Download ADVANCED HEALTH ASSESSMENT MIDTERM REVIEW OF QUIZ QUESTIONS AND ANSWERS 2023/2024 GRADED A and more Exams Nursing in PDF only on Docsity!
QUESTIONS AND ANSWERS 2023/2024 GRADED A+,BEST EXAM FOR
NURSING
The following information belongs in which section of the Comprehensive Heath History (H&P)? "3 day history of rash and swelling" A. History of Present Illness B. Review of Systems C. Allergies D. Chief Complaint - CORRECT ANSWERS D. Chief Complaint A patient with abdominal pain describes "what" the pain feels like and "how long" it lasts. In which part of the H&P would you place this information? A. History of Present Illness B. Past Medical History C. Sexual History D. Review of Systems - CORRECT ANSWERS A. History of present illness Which of the following best describes the patient record? A. describes the approach to a problem B. serves a dual purpose as it reflects your anaylsis of the patient's health status and documents examination findings C. shows your clinical thought process D. reflects you interpersonal skills with the patient - CORRECT ANSWERS B. serves a dual purpose as it reflects your anaylsis of the patient's health status and documents examination findings The consideration of culture and ethnicity during the interview process are important because: A. similar cultures always provide similar responses
QUESTIONS AND ANSWERS 2023/2024 GRADED A+,BEST EXAM FOR
NURSING
B. some cultures consider certain questions and gestures offensive C. it is politically correct D. none of the above - CORRECT ANSWERS B. some cultures consider certain questions and gestures offensive During an interview, your patient admits to feeling worthless and having a sleep disturbance for the last 3 weeks. These are clues that warrant exploration of: A. risk for suicide B. split personality C. cognitive function D. functional assessment - CORRECT ANSWERS A. risk for suicide Worries persisting for =>6 months most likely reflects one of the most prevalent psychiatric conditions in the United States known as: A. posttraumatic stress disorder B. generalized anxiety disorder C. fatigue D. social phobia - CORRECT ANSWERS B. generalized anxiety disorder Risk factors for fatal overdose of pain medications include all of the following except: A. age 65 or older B. depression C. arthritis D. concurrent benzodiazepine use - CORRECT ANSWERS C. arthritis
QUESTIONS AND ANSWERS 2023/2024 GRADED A+,BEST EXAM FOR
NURSING
D. What's your mother's maiden name? - CORRECT ANSWERS A. What does a rolling stone gathers no moss mean? Dave, age 76, is brought in by his wife, who states that within the last 2 days Dave has become agitated and restless, has had few lucid moments, slept very poorly last night and can remember only recent events. Of the following differential diagnoses, which best fits the symptoms from this brief history? A. Depression B. Dementia C. Delirium D. Schizophrenia - CORRECT ANSWERS C. Delirium Which technique is applied throughout the entire examination and interview process? A. Inspection B. Palpation C. Percussion D. Auscultation - CORRECT ANSWERS A. Inspection During a patient's pain assessment, the most important element is the patient's: A. Sleep hygiene B. Perception of his/her own pain C. Vital signs D. Fear of addiction - CORRECT ANSWERS B. Perception of his/her own pain The general survey of the patient includes all of the following except:
QUESTIONS AND ANSWERS 2023/2024 GRADED A+,BEST EXAM FOR
NURSING
A. appearance B. tanner stage C. height D. weight - CORRECT ANSWERS B. tanner stage One of the main differences between a comprehensive and focused assessment is: A. for the comprehensive assessment you will select the methods relevant to thorough assessment of the targeted problem B. for the focused assessment you will select the methods relevant to thorough assessment of the targeted problem C. for the focused assessment you perform a thorough head to toe examination D. for the comprehensive assessment you always refer the patient to a specialist at the end of the examination - CORRECT ANSWERS B. for the focused assessment you will select the methods relevant to thorough assessment of the targeted problem Which of the following is an example of subjective data: A. Mr. D's vital signs are BP 138/66 P 107 T 99.9 SPO2 92% RR 20 B. Mr. D has inspiratory and expiratory wheezes noted during auscultation of the lungs C. Mr D's CXR shows an infiltrate in the left lower lobe consistent with pneumonia D. Mr D is a 53 year old male who presents to the clinic complaining of shortness of breath and says "it hurts to take deep breaths." He reports this started 2 days ago and says he's been having fever and chills. - CORRECT ANSWERS D. Mr D is a 53 year old male who presents to the clinic complaining of shortness of breath and says "it hurts to take deep breaths." He reports this started 2 days ago and says he's been having fever and chills. All of the following are included in the Review of Systems except:
QUESTIONS AND ANSWERS 2023/2024 GRADED A+,BEST EXAM FOR
NURSING
B. explain your role, your status as a student provider and how you will be involved in the patient's care C. check the light source in the otoscope D. check the light source in the opthalmascope - CORRECT ANSWERS B. explain your role, your status as a student provider and how you will be involved in the patient's care Which of the following is not one of the seven attributes of a symptom: A. location B. quality C. timing D. immunization status - CORRECT ANSWERS D. immunization status All of the following are examples of empathic responses except: A. "I cannot imagine how hard this must be for you" B. "I think you need a psych consult immediately" C. "You must be feeling sad" D. "That sounds upsetting" - CORRECT ANSWERS B. "I think you need a psych consult immediately" Which of the following are components of the three dimensions of cultural humility: A. self-awareness B. respectful communication C. collaborative partnership D. all of the above - CORRECT ANSWERS D. all of the above
QUESTIONS AND ANSWERS 2023/2024 GRADED A+,BEST EXAM FOR
NURSING
When performing the general survey which of the following is not considered a sign of distress: A. pain B. labored breathing C. large mole on forehead D. anxiety - CORRECT ANSWERS C. large mole on forehead You are speaking to an 8th grade class about health prevention and are preparing to discuss the ABCDEs of melanoma. Which of the following descriptions correctly defines the ABCDEs? A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E = evolution A = actinic; B = basal cell; C = color changes, especially blue; D = diameter >6 mm; E = evolution A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E = evolution A = asymmetry; B = regular borders; C = color changes, especially orange; D = diameter >6 mm; E = evolution - CORRECT ANSWERS A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E = evolution A 28-year-old patient comes to the office for evaluation of a rash. At first there was only one large patch, but then more lesions erupted suddenly on the back and torso; the lesions itch. On physical examination, you note that the pattern of eruption is like a Christmas tree and that there are a variety of erythematous papules and macules on the cleavage lines of the back. Based on this description, what is the most likely diagnosis?
QUESTIONS AND ANSWERS 2023/2024 GRADED A+,BEST EXAM FOR
NURSING
Which skin lesions are most commonly found on sun-exposed skin of older, fair-skinned people? Skin tags Seborrheic keratoses Actinic keratoses Angiomas - CORRECT ANSWERS Actinic keratoses A 68-year-old retired farmer comes to your office for evaluation of a skin lesion. On the right temporal area of the forehead, you see a flattened papule the same color as his skin, covered by a dry scale that is round and feels hard. He has several more of these scattered on the forehead, arms, and legs. Based on this description, what is your most likely diagnosis? Seborrheic keratosis Actinic keratosis Basal cell carcinoma
QUESTIONS AND ANSWERS 2023/2024 GRADED A+,BEST EXAM FOR
NURSING
Squamous cell carcinoma - CORRECT ANSWERS Actinic keratosis Which type of lesion often grows out of already present nevi that are changing or atypical, especially if the patient is over 50 years old: malignant melanoma basal cell carcinoma squamous cell carcinoma karposi sarcoma - CORRECT ANSWERS malignant melanoma Nail involvement characterized by painless separation of the nail plate from the nail bed is termed: Hippocratic nails Onycholysis Koilonychia Anonychia - CORRECT ANSWERS Onycholysis
QUESTIONS AND ANSWERS 2023/2024 GRADED A+,BEST EXAM FOR
NURSING
Syphilis - CORRECT ANSWERS Alopecia Areata A basal cell carcinoma is: an epithelial tumor that originates from either the basal layer of the epidermis or cells in the surrounding dermal structures and are usually found in sun-exposed areas a malignant tumor of the squamous epithelium of the skin or mucous membranes an overgrowth and thickening of the cornified epithelium lined with epithelium and contains a fluid or semisolid material - CORRECT ANSWERS an epithelial tumor that originates from either the basal layer of the epidermis or cells in the surrounding dermal structures and are usually found in sun-exposed areas You ask a patient to follow your finger laterally when evaluating extraocular movements. Which cranial nerves are you testing? IV, VII III, VI III, X
QUESTIONS AND ANSWERS 2023/2024 GRADED A+,BEST EXAM FOR
NURSING
II, III - CORRECT ANSWERS III, VI
The mental status examination enables the nurse practitioner to identify: Intelligence quotient and reasoning Abstract thinking and memory functioning Reasoning and psychomotor skills Memory functioning and intelligence - CORRECT ANSWERS Abstract thinking and memory functioning An assessment of a client experiencing hallucinations would most likely reveal all of the following except: experiences that seem real but lack actual external stimulation may be auditory may be visual only occurs in the setting of schizophrenia - CORRECT ANSWERS only occurs in the setting of schizophrenia
QUESTIONS AND ANSWERS 2023/2024 GRADED A+,BEST EXAM FOR
NURSING
Tension Cluster Migraine Analgesic rebound - CORRECT ANSWERS Migraine A middle aged pateint presents with diffuse facial swelling. Upon further assessment of the face you note hair is dry, course and sparse; thinning of lateral eyebrows; periorbital edema. This represents a finding of: Cishing's syndrome Myxedema Nephrotic syndrome Angioedema - CORRECT ANSWERS Myxedema Symptoms and assessment findings related to hypothyroidism include all of the following except:
QUESTIONS AND ANSWERS 2023/2024 GRADED A+,BEST EXAM FOR
NURSING
Palpitations Fatigue Dry, coarse skin Cold intolerance - CORRECT ANSWERS Palpitations Enlarged or tender lymphnodes, if unexplained, call for: Immediate biopsy Re-examination of the regions they drain Immediate soft-tissue CT Stat referral to ENT - CORRECT ANSWERS Re-examination of the regions they drain Jaxson is a 10 year-old male patient that presents to the clinic today complaining of a headache. His mother reports that he has just not been acting himself for the past two days. All of the following would be pertinent in your examination, except:
QUESTIONS AND ANSWERS 2023/2024 GRADED A+,BEST EXAM FOR
NURSING
myxedema acromegaly cushing's syndrome nephrotic syndrome - CORRECT ANSWERS cushing's syndrome The test that compares air conduction and bone conduction is known as: Weber test Whispered voice test Tug tes Rinne test - CORRECT ANSWERS Rinne test A 12-year-old presents to the clinic with his father for evaluation of a painful lump in the left eye. It started this morning. He denies any trauma or injury. There is no visual disturbance. Upon physical examination, there is a red raised area at the margin of the eyelid that is tender to palpation; no tearing occurs with palpation of the lesion. Based on this description, what is the most likely diagnosis?
QUESTIONS AND ANSWERS 2023/2024 GRADED A+,BEST EXAM FOR
NURSING
Dacryocystitis Chalazion Hordeolum Xanthelasma - CORRECT ANSWERS Hordeolum When performing an examination using the opthalmoscope, place yourself about 15 inches away from the patient and at a 15 degree angle from the patient's line of vision. The first thing that should come into view is called: physiologic cup Red Reflex optic disc papilledema - CORRECT ANSWERS Red Reflex Small, mobile, discrete, non-tender nodes are termed:
