NURSING GR 6512|100 Questions & Answers Advance Health Assessment, Latest Complete solutions, Already Graded A.

NURSING GR 6512 100 Questions & Answers Advance Health Assessment • Question 1 1 out of 1 points 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? Selected Answer: After 3 days, you're tired of coughing. Have you had a fever? • Question 2 1 out of 1 points Spasmodic muscular contractions of the head, face, or neck are called: Selected Answer: B. tics. • Question 3 1 out of 1 points Sweat glands, hair, and nails are all formed from: Selected Answer: C. invaginations of epidermis into dermis. • Question 4 1 out of 1 points Regardless of the origin, discharge is described by noting: Selected Answer: color and consistency. • Question 5 1 out of 1 points The examiner's evaluation of a patient's mental status belongs in the: Selected Answer: physical examination. • Question 6 1 out of 1 points Cherry angiomas are a common finding in: Selected Answer: adults older than 30 years. • Question 7 0 out of 1 points Recommended carbohydrate content of total dietary intake (% total calories) is ____%. Selected Answer: 45%-65% • Question 8 1 out of 1 points Which is the best way to position a patient's neck for palpation of the thyroid? Selected Answer: C. Flexed toward the side being examined • Question 9 0 out of 1 points Periods of silence during the interview can serve important purposes, such as: Selected Answer: promoting calmness. • Question 10 1 out of 1 points What finding is unique to the documentation of a physical examination of an infant? Selected Answer: Fontanel sizes • Question 11 1 out of 1 points Expected normal percussion tones include: Selected Answer: tympany over an empty stomach. • Question 12 1 out of 1 points Which cranial nerves innervate the face? Selected Answer: C. V and VII • Question 13 1 out of 1 points In counseling a client regarding nutrition education, you explain that linoleic acid, a major fatty acid, is thought to be essential for: Selected Answer: normal growth and development. • Question 14 1 out of 1 points Subjective and symptomatic data are: Selected Answer: placed in the history section. • Question 15 1 out of 1 points Which statement is true regarding the relationship of physical characteristics and culture? Selected Answer: There is a difference between distinguishing cultural characteristics and distinguishing physical characteristics. • Question 16 1 out of 1 points The position on a clock, topographic notations, and anatomic landmarks: Selected Answer: are methods for recording locations of findings. • Question 17 1 out of 1 points During an interview, you have the impression that a patient may be considering suicide. Which action is essential? Selected Answer: Ask whether the patient has considered self-harm. • Question 18 1 out of 1 points Which of the following organs is part of the alimentary tract? Selected Answer: Stomach • Question 19 0 out of 1 points Mr. 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: Selected Answer: C. C3 to C4. • Question 20 1 out of 1 points When you are questioning a patient regarding alcohol intake, she tells you that she is only a social drinker. Which initial response is appropriate? Selected Answer: "What amount and what kind of alcohol do you drink in a week?" • Question 21 1 out of 1 points 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: Selected Answer: ask whether he has any questions. • Question 22 1 out of 1 points Peritonitis produces bowel sounds that are: Selected Answer: hypoactive. • Question 23 1 out of 1 points When recording physical findings, which data are recorded first for all systems? Selected Answer: Inspection • Question 24 1 out of 1 points Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish: Selected Answer: D. seborrheic keratoses from actinic keratoses. • Question 25 1 out of 1 points Tangential lighting is best used for inspecting skin: Selected Answer: contour. • Question 26 1 out of 1 points 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: Selected Answer: D. a poorly developed subcutaneous fat layer. • Question 27 1 out of 1 points Which technique is most likely to result in the patient's understanding of questions? Selected Answer: Use the patient's own terms if possible. • Question 28 1 out of 1 points A guideline for history taking is for caregivers to: Selected Answer: make notes sparingly so that patients can be observed during the history taking. • Question 29 1 out of 1 points The review of systems is a component of the: Selected Answer: health history. • Question 30 1 out of 1 points After thorough inspection of the abdomen, the next assessment step is: Selected Answer: auscultation. • Question 31 1 out of 1 points 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? Selected Answer: D. Nose and thyroid cartilages • Question 32 1 out of 1 points 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: Selected Answer: building and maintaining tissues. • Question 33 1 out of 1 points Nasal symptoms that imply an allergic response include: Selected Answer: bluish gray turbinates. • Question 34 1 out of 1 points A blood pressure cuff bladder should be long enough to: Selected Answer: cover 75% to 80% of the arm circumference. • Question 35 1 out of 1 points Which of the following is an "ABCD" characteristic of malignant melanoma? Selected Answer: Asymmetric borders • Question 36 1 out of 1 points Which part of the information contained in the patient's record may be used in court? Selected Answer: All information • Question 37 1 out of 1 points Brittle nails are typical findings in: Selected Answer: D. older adults. • Question 38 1 out of 1 points 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: Selected Answer: flex his or her knees. • Question 39 1 out of 1 points 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? Selected Answer: C. Matrix • Question 40 1 out of 1 points 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? Selected Answer: Race • Question 41 1 out of 1 points 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: Selected Answer: inform the patient of the reason for the examination and ask if it is acceptable to him. • Question 42 0 out of 1 points A 5-year-old child presents with nasal congestion and a headache. To assess for sinus tenderness you should palpate over the: Selected Answer: maxillary and frontal sinuses. • Question 43 1 out of 1 points Unusual white areas on the skin may be due to: Selected Answer: C. vitiligo. • Question 44 1 out of 1 points Tympanic thermometers measure body temperature when a probe is placed: Selected Answer: in the auditory canal. • Question 45 1 out of 1 points When assessing abdominal pain in a college-age woman, one must include: Selected Answer: the first day of the last menstrual period. • Question 46 1 out of 1 points Tracheal tug suggests the presence of a(n): Selected Answer: aortic aneurysm. • Question 47 0 out of 1 points The recommended minimum daily protein requirement for the normal adult is ______. Selected Answer: 14%-20% • Question 48 1 out of 1 points 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? Selected Answer: Past medical data • Question 49 1 out of 1 points 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: Selected Answer: C. a normal thyroid gland. • Question 50 1 out of 1 points During an interview, tears appear in the patient's eyes and his voice becomes shaky. Initially, you should: Selected Answer: offer a tissue and let him know it is all right to cry. • Question 51 1 out of 1 points When communicating with older children and teenagers, you should be sensitive to their: Selected Answer: typical reluctance to talk. • Question 52 1 out of 1 points Inspection of the abdomen should begin with the patient supine and the examiner: Selected Answer: seated on the patient's right. • Question 53 1 out of 1 points The infant should be placed in which position to have his or her height or length measured? Selected Answer: Supine on a measuring board • Question 54 1 out of 1 points 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: Selected Answer: lean meat and fish. • Question 55 1 out of 1 points Small, minute bruises are called: Selected Answer: petechiae. • Question 56 1 out of 1 points White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are: Selected Answer: aphthous ulcers. • Question 57 1 out of 1 points Under normal circumstances, how much water is lost daily by the body? Selected Answer: 2 to 2.5 L • Question 58 0 out of 1 points Knowledge of the culture or cultures represented by the patient should be used to: Selected Answer: form a sense of the patient. • Question 59 1 out of 1 points A tool used to screen adolescents for alcoholism is the: Selected Answer: CRAFFT. • Question 60 1 out of 1 points 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: Selected Answer: inspect for ecchymosis of the flank. • Question 61 1 out of 1 points Which technique is most likely to result in the patient's understanding of questions? Selected Answer: Use the patient's own terms if possible. • Question 62 1 out of 1 points Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)? Selected Answer: Brief SOAP note • Question 63 1 out of 1 points 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? Selected Answer: Vitamin B12 • Question 64 1 out of 1 points Underestimation of blood pressure will occur if the blood pressure cuff's width covers: Selected Answer: more than two-thirds of the upper arm. • Question 65 1 out of 1 points 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? Selected Answer: Fat • Question 66 1 out of 1 points The most common form of birth trauma of the scalp is: Selected Answer: caput succedaneum. • Question 67 1 out of 1 points A detailed description of the symptoms related to the chief complaint is presented in