MIDTERM CLINICAL EXAM STUDY GUIDE
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–
MULTIPLE CHOICE PRACTICE (ADVANC
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ED NURSING & MEDICAL TRAINING)
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Approved by the best professors guaranteed succ
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ess to our customers. am am am
Medical-
Surgical Nursing I: Management of Comprehensive Adult Patient Care
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(Stanford University) am
PageMaster
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,Question 1 am
An 18-year-
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old client comes to the office for Assessment of a skin eruption. At first there was only on
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e large patch, but then more lesions erupted suddenly on the back and torso; the lesions i
am am am am am am am am am am am am am am am am
tch. On physical assesment, you note that the pattern of eruption is like a Christmas tree
am am am am am am am am am am am am am am am am
and that there are a variety of erythematous papules and macules on the cleavage lines o
am am am am am am am am am am am am am am am
f the back. Based on this description, what is the most likely assesment?
am am am am am am am am am am am am
Pityriasis rosea am
Psoriasis
Atopic eczema am
Tinea versicolor am
Question 2 am
A 19-year-am
old construction worker presents for Assessment of a skin eruption. He notes that it start
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ed on his back with a multitude of spots and is also on his arms, chest, and neck. It itches
am am am am am am am am am am am am am am am am am am am
a lot. He does sweat more than before because being outdoors is part of his job. On phy
am am am am am am am am am am am am am am am am am am
sical assesment, you note dark tan patches with a reddish cast that has sharp borders a
am am am am am am am am am am am am am am am
nd fine scales, scattered more prominently around the upper back, chest, neck, and uppe
am am am am am am am am am am am am am
r arms as well as under the arms. Based on this description, what is your most likely asses
am am am am am am am am am am am am am am am am am
ment?
Psoriasis
Tinea versicolor am
Atopic eczema am
Pityriasis rosea
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am
Downloaded by PageMaster am am
,Question 3 am
You are examining a child with severe cerebral palsy. When you suddenly
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move his foot dorsally, a sustained “beating” of the foot against your hand e
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nsues. What does this represent?am am am am
Clonus
Reinforcement
A focal seizure
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Extinction
Question 4 am
A client presents with a daily cranial pain which has worsened over the past several mont
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hs. On funduscopic assesment, you notice that the disk edge is indistinct and the veins d
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o not pulsate. Which is most likely?
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Detached retina am
Glaucoma
Migraine
Increased intracranial pressure am am
Question 5 am
A client complains of nasal bleed. Which other cause should be considered? Hematemesis
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Downloaded by PageMaster am am
, Hematoma of the nasal septum am am am am
Intestinal hemorrhage am
Intracranial hemorrhage am
Question 6 am
A client complains of breathlessness for the past few days. On assesment, you note late i
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nspiratory crackles in the lower third of the chest that were not present a week ago.
am am am am am am am am am am am am am am am
What is the most likely explanation for these?
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Heart failure am
Asthma
Bronchiectasis
COPD
Question 7 am
You are excited about a positive test finding you have just noticed on physical assesment
am am am am am am am am am am am am am am am
of your client. You go on to do more assesment, laboratory work, and diagnostic tests, o
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nly to find that there is no sign of the disease you thought would correlate with the finding.
am am am am am am am am am am am am am am am am am
This same experience happens several times. What should you conclude?
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Continue using the test, perhaps doing less laboratory work and diagnostics.
am am am am am am am am am am
Omit this test from future assesments.
am am am am am
Downloaded by PageMaster am am
am am am am am
–
MULTIPLE CHOICE PRACTICE (ADVANC
am am am amam
ED NURSING & MEDICAL TRAINING)
am am am am am
Approved by the best professors guaranteed succ
am am am am am am
ess to our customers. am am am
Medical-
Surgical Nursing I: Management of Comprehensive Adult Patient Care
am am am am am am am am am
(Stanford University) am
PageMaster
Downloaded by PageMaster am am
,Question 1 am
An 18-year-
am am
old client comes to the office for Assessment of a skin eruption. At first there was only on
am am am am am am am am am am am am am am am a m am
e large patch, but then more lesions erupted suddenly on the back and torso; the lesions i
am am am am am am am am am am am am am am am am
tch. On physical assesment, you note that the pattern of eruption is like a Christmas tree
am am am am am am am am am am am am am am am am
and that there are a variety of erythematous papules and macules on the cleavage lines o
am am am am am am am am am am am am am am am
f the back. Based on this description, what is the most likely assesment?
am am am am am am am am am am am am
Pityriasis rosea am
Psoriasis
Atopic eczema am
Tinea versicolor am
Question 2 am
A 19-year-am
old construction worker presents for Assessment of a skin eruption. He notes that it start
am am am am am am am am am am am am am am
ed on his back with a multitude of spots and is also on his arms, chest, and neck. It itches
am am am am am am am am am am am am am am am am am am am
a lot. He does sweat more than before because being outdoors is part of his job. On phy
am am am am am am am am am am am am am am am am am am
sical assesment, you note dark tan patches with a reddish cast that has sharp borders a
am am am am am am am am am am am am am am am
nd fine scales, scattered more prominently around the upper back, chest, neck, and uppe
am am am am am am am am am am am am am
r arms as well as under the arms. Based on this description, what is your most likely asses
am am am am am am am am am am am am am am am am am
ment?
Psoriasis
Tinea versicolor am
Atopic eczema am
Pityriasis rosea
amamamamamamamamamamamamamamamamamamamamamamam
am
Downloaded by PageMaster am am
,Question 3 am
You are examining a child with severe cerebral palsy. When you suddenly
am am am am am am am am am am am am
move his foot dorsally, a sustained “beating” of the foot against your hand e
am am am am am am am am am am am am am
nsues. What does this represent?am am am am
Clonus
Reinforcement
A focal seizure
am am
Extinction
Question 4 am
A client presents with a daily cranial pain which has worsened over the past several mont
am am am am am am am am am am am am am am am am
hs. On funduscopic assesment, you notice that the disk edge is indistinct and the veins d
am am am am am am am am am am am am am am am
o not pulsate. Which is most likely?
am am am am am am
Detached retina am
Glaucoma
Migraine
Increased intracranial pressure am am
Question 5 am
A client complains of nasal bleed. Which other cause should be considered? Hematemesis
am am am am am am am am am am am am
Downloaded by PageMaster am am
, Hematoma of the nasal septum am am am am
Intestinal hemorrhage am
Intracranial hemorrhage am
Question 6 am
A client complains of breathlessness for the past few days. On assesment, you note late i
am am am am am am am am am am am am am am am am
nspiratory crackles in the lower third of the chest that were not present a week ago.
am am am am am am am am am am am am am am am
What is the most likely explanation for these?
am am am am am am am
Heart failure am
Asthma
Bronchiectasis
COPD
Question 7 am
You are excited about a positive test finding you have just noticed on physical assesment
am am am am am am am am am am am am am am am
of your client. You go on to do more assesment, laboratory work, and diagnostic tests, o
am am am a m am am am am am am am am am am am am
nly to find that there is no sign of the disease you thought would correlate with the finding.
am am am am am am am am am am am am am am am am am
This same experience happens several times. What should you conclude?
a m am am am am am a m am am am
Continue using the test, perhaps doing less laboratory work and diagnostics.
am am am am am am am am am am
Omit this test from future assesments.
am am am am am
Downloaded by PageMaster am am
