NURS 6512 FINAL EXAM

NURS 6512 FINAL EXAM

• Costovertebral angle tenderness should be assessed whenever you suspect the

patient may have: - Polynephritis

2. In older adults, overflow fecal incontinence is commonly due to: - Fecal

impaction

• A 1 month old boy has been vomiting for 2 weeks. How is this symptom of

GERD and pyloric stenosis further differentiated in this child’s assessment? – The infant has regurgitation with pyloric stenosis

• Auscultation of borborygmi is associated with: - Gastroenteritis, early intestinal

obstruction, or hunger

• When auscultating the abdomen, which finding would indicate collateral

circulation between the portal and systemic venous systems? – Venous hum

• Conversion of fat-soluble wastes to water-soluble material for renal excretion

is a function of the: - Liver

7. The major function of the large intestine is: -Water absorption

• Which structure is located in the hypogastric region of the abdomen? –Ileum,

bladder, and pregnant uterus

• 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): -Positive Helicobacter pylori result

• You are caring for a patient with trigeminal neuralgia. During the assessment,

the patient would describe the pain as: - Burning or shocklike 1 / 4

• Your 85 year old patient is complaining of right knee pain. She has a history of

osteoarthritis for which she is given anti-inflammatory medication. To assess her right knee pain, you should ask her if: - The pain gets better when she sits

• A 5 year old is complaining of nondescriptive “belly pain.” Your next action

should be to ask him to: - Point to the area of pain

• The perception of pain: - Is variable and is affected by emotions, and cultural

background

• Patients presenting with ascites, jaundice, cutaneous spider veins, and

nonpalpable liver exhibit signs of: - Cirrhosis

• A patient presents to the emergency department after a motor vehicle

accident. The patient sustained blunt trauma to the abdomen and complains of pain in the upper left quadrant that radiates to the left shoulder. What organ is most likely injured? – Spleen

• Imaging studies reveal that a patient has dilation of the renal pelvis from an

obstruction in the ureter, what condition will be documented in this patient’s health record? – Hydronephrosis

17. Visible intestinal peristalsis may indicate: - Intestinal obstruction

18. Infants born weighing less than 1500g are at higher risk for: - Necrotizing

enterocolitis

• Which of the following factors is not known to affect patient compliance with

his or her treatment regimen? – The patient’s age and social status

• One of the most important aspects to consider in the orthopedic screening

examination is: - Symmetry 2 / 4

21. The sequence of the physical examination should be individualized to: -

Minimize the number of times the patient has to change positions to conserve the patient’s energy

• As you greet the patient, which examination technique is first implemented? -

Inspection

• Which of the following is most likely to enhance examiner reliability? – The

examiner attempts to qualify data

• A 7 year old boy is brought to your office with a chief complaint of possible

fracture to 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? – This is common misconception, and the finger may be broken. An x-ray is indicated.

• A patient presenting for the first time with typical low back pain should receive

which of the following diagnostic tests? – None of the above. X-ray is not indicated because lumbar pain is usually musculoskeletal etiology.

• Skeletal changes in older adults are the result of: -Increased bone resorption
• A positive straight leg raise test usually indicates: - Lumbar nerve root irritation
• What technique is performed at every infant examination during the first year

of life to detect hip dislocation? – Barlow-Ortolani maneuvers

29. Expected normal findings during inspection of spinal alignment include: -

Convex lumbar curve

30. Temporalis and masseter muscles are evaluated by: - Having the patient

clench his or her teeth

• When palpating joints, crepitus may be caused when: - Irregular bony surfaces

rub together 3 / 4

• 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: -

Radial head subluxation

33. Light skin and thin body habitus are risk factors for: - Osteoporosis

• Risk factors for sports-related injuries include: - Failure to warm up before

activity

• Injuries to long bones and joints are more likely to result in fractures than in

sprains until: - Adolescence

36. Ligaments are stronger than bone until: - Adolescence

• The family history for a patient with joint pain should include information

about siblings with:

-Genetic disorders

38. The Thomas test is used to detect: - Flexion contractures of the hip

39. A goniometer is used to assess: - Range of motion

• 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. – Valgus stress

• You note that a child has a positive Gower Sign. You know that this indicates

generalized: - Muscle weakness

• The dowager hump is: - The hallmark of osteoporosis
• / 4