Exam (elaborations) NRNP-6635Mid_term_2021.docx.pdf

 Question 1
0 out of 1 points
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:
Selected Answer: assess for rebound tenderness.
 Question 2
1 out of 1 points
You are collecting a history from an 11-year-old girl. Her mother is sitting next to her
in the examination room. When collecting history from older children or adolescents,
they should be:

Selected given the opportunity to be interviewed without the parent at some
Answer: point during the interview.
 Question 3
1 out of 1 points
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?

Selected Answer: Are you uncomfortable talking with me?
 Question 4
1 out of 1 points
Underestimation of blood pressure will occur if the blood pressure cuff's width
covers:

Selected Answer: more than two-thirds of the upper arm.
 Question 5
1 out of 1 points
White, rounded, or oval ulcerations surrounded by a red halo and found on the oral
mucosa are:

Selected Answer: aphthous ulcers.
 Question 6
0 out of 1 points
Mr. Donalds is a 45-year-old roofer. Your inspection to determine color variations of
the skin is best conducted:

Selected Answer: D. using a Wood’s light.

, Question 7
1 out of 1 points
Percussing at the right midclavicular line, below the umbilicus, and continuing
upward is the correct technique for locating the:
Selected Answer: lower liver border.
 Question 8
0 out of 1 points
Mr. Akins 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.
Selected Answers: a.
Loss of high frequency
b.
Bone conduction heard longer than air conduction
c.
Results from cranial nerve VII
e.
Unable to hear in a crowded room
f.
Sounds may be garbled and difficult to localize
 Question 9
1 out of 1 points
Peritonitis produces bowel sounds that are:
Selected Answer: hypoactive.
 Question 10
1 out of 1 points
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?
Selected Answer: Vitamin D
 Question 11
0 out of 1 points
Which technique is most likely to result in the patient's understanding of questions?

Selected Answer: Use the simplest language possible.
 Question 12
1 out of 1 points

, To perform the Rinne test, place the tuning fork on the:

Selected Answer: mastoid bone.
 Question 13
1 out of 1 points
After thorough inspection of the abdomen, the next assessment step is:

Selected Answer: auscultation.
 Question 14
1 out of 1 points
To approximate vocal frequencies, which tuning fork should be used to assess
hearing?

Selected Answer: 500 to 1000 Hz
 Question 15
1 out of 1 points
When examining the skull of a 4-month-old baby, you should normally find:

Selected Answer: B. closure of the posterior fontanel.
 Question 16
1 out of 1 points
Which of the following is the most vital nutrient?

Selected Answer: Water
 Question 17
1 out of 1 points
Mrs. Raymonds is a 24-year-old patient who has presented for a routine concern over
her current weight. In your patient teaching with her, you explain the importance of
macronutrients. Which of the following is a macronutrient?
Selected Answer: Fat
 Question 18
1 out of 1 points
Differential diagnoses belong in the:

Selected Answer: assessment.
 Question 19
1 out of 1 points