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SOUTH UNIVERSITY NSG 6020 FINAL
EXAM NEWEST 2 LATEST VERSIONS
(VERSION A AND B) ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS
The brain and spinal cord are included in which of the following? - ANSWER Central nervous sytsem The cranial nerves 31 pairs of spinal nerves, and branches make up which of the following? - ANSWER Peripheral nervous system A rotational sensation of spinning is considered to be which of the following? - ANSWER Vertigo A sensation of numbness and or tingling of the extremities is referred to as which of the following? - ANSWER Paresthesia Lightly touching the cornea with a cotton ball would be examining which type of reflex? - ANSWER Superficial reflex
Which of the following is Cranial Nerve XI? - ANSWER Spinal accessory Which of the following is not considered a primary headache? - ANSWER Meningitis Which of the following may be noted in patient with a migraine headache? - ANSWER Aura An unsteady gait or difficulty balancing referred to as which of the following? - ANSWER Ataxia Which of the following is not considered a short-term stroke risk? - ANSWER Age >50 years Pinpoint pupils may be a result of which of the following? - ANSWER Heroin use
if the client does not improve. Which of the following would not be identified as a portion of the History of Present. - ANSWER "My father died of a stroke 3 years ago". Which of the following would be considered a "Focused SOAP Note" - ANSWER "I think I have the flu or strep throat" Which of the following quotations would be considered a comprehensive health history? - ANSWER "My neck looks swollen and I have had a history of thyroid problems" The patient states I smoke 2 packs per day for the past 15 years. Which portion of the SOAP note would this be placed? - ANSWER Social history Which of the following is the appropriate format for documenting a chief complaint in a SOAP note? - ANSWER I have been vomiting for 2 days Identify the correct order in which the clinician note should be written: - ANSWER Subjective, Objective, Assessment, Plan, Refection
A fifteen-year-old student presents to the clinic for evaluation of a three-week history of sneezing, itchy, watery eyes, clear nasal discharge, and nonproductive cough. What is the most likely pathological process? - ANSWER Allergic Which of the following is a symptom of the eye? - ANSWER Scotoma What is the best procedure for evaluating a corneal abrasion? - ANSWER Fluorescein Stain The Weber test is considered normal in which of the following exams. - ANSWER Client verbalizes that sound is heard bilaterally. What is considered a common cause of acute epistaxis? - ANSWER Foreign Body When assessing the client pupil for constriction, the clinician notes that the other pupil contracts as well. Which medical terminology describes this reflex? - ANSWER Consensual Reaction
Which of the following would not be documented in the objective data? - ANSWER Positive tobacco use Which of the following pulmonary documentation would be considered objective data? - ANSWER Pursed lip breathing Which of the following is the initial physical assessment of the pulmonary system? - ANSWER Inspection Which obstructive pulmonary diagnosis is associated with a reversible inflammatory process? - ANSWER Asthma The CDC recommends influenza vaccines for all of groups except for which of the following? - ANSWER Infants less than 6 months of age. The Pneumococcal vaccine is recommended for all groups except for which of the following? - ANSWER Adult greater than age 50. Which of the following would be characteristic of patients with a potential diagnosis of sleep apnea? - ANSWER Excessive snoring.
Which of the following statements would be least beneficial in assisting a teen to stop smoking? - ANSWER Smoking causes premature death in the US. Which of the following symptoms are not associated with costochondritis? - ANSWER Positive hemoptysis. Which of the following would not be considered a healthy lifestyle modification to prevent hypertension? - ANSWER Intake of less than 6 g sodium per day. Which of the following would not be criteria for a diagnosis of Metabolic Syndrome? - ANSWER HDL > 50 mg/dL Which of the following patient meet the criteria for screening for Diabetes? - ANSWER Polycystic ovarian syndrome. Which of the following is considered Prehypertension? - ANSWER 128/
What estimated size of an abdominal aortic aneurysm significantly increases the risk for rupture? - ANSWER 5.5 cm What is the proper technique when performing the Homan's Sign? - ANSWER Dorsiflex the foot of the affected extremity to assess for tenderness. What is the correct format for documenting lower extremity edema? - ANSWER Numerically. Which of the following tests assess arterial perfusion of the hand? - ANSWER Allen Test. Which of the following structures would not drain into the superior vena cava? - ANSWER Spleen Which of the following is not associated with a possible diagnosis of Peripheral Arterial Disease (PAD)? - ANSWER Lower Extremity Edema Which of the following not considered "Warning Signs" for PAD? - ANSWER "Food Fear"
Which of the following values would be considered an abnormal ABI? - ANSWER ABI:0. Which of the following would not be considered a risk factor for Lower Extremity PAD? - ANSWER Age >55 years (+) LE pain at rest Which of the following is not considered a symptom of perimenopause? - ANSWER Vaginal discharge. Patients who are diagnosed with gonorrhea should be treated for which of the following infections? - ANSWER Chlamydia. A 22-year-old female presents to the clinic with a 7-day history of thick white vaginal discharge with vaginal itching. LMP 3 weeks ago; currently not sexually active. On speculum examination, there is a copious amount of white thick discharge; Negative KOH whiff test; Wet Prep: positive budding hyphae. Which of the following is the most likely diagnosis? - ANSWER Candidiasis Which of the following is true regarding the HPV virus? - ANSWER Most HPV infections clear spontaneously within 2 years in females less than 21 years.
palpation Urinalysis is negative, UCG test pending. Which of the following adnexal disorders could be causing this presentation? - ANSWER Ectopic Pregnancy. Which of the following is not associated with Acute Bacterial Prostatitis? - ANSWER Chlamydia and Gonorrhea may be the cause in males older than 35 years Which of the following is not associated with Chronic Bacterial Prostatitis? - ANSWER Presence of fever. Which of the following is inaccurate in regard to an undescended testicle cryptorchidism? - ANSWER Increases the risk of prostate cancer Which of the following risk factors is not associated with epididymitis? - ANSWER Painless swelling of the scrotum Which of the following is not considered a red flag in the male reproductive system? - ANSWER Erection lasting longer than 15 minutes after cessation of sexual activity Which of the following symptoms would most likely be related to an inguinal
hernia? - ANSWER Pain increases with straining Which of the following is not considered a risk factor for prostate cancer - ANSWER History of BPH Which is the following information regarding testicular cancer is false? - ANSWER Testicular cancer is five times more common in African American males compared to Caucasian males. Which of the following symptoms is not indicated for a prompt clinical examination? - ANSWER One testicle hanging lower than the other testicle While examining the penis, the clinician notes a tight prepuce that cannot be retracted over the glans. Which of the following is the correct diagnosis? - ANSWER Phimosis Which of the following is considered a non-inflammatory joint disorder? - ANSWER Rotator cuff tear Which is the following systemic involved joint disorder would a clinician note
A 40-year-old female reports a 2-day history of painful lesions on her left side. Upon examination, a cluster of erythematous vesicular lesions noted along the left trunk in a dermatomal distribution. What is the most likely diagnosis? - ANSWER Herpes zoster Which of the following would be most appropriate medical term to define a fluid filled lesion greater than 1 cm? - ANSWER Bulla Which of the following does the mini-mental test assess? - ANSWER Dementia Which of the following is not considered a part of the RUQ of the abdomen? - ANSWER Stomach Which of the following is included in the RLQ of the abdomen? - ANSWER Spermatic Cord
- Which is the appropriate technique when examining the abdomen? - ANSWER Inspect, auscultate, percuss, palpate. Subjective data related to assessment of the abdomen include which of the
following: - ANSWER Positive nausea for 3 days.
