MSN 572 Quiz 4 Questions & Answers

MSN 572 Quiz 4 Questions & Answers 1. A patient has a beady nodule protruding from the eyelid. The nurse discovers the presence of swelling over the nodule that moves freely. What should the nurse infer from these findings? The patient has a chalazion 2. During the dental examination of a patient the nurse notes a nontender fibrous nodule on the gum between the teeth. What term should the nurse use to document this condition? Epulis (Pregnancy tumor) 3. The NP is examining the hearing of an elderly patient using the whisper voice test. Which procedure would the NP follow to properly administer this test? Whisper a set of three random numbers and letters while standing 2 feet behind the patient while patient covers one ear. 4. And the situation of a middle-aged female with a pounding headache, what is the most effective question to ask the patient? Does the patient have any aura prior to the headaches? 5. A 65-year-old overweight male comes to the clinic with voice hoarseness which has lasted for about two months. He thinks it began with a cold. He is not feeling badly other than frequent heartburn and he has continued to work as a bartender for the past 30 years but he has difficulty being heard and understood because of his horse voice. One diagnosis that is highest on the differential list includes which of the following? Acid reflux 6. A 78-year-old grandmother presents for evaluation of weakness in her face. She has a long- standing history of hypertension that has been under fair control. On physical examination you note that she has ptosis and miosis of the left eye and left facial anhydrosis. What is your most likely diagnosis? Horner's syndrome 7. While assessing a patient the NP suspects the patient has labyrinthitis. To confirm this suspicion which is the best question for the NP to ask the patient during the assessment? Do you ever feel like the room is spinning around you? 8. Which of the following would be considered objective data? Patient laboratory test results 9. Which part of the ear connects the middle ear to the nasopharynx? Eustachian tube 10. A 34-year old male presents with a chief complaint of a sore throat. Which of options: the following should be asked as the first question to the patient? When did your sore throat start? 11. A 35-year-old female patient has had migraines for much of her adult life. She receives regular health check ups, is healthy and takes no medication except for Ibuprofen and oral contraceptive pills. She exercises and has a steady job. Her only complaint is that her migraines seem to have become worse, and for the past few weeks she has been waking up at night with a headache and also nausea. Which of the following is the best course of action? Take a further history and perform a very careful neurological exam. 12. The NP is palpating the lymph nodes of a patient with an acute infection. What does he/she expect to find? Lymph nodes are bilateral enlarged warm and firm but freely movable. 13. Which condition may cause conductive hearing loss in a patient? Otosclerosis 14. After an eye-assessment the health care provider suspects that the patient may have a brain tumor. What sign or symptom would the provider expect to find in this patient to support the suspicion? The patient has papilledema. 15. A teenager comes to your office with ear pain and hearing loss. You place a vibrating tuning fork on the teenager's right mastoid process asking him to let you know when the sound is gone and then you immediately place that same tuning fork near his right ear. He hears the sound equally in air as against his bone. The name of this test is: Rinne's test 16. The NP is assessing a patient with severe cold and nasal congestion. Which sinuses will the NP assess during a physical examination? Maxillary and frontal sinuses 17. A patient with an eye infection reports pain warmth and redness in the part of the eye closest to the nose. The NP notices that the patient has purulent discharge when applying pressure on the conjunctival sac. Which condition does this patient likely have? Dacryocystitis 18. While conducting the otoscopic examination in a newborn the NP student tilts the newborn's head slightly toward the opposite side of the shoulder. Then the NP student pulls the newborn's pinna up and backward and holds it gently but firmly. The student then holds the otoscope upside down and proceeds to perform further steps. Which action by the student needs correction? Pulling the newborn's ear pinna up and back 19. While performing otoscopic examination in a patient with gout the NP finds that the patient has small whitish-yellow nodules and uric acid crystals in the ear helix. What information will the NP document in the patient's chart? The patient has tophi. 20. A patient feels pain when the provider pulls the pinna or tragus during assessment. What might be the reason for this pain? Otitis externa 21. After reviewing a patient's Hirschberg (light reflex) test results the NP does the cover test. What is the rationale for doing this test? The patient presents with an asymmetric light reflex in both eyes. 22. While assessing the throat of a child the NP student documents the tonsils as 3+. What does this indicate? Tonsils touch the uvula 23. The NP performs an otoscopic examination on the ear of a patient with mycoplasma pneumonia infection. During the exam the NP sees that the patient has small vesicles on the eardrum that are filled with blood. Which condition does the NP document in the chart? Bullous myringitis 24. A 57-year-old auto mechanic comes to your office for evaluation of decreased vision in his right eye. You perform a fundoscopic examination and diagnose a cataract. What did you see to make this diagnosis? Absence of the red reflex 25. A 70-year-old man complains of new onset double vision. Which of the following associated symptoms or signs would be worrying about an underlying neurological problem, as opposed to pathology only in the eye?