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Assessment Midterm Exam | LATEST 2020 / 2021| Graded A
NURS 6512 Midterm Exam Review (Week 1-6)
Building A Complete Health History
- Communication techniques used to obtain a patient’s health history
- Recording and documenting patient information
- SOAP note documentation
- Subjective vs objective information when documenting
- Ethical decision making and beneficence
Diversity and Health Assessments
- Cultural awareness and diversity
- Socioeconomic, spiritual, and lifestyle factors affecting diverse populations
- Functional assessments
Assessment Tools and Diagnostic Tests in Adults and Children
- Growth, Development, and Measurements in children and adults
- Nutritional assessment to include recommended water intake and energy requirements
- Macronutrients vs Micronutrients
- Significance of a food diary
- BMI measurements for normal, overweight, obesity, morbid obesity
- Pernicious Anemia
- Examination techniques and equipment
- Diagnostic Assessment tools and tests to include tuning forks, BP monitoring, use of stethoscope, otoscope, ophthalmoscope
Assessment of the Skin, Hair, and Nails
- Skin lesion characteristics
- Documenting skin lesions using “ABCD” rule
- Anatomy and physiology of skin layers
- Abnormal nail findings in older adults
- Psoriatic skin lesions
- Vesicular skin characteristics
- Normal vs abnormal hair distribution during aging
- Characteristics of hair distribution
Assessment of Head, Neck, Eyes, Ears, Nose, and Throat
- Cranial Nerves associated with the HEENT system
- Normal assessment findings of an adolescent’s nose and throat
- Normal examination findings of an infant’s fontanelles
Assessment Midterm Exam | LATEST 2020 / 2021| Graded A
- Examination findings of a patient with hypothyroid and hyperthyroid
- Techniques for examining the HEENT systems
- Examination findings for a patient with sinus symptoms
- Appropriate tuning fork frequencies to approximate vocal frequencies
- Examining the oral mucosa
- Hearing loss findings when examining the elderly patient
- Examination techniques used to examine the trachea and thyroid
Assessment of the Abdomen and Gastrointestinal System
- Organs involved in the alimentary tract
- Correct assessment order for examining the abdomen
- Examination technique and findings of the liver
- Examination findings associated with appendicitis
- Examining McBurney’s sign
- Assessment of abdominal pain in women
- Landmarks for abdominal examination
- Characteristics of bowel sounds heard during auscultation
Week 6 Midterm Exam
You are planning to palpate the abdomen of your patient. Which part of the examiner's hand is best for palpating vibration?
- Question 2 1 out of 1 points
Auscultation should be carried out last, except when examining the:
- Question 3 0 out of 1 points
Sweat glands, hair, and nails are all formed from:
Assessment Midterm Exam | LATEST 2020 / 2021| Graded A
- Question 10 1 out of 1 points
When assessing abdominal pain in a college-age woman, one must include:
- Question 11 1 out of 1 points
Mrs. Hartzell is a 34-year-old patient who has presented for nutritional counseling because she is a vegetarian. Deficiency of which of the following is a concern in the vegetarian diet?
- Question 12 0 out of 1 points
Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)?
- Question 13 1 out of 1 points
Peritonitis produces bowel sounds that are:
- Question 14 1 out of 1 points
When assessing abdominal pain in a college-age woman, one must include:
- Question 15 1 out of 1 points
Penicillin is considered a
- Question 16 1 out of 1 points
Assessment Midterm Exam | LATEST 2020 / 2021| Graded A
White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are:
- Question 17 1 out of 1 points
Which part of the information contained in the patient's record may be used in court?
- Question 18 0 out of 1 points
Mr. Walters, a 32-year-old patient, tells you that his ears are "stopped up." An objective assessment of this complaint is achieved by using the:
- Question 19 1 out of 1 points
To perform the Rinne test, place the tuning fork on the:
- Question 20 1 out of 1 points
Mr. L. presents to the clinic with severe groin pain and a history of kidney stones. Mr. L.'s son tells you that, for religious reasons, his father wishes to keep any stone that is passed into the urine filter that he has been using. What is your most appropriate response?
- Question 21 1 out of 1 points
The most common form of birth trauma of the scalp is:
- Question 22 1 out of 1 points
George Michaels, a 22-year-old patient, tells the nurse that he is here today to "check his allergies." He has been having "green nasal discharge" for the last 72 hours. How would the nurse document his reason for seeking care?
Assessment Midterm Exam | LATEST 2020 / 2021| Graded A
When examining the skull of a 4-month-old baby, you should normally find:
- Question 30 1 out of 1 points
During physical examination of a 30-year-old Chinese man, you notice slight asymmetry of his face. The cranial nerve examination is normal. Your best action is to:
- Question 31 In issues surrounding ethical decision making, beneficence refers to the:
- Question 32 Mrs. Webb is a 38-year-old patient who has been changing her lifestyle to eat in a healthy way and lose weight. During your health promotion education regarding her nutritional status, you explain the function of dietary protein as:
- Question 33
You are collecting a history from an 11-year-old girl. Her mother is sitting next to her in the examination room. When collecting history from older children or adolescents, they should be:
- Question 34 Ms. Davis is a 27-year-old patient with a BMI of 33. Based on her BMI, your diagnosis would be:
- Question 35 The adult recommended dietary fat intake should be g/day.
