NURS 6512 Week 1 Quiz Assignment Solutions

When questioning a patient regarding alcohol intake, she tells you that she is only a social drinker. Which initial response is appropriate? NURS 6512 Week 1 Quiz Assignment Solutions
Information recorded about an infant differs from that of an adult, mainly because of the infant s:
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:
When taking a history, you should:
Drawing of stick figures is most useful to:
When you suspect that your 81-year-old patient has short-term memory loss because he cannot remember what he had for breakfast, you should:
Allergies to drugs and foods are generally listed in which section of the medical record?
Which part of the information contained in the patient s record may be used in court?
A survey of mobility and activities of daily living (ADLs) is part of a(n):
A 50-year-old man comes to the primary care clinic. He tells you he is worried because he has had severe chest pains for the past 2 weeks. Which initial history interview question is most appropriate? NURS 6512 Week 1 Quiz Assignment Solutions
The effect of the chief complaint on the patient s lifestyle is recorded in which section of the medical record?
A SOAP note is used in which type of recording system?
Which of the following is an example of a problem requiring recording on the patient s problem list?
Differential diagnoses belong in the:
Which technique is most likely to result in the patient s understanding of questions?
The quality of a symptom, such as pain, is subjective information that should be:
To what extent should the patient with a physical disability or emotional disorder be involved in providing health history information to the health professional? NURS 6512 Week 1 Quiz Assignment Solutions
Objective data are usually recorded:
An example of a complementary care modality is:
J.M. has been seen in your clinic for 5 years. She presents today with signs and symptoms of acute sinusitis. The type of history that is warranted is a(n) _____ history. NURS 6512 Week 1 Quiz Assignment Solutions

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NURS 6512 Week 2 Quiz Answers

Informing a patient that he or she has a terminal illness is most likely to be discouraged in which cultural group?
Which statement is true regarding the impoverished?
The infant should be placed in which position to have his or her height or length measured?
A naturalistic or holistic approach to health care often assumes:
Which of the following describes a physical, not a cultural, differentiator?
Axillary measurement of temperature correlates best with core temperatures of:
You are performing a vaginal examination for a patient with a history of spina bifida. As you insert the metal speculum, the patient suddenly feels nauseated and is sweating, and her skin turns blotchy. What is your most immediate reaction to this situation?
Which statement is true regarding the relationship of physical characteristics and culture?
You are auscultating a patient s chest. The sounds are not clear, and you are having difficulty distinguishing between respirations and heartbeats. What technique can you use to facilitate your assessment?
During percussion, the downward snap of the striking fingers should originate from the:
Which technique should be used to stabilize the stethoscope during auscultation?
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:
A fixed image of any group that rejects its potential for originality or individuality is known as a(n):
When monitoring serial measures, such as head circumference or abdominal girth, which procedure is best to ensure that the tape measure is placed in the same position each time?
Observing the rise and fall of the abdomen usually facilitates calculation of respiratory rate in the:
A patient in the emergency department has a concussion to the head. You suspect the patient may also have a retinal hemorrhage. You are using the ophthalmoscope to examine the retina of this patient. Which aperture of the ophthalmoscope is most appropriate for this patient?
Which lying position is useful for auscultating heart tones?
A nonambulatory 80-year-old male patient tells the female nurse that he feels like he is having drainage from his rectum. Which initial nursing action is appropriate?
Because of common cultural food preferences, avoidance of monosodium glutamate (MSG) is likely to be most problematic for the hypertensive patient of which group?
When percussing, a dull tone is expected to be heard over:

NURS 6512 Week 3 Quiz Answers

Which of the following is a major function of dietary protein?
Which medication is frequently associated with weight gain?
Which of the following is not a characteristic of the plan portion of the problem-oriented medical record?
When recording assessments during the construction of the problem-oriented medical record, the examiner should:
Subjective and symptomatic data are:
Which of the following is the most accurate reflection of an individual s food intake?
Adult recommended dietary fat intake is _____ % of daily caloric intake.
You are using the rule of thumb for advising a 150-pound person regarding the appropriate number of calories to promote weight loss. Your advice is for the person to consume no more than _____ calories.
When recording physical findings, which data are recorded first for all systems?
Deficiency of which of the following is a concern in the vegetarian diet?
The position on a clock, topographic notations, and anatomic landmarks:
Which part of the information contained in the patient s record may be used in court?
A 17-year-old girl presents to the clinic for a sport s physical. Physical examination findings reveal bradycardia, multiple erosions of tooth enamel, and scars on her knuckles. She appears healthy otherwise. You should ask her if she:
Under normal circumstances, how much water is lost daily by the body?
The recommended minimum daily protein requirement for the normal adult is:
During adolescence, the head size normally increases as a result of:
Mrs. Layton is a 33-year-old patient who has obesity. The majority of adult obesity begins:
Infants born to the same parents are normally within which range of weight of each other?
How much of the weight gained during a normal pregnancy is accounted for by the fetus?
In clinical practice, the Ballard Assessment Tool is used to assess a newborn’s:

NURS 6512 Week 5 Quiz Answers

Entropion implies that the lower eyelid is:
Cupping of the optic disc may be a result of:
When testing corneal sensitivity controlled by cranial nerve V, you should expect the patient to respond by:
Peripheral vision can be estimated by means of which test?
Which of the following findings, when seen in the infant, is ominous?
Expected physical changes associated with older adults include:
A 5-year-old child presents with nasal congestion and a headache. To assess for sinus tenderness you should palpate over the:
Examiner experience should result in:
Mr. W., 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 his history?
To perform the Rinne test, place the tuning fork on the:
The proportion of persons with an observation characteristic of a disease that have the disease is known as _____ value.
During injury assessment, one of the most crucial historical components is:
During a head and neck assessment of a neonate, it is important to screen for:
An inconsequential finding on the head of an adult is a palpable:
Self-analysis assists providers in giving proper context to:
You are using a pneumonic attachment on the otoscope while assessing tympanic membrane movement. You gently squeeze the bulb but see no movement of the membrane. Your next action should be to:
A stethoscope is used in a head and neck examination to assess:
The parotid, submandibular, and sublingual salivary glands:
An infant s auditory canal, when compared with an adult s, is:
A patient has come in with a chief complaint of facial pain and “sinus issues.” Transillumination of the right sinus produces no light. You consulted your preceptor to order a sinus x-ray and she agreed. Which of the following findings on x-ray would support your diagnosis of sinusitis?

NURS 6512 Week 7 Quiz Answers

Costovertebral angle tenderness should be assessed whenever you suspect the patient may have:
In older adults, overflow fecal incontinence is commonly due to:
A 1-month-old boy has been vomiting for 2 weeks. How is this symptom of gastroesophageal reflux disease (GERD) and pyloric stenosis further differentiated in this child s assessment?
Auscultation of borborygmi is associated with:
When auscultating the abdomen, which finding would indicate collateral circulation between the portal and systemic venous systems?
Conversion of fat-soluble wastes to water-soluble material for renal excretion is a function of the:
The major function of the large intestine is:
Which structure is located in the hypogastric region of the abdomen?
A 45-year-old man relates a several-week history of severe intermittent abdominal burning sensations. He relates that the pain is relieved with small amounts of food. Before starting the physical examination, you review his laboratory work, anticipating a(n):
Percussion at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the:
Baby Joe is 6 months old. He has abdominal distention and vomiting and is inconsolable. A sausage-shaped mass is palpable in his right upper quadrant. Joe s lower quadrant feels empty, and a positive Dance sign is noted in his record. Which one of the following conditions is consistent with Baby Joe s symptoms?
Mrs. G. is 7 months pregnant and states that she has developed a problem with constipation. She eats a well-balanced diet and is usually regular. You should explain that constipation is common during pregnancy due to changes in the colorectal areas, such as:
A 51-year-old woman calls with complaints of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to:
When examining a patient with tense abdominal musculature, a helpful technique is to have the patient:
The Joint Commission (TJC, formerly The Joint Commission on Accreditation of Healthcare Organizations [JCAHO]) requires that:
A 5-year-old is complaining of nondescriptive “belly pain.” Your next action should be to ask him to:
Body language that leads you to suspect the person is in pain is:
Mr. Green is a 68-year-old patient who has complained of pain. As the health care provider, you have decided to use a pain scale for documentation of the patient’s pain. The value of the use of scales for patients to rate their pain intensity is that:
Your trauma patient has no auscultated breath sounds in the right lung field. You can hear adequate sounds in the left side. A likely cause of this abnormality could be that the patient:
Clear or amber drainage from the nose or ears of a blunt trauma patient may indicate:

Chapter 17: Abdomen

MULTIPLE CHOICE

1.A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the

a.	peritoneum.
b.	mediastinum.
c.	linea alba.
d.	mesentery.
e.	pleura.

2.What part of the small intestine forms a C-shaped curve around the head of the pancreas?

a.	Duodenum
b.	Ileum
c.	Jejunum
d.	Falciform ligament
e.	Pylorus

3.Peristalsis of intestinal contents is under the control of

a.	cognitive processes.
b.	gravity.
c.	the autonomic nervous system.
d.	the fluid content of the stomach.
e.	cerebellum.

4.The esophagus travels a route from

a.	anterior to the trachea through the mediastinal cavity.
b.	lateral to the trachea through the diaphragm.
c.	left of the trachea through the peritoneum.
d.	the anterior trachea through the cardiac orifice.
e.	behind the trachea through the mediastinal cavity.

5.Which organ is part of the alimentary tract?

a.	Pancreas
b.	Stomach
c.	Gallbladder
d.	Liver
e.	Spleen

6.The superior most part of the stomach is the

a.	body.
b.	fundus.
c.	pylorus.
d.	cardiac orifice.
e.	pyloric orifice.

NURS 6512 Week 8 Quiz Answers

A patient presenting for the first time with typical low back pain should receive which of the following diagnostic tests?
A 7-year-old boy is brought into your office with a chief complaint of possible fracture in his left third finger. He jammed it while playing basketball 2 days ago. The mother states that she really does not think it is broken because he can move it. What is your best response?
The Thomas test is used to detect:
A goniometer is used to assess:
During a football game, a player was struck on the lateral side of the left leg while his feet were firmly planted. He is complaining of left knee pain. To examine the left knee you should initially perform the _____ test.
A 3-year-old is brought to the clinic complaining of a painful right elbow. He is holding the right arm slightly flexed and pronated and refuses to move it. The mother states that symptoms started right after his older brother had been swinging him around by his arms. This presentation supports a diagnosis of:
A positive straight leg raise test usually indicates:
What temporary disorder may be experienced by pregnant women during the third trimester because of fluid retention?
A common finding in markedly obese and pregnant women is:
Your examination of an infant reveals a positive Allis sign. To confirm this finding, you would perform a:
The elasticity of pelvic ligaments and softening of cartilage in a pregnant woman are due to:
The musculoskeletal examination should begin when:
Which one of the following techniques is used to detect a torn meniscus?
A tingling sensation radiating from the wrist to the hand on striking the median nerve is a positive _____ sign.
The temporomandibular joint is palpated:
An adult with bowed tibias and a shortened thorax may have:
Risk factors for sports-related injuries include:
A 7-year-old child who begins to limp and complains of persistent hip pain may have:
Dupuytren contracture affects the:
A 45-year-old laborer presents with low back pain, stating that the pain comes from the right buttock and shoots down and across the right anterior thigh, down the shin to the ankle. Which examination finding is considered more indicative of nerve root compression?

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NURS 6512 Week 9 Quiz Answers

While interviewing a 70-year-old female clinic patient, she tells you that she takes ginkgo biloba and St. John s wort. You make a short note to check for results of the:
You are performing a two-point discrimination test as part of a well physical examination. The area with the ability to discern two points in the shortest distance is the:
Which type of hallucination is most commonly associated with alcohol withdrawal?
On a scale of 0 to 4+, which deep tendon reflex score is appropriate for a finding of clonus in a patient?
Which statement is true regarding mental status changes in older adults?
Deep pressure tests are used mostly for patients who are experiencing:
The autonomic nervous system coordinates which of the following?
Motor maturation proceeds in an orderly progression from:
Visible or palpable extension of the elbow is caused by reflex contraction of which muscle?
The Denver II is a tool used to determine:
When using a monofilament to assess sensory function, the examiner:
When assessing a 17-year-old for nuchal rigidity, you gently raise his head off the examination table. He involuntarily flexes his hips and knees. To confirm your suspicions associated with this positive test, you would also perform a test for the _____ sign.
Environmental hazards and cognitive function are data needed for the personal and social history section of a neurologic assessment for:
Recent memory may be tested by:
Which condition is considered progressive rather than reversible?
Cranial nerve XII may be assessed in an infant by:
At what age should the infant begin to transfer objects from hand to hand?
A neurologic past medical history should include data about:
A clinical syndrome of failing memory and impairment of other intellectual functions, usually related to obvious structural diseases of the brain describes:
A woman brings her husband to the emergency department and states that he is having a stroke. You are the student NP on the hospitalist service and are sent down first to obtain the history and physical. You develop a differential diagnosis and know that the initial gold standard radiology test to further evaluate is:

NURS 6512 Week 10 Quiz Answers

NURS 6512 wk 10 quiz assessment

A characteristic related to syphilis or diabetic neuropathy is testicular:
While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding:
Which risk factor is associated with cervical cancer?
If your patient has nipple discharge, you will most likely need a:
A lower spinal cord lesion may be indicated by which finding?
Ms. A., age 32, states that she has a recent history of itchy vaginal discharge. Ms. A. has never been pregnant. Her partner uses condoms and she uses spermicide for birth control. Which of the following data are most appropriate to Ms. A. s problem?
Which of the following is a common benign variation in the breasts of a pregnant woman?
The opening of the cervix is referred to as the:
During pregnancy, which of the following changes normally occurs in the breasts due to effects of luteal and placental hormones?
A fixed uterus may indicate:
The male with Peyronie disease will usually complain of:
Small, pale yellow, raised, and rounded areas are visualized on the surface of the cervix. You should:
Which one of the following conditions is of minor consequence on the adult male genitalia?
Expected genitalia changes that occur as men age include:
The presence of cervical motion tenderness may indicate:
Lymphatic flow of the breast primarily drains:
Which type of hernia lies within the inguinal canal?

NURS 6512 Week 11 Quiz 1 Answers

One of the most important aspects to consider in the orthopedic screening examination is:
Which portion of the physical examination is best done with the patient standing?
Which patient position facilitates inspection of the chest and shoulders?
The least reliable indicator of newborn distress is:
Proprioception should be assessed while the patient is:
Part of the screening orthopedic component of the examination includes evaluating the person while:
To promote your examination time with a cooperative child, your approach to the examination should be to:
Palpation of epitrochlear nodes is part of the:
Throughout the history and physical examination, the clinician should:
The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:
When conducting a geriatric assessment, basic activities of daily living (ADLs) include:
At your first meeting with a patient, it is usually best to say:
The goals of preparticipation sports evaluation include:
The reliability of health-related findings and observations is the responsibility of the:
To inspect the abdominal muscles, ask the:
The sequence of the physical examination should be individualized to:
The cranial nerves are usually assessed while the patient is in which position?
When a patient has not been compliant with instructions, an examiner should:
When conveying bad or distasteful news to the patient and family, it is best to:
When interviewing a disabled patient, it is best to speak to:

NURS 6512 Weekly Quiz Assignment Solutions

NURS 6512 Week 11 Quiz 2 Answers

A therapeutic technique for dealing with grieving individuals is to:
The examination of the newborn should begin with:
Which one of the following patient characteristics is most likely to limit patient reliability during history taking?
In crying infants, it is often difficult to:
Which of the following is true regarding the relationship between the examiner and the patient?
Which of the following are examined with the patient in a reclining 45-degree position?
The greatest risk for potential health problems occurs in which age group?
Examination of the patient in the lithotomy, or knee-chest, position includes:
Which portion of the physical examination is best done with the patient standing?
A parent is advised to restrict contact or collision sports participation for their child. An example of a sport in which this child could participate is:
One of the most important aspects to consider in the orthopedic screening examination is:
Functional assessment is most important during the examination of a(n):
The checkout station for pre participation physical evaluation (PPE) is critical because at this point:
A common method of estimating gestational age of a newborn is to assess:
Palpation of epitrochlear nodes is part of the:
Observation of the child playing in the playroom provides information about which two systems?
As you greet the patient, which examination technique is first implemented?
Part of the screening orthopedic component of the examination includes evaluating the person while:
The best way to ease the apprehension of a 3-year-old child before a physical examination is to:
The sequence of the physical examination should be individualized to:

NURS 6512 Week 1 Quiz Assignment Solutions