NURS 3125 EXAM QUESTIONS WITH ANSWERS 100%
CORRECT AND VERIFIED SUCCESS ASSUARED
CHAPTER10
10. Mr. Mathews is a 47-year-old patient who presents for a routine physical examination. On
examination, you noted a bruit heard over the thyroid. This is suggestive of:
a hypothyroidism.
.
b hyperthyroidism.
.
c thyroid cancer.
.
d thyroid cyst.
.
ANS: B
Because of hypermetabolic states such as hyperthyroidism, a bruit may be heard as a result of the
increased blood flow to the area. Auscultating a bruit is not symptomatic of hypothyroidism,
cancer, or a cyst. A nodule is more indicative of cancer.
15. During a physical examination of a 30-year-old Chinese man, you notice a slight asymmetry of his
face. The cranial nerve examination is normal. Your best action is to:
a ask the patient if this characteristic runs in his family.
.
b perform monofilament testing on the face.
.
c consult with the physician regarding the laboratory tests needed.
.
d record the finding in the patient’s chart.
.
ANS: D
It is not abnormal to have some slight asymmetry of the face that does not require further
questioning, tests, or unnecessary laboratory work, but it does require a notation in the chart that
could be referenced for future concerns.
16. A bruit, or blowing sound, over the skull or temporal region of an adult indicates a:
a degenerative change.
.
b hyperthyroid storm.
.
c skull fracture.
.
d vascular anomaly.
.
ANS: D
Temporal bruits can indicate a vascular anomaly such as an arterial obstruction, aneurysm, or
vascular neoplasm. Audible bruits are not associated with degenerative changes or skull fracture.
Hyperthyroid storm would cause tachycardia and palpations but not usually a bruit.
18. Coarse, dry, and brittle hair is associated with which metabolic disorder?
a Hypothyroidism
, NURS 3125 EXAM QUESTIONS WITH ANSWERS 100%
CORRECT AND VERIFIED SUCCESS ASSUARED
.
b Diabetes mellitus
.
c Addison disease
.
d Cushing syndrome
.
ANS: A
Hypothyroidism affects hair texture, resulting in coarse, dry, and brittle changes.
23. The thyroid gland should:
a be slightly left of midline.
.
b have a clear vascular sound.
.
c move when the patient swallows.
.
d tug with each heartbeat.
.
ANS: C
It is a normal finding for the thyroid gland to move with swallowing; however, being off center
may indicate a nodular growth or enlargement. The thyroid gland should not be slightly left of
midline. Vascular sounds indicate hypermetabolic states such as hyperthyroidism, and a tug with
each heartbeat is a sign of an aortic aneurysm
29. Nuchal rigidity is most commonly associated with:
a thyroiditis.
.
b meningeal irritation.
.
c Down syndrome.
.
d cranial nerve V damage.
.
ANS: B
Stiffness and inability to flex the neck, or nuchal rigidity, constitute a classic symptom of
meningeal irritation.
31. Which type of headache usually occurs at night, is precipitated by alcohol consumption, and
occurs more often in men than in women?
a Classic migraine
.
b Temporal arteritis
.
c Cluster
.
, NURS 3125 EXAM QUESTIONS WITH ANSWERS 100%
CORRECT AND VERIFIED SUCCESS ASSUARED
d Hypertensive
.
ANS: C
Cluster headaches usually occur at night; they are associated with alcohol consumption and
occur more often in men.
32. A 29-year-old woman presents to the urgent care center with a history of a severe headache of 2
hours’ duration. She describes it as bandlike and constricting. In interviewing the woman about
her complaint, you would ask:
a whether she has experienced increased tearfulness.
.
b the date of her last menstrual period.
.
c whether these headaches started in childhood.
.
d whether she is particularly stressed or overworked.
.
ANS: D
This woman is describing a tension headache, which feels bandlike and constricting. Tension
headaches are associated with stress, so you should inquire about her stress level. Increased
tearfulness is common with cluster headaches, and migraines are associated with menstrual
periods. You would not need to ask whether these headaches started in childhood.
35. You are examining Ms. L, age 78 years. You find a sunken appearance of her eyes, cheeks, and
temporal areas. Her skin is dry, and her nose appears sharp. This description of Ms. L’s facies is
associated with:
a cutis laxa syndrome.
.
b Hurler syndrome.
.
c old age.
.
d terminal illness.
.
ANS: D
In the late stages of terminal illness, the face may appear sunken, facial bones will be more
visible, and the skin will be dry. This is referred to as hippocratic facies. Cutis laxa syndrome is a
rare condition in which the skin loses its elasticity and sags all over. Hurler syndrome is marked
by an enlarged skull and short neck. The description of Ms. L’s facies is not a common finding of
old age.
CHAPTER 13
4. You are documenting a rash between the eighth and ninth ribs on the lateral border. This intercostal
space will be documented in terms of the:
CORRECT AND VERIFIED SUCCESS ASSUARED
CHAPTER10
10. Mr. Mathews is a 47-year-old patient who presents for a routine physical examination. On
examination, you noted a bruit heard over the thyroid. This is suggestive of:
a hypothyroidism.
.
b hyperthyroidism.
.
c thyroid cancer.
.
d thyroid cyst.
.
ANS: B
Because of hypermetabolic states such as hyperthyroidism, a bruit may be heard as a result of the
increased blood flow to the area. Auscultating a bruit is not symptomatic of hypothyroidism,
cancer, or a cyst. A nodule is more indicative of cancer.
15. During a physical examination of a 30-year-old Chinese man, you notice a slight asymmetry of his
face. The cranial nerve examination is normal. Your best action is to:
a ask the patient if this characteristic runs in his family.
.
b perform monofilament testing on the face.
.
c consult with the physician regarding the laboratory tests needed.
.
d record the finding in the patient’s chart.
.
ANS: D
It is not abnormal to have some slight asymmetry of the face that does not require further
questioning, tests, or unnecessary laboratory work, but it does require a notation in the chart that
could be referenced for future concerns.
16. A bruit, or blowing sound, over the skull or temporal region of an adult indicates a:
a degenerative change.
.
b hyperthyroid storm.
.
c skull fracture.
.
d vascular anomaly.
.
ANS: D
Temporal bruits can indicate a vascular anomaly such as an arterial obstruction, aneurysm, or
vascular neoplasm. Audible bruits are not associated with degenerative changes or skull fracture.
Hyperthyroid storm would cause tachycardia and palpations but not usually a bruit.
18. Coarse, dry, and brittle hair is associated with which metabolic disorder?
a Hypothyroidism
, NURS 3125 EXAM QUESTIONS WITH ANSWERS 100%
CORRECT AND VERIFIED SUCCESS ASSUARED
.
b Diabetes mellitus
.
c Addison disease
.
d Cushing syndrome
.
ANS: A
Hypothyroidism affects hair texture, resulting in coarse, dry, and brittle changes.
23. The thyroid gland should:
a be slightly left of midline.
.
b have a clear vascular sound.
.
c move when the patient swallows.
.
d tug with each heartbeat.
.
ANS: C
It is a normal finding for the thyroid gland to move with swallowing; however, being off center
may indicate a nodular growth or enlargement. The thyroid gland should not be slightly left of
midline. Vascular sounds indicate hypermetabolic states such as hyperthyroidism, and a tug with
each heartbeat is a sign of an aortic aneurysm
29. Nuchal rigidity is most commonly associated with:
a thyroiditis.
.
b meningeal irritation.
.
c Down syndrome.
.
d cranial nerve V damage.
.
ANS: B
Stiffness and inability to flex the neck, or nuchal rigidity, constitute a classic symptom of
meningeal irritation.
31. Which type of headache usually occurs at night, is precipitated by alcohol consumption, and
occurs more often in men than in women?
a Classic migraine
.
b Temporal arteritis
.
c Cluster
.
, NURS 3125 EXAM QUESTIONS WITH ANSWERS 100%
CORRECT AND VERIFIED SUCCESS ASSUARED
d Hypertensive
.
ANS: C
Cluster headaches usually occur at night; they are associated with alcohol consumption and
occur more often in men.
32. A 29-year-old woman presents to the urgent care center with a history of a severe headache of 2
hours’ duration. She describes it as bandlike and constricting. In interviewing the woman about
her complaint, you would ask:
a whether she has experienced increased tearfulness.
.
b the date of her last menstrual period.
.
c whether these headaches started in childhood.
.
d whether she is particularly stressed or overworked.
.
ANS: D
This woman is describing a tension headache, which feels bandlike and constricting. Tension
headaches are associated with stress, so you should inquire about her stress level. Increased
tearfulness is common with cluster headaches, and migraines are associated with menstrual
periods. You would not need to ask whether these headaches started in childhood.
35. You are examining Ms. L, age 78 years. You find a sunken appearance of her eyes, cheeks, and
temporal areas. Her skin is dry, and her nose appears sharp. This description of Ms. L’s facies is
associated with:
a cutis laxa syndrome.
.
b Hurler syndrome.
.
c old age.
.
d terminal illness.
.
ANS: D
In the late stages of terminal illness, the face may appear sunken, facial bones will be more
visible, and the skin will be dry. This is referred to as hippocratic facies. Cutis laxa syndrome is a
rare condition in which the skin loses its elasticity and sags all over. Hurler syndrome is marked
by an enlarged skull and short neck. The description of Ms. L’s facies is not a common finding of
old age.
CHAPTER 13
4. You are documenting a rash between the eighth and ninth ribs on the lateral border. This intercostal
space will be documented in terms of the:
