NURS6204 MIDTERM EXAM 2024 LATEST EXAM WITH RATIONALE
CAPELLA UNIVERSITY ADVANCED HEALTH ASSESSMENT
Mrs. Raymonds is a 24-year-old patient who has presented for a routine concern over her currentweight. In
your patient teaching with her, you explain the importance of macronutrients. Which ofthe following is a
macronutrient?
Answer: Fat
Carbohydrates, protein, and fat are referred to as macronutrients because they are required in large
amounts. Iron, thiamine, and calcium are minerals.
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? (tricky question). (Similar to
question #63, but with a few words changed, each have different answers)
Answer: Obturator muscle test. (because it’s a late sign not an early sign).
Obturator muscle test. Psoas sign, McBurney point pain, and periumbilical pain that migrates to the right
lower quadrant are signs of appendicitis. Conditions that cause irritation of the obturator muscleare late
findings usually associated with a ruptured appendix or pelvic abscess.
Mr. Jones is a 45-year-old patient who presents for a physical examination. On examination, younote
costochondral beading, an enlarged skull, and bowed legs and diagnose him with rickets. Adeficiency of
which fat-soluble micronutrient can result in rickets?
Answer: Vit D
When assessing abdominal pain in a college-age woman, one must include:
Answer: the first day of the last menstrual period.
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?
, NURS6204ADVANCED HEALTH ASSESSMENT
Answer: Vit B12
The nutrients that may be deficient in a vegetarian diet, if not carefully planned, include proteins,calcium,
iron, vitamin B12, and vitamin D.
Which of the following formats would be used for visits that address problems not yet identified inthe
problem-oriented medical record (POMR)?
Answer: Brief SOAP note.
When examining a patient with tense abdominal musculature, a helpful technique is to have thepatient...
Answer: flex his or her knees
, NURS6204ADVANCED HEALTH ASSESSMENT
Peritonitis produces bowel sounds that are:
Answer: hypoactive
Penicillin is considered a:
Answer: Hot medicine
White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are?
Answer: aphthous ulcers (canker sore)
When conducting an adult otoscopic examination, you should
Answer: select the largest speculum that will fit in the auditory canal.
Which part of the information contained in the patient's record may be used in court?
Answer: All information
Mr. Walters, a 32-year-old patient, tells you that his ears are "stopped up." An objective assessmentof this
complaint is achieved by using the:
Answer: tympanometer.
To perform the Rinne test, place the tuning fork on the:
Answer: mastoid process
Mr. L. presents to the clinic with severe groin pain and a history of kidney stones. Mr. L.'s son tellsyou 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?
Answer: "With your father's permission, we will examine the stone and request that it be returned tohim.
The most common form of birth trauma of the scalp is:
Answer: caput succedaneum. Which is seen over the presenting part of the head during delivery as theskull
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