NURS 6512, WEEK1-6 MIDTERM EXAM QUESTIONS AND ANSWERS100%CORRECT/VERIFIED BEST RATED A+ GUARANTEED SUCCESS 2023/2024 UPDATE

• In counseling a client regarding nutrition education, you explain that linoleic acid, a major fatty acid, is thought to be essential for? Linoleic acid, found abundantly in milk and dairy fat, is required for normal growth and development, it has been suggested that it can reduce body fat in overweight patient • When are open-ended questions generally most useful? During the initial part of the interview • Knowledge of the culture or cultures represented by the patient should be used to? Help make interview questions more pertinent • Mrs. Berger is a 39-year-old woman who presents with a complaint of epigastric abdominal pain. You have completed the inspection of the abdomen. What is your next step in the assessment process? Auscultation • A guideline for history taking is for caregivers to? Make notes sparingly so that patients can be observed during the history taking • Which type of speculum should be used to examine a patient’s tympanic membrane? The largest speculum that will fit comfortably in ear • You are palpating a patient’s thyroid and find that its broadest dimension measures 4cm. the right lobe is 25% larger than the left. These data would indicate? The description is most likely a normal finding • Mr. L. presents to the clinic with severe groin pain and a history of kidney stones. Mr. L.’s son tells you that, for religious reasons, his father wishes to keep any stone that is passed into the urine filter that he has been using. What is your most appropriate response? Healthcare provider should be willing to modify delivery and respectful of wishes/culture background • Before performing an abdominal examination, the examiner should? Have the patient empty his or her bladder • You are examining a pregnant patient and have noted a vascular lesion. When you Blanche over the vascular lesion, the site blanches and refills evenly from the center outward. The nurse documents this lesion as a? Telangiectasia • As you explain your patient’s condition to her husband, you notice that he is leaning toward you and pointedly blinking his eyes. Knowing that he is from England, your most appropriate response to this behavior is to? The English worry about being overheard and tend to speak in a modulated voice, so when they lean toward you, they probably have a question • When palpating the abdomen, you should note whether the liver is enlarged in the? The liver is located in the right upper quadrant of the abdomen • Expected normal percussion tones include? Normal lings produce renaissance percussion tones • Mr. Abdul is a 40-year-old Middle Eastern man who presents to the office for a first visit with the complaint of new abdominal pain. You ate concerned about violating a cultural prohibition when you prepare to do his rectal examination. The best tactic would be to? Inform the patient of the reason for the exam and ask if it is acceptable to him • Fluorescing lesions are best distinguished using a(n)? Wood’s lamp • Mrs. Hartzell is a 34-year-old patient who has presented for nutritional counseling because she is a vegetarian. Deficiency of which of the following is a concern in the vegetarian diet? Proteins, calcium, iron, B12, and vitamin D • Underestimation of blood pressure will occur if the blood pressure cuff’s width covers? Cuff that are too wide will underestimate blood pressure, which would happen with a cuff that is more than one third of the upper arm • Mrs. Britton is a 34-year-old patient who presents to the office with complaints of skin rashes. You have noted a 4’3cm, rough, elevated area of psoriasis. This is an example of a? Plaque • Penicillin is considered a? Miracle drug for all the reasons except. It was not the first antibiotic. • Small, minute bruises are called? Petechiae • After thorough inspection of the abdomen, the next assessment step is? Auscultation • Before performing an abdominal examination, the examiner should: Have the patient empty their bladder • During an interview, tears appear in the patient’s eyes and his voice becomes shaky. Initially, you should: Keep the interview moving to distract the patient • Which of the following is the most accurate reflection of an individual’s food intake? Food Diary • Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the: Lower liver border • A fixed image of any group that rejects its potential for originality or individuality is known as a: Stereotype • Peritonitis produces bowel sounds that are Decreased/Hypoactive • Brittle nails are typical findings in: Older adults • Which of the following is an expected change in the assessment of the thyroid during pregnancy? A Bruit is auscultated d/t increased vascularity • You are planning to palpate the abdomen of your patient. Which part of the examiner's hand is best for palpating vibration? Ulnar Surface • A 5-year-old child presents with nasal congestion and a headache to assess for sinus tenderness you should palpate over the: Maxillary sinuses only • During 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 Ask the patient if this characteristic runs in his family • Unusual white areas on the skin may be due to Vitiligo • You are using an ophthalmoscope to examine a patient’s inner eye. You rotate the lens selector clockwise, then counterclockwise to compensate for: Myopia • Mrs. Webb is a 38-year old patient who has been changing her lifestyle to eat in a healthy way and lose weight: during your health promotion education regarding her nutritional status, you explain the function of dietary protein as: Building and maintaining tissues • Mr. Akins is a 78-y/o 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. c. Loss of high frequency e. Sounds may be garbled, difficult to localize f. Unable to hear in a crowded room • The most superior part of the stomach is the Fundus • Mrs. Grace is a 58-year-old patient who has a diagnosis of pernicious anemia. Which B vitamin is deficient in patients with pernicious anemia? B12 • A 51-y/o woman calls with complaints of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to: Come to the laboratory for a stool guaiac test. • Placing the base of a vibrating tuning fork on the midline vertex of the patient’s head is a test for: Lateralization of Sound • Which technique is most likely to result in the patients understanding of questions? Use the patient's own terms if possible. • Mr. Williams, age 25, has recovered recently from an upper and lower respiratory infection. He describes a long-standing nasal dripping. He is seeking treatment for a mild hearing loss that has not gone away. Information concerning his chronic postnasal drip should be documented within which section of the history? Past medical data