TXST NURS 5210 Advanced Health Assessment Practicum:
Exam 3 - Questions with Correct Answers
100 questions
1. When an interpreter is needed, the clinician should:
A. Use the patient's child
B. Speak to the interpreter instead of the patient
C. Use a trained medical interpreter and speak directly to the patient
D. Avoid interpreters
Correct Answer: C. Use a trained medical interpreter and speak directly to the patient
Rationale: Best practice.
2. Trauma-informed care principles include:
A. Rapid exams without explanation
B. Restraints
C. Ignoring history
D. Safety, trustworthiness, choice, collaboration and empowerment
Correct Answer: D. Safety, trustworthiness, choice, collaboration and empowerment
Rationale: Approach.
3. When a patient becomes tearful, the clinician should:
A. Move to the next question
B. Leave the room
C. Pause, acknowledge emotions and offer support
D. Change the subject
Correct Answer: C. Pause, acknowledge emotions and offer support
Rationale: Empathy.
4. A thorough exam begins with:
A. Rectal exam
B. General survey and vital signs
C. Ophthalmoscopy
D. Reflexes
Correct Answer: B. General survey and vital signs
Rationale: Overview.
5. When a patient's story is inconsistent, the clinician should:
A. Clarify gently using summarizing and specific questions
B. Accuse the patient
C. Ignore it
D. End the visit
Correct Answer: A. Clarify gently using summarizing and specific questions
Rationale: Accuracy.
6. Health literacy assessment helps the clinician:
A. Diagnose disease
B. Order labs
C. Tailor explanations and instructions
D. Bill insurance
Correct Answer: C. Tailor explanations and instructions
Rationale: Understanding.
,7. Anchoring bias in diagnosis is:
A. Considering many diagnoses
B. Ordering more tests
C. Asking open questions
D. Fixing on an initial impression and failing to adjust
Correct Answer: D. Fixing on an initial impression and failing to adjust
Rationale: Cognitive error.
8. Body mass index of 32 kg/m2 is classified as:
A. Normal
B. Overweight
C. Obesity (class I)
D. Underweight
Correct Answer: C. Obesity (class I)
Rationale: 30-34.9.
9. Acanthosis nigricans is associated with:
A. Hypothyroidism only
B. Insulin resistance
C. Vitamin C deficiency
D. Lyme disease
Correct Answer: B. Insulin resistance
Rationale: Velvety hyperpigmentation.
10. A papule is:
A. A flat lesion
B. A raised, solid lesion less than 1 cm
C. A fluid-filled blister
D. A scar
Correct Answer: B. A raised, solid lesion less than 1 cm
Rationale: Raised.
11. Cherry angiomas are:
A. Malignant
B. Benign red papules common with aging
C. Signs of liver disease
D. Infections
Correct Answer: B. Benign red papules common with aging
Rationale: Benign.
12. Scabies is characterized by:
A. Intense nocturnal itching and burrows in finger webs
B. Painless plaques
C. Pearly papules
D. Dermatomal vesicles
Correct Answer: A. Intense nocturnal itching and burrows in finger webs
Rationale: Mites.
, 13. Clubbing of the nails is associated with:
A. Iron deficiency
B. Chronic hypoxia, such as lung disease or cyanotic heart disease
C. Psoriasis
D. Trauma
Correct Answer: B. Chronic hypoxia, such as lung disease or cyanotic heart disease
Rationale: Angle 180 degrees or more.
14. Psoriasis classically presents with:
A. Flexural weeping lesions
B. Honey-colored crusts
C. Target lesions
D. Well-demarcated erythematous plaques with silvery scale on extensor surfaces
Correct Answer: D. Well-demarcated erythematous plaques with silvery scale on extensor
surfaces
Rationale: Psoriasis.
15. A longitudinal pigmented band in a single nail warrants evaluation for:
A. Fungal infection only
B. Psoriasis
C. Subungual melanoma
D. Normal finding always
Correct Answer: C. Subungual melanoma
Rationale: Hutchinson sign.
16. Pityriasis rosea often begins with:
A. Dermatomal vesicles
B. Honey crusts
C. A herald patch followed by a 'Christmas tree' distribution
D. Silvery plaques
Correct Answer: C. A herald patch followed by a 'Christmas tree' distribution
Rationale: Self-limited.
17. Fluorescein staining is used to detect:
A. Glaucoma
B. Corneal abrasions
C. Cataracts
D. Retinal detachment
Correct Answer: B. Corneal abrasions
Rationale: Epithelial defects.
18. Corneal light reflex (Hirschberg test) asymmetry suggests:
A. Cataract
B. Glaucoma
C. Strabismus (ocular misalignment)
D. Normal finding
Correct Answer: C. Strabismus (ocular misalignment)
Rationale: Alignment screen.
