NURS 6512 Test Bank Questions with Answers

NB: ALL ANSWERS CORRECT

1. Before performing an abdominal examination, the examiner should:

Have the patient empty their bladder

2. During an interview, tears appear in the patient’s eyes and his voice becomes shaky.

Initially, you should:

offer a tissue and let him know it is all right to cry

3. Which of the following is the most accurate reflection of an individual’s food intake?

Food Diary

4. Percussing at the right midclavicular line, below the umbilicus, and continuing upward is

the correct technique for locating the:

Lower liver border

5. A fixed image of any group that rejects its potential for originality or individuality is

known as a:

Stereotype

6. Brittle nails are typical findings in:

Older adults

7. Which of the following is an expected change in the assessment of the thyroid during

pregnancy?

A Bruit is auscultated d/t increased vascularity

8. You are planning to palpate the abdomen of your patient. Which part of the examiner's

hand is best for palpating vibration?

Ulnar Surface

9. A 5-year-old child presents with nasal congestion and a headache to assess for sinus

tenderness you should palpate over the:

Maxillary sinuses only - Only the maxillary and the frontal sinuses are accessiblefor

physical examination; however, the young child doesnot develop frontal sinuses until 7 to 8

years of age

10. Unusual white areas on the skin may be due to

Vitiligo

11. You are using an ophthalmoscope to examine a patient’s inner eye. You rotate the lens

selector clockwise, then counterclockwise to compensate for:

Myopia (nearsighted) (or hyperopia (farsighted)

12. 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:

Building and maintaining tissues

13. Mr. Akins is a 78-y/o patient who presents to the clinic with complaints of hearing loss.

Which of the following are changes in hearing that occur in the elderly? Select all that apply.

c. Loss of high frequency

e. Sounds may be garbled, difficult to localize

f. Unable to hear in a crowded room

14. The most superior part of the stomach is the

Fundus

15. 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?

B12

16. A 51-y/o woman calls with complaints of weight loss and constipation. She reports

enlarged hemorrhoids and rectal bleeding. You advise her to:

Come to the laboratory for a stool guaiac test.

17. Placing the base of a vibrating tuning fork on the midline vertex of the patient’s head is a

test for:

Lateralization of Sound

18. Which technique is most likely to result in the patients understanding of questions?

Use the patient’s own terms if possible.

19. Mr. Williams, age 25, has recovered recently from an upper and lower respiratory

infection. He describes a long-standing nasal dripping. He is seeking treatment for a mild

hearing loss that has not gone away. Information concerning his chronic postnasal drip

should be documented within which section of the history?

Past medical data

20. Nasal symptoms that imply an allergic response include:

Bluish gray turbinates.

("Turbinates that appear bluish gray or pale pink with a swollen, boggy consistency may

indicate allergies")

21. Mr. Franklin is speaking with you the health care provider, about his respiratory problem.

Mr. Franklin says, “I’ve had this cough for 3 days and it’s getting worse.” You reply, “Tell

me more about your cough.” Mr. Franklin states, “I wish I could tell you more, that’s why I

am here! You tell me what’s wrong.” Which caregiver response would be the most

appropriate for enhancing communication?

After 3 days, you're tired of coughing. Have you had a fever?"

22. When taking a history, you should:

Use a chronologic and sequential framework.

23. Which of the following formats would be used for visits that address problems not yet

identified in the problem-oriented medical record (POMR)?

Brief SOAP note

24. As you explain your patient’s condition to her husband, you notice that he is leaning

toward you and pointedly blinking his eyes. Knowing that he is from England, your most

appropriate response to this behavior is to?

Ask whether he has any questions - The English worry about being overheard and tend to

speak in a modulated voice, so when they lean toward you, they probably have a question

25. Expected normal percussion tones include?

Renaissance - Normal lungs

Tympany - Empty stomach

Dull percussion - liver

26. 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?

Inform the patient of the reason for the exam and ask if it is acceptable to him

27. Fluorescing lesions are best distinguished using a(n)?

Wood’s lamp ( some tinea lesions ) show a characteristic yellow-green color under a

Wood’s lamp

28. 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?

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