NURS 6512 Advanced Health Assessment and Diagnostic Reasoning

1. Question: Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence?
2. Question: To perform the Rinne test, place the tuning fork on the:
3. Question: Mr. Abdul is a 40-year-old Middle Eastern man who presents to the office for a first visit with the complaint of new abdominal pain. You are concerned about violating a cultural prohibition when you prepare to do his rectal examination. The best tactic would be to:
4. Question: When communicating with older children and teenagers, you should be sensitive to their:
5. Question: Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure:
6. Question: During percussion, a dull tone is expected to be heard over:
7. Question: A college student comes to the student health center complaining of difficulty in concentrating during class and while studying. The diet that would contribute to this problem is one that consumes mostly:
8. Question: A 5-year-old child presents with nasal congestion and a headache. To assess for sinus tenderness you should palpate over the:
9. Question: The most superior part of the stomach is the:
10. Question: You are completing a general physical examination on Mr. Rock, a 39-year-old man with complaints of constipation. When examining a patient with tense abdominal musculature, a helpful technique is to have the patient:
11. Question: When hearing is evaluated, which cranial nerve is being tested?
12. Question: Ms. Davis is a 27-year-old patient with a BMI of 33. Based on her BMI, your diagnosis would be:
13. Question: Your patient is complaining of acute, intense sharp epigastric pain that radiates to the back and left scapula with nausea and vomiting. Based on this history, your prioritized physical examination should be to:
14. Question: Before performing an abdominal examination, the examiner should:
15. Question: Your patient returns for a blood pressure check 2 weeks after a visit during which you performed a complete history and physical. This visit would be documented by creating a(n):
16. Question: A 51-year-old woman calls with complaints of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to:
17. Question: Which of the following is the most vital nutrient?
18. Question: A 17-year-old girl presents to the clinic for a sports physical. Physical examination findings reveal bradycardia, multiple erosions of tooth enamel, and scars on her knuckles. She appears healthy otherwise. You should ask her if she:
19. Question: Mr. L. presents to the clinic with severe groin pain and a history of kidney stones. Mr. L.'s son tells you that, for religious reasons, his father wishes to keep any stone that is passed into the urine filter that he has been using. What is your most appropriate response?
20. Question: Recommended carbohydrate content of total dietary intake (% total calories) is ____%.
21. Question: Tympanic thermometers measure body temperature when a probe is placed:
22. Question: Mr. Donalds is a 45-year-old roofer. Your inspection to determine color variations of the skin is best conducted:
23. Question: Which of the following is an "ABCD" characteristic of malignant melanoma?
24. Question: The position on a clock, topographic notations, and anatomic landmarks:
25. Question: Mr. Jones is a 45-year-old patient who presents for a physical examination. On examination, you note costochondral beading, enlarged skull, and bowed legs and diagnose him with rickets. A deficiency of which fat-soluble micronutrient can result in rickets?
26. Question: You have just completed a skin assessment on Mr. Baker. During your assessment, you have transilluminated a skin lesion. During the physical examination, you know that skin lesions are transilluminated to distinguish:
27. Question: What finding is unique to the documentation of a physical examination of an infant?
28. Question: Mr. Mathews is a 47-year-old patient who presents for a routine physical examination. On examination, you have noted a bruit heard over the thyroid. This is suggestive of:
29. Question: Peritonitis produces bowel sounds that are:
30. Question: Mrs. Raymonds is a 24-year-old patient who has presented for a routine concern over her current weight. In your patient teaching with her, you explain the importance of macronutrients. Which of the following is a macronutrient?
31. Question: Mrs. Britton is a 34-year-old patient who presents to the office with complaints of skin rashes. You have noted a 4' 3-cm, rough, elevated area of psoriasis. This is an example of a:
32. Question: In issues surrounding ethical decision making, beneficence refers to the:
33. Question: Which of the following organs is part of the alimentary tract?
34. Question: When taking a history, you should:
35. Question: When examining the skull of a 4-month-old baby, you should normally find:
36. Question: The review of systems is a component of the:
37. Question: When assessing abdominal pain in a college-age woman, one must include:
38. Question: When assessing abdominal pain in a college-age woman, one must include:
39. Question: Your patient is complaining of acute, intense sharp epigastric pain that radiates to the back and left scapula with nausea and vomiting. Based on this history, your prioritized physical examination should be to:
40. Question: The recommended minimum daily protein requirement for the normal adult is ______.
41. Question: A brief statement of the reason the patient is seeking health care is called the:
42. Question: A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the:
43. Question: When recording physical findings, which data are recorded first for all systems?
44. Question: Which of the following occurs when firm pressure is used to apply the stethoscope's bell end-piece to the skin?
45. Question: You are planning to palpate the abdomen of your patient. Which part of the examiner's hand is best for palpating vibration?
46. Question: You are palpating a patient's thyroid and find that its broadest dimension measures 4 cm. The right lobe is 25% larger than the left. These data would indicate:
47. Question: In counseling a client regarding nutrition education, you explain that linoleic acid, a major fatty acid, is thought to be essential for:
48. Question: A flat, nonpalpable lesion is described as a macule if the diameter is:
49. Question: Underestimation of blood pressure will occur if the blood pressure cuff's width covers:
50. Question: Mrs. Hartzell is a 34-year-old patient who has presented for nutritional counseling because she is a vegetarian. Deficiency of which of the following is a concern in the vegetarian diet?
51. Question: Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the:
52. Question: Cherry angiomas are a common finding in:
53. Question: A tool used to screen adolescents for alcoholism is the:
54. Question: Knowledge of the culture or cultures represented by the patient should be used to:
55. Question: Ms. Otten is a 45-year-old patient who presents with a complaint of weight gain. Which medication is frequently associated with weight gain?
56. Question: Tangential lighting is best used for inspecting skin:
57. Question: Mrs. Grace is a 58-year-old patient who has a diagnosis of pernicious anemia. Which B vitamin is deficient in patients with pernicious anemia?
58. Question: George Michaels, a 22-year-old patient, tells the nurse that he is here today to "check his allergies." He has been having "green nasal discharge" for the last 72 hours. How would the nurse document his reason for seeking care?
59. Question: Mr. Franklin is speaking with you, the health care provider, about his respiratory problem. Mr. Franklin says, "I've had this cough for 3 days, and it's getting worse." You reply, "Tell me more about your cough." Mr. Franklin states, "I wish I could tell you more. That's why I'm here. You tell me what's wrong!" Which caregiver response would be most appropriate for enhancing communication?
60. Question: Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic. Which question has the most potential for exploring a patient's cultural beliefs related to a health problem?
61. Question: Which is the best way to position a patient's neck for palpation of the thyroid?
62. Question: You are examining a pregnant patient and have noted a vascular lesion. When you blanche over the vascular lesion, the site blanches and refills evenly from the center outward. The nurse documents this lesion as a:
63. Question: Expected normal percussion tones include:
64. Question: Mr. Mills is a 55-year-old patient who presents to the office for an initial visit for health promotion. A survey of mobility and activities of daily living (ADLs) is part of a(an): 
65. Question: Which type of speculum should be used to examine a patient's tympanic membrane?
66. Question: Brittle nails are typical findings in:
67. Question: Inspection of the abdomen should begin with the patient supine and the examiner:
68. Question: A 22-year-old female nurse is interviewing an 86-year-old male patient. The patient avoids eye contact and answers questions only by saying, "Yeah," "No," or "I guess so." Which of the following is appropriate for the interviewer to say or ask?
69. Question: Mrs. Webb is a 38-year-old patient who has been changing her lifestyle to eat in a healthy way and lose weight. During your health promotion education regarding her nutritional status, you explain the function of dietary protein as:
70. Question: As part of your health promotion education for a new patient, you explain that the risk factors for skin cancer include:
71. Question: Mrs. Tuber is a 36-year-old patient who comes into the health center with complaints that her fingernails are not growing. Which structure is the site of new nail growth?
72. Question: When palpating the abdomen, you should note whether the liver is enlarged in the:
73. Question: A detailed description of the symptoms related to the chief complaint is presented in the:
74. Question: Periods of silence during the interview can serve important purposes, such as:
75. Question: Penicillin is considered a
76. Question: Differential diagnoses belong in the:
77. Question: Ms. G. is being seen for her routine physical examination. She is a college graduate and president of a research firm. Although her exact salary is unknown, she has adequate health insurance. Most of the above information is part of Ms. G.'s _____ history.
78. Question: The attitudes of the health care professional:
79. Question: During an interview, you have the impression that a patient may be considering suicide. Which action is essential?
80. Question: Under normal circumstances, how much water is lost daily by the body?
81. Question: Mrs. Kinder is a 39-year-old patient who presents to the office with complaints of an earache. In explaining to the patient about the function of her ears, which ear structure would you tell her is responsible for equalizing atmospheric pressure when swallowing, sneezing, or yawning?
82. Question: Which technique is most likely to result in the patient's understanding of questions?
83. Question: Sweat glands, hair, and nails are all formed from:
84. Question: Auscultation should be carried out last, except when examining the:
85. Question: Mrs. Britton brings her 16-year-old son in with a complaint that he is not developing correctly into adolescence. Which structures disproportionately enlarge in the male during adolescence?
86. Question: Mrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the:
87. Question: Mr. and Mrs. Johnson have presented to the office with their infant son with complaints of ear drainage. When examining an infant's middle ear, the nurse should use one hand to stabilize the otoscope against the head while using the other hand to:
88. Question: Placing the base of a vibrating tuning fork on the midline vertex of the patient's head is a test for:
89. Question: Which question would be considered a leading question?
90. Question: To correctly document absent bowel sounds, one must listen continuously for:
91. Question: Expected hair distribution changes in older adults include:
92. Question: The term denoting the caregiver's need to do no harm to the patient is:
93. Question: Subjective and symptomatic data are:
94. Question: The most common form of birth trauma of the scalp is:
95. Question: Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)?
96. Question: Mrs. Berger is a 39-year-old woman who presents with a complaint of epigastric abdominal pain. You have completed the inspection of the abdomen. What is your next step in the assessment process?
97. Question: In examining the neck of a 34-year-old female patient, you note that the uppermost ridge of the tracheal cartilage is at the:
98. Question: Coarse, dry, and brittle hair is associated with which metabolic disorder?
99. Question: Which technique is most likely to result in the patient's understanding of questions?
100. Question: Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish: