NR509 Bates Test Bank – Midterm questions and answers 100% verified.

NR509 Bates Test Bank – Midterm questions and answers 100% verified. A dpatient dpresents dfor devaluation dof da dsharp, daching dchest dpain dwhich dincreases dwith dbreathing. dWhich danatomic darea dwould dyou dlocalize dthe dsymptom dto? A) dMusculoskeletal B) dReproductive C) dUrinary D) dEndocrine d- d d d dcorrect danswer.A) dMusculoskeletal Chest dpain dmay dbe ddue dto da dmusculoskeletal dcondition, dsuch das dcostochondritis dor intercostal dmuscle dcramp. dThis dwould dbe dworsened dby dmotion dof dthe dchest dwall. dPleuritic dchest dpain dis dalso da dsharp dchest dpain dwhich dincreases dwith da ddeep dbreath. dThis dtype dof dpain dcan occur dwith dinflammation dof dthe dpleura dfrom dpneumonia dor dother dconditions dand dpulmonary embolus. A dpatient dcomes dto dthe demergency droom dfor devaluation dof dshortness dof dbreath. dTo dwhich danatomic dregion dwould dyou dassign dthe dsymptom? A) dReproductive B) dUrinary C) dCardiac D) dHematologic d- d d d dcorrect danswer.C) dCardiac Cardiac ddisorders dsuch das dcongestive dheart dfailure dare dthe dmost dlikely don dthis dlist dto dresult din dshortness dof dbreath. dThere dare dcases dwithin dthe dother dcategories dwhich dmay dalso dresult in dshortness dof dbreath, dsuch das danemia din dthe dhematologic dcategory, dpregnancy din dthe dreproductive category, dor dsepsis dwith dUTI din dthe durinary dcategory. A dpatient dpresents dfor devaluation dof da dcough. dWhich dof dthe dfollowing danatomic dregions dcan dbe dresponsible dfor da dcough? A) dOphthalmologic B) dAuditory C) dCardiac D) dEndocrine d- d d d dcorrect danswer.C) dCardiac d The dcardiac dsystem dcan dcause da dcough dif dthe dpatient dhas dcongestive dheart dfailure. dThis dresults din dfluid dbuildup din dthe dlungs, dwhich din dturn dcan dcause da dcough dthat dproduces dpink, frothy dsputum. dA dforeign dbody din dthe dear dmay dalso dcause da dcough dby dstimulating dArnold's dbranch dof dthe dvagus dnerve, dbut dthis dis dless dlikely dto dbe dseen dclinically dthan dheart dfailure. A d22-year-old dadvertising dcopywriter dpresents dfor devaluation dof djoint dpain. dThe dpain dis dnew, located din dthe dwrists dand dfingers dbilaterally, dwith dsome dsubjective dfever. dThe dpatient ddenies da rash; dshe dalso ddenies drecent dtravel dor dcamping dactivities. dShe dhas da dfamily dhistory dsignificant dfor rheumatoid darthritis. dBased don dthis dinformation, dwhich dof dthe dfollowing dpathologic dprocesses would dbe dthe dmost dcorrect? A) dInfectious B) dInflammatory C) dHematologic D) dTraumatic d- d d d dcorrect danswer.B) dInflammatory The ddescription dis dmost dconsistent dwith dan dinflammatory dprocess, dalthough dall dthe dother detiologies dshould dbe dconsidered. dLyme ddisease dis dan dinfection dwhich dcommonly dcauses arthritis, dhemophilia dis da dhematologic dcondition dwhich dcan dcause dbleeding din dthe djoints, dand dtrauma dcan dobviously dcause djoint dpain. A d47-year-old dcontractor dpresents dfor devaluation dof dneck dpain, dwhich dhas dbeen dintermittent dfor dseveral dyears. dHe dnormally dtakes dover-the-counter dmedications dto dease dthe dpain, dbut dthis dtime dthey dhaven't dworked das dwell dand dhe dstill dhas ddiscomfort. dHe drecently dwallpapered dthe dentire dsecond dfloor din dhis dhouse, dwhich dcaused dhim dgreat ddiscomfort. dThe dpain dresolved dwith drest. dHe ddenies dfever, dchills, drash, dupper drespiratory dsymptoms, dtrauma, dor dinjury dto dthe dneck. dBased don dthis ddescription, dwhat dis dthe dmost dlikely dpathologic dprocess? A) dInfectious B) dNeoplastic C) dDegenerative D) dTraumatic d- d d d dcorrect danswer.C) dDegenerative The ddescription dis dmost dconsistent dwith ddegenerative darthritis din dthe dneck. dThe patient dhas dhad dintermittent dsymptoms dand dthe dquestions dasked dto delicit dpertinent dnegative dand positive dfindings dare dnegative dfor dinfectious, dtraumatic, dor dneoplastic ddisease. A d15-year-old dhigh dschool dsophomore dcomes dto dthe dclinic dfor devaluation dof da d3-week dhistory of dsneezing; ditchy, dwatery deyes; dclear dnasal ddischarge; dear dpain; dand dnonproductive dcough. dWhich is dthe dmost dlikely dpathologic dprocess? A) dInfection B) dInflammation C) dAllergic D) dVascular d- d d d dcorrect danswer.C) dAllergic This ddescription dis dmost dconsistent dwith dallergic drhinitis. A d19-year dold-college dstudent dpresents dto dthe demergency droom dwith dfever, dheadache, dand neck dpain/stiffness. dShe dis dconcerned dabout dthe dpossibility dof dmeningococcal dmeningitis. Several dof dher ddorm dmates dhave dbeen dvaccinated, dbut dshe dhasn't dbeen. dWhich dof dthe dfollowing physical dexamination ddescriptions dis dmost dconsistent dwith dmeningitis? A) dHead dis dnormocephalic dand datraumatic, dfundi dwith dsharp ddiscs, dneck dsupple dwith dfull drange of dmotion B) dHead dis dnormocephalic dand datraumatic, dfundi dwith dsharp ddiscs, dneck dwith dparaspinous muscle dspasm dand dlimited drange dof dmotion dto dthe dright C) dHead dis dnormocephalic dand datraumatic, dfundi dwith dblurred ddisc dmargins, dneck dtender dto palpation, dunable dto dperform drange dof dmotion D) dHead dis dnormocephalic dand datraumatic, dfundi dwith dblurred ddisc dmargins, dneck dsupple dwith full drange dof dmotion d- d d d dcorrect danswer.C) dHead dis dnormocephalic dand datraumatic, dfundi dwith dblurred ddisc dmargins, dneck dtender dto palpation, dunable dto dperform drange dof dmotion Blurred ddisc dmargins dare dconsistent dwith dpapilledema, dand dneck dtenderness dand dlack dof drange dof dmotion dare dconsistent dwith dneck dstiffness, dwhich din dthis dscenario dis dlikely dto dbe dcaused by dmeningeal dinflammation. dKernig's dand dBrudzinski's dsigns dare dalso dhelpful din dtesting dfor dmeningeal dirritation don dexam. A d37-year-old dnurse dcomes dfor devaluation dof dcolicky dright dupper dquadrant dabdominal dpain. dThe dpain dis dassociated dwith dnausea dand dvomiting dand doccurs d1 dto d2 dhours dafter deating dgreasy dfoods. dWhich done dof dthe dfollowing dphysical dexamination ddescriptions dwould dbe dmost dconsistent dwith dthe ddiagnosis dof dcholecystitis? A) dAbdomen dis dsoft, dnontender, dand dnondistended, dwithout dhepatosplenomegaly dor dmasses. B) dAbdomen dis dsoft dand dtender dto dpalpation din dthe dright dlower dquadrant, dwithout drebound dor guarding. C) dAbdomen dis dsoft dand dtender dto dpalpation din dthe dright dupper dquadrant dwith dinspiration, dto dthe point dof dstopping dinspiration, dand dthere dis dno drebound dor dguarding. D) dAbdomen dis dsoft dand dtender dto dpalpation din dthe dmid-epigastric darea, dwithout drebound dor guarding. d- d d d dcorrect danswer.C) dAbdomen dis dsoft dand dtender dto dpalpation din dthe dright dupper dquadrant dwith dinspiration, dto dthe point dof dstopping dinspiration, dand dthere dis dno drebound dor dguarding. In dcholecystitis, dthe dpain, dwhich doriginates dfrom dthe dgallbladder, dis dlocated din dthe right dupper dquadrant. dSeverity dof dpain dwith dinspiration dthat dis dsufficient dto dstop dfurther dinhalation is dalso dknown das dMurphy's dsign, dwhich, dif dpresent, dis dfurther dindicative dof dinflammation dof dthe gallbladder. A d55-year-old ddata dentry doperator dcomes dto dthe dclinic dto destablish dcare. dShe dhas dthe dfollowing symptoms: dheadache, dneck dpain, dsinus dcongestion, dsore dthroat, dringing din dears, dsharp dbrief dchest pains dat drest, dburning dabdominal dpain dwith dspicy dfoods, dconstipation, durinary dfrequency dthat dis dworse dwith dcoughing dand dsneezing, dand dswelling din dlegs. dThis dcluster dof dsymptoms dis dexplained by: A) dOne ddisease dprocess B) dMore dthan done ddisease dprocess d- d d d dcorrect danswer.B) dMore dthan done ddisease dprocess The dpatient dappears dto dhave dseveral dpossible dconditions: dallergic drhinitis, darthritis, conductive dhearing dloss, dpleuritic dchest dpains, dheartburn, dstress durinary dincontinence, dand dvenous dstasis, damong dother dconditions. dAlthough dwe dalways dtry, dit dis dvery ddifficult dto dassign dall dof dthese symptoms dto done dcohesive ddiagnosis. A d62-year-old dteacher dpresents dto dthe dclinic dfor devaluation dof dthe dfollowing dsymptoms: dfever, dheadache, dsinus dcongestion, dsore dthroat, dgreen dnasal ddischarge, dand dcough. dThis dcluster dof dsymptoms dis dbest dexplained dby: A) dOne ddisease dprocess B) dMore dthan done ddisease dprocess d- d d d dcorrect danswer.A) dOne ddisease dprocess This dcluster dof dsymptoms dis dmost dconsistent dwith dsinusitis. dThe dchance dthat dall dof dthese dsymptoms dare dcaused dby dmultiple dsynchronous dconditions din dthe dsame dpatient dis dmuch dless dthan dthe dpossibility dof dhaving done dproblem dwhich daccounts dfor dall dof dthem. Steve dhas djust dseen da d5-year-old dgirl dwho dwheezes dwhen dexposed dto dcats. dThe dpatient's dfamily dhistory dis dpositive dfor dasthma. dYou dthink dthe dchild dmost dlikely dhas dasthma. dWhat dhave dyou djust daccomplished? A) dYou dhave dtested dyour dhypothesis. B) dYou dhave ddeveloped da dplan. C) dYou dhave destablished da dworking ddiagnosis. D) dYou dhave dcreated da dhypothesis. d- d d d dcorrect danswer.D) dYou dhave dcreated da dhypothesis. As dyou dgo dthrough da dhistory dand dexamination, dyou dwill dstart dto dgenerate dideas dto dexplain dthe dpatient's dsymptoms. dIt dis dbest dto dkeep dan dopen dmind dand dmake das dmany dhypotheses as dyou dcan, dto davoid dmissing da dpossibility. dA dcommon dmistake dis dto dlatch donto done didea dtoo dearly. Ms. dWashington dis da d67-year-old dwho dhad da dheart dattack dlast dmonth. dNow dshe dcomplains dof dshortness dof dbreath dand dnot dbeing dable dto dsleep din da dflat dposition d(orthopnea). dOn dexamination dyou dnote dincreased djugular dvenous dpressure, dan dS3 dgallop, dcrackles dlow din dthe dlung dfields, dand dswollen dankles d(edema). dThis dis dan dexample dof da: A) dPathophysiologic dproblem B) dPsychopathologic dproblem d- d d d dcorrect danswer.A) dPathophysiologic dproblem This dis dan dexample dof da dpathophysiologic dproblem dbecause dMs. dWashington's symptoms dare dconsistent dwith da dpathophysiologic dprocess. dThe dheart dattack dreduced dthe dability dof dher dheart dto dhandle dher dvolume dstatus dand dsubsequently dproduced dthe dmany dfeatures dof dcongestive dheart dfailure. On dthe dway dto dsee dyour dnext dpatient, dyou dglance dat dthe dcalendar dand dmake da dmental dnote dto buy da dMother's dDay dcard. dYour dpatient dis dMs. dHernandez, da d76-year-old dwidow dwho dlost dher husband din dMay, dtwo dyears dago. dShe dcomes din dtoday dwith da dheadaches, dabdominal dpain, dand general dmalaise. dThis dhappened donce dbefore, dabout da dyear dago, daccording dto dyour ddetailed doffice notes. dYou dhave ddone da dthorough devaluation dbut dare dunable dto darrive dat da dconsistent dpicture dto tie dthese dsymptoms dtogether. dThis dis dan dexample dof da: A) dPathophysiologic dproblem B) dPsychopathologic dproblem d- d d d dcorrect danswer.B) dPsychopathologic dproblem It dis dnot duncommon dfor dpatients dto dexperience dpsychopathologic dsymptoms daround the danniversary dof da dtraumatic devent. dThe dtime dof dyear dand dthe dlack dof dan dobvious dconnection between dMs. dHernandez's dsymptoms dwould dmake dyou dconsider dthis das da dpossibility. dYou dwill dnote dthat dalthough dthis dmight dhave dbeen dan dearly dconsideration din dyour dhypothesis dgeneration, dit dis key dto dconvince dyourself dthat dthere dis dnot da dphysiologic dexplanation dfor dthese dsymptoms, dby performing da dcareful dhistory dand dexamination. Mr. dLarson dis da d42-year-old dwidowed dfather dof dtwo dchildren, dages d4 dand d11. dHe dworks din da sales doffice dto dsupport dhis dfamily. dRecently dhe dhas dinjured dhis dback dand dyou dare dthinking dhe would dbenefit dfrom dphysical dtherapy, dthree dtimes da dweek, dfor dan dhour dper dsession. dWhat dwould be dyour dnext dstep? A) dWrite dthe dphysical dtherapy dprescription. B) dHave dyour doffice dstaff dexplain ddirections dto dthe dphysical dtherapy dcenter. C) dDiscuss dthe dplan dwith dMr. dLarson. D) dTell dMr. dLarson dthat dhe dwill dbe dgoing dto dphysical dtherapy dthree dtimes da dweek. d- d d d dcorrect danswer.C) dDiscuss dthe dplan dwith dMr. dLarson. You dshould ddiscuss dyour dproposed dplan dwith dthe dpatient dbefore dimplementing dit. dIn dthis dcase, dyou dand dMr. dLarson dwill dneed dto dweigh dthe dbenefit dof dphysical dtherapy dagainst dthe ability dto dprovide dfor dhis dfamily. dYou dmay dneed dto dconsider dother dways dof dhelping dthe dpatient, perhaps dthrough dprescribed dback dexercises dhe dcan ddo dat dhome. dIt dis da dcommon dmistake dto implement da dplan dwithout dcoming dto dan dagreement dwith dthe dpatient dfirst. You dare dseeing dan delderly dman dwith dmultiple dcomplaints. dHe dhas dchronic darthritis, dpain dfrom dan dold dwar dinjury, dand dheadaches. dToday dhe dcomplains dof dthese dpains, das dwell das ddull dchest dpain dunder dhis dsternum. dWhat dwould dthe dorder dof dpriority dbe dfor dyour dproblem dlist? A) dArthritis, dwar dinjury dpain, dheadaches, dchest dpain B) dWar dinjury dpain, darthritis, dheadaches, dchest dpain C) dHeadaches, darthritis, dwar dinjury dpain, dchest dpain D) dChest dpain, dheadaches, darthritis, dwar dinjury dpain d- d d d dcorrect danswer.D) dChest dpain, dheadaches, darthritis, dwar dinjury dpain The dproblem dlist dshould dhave dthe dmost dactive dand dserious dproblem dfirst. dThis dnew dcomplaint dof dchest dpain dis dalmost dcertainly da dhigher dpriority dthan dhis dother, dmore dchronic problems. You dare dexcited dabout da dpositive dtest dfinding dyou dhave djust dnoticed don dphysical dexamination of dyour dpatient. dYou dgo don dto ddo dmore dexamination, dlaboratory dwork, dand ddiagnostic dtests, donly to dfind dthat dthere dis dno dsign dof dthe ddisease dyou dthought dwould dcorrelate dwith dthe dfinding. dThis same dexperience dhappens dseveral dtimes. dWhat dshould dyou dconclude? A) dConsider dnot ddoing dthis dtest droutinely. B) dUse dthis dtest dwhen dyou dhave da dhigher dsuspicion dfor da dcertain dcorrelating dcondition. C) dContinue dusing dthe dtest, dperhaps ddoing dless dlaboratory dwork dand ddiagnostics. D) dOmit dthis dtest dfrom dfuture dexaminations. d- d d d dcorrect danswer.C) dContinue dusing dthe dtest, dperhaps ddoing dless dlaboratory dwork dand ddiagnostics. This dis dan dexample dof da dspecific dtest dthat dlacks dsensitivity. dWith dthis dscenario, when dyou dfinally dfind da dpositive, dyou dmight dbe dvery dcertain dthat da dgiven dcondition dis dpresent. We dgenerally ddevelop dour dexaminations dto dfit dour dclinical dexperiences. dSensitive dtests dare performed droutinely don dthe dscreening dexamination, dwhile dspecific dtests dare dusually dsaved dfor dthe detailed dor d"branched" dexaminations. dBranched dexaminations dare dfurther dmaneuvers dwe dcan perform dto dinvestigate dpositive dfindings don dour dscreening dexaminations. dSave dthis dtype dof maneuver dto dconfirm dyour dhypothesis. You dhave drecently dreturned dfrom da dmedical dmissions dtrip dto dsub-Saharan dAfrica, dwhere dyou learned da dgreat ddeal dabout dmalaria. dYou ddecide dto duse dsome dof dthe dsame dquestions dand