Drexel NUR 550 Final Exam 2024 with complete solution
Which of the following is NOT considered a risk factor for the developing of
melanoma?
a). Light hair and eyes
b). Female gender
c). Severe sunburns in childhood
d). 1-4 dysplasyic moles
b). Female gender
When using the otoscope to inspect the inside of the nose, which of the following
structures is not visible?
a). Inferior turbinate
b). Middle turbinate
c). Superior turbinate
d). All of the above
c). Superior turbinate
When palpating the thyroid, which of the following is true?
a). Flex the neck slightly backward
b). Place the index fingers just above the cricoid cartilage
c). The thyroid isthmus may not be palpable
d). A bruit auscultated over the lateral lobe is expected
b). Place the index fingers just above the cricoid cartilage
During the palpation of a patient's thyroid gland you note a multinodular gland.
Which of the following is the first on your list of differential diagnoses?
a). Thyroid cancer
b). Hashimoto's thyroiditis
c). Grave's disease
d). A metabolic process
d). A metabolic process
You are evaluating a 4 year-old male patient with ear pain. You note the patient
has a temperature of 102.4F. While performing your exam, you note the patient is
pulling at his left ear. What is our most likely differential diagnosis?
a).Otitis externa
b). Otitis media
c). Tinnitus
d). Ottorhea
b). Otitis media
You are using a Snellen chart to evaluate a patient's visual acuity, which of the
following is true? Select all that apply:
a). Have the patient stand back 20 ft. from the chart
b). Have the patient use their hand to cover one eye
c). You are evaluating cranial nerve II
d). Evaluate visual acuity with both eyes open
a). Have the patient stand back 20 ft. from the chart
&
c). You are evaluating cranial nerve II
,Within 48-72 hours after the birth, a neonate has bilateral copious purulent
drainage from the eyes. You most likelu differential diagnosis is?
a). Gonococcal conjunctivitis
b). Allergic conjunctivitis
c). Bacterial conjunctivitis
d). Viral conjunctivitis
a). Gonococcal conjunctivitis
Which of the following are normal findings during the ophthalmoscope
examination? Select all that apply:
a). The physiologic cup is 70% of the optic disc
b). the area of the macula is absent of blood vessels
c). The optic rim is fuzzy in appearance
d). The optic disc should be orange in appearance
b). the area of the macula is absent of blood vessels
&
d). The optic disc should be orange in appearance
You are beginning the examination of the skin on a 25-year-old teacher. You have
previously elicited that she came to the office for evaluation of fatigue, weight
gain, and hair loss. You strongly suspect that she has hypothyroidism. What is
the expected moisture and texture of the skin of a patient with hypothyroidism?
a). Dry and smooth
b). Moist and rough
c). Moist and smooth
d). Dry and rough
d). Dry and rough
A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after
being in the hospital for 6 weeks. She was treated for sepsis and respiratory
failure and had to be on the ventilator for 3 weeks. You are completing your initial
assessment and are evaluating her skin condition. On her sacrum there is full-
thickness skin loss that is 5 cm in diameter, with damage to the subcutaneous
tissue. The underlying muscle is not affected. You diagnose this as a pressure
ulcer. What is the stage of this ulcer?
a). Stage 3
b). Stage 1
c). Stage 2
d). Stage 4
a). Stage 3
A 68-year-old retired farmer comes to your office for evaluation of a skin lesion.
On the right temporal area of the forehead, you see a flattened papule the same
color as his skin, covered by a dry scale that is round and feels hard. He has
several more of these scattered on the forehead, arms, and legs. Based on this
description, what is your most likely diagnosis?
a). Actinic keratosis
b). Seborrheic keratosis
,c). Squamous cell carcinoma
d). Basel cell carcinoma
a). Actinic keratosis
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus
erythematosus). She has noticed a raised, dark red rash on her legs. When you
press on the rash, it doesn't blanch. What would you tell her regarding her rash?
a). It is likely to be related to an exposure to a chemical.
b). It should not cause any problems
c). It is likely to be related to an allergic reaction
d). It is likely to be related to her lupus
d). It is likely to be related to her lupus
Jacob, a 33-year-old construction worker, complains of a "lump on his back" over
his scapula. It has been there for about a year and is getting larger. He says his
wife has been able to squeeze out a cheesy-textured substance on occasion. He
worries this may be cancer. When gently pinched from the side, a prominent
dimple forms in the middle of the mass. What is most likely?
a). A malignant lesion
b). An enlarged lymph node
c). An actinic keratosis
d). A sebaceous cyst
d). A sebaceous cyst
A 38-year-old accountant comes to your clinic for evaluation of a headache. The
throbbing sensation is located in the right temporal region and is an 8 on a scale
of 1 to 10. It started a few hours ago, and she has noted nausea with sensitivity to
light; she has had headaches like this in the past, usually less than one per week,
but not as severe. She does not know of any inciting factors. There has been no
change in the frequency of her headaches. She usually takes an over-the-counter
analgesic and this results in resolution of the headache. Based on this
description, what is the most likely diagnosis of the type of headache?
a). Cluster
b). Tension
c). Migraine
d). Analgesic rebound
c). Migraine
Which of the following is a "red flag" regarding patients presenting with
headache?
a). Unilateral headache
b). Pain over the sinuses
c). Age over 50
d). Photophobia and phonophobia
c). Age over 50
Very sensitive methods for detecting hearing loss include which of the following?
a). The whisper test
b). The tuning fork test
c). Audiometric testing
d). The finger rub test
, c). Audiometric testing
A college student presents with a sore throat, fever, and fatigue for several days.
You notice exudates on her enlarged tonsils. You do a careful lymphatic
examination and notice some scattered small, mobile lymph nodes just behind
her sternocleidomastoid muscles bilaterally. What group of nodes is this?
a). Occipital
b). Tonsillar
c). Submandibular
d). Posterior cervical
d). Posterior cervical
A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for
a regular skin check-up. She has just returned from her annual dig site in Greece.
She has fair skin and reddish-blonde hair. She has a family history of melanoma.
She has many freckles scattered across her skin. From this description, which of
the following is not a risk factor for melanoma in this patient?
a). Hair color
b). Actinic lentigines
c). Heavy sun exposure
d). Age
d). Age
Is the following statement true or false?
When assessing the patient's thought content, it is important to always follow
specific questions to keep the patient on task.
a). True
b). False
b). False
Which of the following is true about hallucinations?
a). Experiences may or may not be recognized by the person as false.
b). Hallucinations may be auditory, visual, olfactory, gustatory, tactile, or somatic.
c). Do not include false perceptions associated with dreaming and falling asleep.
d). All of the above.
d). All of the above.
Coordination of muscle movement requires that four areas of the nervous system
function in an integrated way. Coordinating eye, head, and body movements
applies to which area of the nervous system?
a). Motor system
b). Cerebellar system
c). Vestibular system
d). Sensory system
c). Vestibular system
Which of the following statements regarding reinforcement when assessing
reflexes is true?
Which of the following is NOT considered a risk factor for the developing of
melanoma?
a). Light hair and eyes
b). Female gender
c). Severe sunburns in childhood
d). 1-4 dysplasyic moles
b). Female gender
When using the otoscope to inspect the inside of the nose, which of the following
structures is not visible?
a). Inferior turbinate
b). Middle turbinate
c). Superior turbinate
d). All of the above
c). Superior turbinate
When palpating the thyroid, which of the following is true?
a). Flex the neck slightly backward
b). Place the index fingers just above the cricoid cartilage
c). The thyroid isthmus may not be palpable
d). A bruit auscultated over the lateral lobe is expected
b). Place the index fingers just above the cricoid cartilage
During the palpation of a patient's thyroid gland you note a multinodular gland.
Which of the following is the first on your list of differential diagnoses?
a). Thyroid cancer
b). Hashimoto's thyroiditis
c). Grave's disease
d). A metabolic process
d). A metabolic process
You are evaluating a 4 year-old male patient with ear pain. You note the patient
has a temperature of 102.4F. While performing your exam, you note the patient is
pulling at his left ear. What is our most likely differential diagnosis?
a).Otitis externa
b). Otitis media
c). Tinnitus
d). Ottorhea
b). Otitis media
You are using a Snellen chart to evaluate a patient's visual acuity, which of the
following is true? Select all that apply:
a). Have the patient stand back 20 ft. from the chart
b). Have the patient use their hand to cover one eye
c). You are evaluating cranial nerve II
d). Evaluate visual acuity with both eyes open
a). Have the patient stand back 20 ft. from the chart
&
c). You are evaluating cranial nerve II
,Within 48-72 hours after the birth, a neonate has bilateral copious purulent
drainage from the eyes. You most likelu differential diagnosis is?
a). Gonococcal conjunctivitis
b). Allergic conjunctivitis
c). Bacterial conjunctivitis
d). Viral conjunctivitis
a). Gonococcal conjunctivitis
Which of the following are normal findings during the ophthalmoscope
examination? Select all that apply:
a). The physiologic cup is 70% of the optic disc
b). the area of the macula is absent of blood vessels
c). The optic rim is fuzzy in appearance
d). The optic disc should be orange in appearance
b). the area of the macula is absent of blood vessels
&
d). The optic disc should be orange in appearance
You are beginning the examination of the skin on a 25-year-old teacher. You have
previously elicited that she came to the office for evaluation of fatigue, weight
gain, and hair loss. You strongly suspect that she has hypothyroidism. What is
the expected moisture and texture of the skin of a patient with hypothyroidism?
a). Dry and smooth
b). Moist and rough
c). Moist and smooth
d). Dry and rough
d). Dry and rough
A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after
being in the hospital for 6 weeks. She was treated for sepsis and respiratory
failure and had to be on the ventilator for 3 weeks. You are completing your initial
assessment and are evaluating her skin condition. On her sacrum there is full-
thickness skin loss that is 5 cm in diameter, with damage to the subcutaneous
tissue. The underlying muscle is not affected. You diagnose this as a pressure
ulcer. What is the stage of this ulcer?
a). Stage 3
b). Stage 1
c). Stage 2
d). Stage 4
a). Stage 3
A 68-year-old retired farmer comes to your office for evaluation of a skin lesion.
On the right temporal area of the forehead, you see a flattened papule the same
color as his skin, covered by a dry scale that is round and feels hard. He has
several more of these scattered on the forehead, arms, and legs. Based on this
description, what is your most likely diagnosis?
a). Actinic keratosis
b). Seborrheic keratosis
,c). Squamous cell carcinoma
d). Basel cell carcinoma
a). Actinic keratosis
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus
erythematosus). She has noticed a raised, dark red rash on her legs. When you
press on the rash, it doesn't blanch. What would you tell her regarding her rash?
a). It is likely to be related to an exposure to a chemical.
b). It should not cause any problems
c). It is likely to be related to an allergic reaction
d). It is likely to be related to her lupus
d). It is likely to be related to her lupus
Jacob, a 33-year-old construction worker, complains of a "lump on his back" over
his scapula. It has been there for about a year and is getting larger. He says his
wife has been able to squeeze out a cheesy-textured substance on occasion. He
worries this may be cancer. When gently pinched from the side, a prominent
dimple forms in the middle of the mass. What is most likely?
a). A malignant lesion
b). An enlarged lymph node
c). An actinic keratosis
d). A sebaceous cyst
d). A sebaceous cyst
A 38-year-old accountant comes to your clinic for evaluation of a headache. The
throbbing sensation is located in the right temporal region and is an 8 on a scale
of 1 to 10. It started a few hours ago, and she has noted nausea with sensitivity to
light; she has had headaches like this in the past, usually less than one per week,
but not as severe. She does not know of any inciting factors. There has been no
change in the frequency of her headaches. She usually takes an over-the-counter
analgesic and this results in resolution of the headache. Based on this
description, what is the most likely diagnosis of the type of headache?
a). Cluster
b). Tension
c). Migraine
d). Analgesic rebound
c). Migraine
Which of the following is a "red flag" regarding patients presenting with
headache?
a). Unilateral headache
b). Pain over the sinuses
c). Age over 50
d). Photophobia and phonophobia
c). Age over 50
Very sensitive methods for detecting hearing loss include which of the following?
a). The whisper test
b). The tuning fork test
c). Audiometric testing
d). The finger rub test
, c). Audiometric testing
A college student presents with a sore throat, fever, and fatigue for several days.
You notice exudates on her enlarged tonsils. You do a careful lymphatic
examination and notice some scattered small, mobile lymph nodes just behind
her sternocleidomastoid muscles bilaterally. What group of nodes is this?
a). Occipital
b). Tonsillar
c). Submandibular
d). Posterior cervical
d). Posterior cervical
A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for
a regular skin check-up. She has just returned from her annual dig site in Greece.
She has fair skin and reddish-blonde hair. She has a family history of melanoma.
She has many freckles scattered across her skin. From this description, which of
the following is not a risk factor for melanoma in this patient?
a). Hair color
b). Actinic lentigines
c). Heavy sun exposure
d). Age
d). Age
Is the following statement true or false?
When assessing the patient's thought content, it is important to always follow
specific questions to keep the patient on task.
a). True
b). False
b). False
Which of the following is true about hallucinations?
a). Experiences may or may not be recognized by the person as false.
b). Hallucinations may be auditory, visual, olfactory, gustatory, tactile, or somatic.
c). Do not include false perceptions associated with dreaming and falling asleep.
d). All of the above.
d). All of the above.
Coordination of muscle movement requires that four areas of the nervous system
function in an integrated way. Coordinating eye, head, and body movements
applies to which area of the nervous system?
a). Motor system
b). Cerebellar system
c). Vestibular system
d). Sensory system
c). Vestibular system
Which of the following statements regarding reinforcement when assessing
reflexes is true?