the: Selected Answer: history of present illness. • Question 68 0 out of 1 points Penicillin is considered a Selected Answer: “cold” medicine. • Question 69 0 out of 1 points 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? Selected Answer: Rebound tenderness • Question 70 1 out of 1 points Auscultation should be carried out last, except when examining the: Selected Answer: abdomen. • Question 71 1 out of 1 points 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: Selected Answer: personal and social history. • Question 72 1 out of 1 points Which of the following is the most vital nutrient? Selected Answer: Water • Question 73 1 out of 1 points A brief statement of the reason the patient is seeking health care is called the: Selected Answer: chief complaint. • Question 74 1 out of 1 points 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: Selected Answer: D. record the finding in the patient’s chart. • Question 75 1 out of 1 points Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure: Selected Answer: hearing range of normal speech. • Question 76 1 out of 1 points Ms. Davis is a 27-year-old patient with a BMI of 33. Based on her BMI, your diagnosis would be: Selected Answer: obese. • Question 77 1 out of 1 points When hearing is evaluated, which cranial nerve is being tested? Selected Answer: VIII • Question 78 1 out of 1 points 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. Selected Answer: personal and social • Question 79 1 out of 1 points To correctly document absent bowel sounds, one must listen continuously for: Selected Answer: 5 minutes. • Question 80 1 out of 1 points 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: Selected Answer: D. thyroglossal duct cyst. • Question 81 1 out of 1 points 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? Selected Answer: G.M. is a 22-year-old male here for having “green nasal discharge” for the past 72 hours. • Question 82 1 out of 1 points When palpating the abdomen, you should note whether the liver is enlarged in the: Selected Answer: right upper quadrant. • Question 83 1 out of 1 points 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: Selected Answer: inspect for ecchymosis of the flank. • Question 84 1 out of 1 points 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. Selected Answers: a. Unable to hear in a crowded room c. Sounds may be garbled and difficult to localize f. Loss of high frequency • Question 85 1 out of 1 points When are open-ended questions generally most useful? Selected Answer: During the initial part of the interview • Question 86 1 out of 1 points Which of the following is an expected change in the assessment of the thyroid during pregnancy? Selected Answer: A bruit is auscultated. • Question 87 1 out of 1 points When assessing abdominal pain in a college-age woman, one must include: Selected Answer: the first day of the last menstrual period. • Question 88 1 out of 1 points Which of the following occurs when firm pressure is used to apply the stethoscope's bell end-piece to the skin? Selected Answer: It functionally converts to a diaphragm end-piece. • Question 89 1 out of 1 points In issues surrounding ethical decision making, beneficence refers to the: Selected Answer: need to do good for the patient. • Question 90 1 out of 1 points Before performing an abdominal examination, the examiner should: Selected Answer: have the patient empty his or her bladder. • Question 91 1 out of 1 points Mr. Donalds is a 45-year-old roofer. Your inspection to determine color variations of the skin is best conducted: Selected Answer: C. with illumination provided by daylight. • Question 92 1 out of 1 points During percussion, a dull tone is expected to be heard over: Selected Answer: the liver. • Question 93 1 out of 1 points 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): Selected Answer: progress note. • Question 94 1 out of 1 points As part of your health promotion education for a new patient, you explain that the risk factors for skin cancer include: Selected Answer: repeated trauma or irritation to skin. • Question 95 1 out of 1 points 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? Selected Answer: Eustachian tube • Question 96 1 out of 1 points 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: Selected Answer: A. plaque. • Question 97 1 out of 1 points Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence? Selected Answer: Realize that cultural values are difficult to change and must be respected. • Question 98 1 out of 1 points Coarse, dry, and brittle hair is associated with which metabolic disorder? Selected Answer: Hypothyroidism • Question 99 1 out of 1 points 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: Selected Answer: pull the auricle down and back. • Question 100 1 out of 1 points 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: Selected Answer: C. fluid-filled from solid cysts or masses.