NUR643E Week 5 Midterm Quiz Advanced
Health Assessment for Nurse Educators
1)Adam is a very successful 15-year-old student and athlete. His mother brings him in today because he no longer studies, works out, or sees his friends. This has
gone on for a month and a half. When you speak with him alone in the room, he states it “would be better if I was not here.” What would you do next?
a.•Tell him that he has a very promising career in anything he chooses and soon he will feel better.
b.•Tell him that he needs an antidepressant and it will take about 4 weeks to work.
c.•Speak with his mother about getting him together more with his friends.
d.•Assess his suicide
risk. 2)Mr. Chin is an 82-year-old man who presents to your office for a routine check. On examination, you notice a somewhat high-pitched murmur in the second right
intercostal space during systole. It does not radiate and the rest of his examination is normal for his age. Which is true of the most likely cause of this murmur? a.•It often increases carotid upstroke.
b.•It carries with it increased risk for cardiovascular disease .
c.•It is usually accompanied by an S3 gallop.
d.•It is found in 10% of otherwise normal elderly patients.
3)Mrs. Fletcher complains of numbness of her right hand. On examination, sensation of the volar aspect of the web of the thumb and index finger and the pulp of the middle finger are normal. The pulp of the index finger has decreased sensation. Which of the following is affected?
a.•Median
nerve
b.•Ulnar nerve
c.•Radial nerve
4)You are assessing a patient for peripheral vascular disease in the arms, secondary to a complaint of increased weakness and a history of coronary artery disease and diabetes. You assess the brachial and radial pulses and note that they
are bounding. What does that translate to on a scale of 0 to 3?
a. •0
b.•3+
c.•2+
d.•1+
5)A 70-year-old retired auto mechanic presents to your office because his neighbor is concerned about his memory. The patient himself admits to misplacing his keys more often and forgets what he is supposed to buy from the grocery store and where he has parked the car. He denies getting lost in familiar places. Upon further questioning, he states that his wife of 40 years died 8
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