NUR 634 shadow health
A 29-year-old white woman appears jaundiced. An etiology of liver disease has been
excluded. What history questions should the nurse ask? - ANS Whether she eats a lot of
yellow and orange vegetables.
\A brief statement of the reason the patient is seeking health care is called the: - ANS
chief complaint
\A client is seen in the ER with complaints of foot pain after an injury. The X-ray revealed
a foot fracture. Which reason explains why the foot is placed in a brace? - ANS To act as
a splint
\A flat, nonpalpable lesion is described as a macule if the diameter is: - ANS less than 1
cm.
\A healthy prostate protrudes into the rectal wall a distance of _____ cm. - ANS less than
1 cm
\A patient you are seeing in the emergency department for chest pain is suspected of
having a myocardial infarct. During the health history interview of his family history, he
relates that his father had died of heart trouble. The most important follow-up question
you should pose is which of the following? - ANS "What age was your father at the time
of his death?"
\A third heart sound is created by: - ANS diastolic filling.
\According to the AUDIT scale , a person who receives a score of 14 is : - ANS Is in the
high risk category for alcohol abuse
\After thorough inspection of the abdomen, the next assessment step is to: - ANS
ausculate.
\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: - ANS I see that you completed the questionnaire, may I discuss the results with you?
\An examiner can recognize a friction rub in the liver by a sound that is: - ANS high
pitched and associated with respirations.
\As Mr. B. enters the room, you observe that his gait is wide based and he staggers from
side to side while swaying his trunk. You would document Mr. B.'s pattern as: - ANS
cerebellar ataxia.
\Ask the patient to look directly at the light of the ophthalmoscope when you are ready to
examine the: - ANS macula.
\Auscultation of borborygmi is associated with: - ANS gastroenteritis.
\Before performing an abdominal examination, the examiner should: - ANS have the
patient empty his or her bladder.
\Bones are attached to muscles by: - ANS Tendons
\Bones around a joint are held together by: - ANS ligaments.
\Both pleural effusion and lobar pneumonia are characterized by _____ percussion. - ANS
dullness heard on
, \Breath sounds normally auscultated over most of the lung fields are called: - ANS
vesicular.
\Bulging of an amber tympanic membrane without mobility is most often associated with:
- ANS middle ear effusion.
\Caliber of urinary stream is routine information in the history of: - ANS older males.
\can be assessed by asking the patient to interpret a common proverb or to identify
similarities between two objects - ANS Abstract reasoning
\Contraction of the ventricles causes: - ANS closure of the atrioventricular valves.
\COPD is most commonly caused by: - ANS smoking
\Describe how you would have tested for the Kernig's sign. - ANS To perform the test,
flex the leg at the knee and hip when the patient is supine, making a right angle with the
flexed knee. Then attempt to straighten the leg at the knee. Resistance and pain in the
lower back constitute a positive Kernig's sign, indicating meningeal irritation.
\Describe the major differences in acute versus passive range of motion (ROM) when
distinguishing between an articular and nonarticular joint issue. - ANS joint (articular),
there is pain and often swelling with limited passive and active ROM nonarticular, there is
pain on active, but not passive, ROM Active ROM involves the use of structures
(ligaments, tendons, muscles) outside of the joint, hence there is a limitation with active
ROM and not passive ROM when a problem is outside of the joint.
\Describe where on the body and when in the cardiac cycle you are most likely to
auscultate a murmur caused by mitral valve prolapse. - ANS mitral valve prolapse usually
occur in late systole just after a mid systolic click They are best heard at the apex of the
heart and the left lower sternal border when the patient is lying supine with legs raised or
sitting up
\Documentation of a breast mass location is: - ANS according to the clock positions from
the nipple.
\During a gastrointestinal exam, the purpose of light palpation of the abdomen is to: -
ANS Assess for tenderness
\During a new patient physical exam, you are ausculting the lungs and assess a few
scattered expiratory wheezes. Which of the following review of system responses by the
patient confirm that this is an expected and not unusual finding for this patient. - ANS
History of asthma since childhood.
\During palpation of a 30-year-old woman's breast, she complains that the procedure is
painful. You suspect that this may be due to the fact that she is: - ANS premenstrual.
\During your review of system questions for a new patient annual exam, you ask the
patient - "Do you ever have shortness of breath or difficulty breathing? If the patient
answers yes to this question, what additional questions related to using OLDCART would
you need to ask? Mark all that apply. - ANS Can you tell me when this started? Is there
anything that makes it worse?
Is there anything that makes it better?
\Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the
spread of the stimulus through the atria is the: - ANS P wave.
\Environmental hazards and cognitive function are data needed for the personal and
social history section of a neurologic assessment for: - ANS every patient.
A 29-year-old white woman appears jaundiced. An etiology of liver disease has been
excluded. What history questions should the nurse ask? - ANS Whether she eats a lot of
yellow and orange vegetables.
\A brief statement of the reason the patient is seeking health care is called the: - ANS
chief complaint
\A client is seen in the ER with complaints of foot pain after an injury. The X-ray revealed
a foot fracture. Which reason explains why the foot is placed in a brace? - ANS To act as
a splint
\A flat, nonpalpable lesion is described as a macule if the diameter is: - ANS less than 1
cm.
\A healthy prostate protrudes into the rectal wall a distance of _____ cm. - ANS less than
1 cm
\A patient you are seeing in the emergency department for chest pain is suspected of
having a myocardial infarct. During the health history interview of his family history, he
relates that his father had died of heart trouble. The most important follow-up question
you should pose is which of the following? - ANS "What age was your father at the time
of his death?"
\A third heart sound is created by: - ANS diastolic filling.
\According to the AUDIT scale , a person who receives a score of 14 is : - ANS Is in the
high risk category for alcohol abuse
\After thorough inspection of the abdomen, the next assessment step is to: - ANS
ausculate.
\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: - ANS I see that you completed the questionnaire, may I discuss the results with you?
\An examiner can recognize a friction rub in the liver by a sound that is: - ANS high
pitched and associated with respirations.
\As Mr. B. enters the room, you observe that his gait is wide based and he staggers from
side to side while swaying his trunk. You would document Mr. B.'s pattern as: - ANS
cerebellar ataxia.
\Ask the patient to look directly at the light of the ophthalmoscope when you are ready to
examine the: - ANS macula.
\Auscultation of borborygmi is associated with: - ANS gastroenteritis.
\Before performing an abdominal examination, the examiner should: - ANS have the
patient empty his or her bladder.
\Bones are attached to muscles by: - ANS Tendons
\Bones around a joint are held together by: - ANS ligaments.
\Both pleural effusion and lobar pneumonia are characterized by _____ percussion. - ANS
dullness heard on
, \Breath sounds normally auscultated over most of the lung fields are called: - ANS
vesicular.
\Bulging of an amber tympanic membrane without mobility is most often associated with:
- ANS middle ear effusion.
\Caliber of urinary stream is routine information in the history of: - ANS older males.
\can be assessed by asking the patient to interpret a common proverb or to identify
similarities between two objects - ANS Abstract reasoning
\Contraction of the ventricles causes: - ANS closure of the atrioventricular valves.
\COPD is most commonly caused by: - ANS smoking
\Describe how you would have tested for the Kernig's sign. - ANS To perform the test,
flex the leg at the knee and hip when the patient is supine, making a right angle with the
flexed knee. Then attempt to straighten the leg at the knee. Resistance and pain in the
lower back constitute a positive Kernig's sign, indicating meningeal irritation.
\Describe the major differences in acute versus passive range of motion (ROM) when
distinguishing between an articular and nonarticular joint issue. - ANS joint (articular),
there is pain and often swelling with limited passive and active ROM nonarticular, there is
pain on active, but not passive, ROM Active ROM involves the use of structures
(ligaments, tendons, muscles) outside of the joint, hence there is a limitation with active
ROM and not passive ROM when a problem is outside of the joint.
\Describe where on the body and when in the cardiac cycle you are most likely to
auscultate a murmur caused by mitral valve prolapse. - ANS mitral valve prolapse usually
occur in late systole just after a mid systolic click They are best heard at the apex of the
heart and the left lower sternal border when the patient is lying supine with legs raised or
sitting up
\Documentation of a breast mass location is: - ANS according to the clock positions from
the nipple.
\During a gastrointestinal exam, the purpose of light palpation of the abdomen is to: -
ANS Assess for tenderness
\During a new patient physical exam, you are ausculting the lungs and assess a few
scattered expiratory wheezes. Which of the following review of system responses by the
patient confirm that this is an expected and not unusual finding for this patient. - ANS
History of asthma since childhood.
\During palpation of a 30-year-old woman's breast, she complains that the procedure is
painful. You suspect that this may be due to the fact that she is: - ANS premenstrual.
\During your review of system questions for a new patient annual exam, you ask the
patient - "Do you ever have shortness of breath or difficulty breathing? If the patient
answers yes to this question, what additional questions related to using OLDCART would
you need to ask? Mark all that apply. - ANS Can you tell me when this started? Is there
anything that makes it worse?
Is there anything that makes it better?
\Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the
spread of the stimulus through the atria is the: - ANS P wave.
\Environmental hazards and cognitive function are data needed for the personal and
social history section of a neurologic assessment for: - ANS every patient.