Exam 3 - Questions with Correct Answers
100 questions
1. When an interpreter is needed, the clinician should:
A. Use the patient's child
B. Speak to the interpreter instead of the patient
C. Use a trained medical interpreter and speak directly to the patient
D. Avoid interpreters
Correct Answer: C. Use a trained medical interpreter and speak directly to the patient
Rationale: Best practice.
2. Trauma-informed care principles include:
A. Rapid exams without explanation
B. Restraints
C. Ignoring history
D. Safety, trustworthiness, choice, collaboration and empowerment
Correct Answer: D. Safety, trustworthiness, choice, collaboration and empowerment
Rationale: Approach.
3. When a patient becomes tearful, the clinician should:
A. Move to the next question
B. Leave the room
C. Pause, acknowledge emotions and offer support
D. Change the subject
Correct Answer: C. Pause, acknowledge emotions and offer support
Rationale: Empathy.
4. A thorough exam begins with:
A. Rectal exam
B. General survey and vital signs
C. Ophthalmoscopy
D. Reflexes
Correct Answer: B. General survey and vital signs
Rationale: Overview.
5. When a patient's story is inconsistent, the clinician should:
A. Clarify gently using summarizing and specific questions
B. Accuse the patient
C. Ignore it
D. End the visit
Correct Answer: A. Clarify gently using summarizing and specific questions
Rationale: Accuracy.
6. Health literacy assessment helps the clinician:
A. Diagnose disease
B. Order labs
C. Tailor explanations and instructions
D. Bill insurance
Correct Answer: C. Tailor explanations and instructions
Rationale: Understanding.
,7. Anchoring bias in diagnosis is:
A. Considering many diagnoses
B. Ordering more tests
C. Asking open questions
D. Fixing on an initial impression and failing to adjust
Correct Answer: D. Fixing on an initial impression and failing to adjust
Rationale: Cognitive error.
8. Body mass index of 32 kg/m2 is classified as:
A. Normal
B. Overweight
C. Obesity (class I)
D. Underweight
Correct Answer: C. Obesity (class I)
Rationale: 30-34.9.
9. Acanthosis nigricans is associated with:
A. Hypothyroidism only
B. Insulin resistance
C. Vitamin C deficiency
D. Lyme disease
Correct Answer: B. Insulin resistance
Rationale: Velvety hyperpigmentation.
10. A papule is:
A. A flat lesion
B. A raised, solid lesion less than 1 cm
C. A fluid-filled blister
D. A scar
Correct Answer: B. A raised, solid lesion less than 1 cm
Rationale: Raised.
11. Cherry angiomas are:
A. Malignant
B. Benign red papules common with aging
C. Signs of liver disease
D. Infections
Correct Answer: B. Benign red papules common with aging
Rationale: Benign.
12. Scabies is characterized by:
A. Intense nocturnal itching and burrows in finger webs
B. Painless plaques
C. Pearly papules
D. Dermatomal vesicles
Correct Answer: A. Intense nocturnal itching and burrows in finger webs
Rationale: Mites.
, 13. Clubbing of the nails is associated with:
A. Iron deficiency
B. Chronic hypoxia, such as lung disease or cyanotic heart disease
C. Psoriasis
D. Trauma
Correct Answer: B. Chronic hypoxia, such as lung disease or cyanotic heart disease
Rationale: Angle 180 degrees or more.
14. Psoriasis classically presents with:
A. Flexural weeping lesions
B. Honey-colored crusts
C. Target lesions
D. Well-demarcated erythematous plaques with silvery scale on extensor surfaces
Correct Answer: D. Well-demarcated erythematous plaques with silvery scale on extensor
surfaces
Rationale: Psoriasis.
15. A longitudinal pigmented band in a single nail warrants evaluation for:
A. Fungal infection only
B. Psoriasis
C. Subungual melanoma
D. Normal finding always
Correct Answer: C. Subungual melanoma
Rationale: Hutchinson sign.
16. Pityriasis rosea often begins with:
A. Dermatomal vesicles
B. Honey crusts
C. A herald patch followed by a 'Christmas tree' distribution
D. Silvery plaques
Correct Answer: C. A herald patch followed by a 'Christmas tree' distribution
Rationale: Self-limited.
17. Fluorescein staining is used to detect:
A. Glaucoma
B. Corneal abrasions
C. Cataracts
D. Retinal detachment
Correct Answer: B. Corneal abrasions
Rationale: Epithelial defects.
18. Corneal light reflex (Hirschberg test) asymmetry suggests:
A. Cataract
B. Glaucoma
C. Strabismus (ocular misalignment)
D. Normal finding
Correct Answer: C. Strabismus (ocular misalignment)
Rationale: Alignment screen.
