicular line. In the same area
the nurse practitioner also auscultates a blowing, swishing sound right after S1. These findings would be
most consistent with:
Question 5 options:
heart failure.
aortic stenosis.
pulmonary edema.
mitral regurgitation.
Save
Question 6 (2 points)
6
The nurse practitioner notices that a patient’s submental lymph nodes are enlarged. In an effort to
identify the cause of the node enlargement, the nurse would assess the:
Question 6 options:
, infraclavicular area.
supraclavicular area.
area distal to the enlarged node.
area proximal to the enlarged node.
Save
Question 7 (2 points)
7
During an assessment of a newborn infant, the nurse practitioner recalls that pyloric stenosis would be
manifested by:
Question 7 options:
projectile vomiting.
hypoactive bowel activity.
palpable olive-sized mass in right lower quadrant.
pronounced peristaltic waves crossing from right to left.
Save
Question 8 (2 points)
8
A patient has been shown to have a sensorineural hearing loss. During the assessment, it would be
important for the nurse to:
Question 8 options:
