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Health Assessment Midterm Review Exam With Answers (107 Solved Questions) - Document preview page 1

Health Assessment Midterm Review Exam With Answers (107 Solved Questions) - Page 1

Document preview content for Health Assessment Midterm Review Exam With Answers (107 Solved Questions)

Health Assessment Midterm Review Exam With Answers (107 Solved Questions)

Gain valuable exam insights with Health Assessment Midterm Review Exam With Answers, packed with previous test questions.

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Health Assessment Midterm Review Exam With Answers (107 Solved Questions) - Page 1 preview imageAdvanced Health Assessment Midterm Review of Quiz Questions1.The following information belongs in which sectionof the Comprehensive Heath History (H&P)?"3 day history of rash and swelling"A. History of Present IllnessB. Review of SystemsC. AllergiesD. Chief ComplaintD. Chief Complaint2.A patient with abdominal pain describes "what" thepain feels like and "how long" it lasts. In which partof the H&P would you place this information?A. History of Present IllnessB. Past Medical HistoryC. Sexual HistoryD. Review of SystemsA. History of pre-sent illness3.Which of the following best describes the patientrecord?A. describes the approach to a problemB. serves a dual purpose as it reflects your anaylsisof the patient's health status and documents exami-nation findingsC. shows your clinical thought processD. reflects you interpersonal skills with the patientB. serves a dualpurpose as it re-flects your anayl-sis of the patient'shealth status anddocuments exami-nation findings4.The consideration of culture and ethnicity during theinterview process are important because:A. similar cultures always provide similar responsesB. some cultures consider certain questions and ges-tures offensiveC. it is politically correctD. none of the aboveB. some cul-tures considercertain questionsand gestures of-fensive1 / 45
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Health Assessment Midterm Review Exam With Answers (107 Solved Questions) - Page 2 preview image
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Health Assessment Midterm Review Exam With Answers (107 Solved Questions) - Page 3 preview image5.During an interview, your patient admits to feelingworthless and having a sleep disturbance for the last3 weeks. These are clues that warrant exploration of:A. risk for suicideB. split personalityC. cognitive functionD. functional assessmentA. risk for suicide6.Worries persisting for =>6 months most likely reflectsone of the most prevalent psychiatric conditions inthe United States known as:A. posttraumatic stress disorderB. generalized anxiety disorderC. fatigueD. social phobiaB. generalizedanxiety disorder7.Risk factors for fatal overdose of pain medicationsinclude all of the following except:A. age 65 or olderB. depressionC. arthritisD. concurrent benzodiazepine useC. arthritis8.A healthy BMI can best be described as:A. 18.5-24.9B. 30.0-34.9C. 25.0-29.9D. 35.0-39.9A. 18.5-24.99.The comprehensive health history:A. has a completely different format that varies withC. follows thesame general for-mat regardless ofthe institution or2 / 45
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Health Assessment Midterm Review Exam With Answers (107 Solved Questions) - Page 4 preview imageeach institutionB. varies from country to countryC. follows the same general format regardless of theinstitution or geographical locationD. follows the exact same format across the world,except Europegeographical loca-tion10.Which of the following is not a common symptom ofdepression?A. AnhedoniaB. Dry lipsC. Appetite disturbanceD. WorthlessnessB. Dry lips11.During a mental status exam, which question mightyou ask to assess abstraction ability?A. What does a rolling stone gathers no moss mean?B. Start with 100 and keep subtracting by 7C How long have you been here?D. What's your mother's maiden name?A. What doesa rolling stonegathers no mossmean?12.Dave, age 76, is brought in by his wife, who states thatwithin the last 2 days Dave has become agitated andrestless, has had few lucid moments, slept very poor-ly last night and can remember only recent events. Ofthe following differential diagnoses, which best fitsthe symptoms from this brief history?A. DepressionB. DementiaC. DeliriumD. SchizophreniaC. Delirium13.Which technique is applied throughout the entire ex-amination and interview process?A. Inspection3 / 45
