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NSG6020 Final Exam Questions With Complete Solutions The brain and spinal cord are included in which of the following? correct answer: Central nervous sytsem The cranial nerves 31 pairs of spinal nerves, and branches make up which of the following? correct answer: Peripheral nervous system A rotational sensation of spinning is considered to be which of the following? correct answer: Vertigo A sensation of numbness and or tingling of the extremities is referred to as which of the following? correct answer: Paresthesia Lightly touching the cornea with a cotton ball would be examining which type of reflex? correct answer: Superficial reflex Which of the following is Cranial Nerve XI? correct answer: Spinal accessory Which of the following is not considered a primary headache? correct answer: Meningitis Which of the following may be noted in patient with a migraine headache? correct answer: Aura
An unsteady gait or difficulty balancing referred to as which of the following? correct answer: Ataxia Which of the following is not considered a short-term stroke risk? correct answer: Age >50 years Pinpoint pupils may be a result of which of the following? correct answer: Heroin use Which of the following contraindicated when assessing the comatose patient? correct answer: Dilate the patient's pupils to assess optic nerve Which of the following is not associated with a diagnosis of possible meningitis? correct answer: Neck supple with full ROM. Which of the following refers to the patient's ability to identify an object by feeling it with eyes closed? correct answer: Stereognosis. Risk factors for stroke include all of the following except: correct answer: Hypotension Which category should this information be placed in the SOAP note: "Abdominal pain 3 days, Intermittent with a pain score of 7/ accompanied by nausea and vomiting". correct answer: History of present illness
complaint in a SOAP note? correct answer: I have been vomiting for 2 days Identify the correct order in which the clinician note should be written: correct 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? correct answer: Allergic Which of the following is a symptom of the eye? correct answer: Scotoma What is the best procedure for evaluating a corneal abrasion? correct answer: Fluorescein Stain The Weber test is considered normal in which of the following exams. correct answer: Client verbalizes that sound is heard bilaterally. What is considered a common cause of acute epistaxis? correct 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? correct answer: Consensual Reaction
Which of the following lymph nodes are not located in the head and neck regions? correct answer: Axillary Hearing acuity can be assessed by using the following techniques. correct answer: Whisper Which of the following is the proper technique for utilizing a tuning fork? correct answer: Tap the turning fork to elicit vibration and place on top of the client head. Which of the following is not part of the examination of the head? correct answer: Auscultation Which of the following would be considered subjective data of the pulmonary system? correct answer: Positive shortness of breath Which of the following would be considered a normal pulmonary finding? correct answer: Absence of rhonchi Which of the following would not be documented in the objective data? correct answer: Positive tobacco use Which of the following pulmonary documentation would be considered objective data? correct answer: Pursed lip breathing Which of the following is the initial physical assessment of the pulmonary
Which of the following would not be criteria for a diagnosis of Metabolic Syndrome? correct answer: HDL > 50 mg/dL Which of the following patient meet the criteria for screening for Diabetes? correct answer: Polycystic ovarian syndrome. Which of the following is considered Prehypertension? correct answer: 128/ Which of the following are risk factors for Secondary Hypertension? correct answer: Thyroid Disease. Which of the following are risk factors for Primary Hypertension? correct answer: Obesity The apical pulse is noted in which of the following locations? ICS intercostal space MCL - clavicular line) correct answer: 5th Left ICS MCL Which position should the patient be placed to assess the PMI. correct answer: Left lateral decubitus position. Which of the following is not proper technique when examining the carotid pulse? correct answer: Palpate each side simultaneously. Which of the following factors is not included when calculating a patient's 10- year CVD risk? correct answer: Asthma
Which of the following would not warrant screening for RAD? correct answer: One kidney noted to be 1 cm smaller as compared to the other kidney What estimated size of an abdominal aortic aneurysm significantly increases the risk for rupture? correct answer: 5.5 cm What is the proper technique when performing the Homan's Sign? correct answer: Dorsiflex the foot of the affected extremity to assess for tenderness. What is the correct format for documenting lower extremity edema? correct answer: Numerically. Which of the following tests assess arterial perfusion of the hand? correct answer: Allen Test. Which of the following structures would not drain into the superior vena cava? correct answer: Spleen Which of the following is not associated with a possible diagnosis of Peripheral Arterial Disease (PAD)? correct answer: Lower Extremity Edema Which of the following not considered "Warning Signs" for PAD? correct answer: "Food Fear"
Which of the following regarding breast examination is incorrect? correct answer: Instruct patient to perform breast exam during the onset of monthly menses. During a pelvic exam the clinician noted small yellow nodules on the surface of the cervix. What is the most likely cause? correct answer: Nabothian Cysts. The squamocolumnar Junction is noted in which portion of the female genitalia? correct answer: Cervical Os. Which of the following is true concerning the HPV Vaccination? correct answer: It can protect against anal cancers in both females and males. Which of the following is the most common cause of acute pelvic pain? correct answer: Pelvic Inflammatory Disease 34-year-old female presents with acute, sharp pelvic pain x 6 hours. States that nothing makes the pain better or worse. GYN History: G3P3. Prior Surgical History Appendectomy age 15. was 8 weeks ago. BP is 90/ Pulse 110. Temp 98.6. Positive bowel sounds 4. Pelvic exam reveals negative vaginal discharge, negative cervical motion tenderness. Positive right adnexal tenderness noted upon
palpation Urinalysis is negative, UCG test pending. Which of the following adnexal disorders could be causing this presentation? correct answer: Ectopic Pregnancy. Which of the following is not associated with Acute Bacterial Prostatitis? correct 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? correct answer: Presence of fever. Which of the following is inaccurate in regard to an undescended testicle cryptorchidism? correct answer: Increases the risk of prostate cancer Which of the following risk factors is not associated with epididymitis? correct answer: Painless swelling of the scrotum Which of the following is not considered a red flag in the male reproductive system? correct 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? correct answer: Pain increases with straining Which of the following is not considered a risk factor for prostate cancer correct answer: History of BPH
Positive pain and tenderness along the lateral epicondyle as a result of overuse maybe which of the following diagnoses? correct answer: Tennis Elbow Which of the following is not associated with Carpal Tunnel Syndrome? correct answer: Positive "Snuffbox" Tenderness Which of the following is the most common skin cancer? correct answer: Basal cell carcinoma C correct answer: C 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? correct answer: Herpes zoster Which of the following would be most appropriate medical term to define a fluid filled lesion greater than 1 cm? correct answer: Bulla Which of the following does the mini-mental test assess? correct answer: Dementia Which of the following is not considered a part of the RUQ of the abdomen? correct answer: Stomach
Which of the following is included in the RLQ of the abdomen? correct answer: Spermatic Cord
- Which is the appropriate technique when examining the abdomen? correct answer: Inspect, auscultate, percuss, palpate. Subjective data related to assessment of the abdomen include which of the following: correct answer: Positive nausea for 3 days.
