NURS 612 - Exam 3
Comprehensive Questions with
Verified Answers Graded A+
A patient's inability to follow simple instructions could indicate which of the following findings?
A. dysphonia
B. amnesia
C. aphasia
D. depression - Answer: D. depression
A patient scores a 3 on the Mini-Cog Assessment Instrument for dementia. What does this score
indicate?
A. advanced dementia
B. early dementia
C. need for further evaluation
D. negative screen for dementia - Answer: D. negative screen for dementia
The examiner asks the patient to complete this statement: "A bird is to air as a fish is to ..." This
is an example of what type of testing?
A. calculation
B. analogy
C. judgment
D. mood & feelings - Answer: B. analogy
,Assume that the patient's response to the question: "A bird is to air as a fish is to ..." is "scales".
What does this response likely reflect?
A. left cerebral hemisphere lesion
B. depression
C. eating disorder
D. aphasia - Answer: A. left cerebral hemisphere lesion
Which type of assessment should be used to evaluate the mental status of a patient with head
trauma?
A. PHQ
B. perceptual distortion assessment
C. Glasgow Coma Scale
D. functional assessment - Answer: C. Glasgow Coma Scale
Which of the following indicates possible cognitive impairment?
A. ability to complete personal care without assistance
B. suspiciousness or inappropriate affect
C. articulate communication
D. prudent behavior and calm demeanor - Answer: B. suspiciousness or inappropriate affect
A 65-year-old woman is brought to the clinic by family members, who report that they have
noticed a change in her mental abilities over the past 2 weeks. Normally, they say, she is
independent, intelligent, and very socially oriented. Her medical history is unremarkable except
for congestive heart failure, for which she takes digoxin. She has had no major changes in her
health. What question would be the most important for the examiner to ask this woman's
family?
A. is there a family history of Alzheimer disease?
,B. how much alcohol does she drink in an average week?
C. when was her digoxin blood level last checked?
D. did you know that mental function begins to decline after the age of 60? - Answer: C. when
was her digoxin blood level last checked?
A patient who has difficulty writing or drawing is most likely to have which condition?
A. temporal lobe damage
B. peripheral neuropathy
C. organic brain syndrome
D. psychiatric hallucinations - Answer: B. peripheral neuropathy
A mother brings her 18-month-old son to the clinic. She states that the child rarely talks or
smiles or makes eye contact. She has also noticed that he does not like to be held. She says his
motor development seems to be normal. These symptoms are consistent with what condition?
A. dementia
B. autistic disorder
C. ADHD
D. delirium - Answer: B. autistic disorder
A patient with Alzheimer disease classically displays which of the following?
A. alternating periods of mania and stupor
B. hallucinations and decorticate posturing
C. disintegration of personality
D. rapid onset of symptoms - Answer: C. disintegration of personality
Which characteristic suggest that a lesion on a patient's breast is Paget disease and not eczema?
A. itchy predominantly at night
, B. Erythematous and crusty
C. confined to the nipple and areola of one breast
D. does not respond to steroids - Answer: D. does not respond to steroids
How should a breast examination on a patient who had a lumpectomy for breast cancer differ
from a breast examination on a patient who has not had breast cancer?
A. supraclavicular and infraclavicular lymph nodes are palpated
B. the lateral position with hands over the head is used for palpation
C. the area of the scar is palpated with two fingers using a circular motion
D. the fingertips are used to palpate for intercostal breast tissue - Answer: C. the area of the scar
is palpated with two fingers using a circular motion
While palpating the axilla, it is best to place the patient in a...
A. sitting position with the arm flexed at the elbow
B. sitting position with the arm at the side
C. supine position with the arms on the hips
D. lateral position with the arms at the sides - Answer: A. sitting position with the arm flexed at
the elbow
Nipple compression should be included as part of the breast examination for which of the
following patients?
A. a 23-year-old woman concerned about "lumps and tenderness" premenstrually
B. a 35-year-old lactating woman with "very sore nipples"
C. a 48-year-old woman reporting two episodes of bloody discharge from the right nipple
D. a 60-year-old man with gynecomastia - Answer: C. a 48-year-old woman reporting two
episodes of bloody discharge from the right nipple
Comprehensive Questions with
Verified Answers Graded A+
A patient's inability to follow simple instructions could indicate which of the following findings?
A. dysphonia
B. amnesia
C. aphasia
D. depression - Answer: D. depression
A patient scores a 3 on the Mini-Cog Assessment Instrument for dementia. What does this score
indicate?
A. advanced dementia
B. early dementia
C. need for further evaluation
D. negative screen for dementia - Answer: D. negative screen for dementia
The examiner asks the patient to complete this statement: "A bird is to air as a fish is to ..." This
is an example of what type of testing?
A. calculation
B. analogy
C. judgment
D. mood & feelings - Answer: B. analogy
,Assume that the patient's response to the question: "A bird is to air as a fish is to ..." is "scales".
What does this response likely reflect?
A. left cerebral hemisphere lesion
B. depression
C. eating disorder
D. aphasia - Answer: A. left cerebral hemisphere lesion
Which type of assessment should be used to evaluate the mental status of a patient with head
trauma?
A. PHQ
B. perceptual distortion assessment
C. Glasgow Coma Scale
D. functional assessment - Answer: C. Glasgow Coma Scale
Which of the following indicates possible cognitive impairment?
A. ability to complete personal care without assistance
B. suspiciousness or inappropriate affect
C. articulate communication
D. prudent behavior and calm demeanor - Answer: B. suspiciousness or inappropriate affect
A 65-year-old woman is brought to the clinic by family members, who report that they have
noticed a change in her mental abilities over the past 2 weeks. Normally, they say, she is
independent, intelligent, and very socially oriented. Her medical history is unremarkable except
for congestive heart failure, for which she takes digoxin. She has had no major changes in her
health. What question would be the most important for the examiner to ask this woman's
family?
A. is there a family history of Alzheimer disease?
,B. how much alcohol does she drink in an average week?
C. when was her digoxin blood level last checked?
D. did you know that mental function begins to decline after the age of 60? - Answer: C. when
was her digoxin blood level last checked?
A patient who has difficulty writing or drawing is most likely to have which condition?
A. temporal lobe damage
B. peripheral neuropathy
C. organic brain syndrome
D. psychiatric hallucinations - Answer: B. peripheral neuropathy
A mother brings her 18-month-old son to the clinic. She states that the child rarely talks or
smiles or makes eye contact. She has also noticed that he does not like to be held. She says his
motor development seems to be normal. These symptoms are consistent with what condition?
A. dementia
B. autistic disorder
C. ADHD
D. delirium - Answer: B. autistic disorder
A patient with Alzheimer disease classically displays which of the following?
A. alternating periods of mania and stupor
B. hallucinations and decorticate posturing
C. disintegration of personality
D. rapid onset of symptoms - Answer: C. disintegration of personality
Which characteristic suggest that a lesion on a patient's breast is Paget disease and not eczema?
A. itchy predominantly at night
, B. Erythematous and crusty
C. confined to the nipple and areola of one breast
D. does not respond to steroids - Answer: D. does not respond to steroids
How should a breast examination on a patient who had a lumpectomy for breast cancer differ
from a breast examination on a patient who has not had breast cancer?
A. supraclavicular and infraclavicular lymph nodes are palpated
B. the lateral position with hands over the head is used for palpation
C. the area of the scar is palpated with two fingers using a circular motion
D. the fingertips are used to palpate for intercostal breast tissue - Answer: C. the area of the scar
is palpated with two fingers using a circular motion
While palpating the axilla, it is best to place the patient in a...
A. sitting position with the arm flexed at the elbow
B. sitting position with the arm at the side
C. supine position with the arms on the hips
D. lateral position with the arms at the sides - Answer: A. sitting position with the arm flexed at
the elbow
Nipple compression should be included as part of the breast examination for which of the
following patients?
A. a 23-year-old woman concerned about "lumps and tenderness" premenstrually
B. a 35-year-old lactating woman with "very sore nipples"
C. a 48-year-old woman reporting two episodes of bloody discharge from the right nipple
D. a 60-year-old man with gynecomastia - Answer: C. a 48-year-old woman reporting two
episodes of bloody discharge from the right nipple
