NURS 6512 Midterm Exam (7 Versions, 700 Q & A, Latest-2022) / NURS 6512N Midterm Exam / NURS6512 Midterm Exam / NURS-6512N Midterm Exam: |100% Correct Q & A, Download to Secure HIGHSCORE|

NURS 6512 Midterm Exam (7 Versions, 700 Q & A, Latest-2022) / NURS 6512N Midterm Exam / NURS6512 Midterm Exam / NURS-6512N Midterm Exam: |100% Correct Q & A, Download to Secure HIGHSCORE| NURS 6512 Week 6 Midterm Exam / NURS6512 Week 6 Midterm Exam (Latest): Advanced Health Assessment: Walden University Walden University NURS 6512 Week 6 Midterm Exam (Latest) NURS-6512N Midterm Exam / NURS6512N Midterm Exam (Latest): Walden University Walden University NURS-6512N Midterm Exam (Latest) 1. Before performing an abdominal examination, the examiner should: 2. During an interview, tears appear in the patient’s eyes and his voice becomes shaky. Initially, you should: 3. Which of the following is the most accurate reflection of an individual’s food intake? 4. Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the: 5. A fixed image of any group that rejects its potential for originality or individuality is known as a: 6. Peritonitis produces bowel sounds that are 7. Brittle nails are typical findings in: 8. Which of the following is an expected change in the assessment of the thyroid during pregnancy? 9. You are planning to palpate the abdomen of your patient. Which part of the examiner's hand is best for palpating vibration? 10. A 5-year-old child presents with nasal congestion and a headache to assess for sinus tenderness you should palpate over the: 11. During physical examination of a 30-year-old Chinese man you notice a slight asymmetry of his face. the cranial nerve examination is normal. Your best action is to 12. Unusual white areas on the skin may be due to 13. You are using an ophthalmoscope to examine a patient’s inner eye. You rotate the lens selector clockwise, then counterclockwise to compensate for: 14. 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: 15. Mr. Akins is a 78-y/o 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. 16. The most superior part of the stomach is the 17. 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? 18. A 51-y/o woman calls with complaints of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to: 19. Placing the base of a vibrating tuning fork on the midline vertex of the patient’s head is a test for: 20. Which technique is most likely to result in the patients understanding of questions? 21. 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 the history? 22. Nasal symptoms that imply an allergic response include: 23. 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 am here! You tell me what’s wrong.” Which caregiver response would be the most appropriate for enhancing communication? 24. When taking a history, you should: 25. Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)? 26. 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: 27. Which question would be considered a leading question? 28. Mr. Black is a 44y/o patient who presents to the clinic with complaints of neck pain that he thinks is from his job involving computer data entry. As the examiner, you are checking the range of motion in his neck and note the greatest degree of cervical mobility is at? 29. The term denoting the caregiver’s need to do no harm to the patient is: 30. A tool used to screen adolescents for alcoholism is the: 31. Under normal circumstances, how much water is lost daily by the body? 32. 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: 33. Mr. Mills is a 55/y/o patient who presents to the office for an initial visit for health promotion. A survey of mobility and activities of activities of daily living is part of a(n): 34. Sweat glands, hair, and nails are all formed from? 35. A brief statement of the reason the patient is seeking health care is called the? 36. Which part of the information contained in the patient’s record may be used in court? 37. Which cranial nerves innervate the face? 38. In counseling a client regarding nutrition education, you explain that linoleic acid, a major fatty acid, is thought to be essential for? 39. When are open-ended questions generally most useful? 40. Knowledge of the culture or cultures represented by the patient should be used to? 41. 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? 42. A guideline for history taking is for caregivers to? 43. Which type of speculum should be used to examine a patient’s tympanic membrane? 44. You are palpating a patient’s thyroid and find that its broadest dimension measures 4cm. the right lobe is 25% larger than the left. These data would indicate? 45. 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? 46. Before performing an abdominal examination, the examiner should? 47. 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? 48. 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? 49. When palpating the abdomen, you should note whether the liver is enlarged in the? 50. Expected normal percussion tones include? 51. 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 ate concerned about violating a cultural prohibition when you prepare to do his rectal examination. The best tactic would be to? 52. Fluorescing lesions are best distinguished using a(n)? 53. 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? 54. Underestimation of blood pressure will occur if the blood pressure cuff’s width covers? 