n n n n n n n
NURS 6512, Week 6 Midterm Exam
n n n n n
Thisnexamnisnantestnofnyournknowledgeninnpreparationnfornyourncertificationnexam.nNonoutsidenreso
urcesnincludingnbooks,nnotes,nwebsites,nornanynotherntypenofnresourcenarentonbenusedntoncompletenth
isnexam.nYounarenexpectedntoncomplynwithnWaldennUniversity’snCodenofnConduct.
Thisnexamnwillnbenonntopicsncoveredninnweeksn1,n2,n3,n4,n5,nandn6.nPriorntonstartingnthenexam,nyounsh
ouldnreviewnallnofnyournmaterials.nThisnexamnisntimednwithnanlimitnofntwonhoursnforncompletion.nWh
enntimenisnup,nyournexamnwillnautomaticallynsubmit.
SubmissionnandnGradingnInformation
SubmitnYournMidtermnExamnbynDayn7
QUESTIONS
1. Beforenperformingnannabdominalnexamination,nthenexaminernshould:
Haventhenpatientnemptyntheirnbladder
2. Duringnanninterview,ntearsnappearninnthenpatient’sneyesnandnhisnvoicenbecomesnshaky.nInitially,nyouns
hould:
Keepntheninterviewnmovingntondistractnthenpatient
3. Whichnofnthenfollowingnisnthenmostnaccuratenreflectionnofnannindividual’snfoodnintake?
FoodnDiary
4. Percussingnatnthenrightnmidclavicularnline,nbelownthenumbilicus,nandncontinuingnupwardnisnthencorrectnt
echniquenfornlocatingnthe:
Lowernlivernborder
5. Anfixednimagenofnanyngroupnthatnrejectsnitsnpotentialnfornoriginalitynornindividualitynisnknownnasna:
Stereotype
6. Peritonitisnproducesnbowelnsoundsnthatnare
Decreased/Hypoactive
7. Brittlennailsnarentypicalnfindingsnin:
Oldernadults
8. Whichnofnthenfollowingnisnannexpectednchangeninnthenassessmentnofnthenthyroidnduringnpregnancy?
AnBruitnisnauscultatednd/tnincreasednvascularity
9. Younarenplanningntonpalpatenthenabdomennofnyournpatient.nWhichnpartnofnthenexaminer'snhandnisnbestnfornp
alpatingnvibration?
UlnarnSurface
,NURS 6512, WEEK 6 MIDTERM EXAM QUIZ (CORRECT).
n n n n n n n
10. An5-year-
oldnchildnpresentsnwithnnasalncongestionnandnanheadachentonassessnfornsinusntendernessnyounshouldnpalpat
enovernthe:
Maxillarynsinusesnonly
11. Duringnphysicalnexaminationnofnan30-year-
oldnChinesenmannyounnoticenanslightnasymmetrynofnhisnface.nthencranialnnervenexaminationnisnnormal.nYourn
bestnactionnisnto
Asknthenpatientnifnthisncharacteristicnrunsninnhisnfamily
12. Unusualnwhitenareasnonnthenskinnmaynbenduento
Vitiligo
13. Younarenusingnannophthalmoscopentonexaminenanpatient’sninnerneye.nYounrotatenthenlensnselectornc
lockwise,nthenncounterclockwisentoncompensatenfor:
Myopia
14. Mrs.nWebbnisnan38-
yearnoldnpatientnwhonhasnbeennchangingnhernlifestylentoneatninnanhealthynwaynandnlosenweight:nduringnyou
rnhealthnpromotionneducationnregardingnhernnutritionalnstatus,nyounexplainnthenfunctionnofndietarynprotei
nnas:
Buildingnandnmaintainingntissues
15. Mr.nAkinsnisnan78-
y/onpatientnwhonpresentsntonthenclinicnwithncomplaintsnofnhearingnloss.nWhichnofnthenfollowingnarenchangesn
innhearingnthatnoccurninnthenelderly?nSelectnallnthatnapply.
c.nLossnofnhighnfrequency
e.nSoundsnmaynbengarbled,ndifficultntonlocalize
f.nUnablentonhearninnancrowdednroom
16. Thenmostnsuperiornpartnofnthenstomachnisnthe
Fundus
17. Mrs.nGracenisnan58-year-
oldnpatientnwhonhasnandiagnosisnofnperniciousnanemia.nWhichnBnvitaminnisndeficientninnpatientsnwithnper
niciousnanemia?
B12
18. An51-
y/onwomanncallsnwithncomplaintsnofnweightnlossnandnconstipation.nShenreportsnenlargednhemorrho
idsnandnrectalnbleeding.nYounadvisenhernto:
Comentonthenlaboratorynfornanstoolnguaiacntest.
19. Placingnthenbasenofnanvibratingntuningnforknonnthenmidlinenvertexnofnthenpatient’snheadnisnantestnfor:
LateralizationnofnSound
20. Whichntechniquenisnmostnlikelyntonresultninnthenpatientsnunderstandingnofnquestions?
Usenthenpatient'snownntermsnifnpossible.
21. Mr.nWilliams,nagen25,nhasnrecoverednrecentlynfromnannuppernandnlowernrespiratoryninfection.nHendescri
besnanlong-
standingnnasalndripping.nHenisnseekingntreatmentnfornanmildnhearingnlossnthatnhasnnotngonenaway.nInformatio
nnconcerningnhisnchronicnpostnasalndripnshouldnbendocumentednwithinnwhichnsectionnofnthenhistory?
,NURS 6512, WEEK 6 MIDTERM EXAM QUIZ (CORRECT).
n n n n n n n
Pastnmedicalndata
22. Nasalnsymptomsnthatnimplynannallergicnresponseninclude:
, NURS 6512, WEEK 6 MIDTERM EXAM QUIZ (CORRECT).
n n n n n n n
Bluishngraynturbinates.n("Turbinatesnthatnappearnbluishngraynornpalenpinknwithnanswollen,nboggynconsiste
ncynmaynindicatenallergies"-Seidelnp.243)
23. Mr.nFranklinnisnspeakingnwithnyounthenhealthncarenprovider,naboutnhisnrespiratorynproblem.nMr.nFrankl
innsays,n“I’venhadnthisncoughnforn3ndaysnandnit’sngettingnworse.”nYounreply,n“Tellnmenmorenaboutnyourncou
gh.”nMr.nFranklinnstates,n“InwishnIncouldntellnyounmore,nthat’snwhynInamnhere!nYountellnmenwhat’snwrong.”n
Whichncaregivernresponsenwouldnbenthenmostnappropriatenfornenhancingncommunication?
Aftern3ndays,nyou'rentirednofncoughing.nHavenyounhadnanfever?"
24. Whenntakingnanhistory,nyounshould:
Usenanchronologicnandnsequentialnframework.
25. Whichnofnthenfollowingnformatsnwouldnbenusednfornvisitsnthatnaddressnproblemsnnotnyetnidentifiedninnthenp
roblem-orientednmedicalnrecordn(POMR)?
BriefnSOAPnnote
26. Mr.nandnMrs.nJohnsonnhavenpresentedntonthenofficenwithntheirninfantnsonnwithncomplaintsnofnearndrainag
e.nWhennexaminingnanninfant’snmiddlenear,nthennursenshouldnusenonenhandntonstabilizenthenotoscopenagainstnt
henheadnwhilenusingnthenothernhandnto:
Pullnthenauriclendownnandnbackninnanneffortntonstraightennthenupwardncurvaturenofnthencanal
27. Whichnquestionnwouldnbenconsiderednanleadingnquestion?n
Youndon'tngetnheadachesnoften,ndonyou?"
28. Mr.nBlacknisnan44y/onpatientnwhonpresentsntonthenclinicnwithncomplaintsnofnnecknpainnthatnhenthinksnisnfr
omnhisnjobninvolvingncomputerndatanentry.nAsnthenexaminer,nyounarencheckingnthenrangenofnmotionninnhisnne
cknandnnotenthengreatestndegreenofncervicalnmobilitynisnat?
Cn4ntonCn5:nC4nandnC5nornC5nandnCn6nprovidenthengreatestnhorizontalnmobilityninnadults
29. Thentermndenotingnthencaregiver’snneedntondonnonharmntonthenpatientnis:
Deontologicnimperatives.
30. Antoolnusedntonscreennadolescentsnfornalcoholismnisnthe:
CRAFFT
31. Undernnormalncircumstances,nhownmuchnwaternisnlostndailynbynthenbody?
Undernnormalncircumstances,napproximatelyn2nton2.5nlitersnofnwaternisnlostndaily
32. YounhavenjustncompletednanskinnassessmentnonnMr.nBaker.nDuringnyournassessment,nyounhavent
ransilluminatednanskinnlesion.nDuringnthenphysicalnexamination,nyounknownthatnskinnlesionsnarentr
ansilluminatedntondistinguish:
Transilluminationnisnusedntondeterminenthenpresencenofnfluidninncystsnandnmasses.nFluid-
fillednlesionsnwillntransilluminatenwithnanrednglow,nandnsolidnmassesnwillnnotntransilluminate.
33. Mr.nMillsnisnan55/y/onpatientnwhonpresentsntonthenofficenfornanninitialnvisitnfornhealthnpromotion.nAns
urveynofnmobilitynandnactivitiesnofnactivitiesnofndailynlivingnisnpartnofna(n):
Functionalnassessment.
34. Sweatnglands,nhair,nandnnailsnarenallnformednfrom?
Invaginationnofnepidermisnintondermis