NURS 5352 Advanced health Assessment; Test Questions With Correct and Verified Answers Latest Update Answers 2023/2024 Graded A+

NURS 5352 Advanced health Assessment; Test Questions With Correct and Verified Answers Latest Update Answers 2023/2024 Graded A+. Nasal symptoms that imply an allergic response include: Deviated septum Bluish grey or pale pink turbinates Purulent nasal discharge Small atrophied nasal mucous membranes NOSE: An allergic finding includes bluish gray or pale pink nasal turbinates that are swollen and boggy and a transverse crease at the junction between the cartilage and the bone of the nose. Seidel, p. 312 Intense pain with movement of the pinna is most closely associated with: Question 4 2 / 2 pts Question 5 2 / 2 pts University of Texas, Tyler NURS 5352 Advanced health assessment test 1 with complete solution Otitis media with effusion Otitis externa Temporomandibular joint syndrome Bacterial otitis media EAR: suspect otitis externa (swimmer’s ear) when pulling of the pinna reproduces ear pain. The other conditions do not commonly cause the same finding. Seidel, p. 327 A smooth red tongue with a slick appearance may indicate: Fungal infection Niacin or B12 deficiency Recent use of antibiotics Geographic tongue Question 6 2 / 2 pts University of Texas, Tyler NURS 5352 Advanced health assessment test 1 with complete solution THROAT: A smooth red tongue with a slick appearance may indicate a niacin or vitamin B12 deficiency. Oral cancer involves lesions; recent use of antibiotics can turn the tongue yellow-brown to black and hairy; and fungal infections result in slightly raised white, cream-colored, or yellow spots in the mouth. Geographic tongue has irregular areas of whitish and red areas. Seidel, 316-317 Bulging of an amber tympanic membrane with decreased mobility is consistent with: Healed tympanic membrane perforation Impacted cerumen in the external auditory canal Pseudomonas infection of the external auditory canal Middle ear effusion EAR: An amber color, with bulging of the tympanic membrane and without mobility or redness, most often indicates the presence of fluid in the middle ear. Seidel, p. 310 The head and chest circumference should be about the same on a patient until what age? 6 years Question 7 2 / 2 pts Question 8 2 / 2 pts University of Texas, Tyler NURS 5352 Advanced health assessment test 1 with complete solution 2 years 4 years 1 year CHEST & LUNGS: Seidel 361 and tegrity lecture. There are variations based on the maturity of the infant at birth noted in Seidel but they should generally be the same until age two or further investigation is needed. A 29-year-old white woman presents to the clinic for evaluation. She is concerned because her skin, palms and soles of her feet are really yellow. You order blood work including LFTs and a hepatitis profile. The results of all her blood work are negative for hepatitis and her LFTs are within normal limits. With this in mind, what would the nurse practitioner want to ask this patient to explore other differential diagnoses, since hepatitis and other forms of liver disease are ruled out? If she takes a lot of Iron? If she has a history of diabetes mellitus If she eats a lot of yellow and orange vegetables Whether she has unusual bleeding problems Question 9 2 / 2 pts University of Texas, Tyler NURS 5352 Advanced health assessment test 1 with complete solution SKIN/HAIR/NAILS: In the absence of liver disease, another cause of jaundice is increased carotene pigmentation. Diets high in carrots, sweet potatoes, and squash are high in carotene and can make the skin appear to be jaundiced. Seidel, p. 162 Well-circumscribed silvery plaques on the trunk and extensor surfaces of the body is most consistent with which skin disorder? Psoriasis Pityriasis Rosea Tinea Eczema SKIN/HAIR/NAILS: Unlike other skin conditions, silvery plaques characterize psoriasis. Seidel, p. 190 A 17-year-old student complains of a "rash for 3 days." After a complete history and ROS, the patient admits that there was a solitary oval plaque (Known as a "Herald Patch") on his upper chest about a week prior to the onset of this rash. Upon examination, you note pale, erythematous oval plaques over the trunk. They have fine scales and are arranged in a "christmas tree" pattern on his trunk. What is highest on your