Physical Assessment - Final Exam (Bates) Questions and Answers

Physical Assessment - Final Exam (Bates) Questions and Answers Sensitivity -Answer-Number of people who test positive. A test with a high sensitivity will rule _______ (in/out)? -Answer-IN Specificity -Answer-Number of people who test negative. A test with a high specificity will rule _____(in/out)? -Answer-OUT If 100 patients known to have a colon cancer were tested, and 43 tested positive, what percentage would be the sensitivity of the test? -Answer-43% Do we rule out a disease with high sensitivity or high specificity? -Answer-Specificity If 100 patients with no known colon cancer are tested and 94 return with a negative results, what percentage would the specificity of the test? -Answer-94% What does the phrase Lets Tackle Symptoms with Q's and A's stand for? -Answer- Location, timing (duration, onset, frequency), setting (when, where), quality/quantity (burning, itching, sharp, aggravating/associating/alleviating True or False: An established patient comes to your office with a new onset of sore throat and headache. She has recently given birth (3 weeks ago), which was uncomplicated. A comprehensive exam is necessary. -Answer-True What is a macule? -Answer-Flat lesion, <1cm What is a patch? -Answer-Flat lesion, >1cm What is a papule? -Answer-Raised lesion, <1cm, no fluid What is a plaque? -Answer-Raised lesion, >1cm, no fluid What is a vesicle? -Answer-Raised lesion, <1cm, fluid filled What is a bulla? -Answer-Raised lesion, >1com, fluid filled True or False: A papule is a fluid filled lesion. -Answer-False A patient recently had a malignant melanoma removed from her back. Which statement by the patient ensures she understood your instructions about preventing skin cancer and further skin care? A. Melanoma rarely metastasis only squamous cell. B. I will wear SPF greater than 30 and check for any skin changes weekly. C. I can go outside without sunscreen after 3 pm because the dangerous sun rays has gone away. D. I will only concern myself with moles that have had constant sun exposure. -Answer- B The most sensitive criteria when ruling in melanoma is? -Answer-Evolution During a full body skin assessment of a patient you see the following lesion with these characteristics: waxy border, red papule with a central crater. This describes what type of lesion? A. Basal Cell B. Normal nevi C. Squamous Cell D. Melanoma -Answer-A A nurse assesses a client suspected of having major depressive disorder. Which client symptom would eliminate this diagnosis? A. The client is disheveled and malodorous. B. The client refuses to interact with others. C. The client is unable to feel any pleasure. D. The client has maxed-out charge cards and exhibits promiscuous behaviors. - Answer-D What is the rationale for a nurse practitioner to perform a full physical health assessment on a client admitted with a diagnosis of major depressive disorder? A. The attention during the assessment is beneficial in decreasing