NGR 6002 Midterm Questions With Complete Solutions
What is the average heart rate of a 4-month-old?
130
Which of the following signs or symptoms may be noted during
the general survey and could indicate malnutrition? (Select all
that apply)
cold intolerance, weakness, flaky dermatitis, ankle edema
Signs and symptoms of malnutrition include weakness, easy
fatiguability, ankle edema, cold intolerance, and flaky
dermatitis. Heat intolerance is not characteristic of malnutrition.
Which population are cherry angiomas are a common finding
in?
adults older than 30 years
Cherry angiomas occur in almost everyone older than 30 years
and increase numerically with age.
What are small, minute bruises called?
petechiae
Petechiae are smaller than 0.5 cm in diameter. Ecchymoses are
larger than 0.5 cm in diameter. Spider veins and telangiectasias
are vascular lesions.
,In order to effectively assess the oral mucosa, the examiner
should have which assessment tools available? (select all that
apply)
penlight, gloves, tongue depressor
For the assessment of the oral mucosa, the examiner needs to
have available gloves to prevent the possible transmission of
infection, a penlight to optimize visibility of the oral cavity, and
a tongue depressor to prevent the tongue from obstructing view
of the posterior oral cavity and throat. A speculum and tuning
fork are required when conducting a physical examination of the
ear.
Periorbital edema is
a sign of abnormality
A clinical finding of periorbital edema should always be
regarded as an abnormal finding until ruled otherwise.
During the general survey, which of the following is not
included?
blood pressure
Blood pressure is a an objective finding included in the vital
signs portion. It is not part of the general survey.
What is the pneumatic attachment for the otoscope is used to
evaluate?
,tympanic membrane movement
The pneumatic attachment on the otoscope produces a puff of air
directed to the tympanic membrane, resulting in its movement.
The pneumatic attachment for the otoscope is not used to
evaluate ear canal patency, eardrum landmarks, or hearing
acuity. Ear canal patency is assessed by visually inspecting the
ear. Hearing acuity is assessed by the whisper test.
Which nodes are most often associated with inflammation?
tender
Tenderness is almost always indicative of inflammation. Shotty
nodes (feel like the tip of an eraser) that are fixed are of greater
concern. Shotty, movable, or fixed nodes are not usually
associated with inflammation.
An 11-year-old girl has developed breast buds (elevation of
breast and nipple as a small mound). At which Tanner stage
does the advanced practice nurse classify this finding?
stage 2
In females, Tanner Stage 2 of the breasts is classified as the
breast bud stage: elevation of breast and nipple as a small
mound, and enlargement of areolar diameter.
What term has the term rales been replaced with?
crackles
, The term rales has been replaced with the term crackles to
describe the sound more precisely.
Which finding, on inspection, is related to fibrotic tissue
changes that occur with breast carcinoma?
skin dimpling or retraction
Skin dimpling or retraction signifies the contraction of fibrotic
tissue that occurs with carcinoma.
Why is the diaphragm of the stethoscope better than the bell for
auscultation of the lungs?
it transmits high-pitched sounds
The diaphragm is the better source because it transmits the
normally high-pitched sounds of the lung, and it has a broader
area from which to listen. Unless specially modified, the
stethoscope does not amplify sound, filter extraneous sounds, or
pinpoint focal sound areas.
For the purposes of examination and communication of physical
findings, what is the breast divided into?
four quadrants plus a tail
The breast is referenced according to five segments: four
quadrants and a tail.
Along which area does the advance practice nurse (APN)
percuss for diaphragmatic excursion?
What is the average heart rate of a 4-month-old?
130
Which of the following signs or symptoms may be noted during
the general survey and could indicate malnutrition? (Select all
that apply)
cold intolerance, weakness, flaky dermatitis, ankle edema
Signs and symptoms of malnutrition include weakness, easy
fatiguability, ankle edema, cold intolerance, and flaky
dermatitis. Heat intolerance is not characteristic of malnutrition.
Which population are cherry angiomas are a common finding
in?
adults older than 30 years
Cherry angiomas occur in almost everyone older than 30 years
and increase numerically with age.
What are small, minute bruises called?
petechiae
Petechiae are smaller than 0.5 cm in diameter. Ecchymoses are
larger than 0.5 cm in diameter. Spider veins and telangiectasias
are vascular lesions.
,In order to effectively assess the oral mucosa, the examiner
should have which assessment tools available? (select all that
apply)
penlight, gloves, tongue depressor
For the assessment of the oral mucosa, the examiner needs to
have available gloves to prevent the possible transmission of
infection, a penlight to optimize visibility of the oral cavity, and
a tongue depressor to prevent the tongue from obstructing view
of the posterior oral cavity and throat. A speculum and tuning
fork are required when conducting a physical examination of the
ear.
Periorbital edema is
a sign of abnormality
A clinical finding of periorbital edema should always be
regarded as an abnormal finding until ruled otherwise.
During the general survey, which of the following is not
included?
blood pressure
Blood pressure is a an objective finding included in the vital
signs portion. It is not part of the general survey.
What is the pneumatic attachment for the otoscope is used to
evaluate?
,tympanic membrane movement
The pneumatic attachment on the otoscope produces a puff of air
directed to the tympanic membrane, resulting in its movement.
The pneumatic attachment for the otoscope is not used to
evaluate ear canal patency, eardrum landmarks, or hearing
acuity. Ear canal patency is assessed by visually inspecting the
ear. Hearing acuity is assessed by the whisper test.
Which nodes are most often associated with inflammation?
tender
Tenderness is almost always indicative of inflammation. Shotty
nodes (feel like the tip of an eraser) that are fixed are of greater
concern. Shotty, movable, or fixed nodes are not usually
associated with inflammation.
An 11-year-old girl has developed breast buds (elevation of
breast and nipple as a small mound). At which Tanner stage
does the advanced practice nurse classify this finding?
stage 2
In females, Tanner Stage 2 of the breasts is classified as the
breast bud stage: elevation of breast and nipple as a small
mound, and enlargement of areolar diameter.
What term has the term rales been replaced with?
crackles
, The term rales has been replaced with the term crackles to
describe the sound more precisely.
Which finding, on inspection, is related to fibrotic tissue
changes that occur with breast carcinoma?
skin dimpling or retraction
Skin dimpling or retraction signifies the contraction of fibrotic
tissue that occurs with carcinoma.
Why is the diaphragm of the stethoscope better than the bell for
auscultation of the lungs?
it transmits high-pitched sounds
The diaphragm is the better source because it transmits the
normally high-pitched sounds of the lung, and it has a broader
area from which to listen. Unless specially modified, the
stethoscope does not amplify sound, filter extraneous sounds, or
pinpoint focal sound areas.
For the purposes of examination and communication of physical
findings, what is the breast divided into?
four quadrants plus a tail
The breast is referenced according to five segments: four
quadrants and a tail.
Along which area does the advance practice nurse (APN)
percuss for diaphragmatic excursion?
