Advanced Health Assessment Midterm Review of Quiz Questions – Graded A

Advanced Health Assessment Midterm Review of Quiz Questions – Graded A Which of the following is an example of subjective data: A. Mr. D's vital signs are BP 138/66 P 107 T 99.9 SPO2 92% RR 20 B. Mr. D has inspiratory and expiratory wheezes noted during auscultation of the lungs C. Mr D's CXR shows an infiltrate in the left lower lobe consistent with pneumonia D. Mr D is a 53 year old male who presents to the clinic complaining of shortness of breath and says "it hurts to take deep breaths." He reports this started 2 days ago and says he's been having fever and chills. - ansD. Mr D is a 53 year old male who presents to the clinic complaining of shortness of breath and says "it hurts to take deep breaths." He reports this started 2 days ago and says he's been having fever and chills. All of the following are included in the Review of Systems except: A. general B. Cardiovascular C. Psychiatric D. All of the above - ansD. All of the above Which of the following is not a goal when developing a systematic sequence of examination: A. maximize the patients' comfort B. perform invasive imaging first C. avoid unnecessary changes in position D. enhance clinical efficiency - ansB. perform invasive imaging first All of the following are examples of health promotion except: A. using USPSTF guidelines for practice during the exam B. using American College of Chest Physicians grading criteria during the exam C. removing baby aspirin 81 mg from the medication list of a patient with know coronary artery disease during the exam D. using CDC recommendations for exercise during the exam - ansC. removing baby aspirin 81 mg from the medication list of a patient with know coronary artery disease during the exam The initial moments of your encounter with a patient lay the foundation for your ongoing relationship. Which of the following best helps lay that foundation: A. ensure there is more than adequate lighting in the exam room B. explain your role, your status as a student provider and how you will be involved in the patient's care C. check the light source in the otoscope D. check the light source in the opthalmascope - ansB. explain your role, your status as a student provider and how you will be involved in the patient's care Which of the following is not one of the seven attributes of a symptom: A. location B. quality C. timing D. immunization status - ansD. immunization status All of the following are examples of empathic responses except: A. "I cannot imagine how hard this must be for you" B. "I think you need a psych consult immediately" C. "You must be feeling sad" D. "That sounds upsetting" - ansB. "I think you need a psych consult immediately" Which of the following are components of the three dimensions of cultural humility: A. self-awareness B. respectful communication C. collaborative partnership D. all of the above - ansD. all of the above When performing the general survey which of the following is not considered a sign of distress: A. pain B. labored breathing C. large mole on forehead D. anxiety - ansC. large mole on forehead You are speaking to an 8th grade class about health prevention and are preparing to discuss the ABCDEs of melanoma. Which of the following descriptions correctly defines the ABCDEs? A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E = evolution A = actinic; B = basal cell; C = color changes, especially blue; D = diameter >6 mm; E = evolution A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E = evolution A = asymmetry; B = regular borders; C = color changes, especially orange; D = diameter >6 mm; E = evolution - ansA = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E = evolution A 28-year-old patient comes to the office for evaluation of a rash. At first there was only one large patch, but then more lesions erupted suddenly on the back and torso; the lesions itch. On physical examination, you note that the pattern of eruption is like a Christmas tree and that there are a variety of erythematous papules and macules on the cleavage lines of the back. Based on this description, what is the most likely diagnosis? Tinea versicolor Pityriasis rosea Psoriasis Atopic eczema - ansPityriasis rosea A 19-year-old construction worker presents for evaluation of a rash. He notes that it started on his back with a multitude of spots and is also on his arms, chest, and neck. It itches a lot. He does sweat more than before because being outdoors is part of his job. On physical examination, you note dark tan patches with a reddish cast that has sharp borders and fine scales, scattered more prominently around the upper back, chest, neck, and upper arms as well as under the arms. Based on this description, what is your most likely diagnosis? Tinea versicolor Pityriasis rosea Psoriasis Atopic eczema - ansTinea versicolor Which skin lesions are most commonly found on sun-exposed skin of older, fair-skinned people? Skin tags Seborrheic keratoses Actinic keratoses Angiomas - ansActinic keratoses A 68-year-old retired farmer comes to your office for evaluation of a skin lesion. On the right temporal area of the forehead, you see a flattened papule the same color as his skin, covered by a dry scale that is round and feels hard. He has several more of these scattered on the forehead, arms, and legs. Based on this description, what is your most likely diagnosis? Seborrheic keratosis Actinic keratosis Basal cell carcinoma Squamous cell carcinoma - ansActinic keratosis Which type of lesion often grows out of already present nevi that are changing or atypical, especially if the patient is over 50 years old: malignant melanoma basal cell carcinoma squamous cell carcinoma karposi sarcoma - ansmalignant melanoma Nail involvement characterized by painless separation of the nail plate from the nail bed is termed: Hippocratic nails Onycholysis Koilonychia Anonychia - ansOnycholysis A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after being in the hospital for 6 weeks. She was treated for sepsis and respiratory failure and had to be on the ventilator for 3 weeks. You are completing your initial assessment and are evaluating her skin condition. On her sacrum there is full-thickness skin loss that is 5 cm in diameter, with damage to the subcutaneous tissue. The underlying muscle is not affected. You diagnose this as a pressure ulcer. What is the stage of this ulcer? Stage 1 Stage 2 Stage 3 Stage 4 - ansStage 3 Sammy, age 12, presents with claerly demarcated round or oval patches of hair loss without visible scaling or inflammation. What do you suspect? Psoriasis Erythema multiforme Alopecia Areata Syphilis - ansAlopecia Areata A basal cell carcinoma is: an epithelial tumor that originates from either the basal layer of the epidermis or cells in the surrounding dermal structures and are usually found in sun-exposed areas a malignant tumor of the squamous epithelium of the skin or mucous membranes an overgrowth and thickening of the cornified epithelium lined with epithelium and contains a fluid or semisolid material - ansan epithelial tumor that originates from either the basal layer of the epidermis or cells in the surrounding dermal structures and are usually found in sun-exposed areas You ask a patient to follow your finger laterally when evaluating extraocular movements. Which cranial nerves are you testing? IV, VII III, VI III, X II, III - ansIII, VI The mental status examination enables the nurse practitioner to identify: Intelligence quotient and reasoning Abstract thinking and memory functioning Reasoning and psychomotor skills Memory functioning and intelligence - ansAbstract thinking and memory functioning An assessment of a client experiencing hallucinations would most likely reveal all of the following except: