exam
NURS 5433 Final exam comprehensive test
bank with 400 real exam review questions
and correct answers with rationales/ NURS
5433 Family 2 Final exam prep test bank
What is the pedigree symbol for a diseased or affected female?
A) An empty square
B) An empty circle
C) A filled-in square
D) A filled-in circle –
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Correct Answer :D) A filled-in circle
A filled-in circle is a diseased/affected female and an empty circle is a healthy female. A tip to remember is that
females make eggs (or follicles),
which resemble a circle. By default, the square symbol is the male.
The gold-standard test for visualizing a torn meniscus or joint abnormalities is the:
A) Computed tomography (CT) scan
B) Magnetic resonance imaging (MRI) scan
C) X-ray with special views of the affected knee
D) Lachman's maneuver
- Correct Answer :B) Magnetic resonance imaging
(MRI) scan MRI provides good visualization
of soft tissues of the body (most cancers, brain, cartilage, muscles, inflammation, etc.). It is best used in tissues
with high water content. Patients with metal implants such as cochlear implants and cardiac pacemakers should
be carefully screened.
The MRI does not use radiation, but uses strong magnetic and radio waves to visualize body structures.
What is the best description of Cullen's sign?
A) The onset of hyperactive bowel sound before the onset of ileus
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B) A reddish-purple discoloration that is located on the flank area
C) A bluish discoloration or bruising that is located on the umbilical area
D) The acute-onset subcutaneous bleeding seen during acute pancreatitis –
Correct Answer :C) A bluish discoloration or bruising that is located on the umbilical area
Cullen's sign is the acute onset of bluish discoloration that is located on the umbilical/periumbilical area; it is
caused by bruising underneath the skin. The bluish discoloration that is located on the flank area is called the
Grey-Turner sign. It is a sign of a severe case of pancreatitis.
A 75-year-old woman presents complaining of a soft lump on her abdomen that is located on the periumbilical
area. She tells the nurse practitioner that she does not know how long she has had the lump or whether it has
changed in size or shape. She denies abdominal pain, problems with defecation, loss of appetite, weight loss, or
trauma. When performing an abdominal exam, what is the best method to differentiate between an abdominal
wall mass and an intra-abdominal mass?
A) Palpate the abdominal wall while the patient is relaxed
B) Instruct the patient to lift her head off the table while tensing her abdominal muscles to visualize any masses
and then palpate the abdominal wall
C) Instruct the patient to lie still for few seconds while you palpate the abdominal wall
D) Palpate the abdomen deeply, then release the palpating hand quickly –
Correct Answer :B) Instruct the patient to lift her head off the table while tensing her abdominal muscles to
visualize any masses and then palpate the abdominal wall
An abdominal wall mass will become more prominent when the abdominal wall muscles are tense. If it is an intra-
abdominal mass, it will be pressed down by the muscles and will become less obvious or disappear. Some of the
most common
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abdominal wall masses are hernias (epigastric, umbilical, incisional). This patient had a periumbilical hernia (soft
lump on her abdomen that is located on the periumbilical area that is painless).
Which of the following structures of the eyes is responsible for color vision?
A) Rods
B) Macula
C) Cones
D) Pupils - Correct Answer :C) Cones
Rods and cones are photoreceptor cells of the retina. The cones of the eyes are responsible for color vision.
Cones are very sensitive to colors (red, blue, or green) and work better in brighter light. Rods are good for night
vision and for vision in low light conditions because they are sensitive to light and dark. To remember them, note
that both cone and color start with the letter "C."
A new patient is being interviewed by the nurse practitioner. The patient reports that she had a gastrectomy
procedure 5 years ago to treat severe obesity. Currently, her BMI is 25 and the patient denies complications from
the procedure. The nurse practitioner is aware that the patient is at higher risk for which of the following
disorders?
A) Folate deficiency anemia
B) B12-deficiency anemia
C) Iron-deficiency anemia
D) Normocytic anemia - Correct Answer :B) B12-deficiency anemia
Intrinsic factor is made by the parietal cells, which
are located on the fundus of the stomach. Intrinsic factor is needed to effectively absorb Vitamin B12 (dairy,
meat). Because the gastric fundus is damaged in these patients, they are at higher risk of B12-deficiency anemia
(MCV greater than 100).
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