55. Mrs. Britton is a 34-year-old patient who presents to the office with complaints of skin rashes. You have noted a 4’3cm, rough, elevated area of psoriasis. This is an example of a? 56. Penicillin is considered a? 57. Small, minute bruises are called? 58. After thorough inspection of the abdomen, the next assessment step is? 59. When you are questioning a patient regarding alcohol intake, she tells you that she is only a social drinker. Which initial response is appropriate? 60. Regardless of the origin, discharge is described by noting? 61. Recommended carbohydrate content of total dietary intake (% total calories) is? 62. Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure? 63. Auscultation should be carried out last, except when examining the? 64. Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence? 65. Which of the following is an “ABCD” characteristic of malignant melanoma? 66. Tracheal tug suggests the presence of a(n)? 67. 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? 68. The review of systems is a component of the: 69. Cherry angiomas are a common finding in: 70. Mr. Donalds is a 45-year-old roofer. Your inspection to determine color variations of the skin is best conducted: 71. To correctly document absent bowel sounds, one must listen continuously for: 72. The adult recommended dietary fat intake should be ____g/day. 73. 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? 74. A flat, nonplapable lesion is described as a macule if the diameter is: 75. 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? 76. Which of the following organs is part of the alimentary tract? 77. 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, differentiator? 78. To approximate vocal frequencies, which tuning fork should be used to assess hearing? 79. During percussion, a dull tone is expected to be heard over: 80. The attitudes of the health care professional: 81. When recording physical findings, which data are recorded first for all systems? 82. Spasmodic muscular contractions of the head, face, or neck are called: 83. Which of the following occurs when firm pressure is used to apply the stethoscope’s bell end-piece to the skin? 84. Differential diagnoses belong in the: 85. Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish: 86. Mr. Walter’s, a 32-year-old patient, tells you that his ears are “stopped up.” An objective assessment of this complaint is achieved by using the: 87. 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: 88. Tympanic thermometers measure body temperature when a probe is placed: 89. A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the: 90. White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are: 91. When assessing abdominal pain in a college-age woman, one must include: 92. 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: 93. The infant should be placed in which position to have his or her height or length measured? 94. 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? 95. Which of the following is the most vital nutrient? 96. What finding is unique to the documentation of a physical examination of an infant? 97. Mrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the: 98. 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: 99. 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: 100. When communicating with older children and teenagers, you should be sensitive to their: 101. Periods of silence during the interview can serve important purposes, such as: NURS 6512 Week 6 Midterm Exam / NURS6512 Week 6 Midterm Exam (Latest): Advanced Health Assessment: Walden University Walden University NURS 6512 Week 6 Midterm Exam (Latest) NURS-6512N Midterm Exam / NURS6512N Midterm Exam (Latest): Walden University Walden University NURS-6512N Midterm Exam (Latest) Which of the following is an expected change in the assessment of the thyroid during pregnancy? When recording physical finding, which data are recorded first for all systems? In counseling a Client regarding education .,you explain that Linoleic acid, a major fatty acid, is thought to be essential for: Peritonitis produces bowel sounds that are: Sweat glands, hair, and nails are all formed: The adult recommended dietary fat intake Recommended carbohydrate content of total dietary intake (% total calories) is ____ %. Which of the formats would be used for a (POMR) Question 141 out of 1 pointsMr. 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: Question 151 out of 1 pointsYour 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: Question 161 out of 1 pointsWhen examining the skull of a 4-month-old baby, you should normally find: Question 171 out of 1 pointsMs. 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. To perform the Rinne test, place the tuning fork on the: Question 71 out of 1 pointsWhen are open-ended questions generally most useful? Question 80 out of 1 pointsThe review of systems is a component of the: Fluorescing lesions are best distinguished using a(n): Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish: 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? The term denoting the caregiver's need to do no harm to the patient is: Underestimation of blood pressure will occur if the blood pressure cuff's width covers: 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? The most superior part of the stomach is the: When recording physical findings, which data are recorded first for all systems? Kevin Marks is a new health care provider. What is the best method to develop cultural competence? Which cranial nerves innervate the face? When communicating with older children and