- Question 36 Which is the best way to position a patient's neck for palpation of the thyroid?
- Question 37 Nuchal rigidity is most commonly associated with:
Assessment Midterm Exam | LATEST 2020 / 2021| Graded A
- Question 38 A flat, nonpalpable lesion is described as a macule if the diameter is:
- Question 39 Which statement is true regarding the relationship of physical characteristics and culture?
- Question 40 You are examining a pregnant patient and have noted a vascular lesion. When you blanche over the vascular lesion, the site blanches and refills evenly from the center outward. The nurse documents this lesion as a:
- Question 41 Mrs. Britton brings her 16-year-old son in with a complaint that he is not developing correctly into adolescence. Which structures disproportionately enlarge in the male during adolescence?
- Question 42 Cherry angiomas are a common finding in:
- Question 43 The recommended minimum daily protein requirement for the normal adult is .
- Question 44 The examiner's evaluation of a patient's mental status belongs in the:
- Question 45 Recommended carbohydrate content of total dietary intake (% total calories) is %.
- Question 46 A college student comes to the student health center complaining of difficulty in concentrating during class and while studying. The diet that would contribute to this problem is one that consumes mostly:
Assessment Midterm Exam | LATEST 2020 / 2021| Graded A
- Question 55 Tympanic thermometers measure body temperature when a probe is placed:
- Question 56 You are using an ophthalmoscope to examine a patient's inner eye. You rotate the lens selector clockwise, then counterclockwise to compensate for:
- Question 57 Mrs. Grace is a 58-year-old patient who has a diagnosis of pernicious anemia. Which B vitamin is deficient in patients with pernicious anemia?
- Question 58 During percussion, a dull tone is expected to be heard over:
- Question 59 Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish:
- Question 60 Unusual white areas on the skin may be due to:
- Question 61 A blood pressure cuff bladder should be long enough to:
- Question 62 Nasal symptoms that imply an allergic response include:
- Question 63 Your patient is complaining of acute, intense sharp epigastric pain that radiates to the back and left scapula with nausea and vomiting. Based on this history, your prioritized physical examination should be to:
- Question 64 Which technique is most likely to result in the patient's understanding of questions?
- Question 65 Which cranial nerves innervate the face?
Assessment Midterm Exam | LATEST 2020 / 2021| Graded A
- Question 66 A fixed image of any group that rejects its potential for originality or individuality is known as a(n):
- Question 67 Which of the following occurs when firm pressure is used to apply the stethoscope's bell end-piece to the skin?
- Question 68 Which question would be considered a leading question?
- Question 69 The attitudes of the health care professional:
- Question 70 Underestimation of blood pressure will occur if the blood pressure cuff's width covers:
- Question 71 Mrs. Berger is a 39-year-old woman who presents with a complaint of epigastric abdominal pain. You have completed the inspection of the abdomen. What is your next step in the assessment process?
- Question 72 Inspection of the abdomen should begin with the patient supine and the examiner:
- Question 73 Mr. Abdul is a 40-year-old Middle Eastern man who presents to the office for a first visit with the complaint of new abdominal pain. You are concerned about violating a cultural prohibition when you prepare to do his rectal examination. The best tactic would be to:
- Question 74 To approximate vocal frequencies, which tuning fork should be used to assess hearing?
- Question 75 When taking a history, you should:
Assessment Midterm Exam | LATEST 2020 / 2021| Graded A
Which of the following is an "ABCD" characteristic of malignant melanoma?
- Question 88 When are open-ended questions generally most useful?
- Question 89 A 5-year-old child presents with nasal congestion and a headache. To assess for sinus tenderness you should palpate over the:
- Question 90 You are completing a general physical examination on Mr. Rock, a 39-year-old man with complaints of constipation. When examining a patient with tense abdominal musculature, a helpful technique is to have the patient:
- Question 91 Differential diagnoses belong in the:
- Question 92 Tracheal tug suggests the presence of a(n):
- Question 93 Mr. D. complains of a headache. During the history, he mentions his use of alcohol and illicit drugs. This information would most likely belong in the:
- Question 94 Periods of silence during the interview can serve important purposes, such as:
- Question 95 Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the:
- Question 96 After thorough inspection of the abdomen, the next assessment step is:
- Question 97 Mrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the:
- Question 98 Knowledge of the culture or cultures represented by the patient should be used to:
- Question 99 Mr. Donalds is a 45-year-old roofer. Your inspection to determine color variations of the skin is best conducted:
Assessment Midterm Exam | LATEST 2020 / 2021| Graded A
- Question 100: A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the: