NUR 634 shadow health
A brief statement of the reason the patient is seeking health care is called the: CORRECT ANS: chief
complaint
Which of the following is an "ABCD" characteristic of malignant melanoma? CORRECT ANS: Irregular
borders
Which question would be considered a "leading question"? CORRECT ANS: "You don't get headaches
often, do you?"
A flat, nonpalpable lesion is described as a macule if the diameter is: CORRECT ANS: less than 1 cm.
When you are questioning a patient regarding alcohol intake, she tells you that she is "only a social
drinker." Which initial response is appropriate? CORRECT ANS: "What amount and what kind of alcohol
do you drink in a week?"
Mrs. Britton is a 34-year-old patient who presents to the office with complaints of skin rashes. You have
noted a 3-cm, rough, elevated area of psoriasis. This is an example of a: CORRECT ANS: plaque
Painful vesicles are associated with: CORRECT ANS: herpes zoster
A 29-year-old white woman appears jaundiced. An etiology of liver disease has been excluded. What
history questions should the nurse ask? CORRECT ANS: Whether she eats a lot of yellow and orange
vegetables.
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: CORRECT ANS: personal and social history.
The thyroid gland is partially obscured by the: CORRECT ANS: sternocleidomastoid
,To perform the Rinne test, place the tuning fork on the: CORRECT ANS: mastoid bone.
You observe pupillary response as the patient looks at a distant object and then at an object held 10 cm
from the bridge of the nose. You are assessing for: CORRECT ANS: accommodation.
Normal tympanic membrane color is: CORRECT ANS: pearly gray.
Ask the patient to look directly at the light of the ophthalmoscope when you are ready to examine the:
CORRECT ANS: macula.
According to the AUDIT scale , a person who receives a score of 14 is : CORRECT ANS: Is in the high risk
category for alcohol abuse
Bulging of an amber tympanic membrane without mobility is most often associated with: CORRECT ANS:
middle ear effusion.
You ask your patient to perform the DAST questionnaire, and note that he scored a "5". You understand
this means: CORRECT ANS: the patient is at high risk for drug abuse
After you have the patient complete the AUDIT questionnaire, your tally the score and realize the
patient has scored a "9" . Your next communication with the patient should be: CORRECT ANS: I see that
you completed the questionnaire, may I discuss the results with you?
You are conducting a brief negotiated interview with your young male patient after you have reviewed
his AUDIT questionnaire results. You discuss the safe drinking limits per day for his gender . You explain
to him that this number is: CORRECT ANS: 4
, You are discussing the amount of alcohol in different drinks with your patient. You explain to your
patient what constitutes a standard drink. You review that 12 oz of regular beer is equal to: CORRECT
ANS: 5 oz. of table wine
With consolidation in the lung tissue, the breath sounds are louder and easier to hear, whereas healthy
lung tissue produces softer sounds. This is because: CORRECT ANS: air-filled lung tissue is an insulator of
sound
The characteristic barrel chest of the older adult is due to a combination of factors including: CORRECT
ANS: skeletal changes of aging.
You would expect to document the presence of a pleural friction rub for a patient being treated for:
CORRECT ANS: pleurisy.
Both pleural effusion and lobar pneumonia are characterized by _____ percussion. CORRECT ANS:
dullness heard on
Mr. L. has cyanotic lips and nail beds. His lips are pursed, and he has nasal flaring. You suspect he is
having cardiac or pulmonary difficulty. What additional sign would support this impression? CORRECT
ANS: Clubbing of the fingers
Breath sounds normally auscultated over most of the lung fields are called: CORRECT ANS: vesicular.
To begin counting the ribs and the intercostal spaces, you begin by palpating the reference point of the:
CORRECT ANS: manubriosternal junction.
Which bronchial structure(s) is(are) most susceptible to aspiration of foreign bodies? CORRECT ANS:
Right mainstem bronchus
A brief statement of the reason the patient is seeking health care is called the: CORRECT ANS: chief
complaint
Which of the following is an "ABCD" characteristic of malignant melanoma? CORRECT ANS: Irregular
borders
Which question would be considered a "leading question"? CORRECT ANS: "You don't get headaches
often, do you?"
A flat, nonpalpable lesion is described as a macule if the diameter is: CORRECT ANS: less than 1 cm.
When you are questioning a patient regarding alcohol intake, she tells you that she is "only a social
drinker." Which initial response is appropriate? CORRECT ANS: "What amount and what kind of alcohol
do you drink in a week?"
Mrs. Britton is a 34-year-old patient who presents to the office with complaints of skin rashes. You have
noted a 3-cm, rough, elevated area of psoriasis. This is an example of a: CORRECT ANS: plaque
Painful vesicles are associated with: CORRECT ANS: herpes zoster
A 29-year-old white woman appears jaundiced. An etiology of liver disease has been excluded. What
history questions should the nurse ask? CORRECT ANS: Whether she eats a lot of yellow and orange
vegetables.
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: CORRECT ANS: personal and social history.
The thyroid gland is partially obscured by the: CORRECT ANS: sternocleidomastoid
,To perform the Rinne test, place the tuning fork on the: CORRECT ANS: mastoid bone.
You observe pupillary response as the patient looks at a distant object and then at an object held 10 cm
from the bridge of the nose. You are assessing for: CORRECT ANS: accommodation.
Normal tympanic membrane color is: CORRECT ANS: pearly gray.
Ask the patient to look directly at the light of the ophthalmoscope when you are ready to examine the:
CORRECT ANS: macula.
According to the AUDIT scale , a person who receives a score of 14 is : CORRECT ANS: Is in the high risk
category for alcohol abuse
Bulging of an amber tympanic membrane without mobility is most often associated with: CORRECT ANS:
middle ear effusion.
You ask your patient to perform the DAST questionnaire, and note that he scored a "5". You understand
this means: CORRECT ANS: the patient is at high risk for drug abuse
After you have the patient complete the AUDIT questionnaire, your tally the score and realize the
patient has scored a "9" . Your next communication with the patient should be: CORRECT ANS: I see that
you completed the questionnaire, may I discuss the results with you?
You are conducting a brief negotiated interview with your young male patient after you have reviewed
his AUDIT questionnaire results. You discuss the safe drinking limits per day for his gender . You explain
to him that this number is: CORRECT ANS: 4
, You are discussing the amount of alcohol in different drinks with your patient. You explain to your
patient what constitutes a standard drink. You review that 12 oz of regular beer is equal to: CORRECT
ANS: 5 oz. of table wine
With consolidation in the lung tissue, the breath sounds are louder and easier to hear, whereas healthy
lung tissue produces softer sounds. This is because: CORRECT ANS: air-filled lung tissue is an insulator of
sound
The characteristic barrel chest of the older adult is due to a combination of factors including: CORRECT
ANS: skeletal changes of aging.
You would expect to document the presence of a pleural friction rub for a patient being treated for:
CORRECT ANS: pleurisy.
Both pleural effusion and lobar pneumonia are characterized by _____ percussion. CORRECT ANS:
dullness heard on
Mr. L. has cyanotic lips and nail beds. His lips are pursed, and he has nasal flaring. You suspect he is
having cardiac or pulmonary difficulty. What additional sign would support this impression? CORRECT
ANS: Clubbing of the fingers
Breath sounds normally auscultated over most of the lung fields are called: CORRECT ANS: vesicular.
To begin counting the ribs and the intercostal spaces, you begin by palpating the reference point of the:
CORRECT ANS: manubriosternal junction.
Which bronchial structure(s) is(are) most susceptible to aspiration of foreign bodies? CORRECT ANS:
Right mainstem bronchus