list of differential diagnoses? Question 10 2 / 2 pts Question 11 2 / 2 pts University of Texas, Tyler NURS 5352 Advanced health assessment test 1 with complete solution Tinea Contact Dermatitis Seborrheic Dermatitis Pityriasis Rosea SKIN/HAIR/NAILS: The described rash is the typical presentation of pityriasis rosea. The rash is not infectious or contagious, does not involve the palms and soles, and usually lasts for several weeks. Pityriasis rosea begins with a sudden primary (herald) patch, with the generalized eruption to the trunk and extremities following 1 to 3 weeks later. SEIDEL, P. 190 A shiny, elevated nodule that is pearly or translucent, with tiny blood vessels noted on the surface describes this most common cutaneous neoplasm. What is the name of this lesion? Malignant melanoma. Squamous cell carcinoma Seborrheic keratosis. Question 12 2 / 2 pts University of Texas, Tyler NURS 5352 Advanced health assessment test 1 with complete solution Basal cell carcinoma. SKIN/HAIR/NAILS: Basal cell carcinoma is the most common form of skin cancer. It occurs more frequently on sun-exposed parts of the body. Seidel, p. 195 A 5-year-old child presents with discrete cloudy vesicles on an erythematous base (dew drops on a rose petal appearance) that began near her scalp and are spreading to the trunk. There are some vesicles that are umbilicated and others that are beginning to crust over. The child has a low-grade fever and feels tired. What common childhood illness is most consistent with these findings? Rubeola Varicella Acne Vulgaris. Impetigo SKIN/HAIR/NAILS: The description of this child's complaint is a varicella rash, not acne, impetigo or rubeola. Chickenpox is a highly communicable disease and can be prevented by immunization. The period of communicability lasts from 1 or 2 days before onset of the rash until all the vesicles have crusted over, which usually takes about a week. Seidel, p. 207 Question 14 Question 13 2 / 2 pts University of Texas, Tyler NURS 5352 Advanced health assessment test 1 with complete solution 2 / 2 pts You are seeing a 5 year old boy in the clinic. The mother states that her son developed a small red bump on his upper lip 3 days ago, with increase in size and drainage. He has also been complaining of intense itching. Your inspection reveals crusted over vesicles with honey-colored exudate on his nares, and upper lip. Which condition is consistent with the above findings? Drug eruption Acne Vulgaris Chicken Pox Impetigo SKIN/HAIR/NAILS: Impetigo causes intense pruritus, regional lymphadenopathy, and honey-colored exudative crusting as the vesicles or bullae rupture and dry. Seidel, p. 206 A 24 year old male is brought in to the emergency room for evaluation. He was reportedly mumbling incoherently, and telling bystanders that he hears voices of people who are following him. His physical appearance is unkempt, with poor hygiene, and he is pacing in the exam room while you are talking with him. What disorder would BEST fit this description? Obsessive/Compulsive Disorder Question 15 2 / 2 pts University of Texas, Tyler NURS 5352 Advanced health assessment test 1 with complete solution Schizophrenia. Attention-Deficit/Hyperactivity Disorder (ADHD) Expressive Aphasia Psychiatric/Mental Assessment: Expressive Aphasia is the inability to speak words; ADHD is a problem of impaired attention and hyperactive behavior - fidgeting, short attention-span, disruptive behavior, etc.; Obsessive/Compulsive disorder is a problem with compulsive behaviors, such as repetitive hand-washing, cleaning, etc. Schizophrenia is associated with paranoid thoughts, delusions, incoherent speech, poor hygiene, and hallucinations - such as described with this patient. Seidel, p. 85 The nurse practitioner asks the patient to draw a clock and place the time at "ten minutes after eleven o'clock." What is the purpose of this exam? to determine the patient's level of mental retardation. to detect disturbances in the norepinephrine and serotonin neurotransmitters. To measure function of the parietal lobe of the brain to measure cognitive, motor, and perceptual function Question 17 UnansweredQuestion 16 0 / 2 pts University of Texas, Tyler NURS 5352 Advanced health assessment test 1 with complete solution 2 / 2 pts A wise practitioner will never assume a psychiatric