NURS 6512 - Advanced Health Assessment

1. Question: During percussion, a dull tone is expected to be heard over:
2. 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
3. Question: As you explain your patient's condition to her husband, you notice that he is leaning toward you and pointedly blinking his eyes. Knowing that he is from England, your most appropriate response to this behavior is to:
4. Question: As part of your health promotion education for a new patient, you explain that the risk factors for skin cancer include:
5. Question: Sweat glands, hair, and nails are all formed from:
6. Question: Tracheal tug suggests the presence of a(n):
7. Question: Tangential lighting is best used for inspecting skin:
8. Question: The review of systems is a component of the:
9. Question: Which technique is most likely to result in the patient's understanding of questions?
10. Question: Nasal symptoms that imply an allergic response include:
11. 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):
12. 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?
13. Question: The most common form of birth trauma of the scalp is:
14. Question: Expected hair distribution changes in older adults include:
15. Question: Ms. Jones is a 31-year-old female patient who presents for a routine physical examination. Which examination technique will be used first?
16. 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?
17. Question: Spasmodic muscular contractions of the head, face, or neck are called:
18. Question: Mr. Sanchez is a 45-year-old gentleman who has presented to the office for a physical examination to establish a new primary care health care provider. Which of the following describes a physical, not a cultural, di"erentiator?
19. Question: When you are questioning a patient regarding alcohol intake, she tells you that she is only a social drinker. Which initial response is appropriate?
20. Question: Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)?
21. Question: To perform the Rinne test, place the tuning fork on the:
22. 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:
23. Question: To correctly document absent bowel sounds, one must listen continuously for:
24. Question: Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence?
25. 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?
26. Question: In issues surrounding ethical decision making, beneficence refers to the:
27. Question: A flat, nonpalpable lesion is described as a macule if the diameter is:
28. 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:
29. Question: The adult recommended dietary fat intake should be g/day.
30. 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:
31. 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:
32. Question: In counseling a client regarding nutrition education, you explain that linoleic acid, a major fatty acid, is thought to be essential for:
33. 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:
34. Question: Fluorescing lesions are best distinguished using a(n):
35. Question: Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the:
36. Question: The position on a clock, topographic notations, and anatomic landmarks:
37. Question: Tympanic thermometers measure body temperature when a probe is placed:
38. Question: Periods of silence during the interview can serve important purposes, such as:
39. Question: Mr. Donalds is a 45-year-old roofer. Your inspection to determine color variations of the skin is best conducted:
40. Question: Mr. D. complains of a headache. During the history, he mentions his use of alcohol and illicit drugs. This information would most likely belong in the:
41. Question: Auscultation should be carried out last, except when examining the:
42. Question: Di"erential diagnoses belong in the:
43. 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):
44. Question: When assessing abdominal pain in a college-age woman, one must include:
45. Question: Recommended carbohydrate content of total dietary intake (% total calories) is
46. Question: Underestimation of blood pressure will occur if the blood pressure cu"'s width covers:
47. Question: Mr. Williams, age 25, has recovered recently from an upper and lower respiratory infection. He describes a long-standing nasal dripping. He is seeking treatment for a mild hearing loss that has not gone away. Information concerning his chronic postnasal drip should be documented within which section of his history?
48. Question: Which of the following is an expected change in the assessment of the thyroid during pregnancy?
49. Question: Which of the following is the most accurate reflection of an individual's food intake?
50. 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,
51. 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:
52. Question: Placing the base of a vibrating tuning fork on the midline vertex of the patient's head is a test for:
53. Question: When are open-ended questions generally most useful?
54. 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:
55. Question: You are collecting a history from an 11-year-old girl. Her mother is sitting next to her in the examination room. When collecting history from older children or adolescents, they should be:
56. Question: Your patient presents with symptoms that lead you to suspect acute appendicitis. Which assessment finding is least likely to be associated with this condition early in its course?
57. 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?
58. Question: Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure:
59. Question: Which type of speculum should be used to examine a patient's tympanic membrane?
60. Question: A tool used to screen adolescents for alcoholism is the:
61. Question: Macronutrients are so named because they:
62. Question: Subjective and symptomatic data are:
63. Question: Unusual white areas on the skin may be due to:
64. 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:
65. Question: Before performing an abdominal examination, the examiner should:
66. Question: Mrs. Leonard brings her newborn infant into the pediatrician's office for a first well-baby visit. As the health care provider, you teach her that newborns are more vulnerable to hypothermia due to:
67. Question: A 5-year-old child presents with nasal congestion and a headache. To assess for sinus tenderness you should palpate over the:
68. Question: Which of the following is the most vital nutrient?
69. Question: Which technique is most likely to result in the patient's understanding of questions?
70. 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?
71. Question: Which of the following occurs when firm pressure is used to apply the stethoscope's bell end- piece to the skin?
72. Question: When hearing is evaluated, which cranial nerve is being tested?
73. Question: Mr. Akins is a 78-year-old patient who presents to the clinic with complaints of hearing loss. Which of the following are changes in hearing that occur in the elderly? Select all that apply.
74. Question: A guideline for history taking is for caregivers to:
75. Question: When communicating with older children and teenagers, you should be sensitive to their:
76. Question: Regardless of the origin, discharge is described by noting:
77. Question: Expected normal percussion tones include:
78. 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:
79. 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.
80. Question: Which of the following is an "ABCD" characteristic of malignant melanoma?
81. 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:
82. Question: Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish:
83. Question: A fixed image of any group that rejects its potential for originality or individuality is known as a(n):
84. Question: A brief statement of the reason the patient is seeking health care is called the:
85. Question: After thorough inspection of the abdomen, the next assessment step is:
86. Question: Nuchal rigidity is most commonly associated with:
87. Question: Which of the following organs is part of the alimentary tract?
88. Question: Which question would be considered a leading question?
89. Question: Peritonitis produces bowel sounds that are:
90. 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:
91. Question: Mr. Walters, a 32-year-old patient, tells you that his ears are "stopped up." An objective assessment of this complaint is achieved by using the:
92. Question: The infant should be placed in which position to have his or her height or length measured?
93. 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:
94. Question: Cherry angiomas are a common finding in:
95. Question: Peritonitis produces bowel sounds that are:
96. Question: Knowledge of the culture or cultures represented by the patient should be used to:
97. Question: A blood pressure cu" bladder should be long enough to:
98. Question: The term denoting the caregiver's need to do no harm to the patient is:
99. Question: Which part of the information contained in the patient's record may be used in court?
100. 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?