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NURS 6512 Week 6 Advanced Health Assessment: Walden University
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NURS 6512 Week 6 Midterm Exam: Advanced Health Assessment: Walden University Which of the following is an expected change in the assessment of the thyroid during pregnancy? When recording physical finding, which data are recorded first for all systems? In counseling a Client regarding education ., you explain that Linoleic acid, a major fatty acid, is thought to be essential for: Peritonitis produces bowel sounds that are: Sweat glands, hair, and nails are all formed: The adult recommended dietary fat intake Recommended carbohydrate content of total dietary intake (% total calories) is ____ %. Which of the formats would be used for a (POMR) Question 141 out of 1 pointsMr. 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: Question 151 out of 1 pointsYour 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: Question 161 out of 1 pointsWhen examining the skull of a 4-month-old baby, you should normally find: Question 171 out of 1 pointsMs. 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. To perform the Rinne test, place the tuning fork on the: Question 71 out of 1 pointsWhen are open-ended questions generally most useful? Question 80 out of 1 pointsThe review of systems is a component of the: Fluorescing lesions are best distinguished using a(n): Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish: 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? The term denoting the caregiver’s need to do no harm to the patient is: Underestimation of blood pressure will occur if the blood pressure cuff’s width covers: 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? The most superior part of the stomach is the: When recording physical findings, which data are recorded first for all systems? Kevin Marks is a new health care provider. What is the best method to develop cultural competence? Which cranial nerves innervate the face? When communicating with older children and teenagers, you should be sensitive to their: Before performing an abdominal examination, the examiner should: The infant should be placed in which position to have his or her height or length measured? Regardless of the origin, discharge is described by noting: Mrs. Berger is a 39-year-old woman who presents with a complaint of epigastric abdominal pain. You have completed the inspection of the abdomen. What is your next step in the assessment process? To correctly document absent bowel sounds, one must listen continuouslyfor: The position on a clock, topographic notations, and anatomic landmarks: Bulging of an amber tympanic membrane without mobility is most often associated with: Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic. Which question has the most potential for exploring a patient’s cultural beliefs related to a health problem? A flat, nonpalpable lesion is described as a macule if the diameter is: 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): Which type of speculum should be used to examine a patient’s tympanic membrane? 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: 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: Knowledge of the culture or cultures represented by the patient should be used to: A tool used to screen adolescents for alcoholism is the: 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: To approximate vocal frequencies, which tuning fork should be used to assess hearing? During an interview, tears appear in the patient’s eyes and his voice becomes shaky. Initially, you should: Nuchal rigidity is most commonly associated with: Question 221 out of 1 pointsA serous membrane that lines the abdominal cavity and forms a protectivecover for many abdominal structures is the: Question 261 out of 1 pointsWhen assessing abdominal pain in a college-age woman, one must include: Question 281 out of 1 pointsA fixed image of any group that rejects its potential for originality or individuality is known as a(n): Question 301 out of 1 pointsMr. Walters, a 32-year-old patient, tells you that his ears are “stopped up.” An objective assessment of this complaint is achieved by using the: Question 311 out of 1 pointsMs. Davis is a 27-year-old patient with a BMI of 33. Based on her BMI, yourdiagnosis would be: Question 321 out of 1 pointsTracheal tug suggests the presence of a(n): Question 331 out of 1 pointsMr. 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: Question 341 out of 1 pointsThe most common form of birth trauma of the scalp is: Which question would be considered a leading question? A brief statement of the reason the patient is seeking health care is called the: Expected hair distribution changes in older adults include: 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: When hearing is evaluated, which cranial nerve is being tested? Which of the following is the most accurate reflection of an individual’s food intake. Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the: Brittle nails are typical findings in: You are planning the palpate the abdomen of your patient. Which part of the examiner’s hand is best for palpating vibrations? A 5 year old child presents with nasal congestion and a headache. To assess for sinus tenderness you should palpate over the : Unusual white areas on the skin may be due to: You are using an ophthalmoscope to examine a patient’s inner eye. You rotate the lens selector clockwise, then counterclock wise to compensate for: Mrs. Webb is a 38 year old patient who has been changing her lifestyle to eat in a health way and lose weight. During your health promotion education regarding her nutritional status, you explain the function of dietary protein as: Mr. Atkins 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. Mrs. Grace is a 58year old patient who has a diagnosis of pernicious anemia. Which B vitamin is deficient in patients with pernicious anemia? A 51 year old woman calls with complaints of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to: Placing the base of a vibrating tuning fork on the midline vertex of the patient’s head is a test for: Which technique is most likely to result in the patient’s understanding of questions? 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 DOCOUMENTED WITHING WHICH SECTION OF HIS HISTORY? NASAL SYMPTOMS THAT IMPLY AN ALLERGIC RESPONSE INCLUDE: WHEN TAKING A HISTORY, YOU SHOULD: Under normal circumstances, how much water is lost daily by the body? You have just completed a skin assessment on Mr. Baker. During your assessment, you have transiluminated a skin lesion. During the physical examination, you know the skin lesions are transiluminated to distinguish: Mr. Mills is a 55 year old patient who presents to the office for an initial visit for health promotion. A survey of mobility and activities of daily living (ADLs) is part of a(n): Which part of the information contained in the patient’s record may be used in court? A guideline of history taking is for caregivers to: You are palpating a patient’s thyroid and find that its broadest dimension measure 4cm. The right lobe is 25% larger than the left. These data would indicate: Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L’s son tells you 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? You are examining a pregnant patient and have noted a vascular lesion. When you blanche over the vascular lesion, the site blanches and refills evenly from the center outward. The nurse documents this lesion as a: As you explain you 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, you most appropriate response to this behavior is to: When palpating the abdomen, you should note whether the liver is enlarged in the: Expected normal percussion tones include: Penicillin is considered a: Small, minute bruises are called: When you are questioning a patient regarding alcohol intake, she tells you that she is only a social drinker, which initial response is appropriate? Tuning forks with a frequency of 20 to 100 Hz are most commonly used to measure: Auscultation should be carried out last, except when examining the: Which of the following is an ABCD characteristic of malignant melanoma? Your patient presents with symptoms that lead you to suspect acute appendicitis. Which assessment finding is least like to be associated with this condition early in its course? Cherry angiomas are a common finding in: Mr. Donalds is a 45 year old roofer. Your inspection to determine color variations of the skin is best conducted: 92. Mr. Jones is a 45 year old patient who presents for a physical examination. On examination, you note costochondral beading, enlarged skull, and bowed legs and diagnose him with rickets. A deficiency of which fat-soluble micronutrient can result in rickets? Which of the following organs is part of the alimentary tract? 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? 93. To approximate vocal frequencies, which tuning fork should be used to assess hearing? The attitude of the health care professional: When recording physical findings, which data are recorded first for all systems? Spasmodic muscular contraction of the head, face, or neck are called: Which of the following occurs when firm pressure is used to apply the stethoscope’s ball end piece to the skin? Differential diagnosis belong in the: Pigmented, raised, watery lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish: Mrs. Leonard brings her newborn infant into the pediatrician’s office for a first well baby visit. As a health care provider, you teach her newborns are more vulnerable to hypothermia due to: Tympanic thermometers measure body temperature when a probe is placed: White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are: 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: Which of the following is the most vital nutrient? What finding is unique to the documentation of a physical examination of an infant? Mrs. G reports and increase in her alcohol intake over the past 5 years. To screen her for problem drinking, would use the: Mrs. D complains of a headache. During the history, he mentions his use of alcohol and illicit drugs. The information would most likely belong in the: You are completing a general physical examination of 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