diagnosis, until all physical causes are ruled out. The mnemonic THINCMED is useful when evaluating for underlying medical conditions. The "T" in this mnemonic stands for: Tumor Thyroid Trauma Thrombosis Psych/Mental Health Assessment: The medical mnemonic THINCMED is used to evaluate for underlying medical conditions that may mimic psychiatric disorders. The "T" stands for Tumor. H - Hormones, including thyroid; I - Infection/Immune diseases; N-Nutrition (B-Vitamins, Iron); C - CNS (head trauma, MS, seizures, Parkinsons); M - Miscellaneous (sleep apnea, anemia, CHF); E - Electrolytes and toxins; D - Drugs (Dr. Petersen's Psych/Mental Health lecture) 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? “Why are you so depressed?” “It’s hard for me to gather useful information because your answers are so short.” Question 18 2 / 2 pts University of Texas, Tyler NURS 5352 Advanced health assessment test 1 with complete solution “Does your religion make it hard for you to answer my questions?” “Are you uncomfortable talking with me?” CULTURE: It is all right to ask if the patient is uncomfortable with any aspect of your person and to talk about it; the other choices are less respectful. Seidel: p 40 An aspect of traditional Western medicine that may be troublesome to many Hispanics, Native Americans/American Indians, Asians, and Arabs is Western medicine's attempts to: use a "holistic" approach that views a particular medical problem as part of the bigger picture. retrieve balance in an individual's life. establish harmony between a person and the entire cosmos. determine a specific cause for every problem in a precise way. CULTURE: United States is Activity Oriented. Seidel, p. 39 A naturalistic or holistic approach to health care often assumes: Question 19 2 / 2 pts Question 20 2 / 2 pts University of Texas, Tyler NURS 5352 Advanced health assessment test 1 with complete solution a reductionist view that looks to a very narrow cause and effect. there are supernatural forces that determine one's fate. there are external factors that must be kept in balance. that “hot” conditions require treatment with a “hot” remedy. CULTURE: A naturalistic or holistic approach often assumes that there are external factors—some good, some bad—that must be kept in balance if we are remain well. Seidel, p. 42 The attitudes of the health care professional are largely: enculturated and cannot be changed. difficult for the patient to sense. uninfluenced by patient behavior. culturally derived. Question 21 2 / 2 pts University of Texas, Tyler NURS 5352 Advanced health assessment test 1 with complete solution CULTURE: The attitude of the health care provider is foundationally derived from one's own culture but we should be aware that this can cause stereotypical judgments to be made; understanding this is relevant to the success of patient relationships. Attitudes of the health care professional are easily detected by others, and they influence patient behavior. Seidel, p. 36 The Rosenbaum card is used to measure: A. distance perception. B. near vision. D. the ability to identify colors. C. peripheral distortion. The Rosenbaum card is best used to measure nearsightedness because the patient holds the card at a comfortable distance and reads from the card. The Rosenbaum card is not used to measure distance perception because distance perception cannot be accurately measured with a card held close. Peripheral vision is assessed by an examiner with hand movements. Color identification can be measured with color cards. Which type of speculum should be used to examine a patient's tympanic membrane? 1. The smallest speculum that will illuminate the ear Question 22 2 / 2 pts Question 23 2 / 2 pts University of Texas, Tyler NURS 5352 Advanced health assessment test 1 with complete solution 2. The largest speculum that will fit comfortably in the ear 3. The shortest speculum available 4. Any speculum that will fit the otoscope head The largest speculum that will fit comfortably in the ear canal should be used for optimal visualization. (Seidel, p. 67). The nurse practitioner notes a number of important physical findings when conducting the physical examination. In which section of the record should these findings be recorded? in the objective section in the subjective section in the assessment section