1 NURS 612 COMBINED EXAM 1 & 2/ ALL EXAM QUESTIONS
WITH 100% CORRECT ANSWERS/ GRADED A+
Which approach is recommended at the onset of an interview?
- Use a structured approach to ask questions.
- Introduce yourself and include a detailed description of your background and qualifications.
- Use an open-ended approach, let the patient explain the problem or reason for the visit.
- Start with the family history and past medical history to determine the underlying problem. -
ANSWER- C
Which of the following questions may lead to an inaccurate patient response?
- "Where do you feel the pain?"
- "How does this situation make you feel?"
- "What happened after you noticed your injury?"
- "That was a horrible experience, wasn't it?" - ANSWER- d
Which of the following techniques is incorrect and affects the accuracy of auscultation?
- Placing the stethoscope firmly on the surface to be auscultated
- Auscultating through clothing
- Isolating one sound at a time during auscultation
- Listening for sound characteristics - ANSWER- b
The tubing of a stethoscope should be less than 18 inches long to prevent
- transmission of external noise.
- tangling of the tubing in the examiner's clothing or pockets.
- distortion of sounds during auscultation.
- magnification of the transmitted sounds. - ANSWER- C 1 / 4
2
Which of the following is true regarding the correct use of a stethoscope?
- The bell is pressed lightly against the skin to detect low-frequency sounds.
- The bell is pressed firmly against the skin to hear low-frequency sounds.
- The diaphragm is pressed firmly against the skin to hear low-frequency sounds.
- The diaphragm is pressed lightly against the skin to hear high-frequency sounds. - ANSWER- A
The examiner must be sure that the earpieces of the stethoscope are placed so that the alignment fits the contour of the ear canal. In which direction should they be placed?
- Pointing upward
- Pointing downward
- Pointing forward
- Pointing backward - ANSWER- c
In which of the following situations is use of a Doppler indicated?
- Measurement of body temperature in a hypothermic patient
- Auscultation of the abdomen in a patient with hypoactive or absent bowel sounds
- Measurement of blood pressure in a patient with hypertension
- Auscultation of a nonpalpable pulse in a patient with peripheral vascular disease - ANSWER- d
The red numbers on a lens selector dial of an ophthalmoscope indicate
- that a large amount of light will enter the eye being examined.
- that a small amount of light will enter the eye being examined.
- positive magnification.
- negative magnification. - ANSWER- D
While performing an internal eye examination, the examiner observes a fundal lesion. What feature on the ophthalmoscope permits the examiner to estimate the size and location of the lesion? a. Grid light
- Slit light 2 / 4
3
- Red-free light
- Small light - ANSWER- a
An ophthalmoscope has positive and negative magnification in order to
- compensate for myopia or hyperopia in the examiner's or the patient's eyes.
- allow for magnification of both the anterior eye and the posterior eye.
- compensate for the degree of dilation of the patient's eyes.
- allow for visualization of the eye in patients with normal vision and in those with glaucoma. -
ANSWER- A
Repeating a patient's answer is an attempt to a. confirm an accurate understanding.
- discourage patient anger or hostility.
- teach the patient new medical terms.
- test the patient's knowledge. - ANSWER- A
Which of the following history types is unique to a pediatric history?
- Family history
- Developmental history
- Social history
- Past medical history - ANSWER- b
During an interview, your patient admits to feeling worthless and having a sleep disturbance for the past
- weeks. These are clues that warrant the exploration of
- risk for suicide.
- split personality.
- cognitive function.
- functional assessment. - ANSWER- A
- / 4
4 Jerry, a 26-year-old homosexual man, is having a health history taken. Which question regarding sexual activity would most likely hamper trust between Jerry and the interviewer?
- "Are you married, or do you have a girlfriend?"
- "Tell me about your living situation."
- "Are you sexually active?"
- "Are your partners men, women, or both?" - ANSWER- a
Direct questions are designed to
- attack sensitive material head on.
- demonstrate to the patient who is in charge of the interview process.
- ensure confidentiality.
- obtain or clarify specific details about an answer. - ANSWER- D
Interviewers should identify and assess their own feelings, such as hostility and prejudice, in order to a.avoid inappropriate behavior.
- explain their biases to patients.
- express their idiosyncrasies.
- reduce communication barriers. - ANSWER- D
During an interview, a patient describes abdominal pain that often awakens him at night. Which of the following responses by the interviewer would facilitate the interviewing process?
- "Constipation can cause abdominal pain."
- "Do you need a sleeping medication?"
- "Pain is always worse at night, isn't it?"
- "Tell me what you mean by often." - ANSWER- D
When taking a patient's history, you are asked questions about your personal life. What is the best response to facilitate the interviewing process?
- Answer briefly and then refocus to the patient's history.
- / 4