NURS 6512 MIDTERM EXAM 2024/2025 SUMMER QTR. COMPLETE QUESTIONS AND ANSWERS.

NURS 6512 MIDTERM EXAM 2024/2025 SUMMER QTR. COMPLETE QUESTIONS AND ANSWERS. A 5-year-old child presents with nasal congestion and a headache. To assess for sinus tenderness you should palpate over the: Answer: maxillary sinuses only. As part of your health promotion education for a new patient, you explain that the risk factors for skin cancer include: Answer: repeated trauma or irritation to skin. Mrs. Webb is a 38-year-old patient who has been changing her lifestyle to eat in a healthy way and lose weight. During your health promotion education regarding her nutritional status, you explain the function of dietary protein as: Answer: building and maintaining tissues. Mrs. Leonard brings her newborn infant into the pediatrician's office for a first well-baby visit. As the health care provider, you teach her that newborns are more vulnerable to hypothermia due to: Answer: D. a poorly developed subcutaneous fat layer. Your patient presents with symptoms that lead you to suspect acute appendicitis. Which assessment finding is least likely to be associated with this condition early in its course? Answer: Positive psoas sign Question 6 Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence? Answer: Realize that cultural values are difficult to change and must be respected. Your patient returns for a blood pressure check 2 weeks after a visit during which you performed a complete history and physical. This visit would be documented by creating a(n): Answer: problem-oriented medical record. Mr. Donalds is a 45-year-old roofer. Your inspection to determine color variations of the skin is best conducted: Answer: D. using a Wood’s light. You are examining a pregnant patient and have noted a vascular lesion. When you blanche over the vascular lesion, the site blanches and refills evenly from the center outward. The nurse documents this lesion as a: Answer: B. spider angioma. The term denoting the caregiver's need to do no harm to the patient is: Answer: nonmaleficence. When hearing is evaluated, which cranial nerve is being tested? Answer: VIII You are collecting a history from an 11-year-old girl. Her mother is sitting next to her in the examination room. When collecting history from older children or adolescents, they should be: Answer: given the opportunity to be interviewed without the parent at some point during the interview. Periods of silence during the interview can serve important purposes, such as: Answer: providing time for reflection. Mrs. Raymonds is a 24-year-old patient who has presented for a routine concern over her current weight. In your patient teaching with her, you explain the importance of macronutrients. Which of the following is a macronutrient? Answer: Fat You are palpating a patient's thyroid and find that its broadest dimension measures 4 cm. The right lobe is 25% larger than the left. These data would indicate: Answer: C. a normal thyroid gland. Brittle nails are typical findings in: Answer: D. older adults. Which statement is true regarding the relationship of physical characteristics and culture? Answer: There is a difference between distinguishing cultural characteristics and distinguishing physical characteristics. Tracheal tug suggests the presence of a(n): Answer: aortic aneurysm. Mrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the: Answer: CAGE questionnaire. A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the: Answer: peritoneum. A 17-year-old girl presents to the clinic for a sports physical. Physical examination findings reveal bradycardia, multiple erosions of tooth enamel, and scars on her knuckles. She appears healthy otherwise. You should ask her if she: Answer: binges and vomits. When examining the skull of a 4-month-old baby, you should normally find: Answer: B. closure of the posterior fontanel. Mr. Akins is a 78-year-old patient who presents to the clinic with complaints of hearing loss. Which of the following are changes in hearing that occur in the elderly? Select all that apply. Selected Answers: c. Unable to hear in a crowded room e. Loss of high frequency f. Sounds may be garbled and difficult to localize Which of the following occurs when firm pressure is used to apply the stethoscope's bell end-piece to the skin? Answer: It functionally converts to a diaphragm end-piece. Regardless of the origin, discharge is described by noting: Answer: color and consistency. Cherry angiomas are a common finding in: Answer: adults older than 30 years. Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure: Answer: hearing range of normal speech. Mr. Black is a 44-year-old patient who presents to the clinic with complaints of neck pain that he thinks is from his job involving computer data entry. As the examiner, you are checking the range of motion in his neck and note the greatest degree of cervical mobility is at: Answer: D. C4 to C5. Mr. L. presents to the clinic with severe groin pain and a history of kidney stones. Mr. L.'s son tells you that, for religious reasons, his father wishes to keep any stone that is passed into the urine filter that he has been using. What is your most appropriate response? Answer: "With your father's permission, we will examine the stone and request that it be returned to him." Coarse, dry, and brittle hair is associated with which metabolic disorder? Answer: Hypothyroidism Inspection of the abdomen should begin with the patient supine and the examiner: Answer: seated on the patient's right. Which technique is most likely to result in the patient's understanding of questions? Answer: Use the simplest language possible. Which type of speculum should be used to examine a patient's tympanic membrane? Answer: The largest speculum that will fit comfortably in the ear In issues surrounding ethical decision making, beneficence refers to the: Answer: need to do good for the patient. Sweat glands, hair, and nails are all formed from: Answer: C. invaginations of epidermis into dermis. Tympanic thermometers measure body temperature when a probe is placed: Answer: in the auditory canal. Mr. D. complains of a headache. During the history, he mentions his use of alcohol and illicit drugs. This information would most likely belong in the: Answer: personal and social history. Nuchal rigidity is most commonly associated with: Answer: B. meningeal irritation. A detailed description of the symptoms related to the chief complaint is presented in the: Answer: history of present illness.