NURS6512 Week 11 Final Exam Part 2 (51-101) (100% correct)

Question 81At your first meeting with a patient, it is usually best to say:

                                "Let me tell you what I can do for you."

                                "Let's get to the point."

                                "I hope you will learn to trust me."

                                "Tell me about yourself."

Question 82To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with:

                                her hands clasped just above the umbilicus.

                                both arms overhead with palms upward.

                                her arms straight alongside of her body.

                                one arm overhead and a pillow under her shoulder.

Normal changes of the aging brain include:

                                diminished perception of touch.

                                diminished intelligence quotient.

                                increased total number of neurons.

                                increased velocity of nerve conduction.

Question 84Diabetic peripheral neuropathy will likely produce:

                                exaggerated vibratory sense.

                                diminished pain sensation.

                                hypersensitive temperature perception.

                                hyperactive ankle reflexes.

Question 85The adnexa of the uterus are composed of the:

                                uterosacral and broad ligaments.

                                fallopian tubes and ovaries.

                                corpus and cervix.

                                vagina and fundus.

The foramen ovale should close:

                                by 12 months of age.

                                within minutes of birth.

                                by 24 weeks of gestation.

                                by 4 weeks of age.

Question 87If your patient has nipple discharge, you will most likely need a:

                                specimen jar with formaldehyde.

                                Vacutainer tube.

                                tape strip to test pH.

                                glass slide and fixative.

Question 88The musculoskeletal examination should begin when:

                                when height is measured.

                                during the collection of subjective data.

                                the patient enters the examination room.

                                when joint mobility is assessed.

Question 89You are examining a patient in the emergency department who has recently sustained head trauma. In order to initially assess this patient's neurologic status, you would:

                                palpate the jaw muscles as the patient clenches teeth.

                                ask him to discriminate between the smell of orange and peppermint.

                                observe for swallowing and test the gag reflex.

                                test the six cardinal points of gaze.

Question 90If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation?

                                CN V, trigeminal

                                CN XI, spinal accessory

                                CN I, olfactory

                                CN IX, glossopharyngeal

Question 91An idiopathic spasm of arterioles in the digits is termed:

                                arteriosclerosis obliterans.

                                giant cell arteritis.

                                peripheral arterial aneurysm.

                                Raynaud disease.

Question 92When you attempt to move a 10-month-old child from his mother's lap to the examination table, he screams loudly. Your best action is to:

                                move the child to the examination table and proceed matter-of-factly with the examination.

                                perform the examination while the child is in the mother's lap.

                                ask the mother to get the child to stop crying.

                                defer the examination until another day.

Question 93The finger-to-nose test allows assessment of:

                                two-point discrimination.

                                coordination and fine motor function.

                                point location.

                                sensory function.

Question 94The Mini-Mental State Examination should be administered for the patient who:

                                gets lost in her neighborhood.

                                has repetitive ritualistic behaviors.

                                sleeps an excessive amount of time.

                                uses illegal hallucinogenic drugs.

Question 95A pulsation that is diminished to the point of being barely palpable would be graded as:

                                3

                                0

                                2

                                1

Question 96A 40 yr old female presents to the clinic with complaints of low back and buttock pain. Pt states the buttock pain radiates from one side to the other. On examination, the patient is noted to have limited ROM of the shoulders, chest wall, hips, and knees. Upon xray, you find gross postural changes and there is a severe deformity of the vertebral column.

What is the most likely diagnosis for this patient?

                                Lumbar Radiculopathy

                                Herniated Lumbar Disk

                                Lumbar Stenosis

                                Ankylosing Spondylitis

Question 97        When conducting a geriatric assessment, basic activities of daily living (ADLs) include:

                                communication skills.

                                bathing.

                                medication compliance.

                                housekeeping.

Question 98 It is especially important to test for ankle clonus if:

                                deep tendon reflexes are hyperactive.

                                the patient has a positive Kernig sign.

                                the Romberg sign is positive.

                                the patient has peripheral neuropathy.

Question 99Adrian Thomas  is a 19-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her father reports that Adrian, apart from occasional sinus infections, Adrian is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Adrian's current problem?

                                Anorexia symptoms

                                Cocaine use

                                Covid-19 contact

                                Last menses

Question 100To hear diastolic heart sounds, you should ask patients to:

                lie on their right side.

                sit up and lean forward.

                lie on their back.

                lie on their left sides.