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Drexel NUR 550 Final

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Drexel NUR 550 Final
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 - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-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

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