teenagers, you should be sensitive to their: Before performing an abdominal examination, the examiner should: The infant should be placed in which position to have his or her height or length measured? Regardless of the origin, discharge is described by noting: 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? To correctly document absent bowel sounds, one must listen continuouslyfor: The position on a clock, topographic notations, and anatomic landmarks: Bulging of an amber tympanic membrane without mobility is most often associated with: 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? A flat, nonpalpable lesion is described as a macule if the diameter is: 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): Which type of speculum should be used to examine a patient's tympanic membrane? During physical examination of a 30-year-old Chinese man, you notice slight asymmetry of his face. The cranial nerve examination is normal. Your best action is to: 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: Knowledge of the culture or cultures represented by the patient should be used to: A tool used to screen adolescents for alcoholism is the: 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: To approximate vocal frequencies, which tuning fork should be used to assess hearing? During an interview, tears appear in the patient's eyes and his voice becomes shaky. Initially, you should: Nuchal rigidity is most commonly associated with: Question 221 out of 1 pointsA serous membrane that lines the abdominal cavity and forms a protectivecover for many abdominal structures is the: Question 261 out of 1 pointsWhen assessing abdominal pain in a college-age woman, one must include: Question 281 out of 1 pointsA fixed image of any group that rejects its potential for originality or individuality is known as a(n): Question 301 out of 1 pointsMr. 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: Question 311 out of 1 pointsMs. Davis is a 27-year-old patient with a BMI of 33. Based on her BMI, yourdiagnosis would be: Question 321 out of 1 pointsTracheal tug suggests the presence of a(n): Question 331 out of 1 pointsMr. Black is a 44-year-old patient who presents to the clinic with complaints of neck pain that he thinks is from his job involving computer data entry. As the examiner, you are checking the range of motion in his neck and note the greatest degree of cervical mobility is at: Question 341 out of 1 pointsThe most common form of birth trauma of the scalp is: Which question would be considered a leading question? A brief statement of the reason the patient is seeking health care is called the: Expected hair distribution changes in older adults include: Mr. Johnson presents with a freely movable cystic mass in the midline of the high neck region at the base of the tongue. This is most likely a: When hearing is evaluated, which cranial nerve is being tested? Which of the following is the most accurate reflection of an individual’s food intake. Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the: Brittle nails are typical findings in: You are planning the palpate the abdomen of your patient. Which part of the examiner’s hand is best for palpating vibrations? A 5 year old child presents with nasal congestion and a headache. To assess for sinus tenderness you should palpate over the : Unusual white areas on the skin may be due to: You are using an ophthalmoscope to examine a patient’s inner eye. You rotate the lens selector clockwise, then counterclock wise to compensate for: Mrs. Webb is a 38 year old patient who has been changing her lifestyle to eat in a health way and lose weight. During your health promotion education regarding her nutritional status, you explain the function of dietary protein as: Mr. Atkins 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. Mrs. Grace is a 58year old patient who has a diagnosis of pernicious anemia. Which B vitamin is deficient in patients with pernicious anemia? A 51 year old woman calls with complaints of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to: Placing the base of a vibrating tuning fork on the midline vertex of the patient’s head is a test for: Which technique is most likely to result in the patient’s understanding of questions? 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 DOCOUMENTED WITHING WHICH SECTION OF HIS HISTORY? NASAL SYMPTOMS THAT IMPLY AN ALLERGIC RESPONSE INCLUDE: WHEN TAKING A HISTORY, YOU SHOULD: Under normal circumstances, how much water is lost daily by the body? You have just completed a skin assessment on Mr. Baker. During your assessment, you have transiluminated a skin lesion. During the physical examination, you know the skin lesions are transiluminated to distinguish: 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(n): Which part of the information contained in the patient’s record may be used in court? A guideline of history taking is for caregivers to: You are palpating a patient’s thyroid and find that its broadest dimension measure 4cm. The right lobe is 25% larger than the left. These data would indicate: 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? 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: As you explain you 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, you most appropriate response to this behavior is to: When palpating the abdomen, you should note whether the liver is enlarged in the: Expected normal percussion tones include: Penicillin is considered a: Small, minute bruises are called: When you are questioning a patient regarding alcohol intake, she tells you that she is only a social drinker, which initial response is appropriate? Tuning forks with a frequency of 20 to 100 Hz are most commonly used to measure: Auscultation should be carried out last, except when examining the: Which of the following is an ABCD characteristic of malignant melanoma? Your patient presents with symptoms that lead you to suspect acute appendicitis. Which assessment finding is least like to be associated with this condition early in its course? Cherry angiomas are a common finding in: Mr. Donalds is a 45 year old roofer. Your inspection to determine color variations of the skin is best conducted: 92. 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? Which of the following organs is part of the alimentary tract? 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, differentiator? 93. To approximate vocal frequencies, which tuning fork should be used to assess hearing? The attitude of the health care professional: When recording physical findings, which data are recorded first for all systems? Spasmodic muscular contraction of the head, face, or neck are called: Which of the following occurs when firm pressure is used to apply the stethoscope’s ball end piece to the skin? Differential diagnosis belong in the: Pigmented, raised, watery lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish: Mrs. Leonard brings her newborn infant into the pediatrician’s office for a first well baby visit. As a health care provider, you teach her newborns are more vulnerable to hypothermia due to: Tympanic thermometers measure body temperature when a probe is placed: White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are: 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: Which of the following is the most vital nutrient? What finding is unique to the documentation of a physical examination of an infant? Mrs. G reports and increase in her alcohol intake over the past 5 years. To screen her for problem drinking, would use the: Mrs. D complains of a headache. During the history, he mentions his use of alcohol and illicit drugs. The information would most likely belong in the: You are completing a general physical examination of 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: NURS 6512 Week 6 Midterm Exam / NURS6512 Week 6 Midterm Exam (Latest): Advanced Health Assessment: Walden University Walden University NURS 6512 Week 6 Midterm Exam (Latest) NURS-6512N Midterm Exam / NURS6512N Midterm Exam (Latest): Walden University Walden University NURS-6512N Midterm Exam (Latest) • Question 1 To perform the Rinne test, place the tuning fork on the: • Question 2 Mr. Johnson presents with a freely movable cystic mass in the midline of the high neck region at the base of the tongue. This is most likely a: • Question 3 Nuchal rigidity is most commonly associated with: • Question 4 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: • Question 5 Bulging of an amber tympanic membrane without mobility is most often associated with: • Question 6 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: • Question 7 Which cranial nerves innervate the face? • Question 8 The most common form of birth trauma of the scalp is: • Question 9 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, differentiator? • Question 10 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? • Question 11 Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure: • Question 12 Spasmodic muscular contractions of the head, face, or neck are called: • Question 13 When examining the skull of a 4-month-old baby, you should normally find: • Question 14 Which of the following occurs when firm pressure is used to apply the stethoscope's bell end-piece to the skin? • Question 15 Peritonitis produces bowel sounds that are: • Question 16 Sweat glands, hair, and nails are all formed from: • Question 17 Mr. Donalds is a 45-year-old roofer. Your inspection to determine color variations of the skin is best conducted: • Question 18 Cherry angiomas are a common finding in: • Question 19 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? • Question 20 Unusual white areas on the skin may be due to: • Question 21 Knowledge of the culture or cultures represented by the patient should be used to: • Question 22 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: • Question 23 Tangential lighting is best used for inspecting skin: • Question 24 When taking a history, you should: • Question 25 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): • Question 26 A 5-year-old child presents with nasal congestion and a headache. To assess for sinus tenderness you should palpate over the: • Question 27 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? • Question 28 In counseling a client regarding nutrition education, you explain that linoleic acid, a major fatty acid, is thought to be essential for: • Question 29 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: • Question 30 Expected hair distribution changes in older adults include: • Question 31 Peritonitis produces bowel sounds that are: • Question 32 White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are: • Question 33 Which of the following is the most accurate reflection of an individual's food intake? • Question 34 Which part of the information contained in the patient's record may be used in court? • Question 35 You are using an ophthalmoscope to examine a patient's inner eye. You rotate the lens selector