NR511 Midterm Dunphy Exam
Questions with Revised Answers
() 100% Guarantee Pass.
An 85-year-old man has come in for a physical examination, and the nurse notices that he uses a
cane. When documenting general appearance, the nurse should document this information under
the section that covers:
a. Posture. b. Mobility. c. Mood and affect. d. Physical deformity - CORRECT ANSWERS b.
Mobility
The nurse is performing a vision examination. Which of these charts is most widely used for vision
examinations?
a. Snellen b. Shetllen c. Smoollen d. Schwellon - CORRECT ANSWERS a. Snellen
After the health history has been obtained and before beginning the physical examination, the
nurse should first ask the patient to:
a. Empty the bladder. b. Completely disrobe. c. Lie on the examination table. d. Walk around the
room. - CORRECT ANSWERS a. Empty the bladder
During a complete health assessment, how would the nurse test the patients hearing?
a. Observing how the patient participates in normal conversation b. Using the whispered voice test
c. Using the Weber and Rinne tests d. Testing with an audiometer - CORRECT ANSWERS
b. Using the whispered voice test
A patient states, Whenever I open my mouth real wide, I feel this popping sensation in front of my
ears. To further examine this, the nurse would:
a. Place the stethoscope over the temporomandibular joint, and listen for bruits. b. Place the
hands over his ears, and ask him to open his mouth really wide. c. Place one hand on his forehead
and the other on his jaw, and ask him to try to open his mouth. d. Place a finger on his
temporomandibular joint, and ask him to open and close his mouth. - CORRECT ANSWERS
d. Place a finger on his temporomandibular joint, and ask him to open and close his mouth.
The nurse has just completed an examination of a patients extraocular muscles. When
documenting the findings, the nurse should document the assessment of which cranial nerves?
a. II, III, and VI b. II, IV, and V c. III, IV, and V d. III, IV, and VI - CORRECT ANSWERS d. III, IV,
and VI
A patients uvula raises midline when she says ahh, and she has a positive gag reflex. The nurse has
just tested which cranial nerves?
a. IX and X b. IX and XII c. X and XII d. XI and XII - CORRECT ANSWERS a. IX and X
During an examination, the nurse notices that a patient is unable to stick out his tongue. Which
cranial nerve is involved with the successful performance of this action?
a. I b. V c. XI d. XII - CORRECT ANSWERS d. XII
,A patient is unable to shrug her shoulders against the nurses resistant hands. What cranial nerve is
involved with successful shoulder shrugging?
a. VII b. IX c. XI d. XII - CORRECT ANSWERS c. XI
During an examination, a patient has just successfully completed the finger-to-nose and the rapid-
alternating-movements tests and is able to run each heel down the opposite shin. The nurse will
conclude that the patients __________ function is intact.
a. Occipital b. Cerebral c. Temporal d. Cerebellar - CORRECT ANSWERS d. Cerebellar
When the nurse performs the confrontation test, the nurse has assessed:
a. Extraocular eye muscles (EOMs). b. Pupils (pupils equal, round, reactive to light, and
accommodation [PERRLA]). c. Near vision. d. Visual fields. - CORRECT ANSWERS Visual
fields.
Which statement is true regarding the complete physical assessment?
a. The male genitalia should be examined in the supine position. b. The patient should be in the
sitting position for examination of the head and neck. c. The vital signs, height, and weight should
be obtained at the end of the examination. d. To promote consistency between patients, the
examiner should not vary the order of the assessment. - CORRECT ANSWERS b. The
patient should be in the sitting position for examination of the head and neck.
Which of these is included in an assessment of general appearance?
a. Height b. Weight c. Skin color d. Vital signs - CORRECT ANSWERS c. Skin color
The nurse should wear gloves for which of these examinations?
a. Measuring vital signs b. Palpation of the sinuses c. Palpation of the mouth and tongue d.
Inspection of the eye with an ophthalmoscope - CORRECT ANSWERS c. Palpation of the
mouth and tongue
The nurse should use which location for eliciting deep tendon reflexes?
a. Achilles b. Femoral c. Scapular d. Abdominal - CORRECT ANSWERS a. Achilles
During an inspection of a patients face, the nurse notices that the facial features are symmetric.
This finding indicates which cranial nerve is intact?
a. VII b. IX c. XI d. XII - CORRECT ANSWERS a. VII
During inspection of the posterior chest, the nurse should assess for:
a. Symmetric expansion. b. Symmetry of shoulders and muscles. c. Tactile fremitus. d.
Diaphragmatic excursion. - CORRECT ANSWERS b. Symmetry of shoulders and muscles
During an examination, the patient tells the nurse that she sometimes feels as if objects are
spinning around her. The nurse would document that she occasionally experiences:
a. Vertigo. b. Tinnitus. c. Syncope. d. Dizziness. - CORRECT ANSWERS a. Vertigo.
A patient tells the nurse, Sometimes I wake up at night and I have real trouble breathing. I have to
sit up in bed to get a good breath. When documenting this information, the nurse would note:
a. Orthopnea. b. Acute emphysema. c. Paroxysmal nocturnal dyspnea. d. Acute shortness of breath
episode. - CORRECT ANSWERS c. Paroxysmal nocturnal dyspnea
,During the examination of a patient, the nurse notices that the patient has several small, flat
macules on the posterior portion of her thorax. These macules are less than 1 cm wide. Another
name for these macules is:
a. Warts. b. Bullae. c. Freckles. d. Papules. - CORRECT ANSWERS c. Freckles
During an examination, the nurse notices that a patients legs turn white when they are raised
above the patients head. The nurse should suspect:
a. Lymphedema. b. Raynaud disease. c. Chronic arterial insufficiency. d. Chronic venous
insufficiency - CORRECT ANSWERS c. Chronic arterial insufficiency
The nurse documents that a patient has coarse, thickened skin and brown discoloration over the
lower legs. Pulses are present. This finding is probably the result of
a. Lymphedema. b. Raynaud disease. c. Chronic arterial insufficiency. d. Chronic venous
insufficiency. - CORRECT ANSWERS d. Chronic venous insufficiency
The nurse notices that a patient has ulcerations on the tips of the toes and on the lateral aspect of
the ankles. This finding indicates:
a. Lymphedema. b. Raynaud disease. c. Arterial insufficiency. d. Venous insufficiency - CORRECT
ANSWERS c. Arterial insufficiency
The nurse has just recorded a positive iliopsoas test on a patient who has abdominal pain. This test
is used to confirm a(n):
a. Inflamed liver. b. Perforated spleen. c. Perforated appendix. d. Enlarged gallbladder. - CORRECT
ANSWERS c. Perforated appendix
The nurse will measure a patients near vision with which tool?
a. Snellen eye chart with letters b. Snellen E chart c. Jaeger card d. Ophthalmoscope - CORRECT
ANSWERS c. Jaeger card
If the nurse records the results to the Hirschberg test, the nurse has:
a. Tested the patellar reflex. b. Assessed for appendicitis. c. Tested the corneal light reflex. d.
Assessed for thrombophlebitis - CORRECT ANSWERS c. Tested the corneal light reflex
During the examination of a patients mouth, the nurse observes a nodular bony ridge down the
middle of the hard palate. The nurse would chart this finding as:
a. Cheilosis. b. Leukoplakia. c. Ankyloglossia. d. Torus palatinus - CORRECT ANSWERS d.
Torus palatinus
During examination, the nurse finds that a patient is unable to distinguish objects placed in his
hand. The nurse would document:
a. Stereognosis. b. Astereognosis. c. Graphesthesia. d. Agraphesthesia - CORRECT ANSWERS
b. Astereognosis
After the examination of an infant, the nurse documents opisthotonos. The nurse recognizes that
this finding often occurs with
a. Cerebral palsy. b. Meningeal irritation. c. Lower motor neuron lesion. d. Upper motor neuron
lesion - CORRECT ANSWERS b. Meningeal irritation
, After assessing a female patient, the nurse notices flesh-colored, soft, pointed, moist, papules in a
cauliflower-like patch around her introitus. This finding is most likely
a. Urethral caruncle. b. Syphilitic chancre. c. Herpes simplex virus. d. Human papillomavirus. -
CORRECT ANSWERS d. Human papillomavirus.
While recording in a patients medical record, the nurse notices that a patients Hematest results are
positive. This finding means that there is(are):
a. Crystals in his urine. b. Parasites in his stool. c. Occult blood in his stool. d. Bacteria in his sputum
- CORRECT ANSWERS c. Occult blood in his stool
While examining a 48-year-old patients eyes, the nurse notices that he had to move the handheld
vision screener farther away from his face. The nurse would suspect
a. Myopia. b. Omniopia. c. Hyperopia. d. Presbyopia - CORRECT ANSWERS d. Presbyopia
Which of the following are parts of evidence-based practice? a. Clinician b. Patient c. Evidence d.
All of the above - CORRECT ANSWERS d. All of the above
Which is the most important question to ask in nursing research? a. What findings constitute
evidence? b. How will the findings be used? c. Is this a randomized controlled trial? d. What theory
is being utilized? - CORRECT ANSWERS b. How will the findings be used?
Nursing research should be utilized by: a. Nurses at the bedside b. Advanced practice nurses c.
Nurse researchers d. Nurses at all levels of practice - CORRECT ANSWERS d. Nurses at all
levels of practice
Applying evidence at the point of care requires: a. Readily available evidence-based resources b.
Ability to review research literature c. Single articles in journals d. Current textbook - CORRECT
ANSWERS a. Readily available evidence-based resources
Practice guidelines are designed to: a. Be inflexible b. Be utilized in every circumstance c. Provide a
reference point for decision making d. Be created by a professional organization to guide the
practice of a profession - CORRECT ANSWERS c. Provide a reference point for decision
making
Which of the following is a crucial element of developing a guideline? a. Creating a physician expert
panel b. Reviewing the literature with ratings of available evidence c. Conducting an external
review of a guideline d. Developing evidence-based tables - CORRECT ANSWERS b.
Reviewing the literature with ratings of available evidence
Which of the following would be considered the research design for Level I evidence? a. Single,
well-designed randomized clinical trial b. Systematic review of randomized clinical trial studies c.
Well-designed controlled trials without randomization d. Systematic reviews of descriptive or
qualitative studies - CORRECT ANSWERS b. Systematic review of randomized clinical trial
studies
Which of the following would be considered the research design for Level II evidence? a. Single
descriptive or qualitative study b. Well-designed case control or cohort studies c. Single, well-
Questions with Revised Answers
() 100% Guarantee Pass.
An 85-year-old man has come in for a physical examination, and the nurse notices that he uses a
cane. When documenting general appearance, the nurse should document this information under
the section that covers:
a. Posture. b. Mobility. c. Mood and affect. d. Physical deformity - CORRECT ANSWERS b.
Mobility
The nurse is performing a vision examination. Which of these charts is most widely used for vision
examinations?
a. Snellen b. Shetllen c. Smoollen d. Schwellon - CORRECT ANSWERS a. Snellen
After the health history has been obtained and before beginning the physical examination, the
nurse should first ask the patient to:
a. Empty the bladder. b. Completely disrobe. c. Lie on the examination table. d. Walk around the
room. - CORRECT ANSWERS a. Empty the bladder
During a complete health assessment, how would the nurse test the patients hearing?
a. Observing how the patient participates in normal conversation b. Using the whispered voice test
c. Using the Weber and Rinne tests d. Testing with an audiometer - CORRECT ANSWERS
b. Using the whispered voice test
A patient states, Whenever I open my mouth real wide, I feel this popping sensation in front of my
ears. To further examine this, the nurse would:
a. Place the stethoscope over the temporomandibular joint, and listen for bruits. b. Place the
hands over his ears, and ask him to open his mouth really wide. c. Place one hand on his forehead
and the other on his jaw, and ask him to try to open his mouth. d. Place a finger on his
temporomandibular joint, and ask him to open and close his mouth. - CORRECT ANSWERS
d. Place a finger on his temporomandibular joint, and ask him to open and close his mouth.
The nurse has just completed an examination of a patients extraocular muscles. When
documenting the findings, the nurse should document the assessment of which cranial nerves?
a. II, III, and VI b. II, IV, and V c. III, IV, and V d. III, IV, and VI - CORRECT ANSWERS d. III, IV,
and VI
A patients uvula raises midline when she says ahh, and she has a positive gag reflex. The nurse has
just tested which cranial nerves?
a. IX and X b. IX and XII c. X and XII d. XI and XII - CORRECT ANSWERS a. IX and X
During an examination, the nurse notices that a patient is unable to stick out his tongue. Which
cranial nerve is involved with the successful performance of this action?
a. I b. V c. XI d. XII - CORRECT ANSWERS d. XII
,A patient is unable to shrug her shoulders against the nurses resistant hands. What cranial nerve is
involved with successful shoulder shrugging?
a. VII b. IX c. XI d. XII - CORRECT ANSWERS c. XI
During an examination, a patient has just successfully completed the finger-to-nose and the rapid-
alternating-movements tests and is able to run each heel down the opposite shin. The nurse will
conclude that the patients __________ function is intact.
a. Occipital b. Cerebral c. Temporal d. Cerebellar - CORRECT ANSWERS d. Cerebellar
When the nurse performs the confrontation test, the nurse has assessed:
a. Extraocular eye muscles (EOMs). b. Pupils (pupils equal, round, reactive to light, and
accommodation [PERRLA]). c. Near vision. d. Visual fields. - CORRECT ANSWERS Visual
fields.
Which statement is true regarding the complete physical assessment?
a. The male genitalia should be examined in the supine position. b. The patient should be in the
sitting position for examination of the head and neck. c. The vital signs, height, and weight should
be obtained at the end of the examination. d. To promote consistency between patients, the
examiner should not vary the order of the assessment. - CORRECT ANSWERS b. The
patient should be in the sitting position for examination of the head and neck.
Which of these is included in an assessment of general appearance?
a. Height b. Weight c. Skin color d. Vital signs - CORRECT ANSWERS c. Skin color
The nurse should wear gloves for which of these examinations?
a. Measuring vital signs b. Palpation of the sinuses c. Palpation of the mouth and tongue d.
Inspection of the eye with an ophthalmoscope - CORRECT ANSWERS c. Palpation of the
mouth and tongue
The nurse should use which location for eliciting deep tendon reflexes?
a. Achilles b. Femoral c. Scapular d. Abdominal - CORRECT ANSWERS a. Achilles
During an inspection of a patients face, the nurse notices that the facial features are symmetric.
This finding indicates which cranial nerve is intact?
a. VII b. IX c. XI d. XII - CORRECT ANSWERS a. VII
During inspection of the posterior chest, the nurse should assess for:
a. Symmetric expansion. b. Symmetry of shoulders and muscles. c. Tactile fremitus. d.
Diaphragmatic excursion. - CORRECT ANSWERS b. Symmetry of shoulders and muscles
During an examination, the patient tells the nurse that she sometimes feels as if objects are
spinning around her. The nurse would document that she occasionally experiences:
a. Vertigo. b. Tinnitus. c. Syncope. d. Dizziness. - CORRECT ANSWERS a. Vertigo.
A patient tells the nurse, Sometimes I wake up at night and I have real trouble breathing. I have to
sit up in bed to get a good breath. When documenting this information, the nurse would note:
a. Orthopnea. b. Acute emphysema. c. Paroxysmal nocturnal dyspnea. d. Acute shortness of breath
episode. - CORRECT ANSWERS c. Paroxysmal nocturnal dyspnea
,During the examination of a patient, the nurse notices that the patient has several small, flat
macules on the posterior portion of her thorax. These macules are less than 1 cm wide. Another
name for these macules is:
a. Warts. b. Bullae. c. Freckles. d. Papules. - CORRECT ANSWERS c. Freckles
During an examination, the nurse notices that a patients legs turn white when they are raised
above the patients head. The nurse should suspect:
a. Lymphedema. b. Raynaud disease. c. Chronic arterial insufficiency. d. Chronic venous
insufficiency - CORRECT ANSWERS c. Chronic arterial insufficiency
The nurse documents that a patient has coarse, thickened skin and brown discoloration over the
lower legs. Pulses are present. This finding is probably the result of
a. Lymphedema. b. Raynaud disease. c. Chronic arterial insufficiency. d. Chronic venous
insufficiency. - CORRECT ANSWERS d. Chronic venous insufficiency
The nurse notices that a patient has ulcerations on the tips of the toes and on the lateral aspect of
the ankles. This finding indicates:
a. Lymphedema. b. Raynaud disease. c. Arterial insufficiency. d. Venous insufficiency - CORRECT
ANSWERS c. Arterial insufficiency
The nurse has just recorded a positive iliopsoas test on a patient who has abdominal pain. This test
is used to confirm a(n):
a. Inflamed liver. b. Perforated spleen. c. Perforated appendix. d. Enlarged gallbladder. - CORRECT
ANSWERS c. Perforated appendix
The nurse will measure a patients near vision with which tool?
a. Snellen eye chart with letters b. Snellen E chart c. Jaeger card d. Ophthalmoscope - CORRECT
ANSWERS c. Jaeger card
If the nurse records the results to the Hirschberg test, the nurse has:
a. Tested the patellar reflex. b. Assessed for appendicitis. c. Tested the corneal light reflex. d.
Assessed for thrombophlebitis - CORRECT ANSWERS c. Tested the corneal light reflex
During the examination of a patients mouth, the nurse observes a nodular bony ridge down the
middle of the hard palate. The nurse would chart this finding as:
a. Cheilosis. b. Leukoplakia. c. Ankyloglossia. d. Torus palatinus - CORRECT ANSWERS d.
Torus palatinus
During examination, the nurse finds that a patient is unable to distinguish objects placed in his
hand. The nurse would document:
a. Stereognosis. b. Astereognosis. c. Graphesthesia. d. Agraphesthesia - CORRECT ANSWERS
b. Astereognosis
After the examination of an infant, the nurse documents opisthotonos. The nurse recognizes that
this finding often occurs with
a. Cerebral palsy. b. Meningeal irritation. c. Lower motor neuron lesion. d. Upper motor neuron
lesion - CORRECT ANSWERS b. Meningeal irritation
, After assessing a female patient, the nurse notices flesh-colored, soft, pointed, moist, papules in a
cauliflower-like patch around her introitus. This finding is most likely
a. Urethral caruncle. b. Syphilitic chancre. c. Herpes simplex virus. d. Human papillomavirus. -
CORRECT ANSWERS d. Human papillomavirus.
While recording in a patients medical record, the nurse notices that a patients Hematest results are
positive. This finding means that there is(are):
a. Crystals in his urine. b. Parasites in his stool. c. Occult blood in his stool. d. Bacteria in his sputum
- CORRECT ANSWERS c. Occult blood in his stool
While examining a 48-year-old patients eyes, the nurse notices that he had to move the handheld
vision screener farther away from his face. The nurse would suspect
a. Myopia. b. Omniopia. c. Hyperopia. d. Presbyopia - CORRECT ANSWERS d. Presbyopia
Which of the following are parts of evidence-based practice? a. Clinician b. Patient c. Evidence d.
All of the above - CORRECT ANSWERS d. All of the above
Which is the most important question to ask in nursing research? a. What findings constitute
evidence? b. How will the findings be used? c. Is this a randomized controlled trial? d. What theory
is being utilized? - CORRECT ANSWERS b. How will the findings be used?
Nursing research should be utilized by: a. Nurses at the bedside b. Advanced practice nurses c.
Nurse researchers d. Nurses at all levels of practice - CORRECT ANSWERS d. Nurses at all
levels of practice
Applying evidence at the point of care requires: a. Readily available evidence-based resources b.
Ability to review research literature c. Single articles in journals d. Current textbook - CORRECT
ANSWERS a. Readily available evidence-based resources
Practice guidelines are designed to: a. Be inflexible b. Be utilized in every circumstance c. Provide a
reference point for decision making d. Be created by a professional organization to guide the
practice of a profession - CORRECT ANSWERS c. Provide a reference point for decision
making
Which of the following is a crucial element of developing a guideline? a. Creating a physician expert
panel b. Reviewing the literature with ratings of available evidence c. Conducting an external
review of a guideline d. Developing evidence-based tables - CORRECT ANSWERS b.
Reviewing the literature with ratings of available evidence
Which of the following would be considered the research design for Level I evidence? a. Single,
well-designed randomized clinical trial b. Systematic review of randomized clinical trial studies c.
Well-designed controlled trials without randomization d. Systematic reviews of descriptive or
qualitative studies - CORRECT ANSWERS b. Systematic review of randomized clinical trial
studies
Which of the following would be considered the research design for Level II evidence? a. Single
descriptive or qualitative study b. Well-designed case control or cohort studies c. Single, well-
