CMN 548 MODULE 1 STUDY
QUESTIONS LATEST 2024-2025
UPDATES
A 55-year-old data entry operator comes to the clinic to establish care. She has the
following
symptoms: headache, neck pain, sinus congestion, sore throat, ringing in ears, sharp
brief chest
pains at rest, burning abdominal pain with spicy foods, constipation, urinary frequency
that is
worse with coughing and sneezing, and swelling in legs. This cluster of symptoms is
explained
by:
A) One disease process
B) More than one disease process
Ans: B - Answer-
A 62-year-old teacher presents to the clinic for evaluation of the following symptoms:
fever,
headache, sinus congestion, sore throat, green nasal discharge, and cough. This
cluster of
symptoms is best explained by:
A) One disease process
B) More than one disease process
Ans: A - Answer-
Steve has just seen a 5-year-old girl who wheezes when exposed to cats. The patient's
family history is positive for asthma. You think the child most likely has asthma. What
have you
just accomplished?
A) You have tested your hypothesis.
B) You have developed a plan.
C) You have established a working diagnosis.
D) You have created a hypothesis.
Ans: D - Answer-
Ms. Washington is a 67-year-old who had a heart attack last month. Now she complains
of
,shortness of breath and not being able to sleep in a flat position (orthopnea). On
examination
you note increased jugular venous pressure, an S3 gallop, crackles low in the lung
fields, and
swollen ankles (edema). This is an example of a:
A) Pathophysiologic problem
B) Psychopathologic problem
Ans: A - Answer-
On the way to see your next patient, you glance at the calendar and make a mental
note to
buy a Mother's Day card. Your patient is Ms. Hernandez, a 76-year-old widow who lost
her
husband in May, two years ago. She comes in today with a headaches, abdominal pain,
and
general malaise. This happened once before, about a year ago, according to your
detailed office
notes. You have done a thorough evaluation but are unable to arrive at a consistent
picture to tie these symptoms together. This is an example of a:
A) Pathophysiologic problem
B) Psychopathologic problem
Ans: B - Answer-
Mr. Larson is a 42-year-old widowed father of two children, ages 4 and 11. He works in
a
sales office to support his family. Recently he has injured his back and you are thinking
he
would benefit from physical therapy, three times a week, for an hour per session. What
would be your next step?
A) Write the physical therapy prescription.
B) Have your office staff explain directions to the physical therapy center.
C) Discuss the plan with Mr. Larson.
D) Tell Mr. Larson that he will be going to physical therapy three times a week.
Ans: C - Answer-
You are seeing an elderly man with multiple complaints. He has chronic arthritis, pain
from
an old war injury, and headaches. Today he complains of these pains, as well as dull
chest pain
under his sternum. What would the order of priority be for your problem list?
A) Arthritis, war injury pain, headaches, chest pain
B) War injury pain, arthritis, headaches, chest pain
C) Headaches, arthritis, war injury pain, chest pain
,D) Chest pain, headaches, arthritis, war injury pain
Ans: D - Answer-
You are excited about a positive test finding you have just noticed on physical
examination
of your patient. You go on to do more examination, laboratory work, and diagnostic
tests, only
to find that there is no sign of the disease you thought would correlate with the finding.
This
same experience happens several times. What should you conclude?
A) Consider not doing this test routinely.
B) Use this test when you have a higher suspicion for a certain correlating condition.
C) Continue using the test, perhaps doing less laboratory work and diagnostics.
D) Omit this test from future examinations.
Ans: C - Answer-
You are growing fatigued of performing a maneuver on examination because you have
never
found a positive and are usually pressed for time. How should you next approach this
maneuver?
A) Use this test when you have a higher suspicion for a certain correlating condition.
B) Omit this test from future examinations.
C) Continue doing the test, but rely more heavily on laboratory work and diagnostics.
D) Continue performing it on all future examinations.
Ans: A - Answer-
You have recently returned from a medical missions trip to sub-Saharan Africa, where
you
learned a great deal about malaria. You decide to use some of the same questions and
maneuvers
in your "routine" when examining patients in the midwestern United States. You are
disappointed to find that despite getting some positive answers and findings, on further
workup,
none of your patients has malaria except one, who recently emigrated from Ghana. How
should
you next approach these questions and maneuvers?
A) Continue asking these questions in a more selective way.
B) Stop asking these questions, because they are low yield.
C) Question the validity of the questions.
D) Ask these questions of all your patients.
Ans: A - Answer-
, Bickley Chapter 2 13th edition - Answer-
When performing a physical assessment, the first technique the nurse will always use
is:
A Palpation.
B Inspection.
C Percussion.
d Auscultation.
ANS: B - Answer-
The nurse is preparing to perform a physical assessment. Which statement is true about
the
physical assessment? The inspection phase:
a Usually yields little information.
B Takes time and reveals a surprising amount of information.
C May be somewhat uncomfortable for the expert practitioner.
D Requires a quick glance at the patients body systems before proceeding with
palpation.
ANS: B - Answer-
The nurse is assessing a patients skin during an office visit. What part of the hand and
technique should be used to best assess the patients skin temperature?
A Fingertips; they are more sensitive to small changes in temperature.
B Dorsal surface of the hand; the skin is thinner on this surface than on the palms.
C Ulnar portion of the hand; increased blood supply in this area enhances
temperature sensitivity.
d Palmar surface of the hand; this surface is the most sensitive to temperature
variations because of its increased nerve supply in this area.
ANS: B - Answer-
Which of these techniques uses the sense of touch to assess texture, temperature,
moisture, and
swelling when the nurse is assessing a patient?
A Palpation
B Inspection
C Percussion
D Auscultation
ANS: A - Answer-
The nurse is preparing to assess a patients abdomen by palpation. How should the
nurse
proceed?
A Palpation of reportedly tender areas are avoided because palpation in these
areas may cause pain.
B Palpating a tender area is quickly performed to avoid any discomfort that the
patient may experience.
