NR509 MIDTERM NEWEST EXAM TEST
GRADED A+|| GUARANTEED PASS
A 62-year-old smoker complains of "coughing up small amounts
of blood," so you
consider hemoptysis. Which other diagnoses should also be
considered as an etiology
for the complaint? Correct Answer Epistaxis
You ask a patient to hold her arms up, with her palms up, and
then to close her eyes.
The right arm begins to move downward after a few seconds and
her thumb rotates
upward. This is most likely a problem with which part of the
nervous system? Correct Answer Corticospinal tract
When assessing for mitral stenosis, you should place the patient
in what position? Correct Answer left lateral decubitus position
A patient presents with ear pain. She is an avid swimmer. The
history includes pain and
drainage from the left ear. On examination, she has pain when the
ear is manipulated,
,including manipulation of the tragus. The canal is narrowed and
erythematous, with
some white debris in the canal. The rest of the examination is
normal. What diagnosis
would you assign this patient? Correct Answer Otitis externa
When assessing for nystagmus the nurse practitioner instructs the
patient to: Correct Answer fix their gaze on an object located in
the distance
A 58-year-old teacher presents to your clinic with a complaint of
breathlessness with
activity. The patient has no chronic conditions and does not take
any medications,
herbs, or supplements. Which of the following symptoms is
appropriate to ask about in
the cardiovascular review of systems? Correct Answer Orthopnea
Which is true of examination of the olfactory nerve? Correct
Answer Diminished responses may be seen in otherwise normal
elderly.
During the physical examination, which is the best position to
place the patient when
,auscultating for S1, S2, and murmurs? Correct Answer Lying
Supine
For which of the following patients would a comprehensive health
history be
appropriate? Correct Answer A new patient with the chief
complaint of "I am here to establish care"
Identify the abnormal assessment findings in this image. Correct
Answer Cotton-wool patches
A 21-year-old college senior presents to your clinic, complaining
of shortness of breath and a nonproductive nocturnal cough. She
states she used to feel this way only with extreme exercise, but
lately she has felt this way continuously. She denies any other
upper respiratory symptoms, chest pain, gastrointestinal
symptoms, or urinary tract symptoms. Her mother has allergies
and eczema and her father has high blood pressure. She is an
only child. Her blood pressure is 120/80, her pulse is 80, and her
respirations are 20. Her head, eyes, ears, nose, and throat
examinations are essentially normal. Inspection of her anterior
and posterior chest shows no abnormalities. On auscultation of
her chest, there is decreased air movement and a high-pitched
whistling on expiration in all lobes. Percussion reveals resonant
lungs.
Which disorder of the thorax or lung does this best describe?
Correct Answer Asthma
, A patient is assigned a visual acuity of 20/100 in her left eye.
Which of the following is
true? Correct Answer She can see at 20 feet what a normal
person could see at 100 feet.
While examining a 43-year-old Hispanic female patient, you
discover skin findings as
represented in this image. She denies history of any known or
diagnosed adult illnesses
or medical conditions. What associated concurrent medical
condition should you
suspect? Correct Answer Diabetes mellitus
Glaucoma is the leading cause of blindness in African-Americans
and the second
leading cause of blindness overall. What features would be noted
on funduscopic
examination? Correct Answer Increased cup-to-disc ratio
A patient is examined with the ophthalmoscope and found to have
red reflexes
bilaterally. Which of the following diagnoses is still a potential
concern? Correct Answer Hypertensive retinopathy
GRADED A+|| GUARANTEED PASS
A 62-year-old smoker complains of "coughing up small amounts
of blood," so you
consider hemoptysis. Which other diagnoses should also be
considered as an etiology
for the complaint? Correct Answer Epistaxis
You ask a patient to hold her arms up, with her palms up, and
then to close her eyes.
The right arm begins to move downward after a few seconds and
her thumb rotates
upward. This is most likely a problem with which part of the
nervous system? Correct Answer Corticospinal tract
When assessing for mitral stenosis, you should place the patient
in what position? Correct Answer left lateral decubitus position
A patient presents with ear pain. She is an avid swimmer. The
history includes pain and
drainage from the left ear. On examination, she has pain when the
ear is manipulated,
,including manipulation of the tragus. The canal is narrowed and
erythematous, with
some white debris in the canal. The rest of the examination is
normal. What diagnosis
would you assign this patient? Correct Answer Otitis externa
When assessing for nystagmus the nurse practitioner instructs the
patient to: Correct Answer fix their gaze on an object located in
the distance
A 58-year-old teacher presents to your clinic with a complaint of
breathlessness with
activity. The patient has no chronic conditions and does not take
any medications,
herbs, or supplements. Which of the following symptoms is
appropriate to ask about in
the cardiovascular review of systems? Correct Answer Orthopnea
Which is true of examination of the olfactory nerve? Correct
Answer Diminished responses may be seen in otherwise normal
elderly.
During the physical examination, which is the best position to
place the patient when
,auscultating for S1, S2, and murmurs? Correct Answer Lying
Supine
For which of the following patients would a comprehensive health
history be
appropriate? Correct Answer A new patient with the chief
complaint of "I am here to establish care"
Identify the abnormal assessment findings in this image. Correct
Answer Cotton-wool patches
A 21-year-old college senior presents to your clinic, complaining
of shortness of breath and a nonproductive nocturnal cough. She
states she used to feel this way only with extreme exercise, but
lately she has felt this way continuously. She denies any other
upper respiratory symptoms, chest pain, gastrointestinal
symptoms, or urinary tract symptoms. Her mother has allergies
and eczema and her father has high blood pressure. She is an
only child. Her blood pressure is 120/80, her pulse is 80, and her
respirations are 20. Her head, eyes, ears, nose, and throat
examinations are essentially normal. Inspection of her anterior
and posterior chest shows no abnormalities. On auscultation of
her chest, there is decreased air movement and a high-pitched
whistling on expiration in all lobes. Percussion reveals resonant
lungs.
Which disorder of the thorax or lung does this best describe?
Correct Answer Asthma
, A patient is assigned a visual acuity of 20/100 in her left eye.
Which of the following is
true? Correct Answer She can see at 20 feet what a normal
person could see at 100 feet.
While examining a 43-year-old Hispanic female patient, you
discover skin findings as
represented in this image. She denies history of any known or
diagnosed adult illnesses
or medical conditions. What associated concurrent medical
condition should you
suspect? Correct Answer Diabetes mellitus
Glaucoma is the leading cause of blindness in African-Americans
and the second
leading cause of blindness overall. What features would be noted
on funduscopic
examination? Correct Answer Increased cup-to-disc ratio
A patient is examined with the ophthalmoscope and found to have
red reflexes
bilaterally. Which of the following diagnoses is still a potential
concern? Correct Answer Hypertensive retinopathy
