NURS 612 Maryville Actual Exam 4
MC Questions and Correct Answers
A patient scores a 3 on a mini-COG assessment instrument for dementia. What
does this score indicate? correct answers
D. Negative screen for dementia
The examiner asks the patient to complete this statement: "A bird is to air as a
fish is to _________." This is an example of what type of testing? correct answers
B. Analogies
Assume that the patients response to the examiner in question 3 is scales. What
does this response likely reflect? correct answers
A. Left cerebral hemisphere lesion
Which type of assessment should be used to evaluate the mental status of a
patient with head trauma? correct answers
C. Glasgow Coma Scale
Which of the following indicates possible cognitive impairment? correct answers
B. Suspiciousness or inappropriate affect
,A 65-year old woman is brought to the clinic by family. They report thieve have
noticed a change in her mental abilities over the past 2 weeks. Normally they
say she is independent, intelligent and very socially oriented. Medical history is
unremarkable except for congestive heart failure, for which she takes digoxin.
She has had no major changes in her health. What questions would be most
important for the examiner to ask the woman's family? correct answers
C. When was her digoxin level last checked? correct answers
A patient who has difficulty writing or drawing is most likely to have what
condition? correct answers
B. Peripheral Neuropathy
A mother brings her 18 month old to the clinic. The child rarely talks or smiles
or makes eye contact. She has also notice he does not like to be held. She says
his motor development seems to be normal. What are these symptoms
consistent with? correct answers
B. Autistic disorder
A patient with Alzheimers disease classically displays which of the following?
correct answers
C. Disintegration of personality
While examining a newborn male infant, the examiner palpates a testicle in the
inguinal canal that cannot be pushed into the scrotum. this finding is consistent
with what? correct answers
D. Undescended testicle
Genital self examination should be taught to patients who are at risk for?
correct answers
, C. STD
On exam of a patients scrotum you note the it is unusually thickened and it pits.
What is one type of problem suggested by these findings? correct answers
C. Liver disease
While examining the genitalia of a 2 yr old boy the examiner should be aware.
B. Foreskin of uncircumcised penis is not fully retractable until age 3-4yrs.
Which item in the patient history is considered a risk factor for cancer of the
penis? correct answers
B. History of condyloma acuminatum infections
In which of the following situations is transillumination of the scrotum
indicated? correct answers
C. the examiner suspects a mass
The patient is asked to bear down while the examiner palpates the inguinal ring.
The examiner feels a soft swelling sensation on the fingertip. the patient
complains of pain while straining. These findings are consistent with which of
the following? correct answers
A. Indirect hernia
The examiner inspects the scrotum of 43 yr old man. Which of the following
requires further evaluation? correct answers
C. Skin on scrotum is shiny and smooth
MC Questions and Correct Answers
A patient scores a 3 on a mini-COG assessment instrument for dementia. What
does this score indicate? correct answers
D. Negative screen for dementia
The examiner asks the patient to complete this statement: "A bird is to air as a
fish is to _________." This is an example of what type of testing? correct answers
B. Analogies
Assume that the patients response to the examiner in question 3 is scales. What
does this response likely reflect? correct answers
A. Left cerebral hemisphere lesion
Which type of assessment should be used to evaluate the mental status of a
patient with head trauma? correct answers
C. Glasgow Coma Scale
Which of the following indicates possible cognitive impairment? correct answers
B. Suspiciousness or inappropriate affect
,A 65-year old woman is brought to the clinic by family. They report thieve have
noticed a change in her mental abilities over the past 2 weeks. Normally they
say she is independent, intelligent and very socially oriented. Medical history is
unremarkable except for congestive heart failure, for which she takes digoxin.
She has had no major changes in her health. What questions would be most
important for the examiner to ask the woman's family? correct answers
C. When was her digoxin level last checked? correct answers
A patient who has difficulty writing or drawing is most likely to have what
condition? correct answers
B. Peripheral Neuropathy
A mother brings her 18 month old to the clinic. The child rarely talks or smiles
or makes eye contact. She has also notice he does not like to be held. She says
his motor development seems to be normal. What are these symptoms
consistent with? correct answers
B. Autistic disorder
A patient with Alzheimers disease classically displays which of the following?
correct answers
C. Disintegration of personality
While examining a newborn male infant, the examiner palpates a testicle in the
inguinal canal that cannot be pushed into the scrotum. this finding is consistent
with what? correct answers
D. Undescended testicle
Genital self examination should be taught to patients who are at risk for?
correct answers
, C. STD
On exam of a patients scrotum you note the it is unusually thickened and it pits.
What is one type of problem suggested by these findings? correct answers
C. Liver disease
While examining the genitalia of a 2 yr old boy the examiner should be aware.
B. Foreskin of uncircumcised penis is not fully retractable until age 3-4yrs.
Which item in the patient history is considered a risk factor for cancer of the
penis? correct answers
B. History of condyloma acuminatum infections
In which of the following situations is transillumination of the scrotum
indicated? correct answers
C. the examiner suspects a mass
The patient is asked to bear down while the examiner palpates the inguinal ring.
The examiner feels a soft swelling sensation on the fingertip. the patient
complains of pain while straining. These findings are consistent with which of
the following? correct answers
A. Indirect hernia
The examiner inspects the scrotum of 43 yr old man. Which of the following
requires further evaluation? correct answers
C. Skin on scrotum is shiny and smooth