clockwise, then counterclockwise to compensate for: • Question 36 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? • Question 37 A guideline for history taking is for caregivers to: • Question 38 When communicating with older children and teenagers, you should be sensitive to their: • Question 39 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: • Question 40 Ms. Jones is a 31-year-old female patient who presents for a routine physical examination. Which examination technique will be used first? • Question 41 Nasal symptoms that imply an allergic response include: • Question 42 Coarse, dry, and brittle hair is associated with which metabolic disorder? • Question 43 What finding is unique to the documentation of a physical examination of an infant? • Question 44 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? • Question 45 A brief statement of the reason the patient is seeking health care is called the: • Question 46 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: • Question 47 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? • Question 48 Mrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the: • Question 49 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. • Question 50 As part of your health promotion education for a new patient, you explain that the risk factors for skin cancer include: • Question 51 Ms. Davis is a 27-year-old patient with a BMI of 33. Based on her BMI, your diagnosis would be: • Question 52 The infant should be placed in which position to have his or her height or length measured? • Question 53 Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)? • Question 54 Which of the following is an expected change in the assessment of the thyroid during pregnancy? • Question 55 A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the: • Question 56 Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish: • Question 57 Penicillin is considered a • Question 58 Which question would be considered a leading question? • Question 59 Which of the following organs is part of the alimentary tract? • Question 60 Small, minute bruises are called: • Question 61 When recording physical findings, which data are recorded first for all systems? • Question 62 When hearing is evaluated, which cranial nerve is being tested? • Question 63 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: • Question 64 Auscultation should be carried out last, except when examining the: • Question 65 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: • Question 66 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: • Question 67 A detailed description of the symptoms related to the chief complaint is presented in the: • Question 68 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: • Question 69 In examining the neck of a 34-year-old female patient, you note that the uppermost ridge of the tracheal cartilage is at the: • Question 70 A flat, nonpalpable lesion is described as a macule if the diameter is: • Question 71 During physical examination of a 30-year-old Chinese man, you notice slight asymmetry of his face. The cranial nerve examination is normal. Your best action is to: • Question 72 Placing the base of a vibrating tuning fork on the midline vertex of the patient's head is a test for: • Question 73 Expected normal percussion tones include: • Question 74 Fluorescing lesions are best distinguished using a(n): • Question 75 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: • Question 76 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: • Question 77 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? • Question 78 The term denoting the caregiver's need to do no harm to the patient is: • Question 79 When palpating the abdomen, you should note whether the liver is enlarged in the: • Question 80 To correctly document absent bowel sounds, one must listen continuously for: • Question 81 The adult recommended dietary fat intake should be _____ gday. • Question 82 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? • Question 83 The most superior part of the stomach is the: • Question 84 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: • Question 85 Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the: • Question 86 When you are questioning a patient regarding alcohol intake, she tells you that she is only a social drinker. Which initial response is appropriate? • Question 87 Regardless of the origin, discharge is described by noting: • Question 88 Ms. Otten is a 45-year-old patient who presents with a complaint of weight gain. Which medication is frequently associated with weight gain? • Question 89 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? • Question 90 To approximate vocal frequencies, which tuning fork should be used to assess hearing? • Question 91 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: • Question 92 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: • Question 93 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? • Question 94 In issues surrounding ethical decision making, beneficence refers to the: • Question 95 Which statement is true regarding the relationship of physical characteristics and culture? • Question 96 The review of systems is a component of the: • Question 97 The recommended minimum daily protein requirement for the normal adult is ______. • Question 98 Subjective and symptomatic data are: • Question 99 When are open-ended questions generally most useful? • Question 100 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?