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Health Assessment Midterm Review Exam With Answers (107 Solved Questions) - Page 5 preview imageA. InspectionB. PalpationC. PercussionD. Auscultation14.During a patient's pain assessment, the most impor-tant element is the patient's:A. Sleep hygieneB. Perception of his/her own painC. Vital signsD. Fear of addictionB. Perception ofhis/her own pain15.The general survey of the patient includes all of thefollowing except:A. appearanceB. tanner stageC. heightD. weightB. tanner stage16.One of the main differences between a comprehen-sive and focused assessment is:A. for the comprehensive assessment you will selectthe methods relevant to thorough assessment of thetargeted problemB. for the focused assessment you will select themethods relevant to thorough assessment of the tar-geted problemC. for the focused assessment you perform a thor-ough head to toe examinationD. for the comprehensive assessment you alwaysrefer the patient to a specialist at the end of theexaminationB. for the focusedassessment youwill select themethods relevantto thorough as-sessment of thetargeted problem4 / 45
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Health Assessment Midterm Review Exam With Answers (107 Solved Questions) - Page 6 preview image17.Which of the following is an example of subjectivedata:A. Mr. D's vital signs are BP 138/66 P 107 T 99.9 SPO292% RR 20B. Mr. D has inspiratory and expiratory wheezes notedduring auscultation of the lungsC. Mr D's CXR shows an infiltrate in the left lower lobeconsistent with pneumoniaD. Mr D is a 53 year old male who presents to the cliniccomplaining of shortness of breath and says "it hurtsto take deep breaths." He reports this started 2 daysago and says he's been having fever and chills.D. Mr D is a 53year old male whopresents to theclinic complainingof shortness ofbreath and says "ithurts to take deepbreaths." He re-ports this started 2days ago and sayshe's been havingfever and chills.18.All of the following are included in the Review ofSystems except:A. generalB. CardiovascularC. PsychiatricD. All of the aboveD. All of the above19.Which of the following is not a goal when developinga systematic sequence of examination:A. maximize the patients' comfortB. perform invasive imaging firstC. avoid unnecessary changes in positionD. enhance clinical efficiencyB. perform inva-sive imaging first20.All of the following are examples of health promotionexcept:A. using USPSTF guidelines for practice during theexamC. removing babyaspirin 81 mgfrom the medica-tion list of a patientwith know coro-nary artery dis-5 / 45
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Health Assessment Midterm Review Exam With Answers (107 Solved Questions) - Page 7 preview imageB. using American College of Chest Physicians grad-ing criteria during the examC. removing baby aspirin 81 mg from the medicationlist of a patient with know coronary artery diseaseduring the examD. using CDC recommendations for exercise duringthe examease during theexam21.The initial moments of your encounter with a pa-tient lay the foundation for your ongoing relationship.Which of the following best helps lay that foundation:A. ensure there is more than adequate lighting in theexam roomB. explain your role, your status as a student providerand how you will be involved in the patient's careC. check the light source in the otoscopeD. check the light source in the opthalmascopeB. explain yourrole, your sta-tus as a studentprovider and howyou will be in-volved in the pa-tient's care22.Which of the following is not one of the seven attrib-utes of a symptom:A. locationB. qualityC. timingD. immunization statusD. immunizationstatus23.All of the following are examples of empathic re-sponses except:A. "I cannot imagine how hard this must be for you"B. "I think you need a psych consult immediately"C. "You must be feeling sad"D. "That sounds upsetting"B. "I think youneed a psych con-sult immediately"24.Which of the following are components of the threedimensions of cultural humility:D. all of the above6 / 45
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Health Assessment Midterm Review Exam With Answers (107 Solved Questions) - Page 8 preview imageA. self-awarenessB. respectful communicationC. collaborative partnershipD. all of the above25.When performing the general survey which of thefollowing is not considered a sign of distress:A. painB. labored breathingC. large mole on foreheadD. anxietyC. large mole onforehead26.You are speaking to an 8th grade class about healthprevention and are preparing to discuss the ABCDEsof melanoma. Which of the following descriptionscorrectly defines the ABCDEs?A = asymmetry; B = irregular borders; C = colorchanges, especially blue; D = diameter >6 mm; E =evolutionA = actinic; B = basal cell; C = color changes, espe-cially blue; D = diameter >6 mm; E = evolutionA = actinic; B = irregular borders; C = keratoses; D =dystrophic nails; E = evolutionA = asymmetry; B = regular borders; C = colorchanges, especially orange; D = diameter >6 mm; E= evolutionA = asymmetry;B = irregular bor-ders; C = col-or changes, espe-cially blue; D = di-ameter >6 mm; E= evolution7 / 45
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Health Assessment Midterm Review Exam With Answers (107 Solved Questions) - Page 9 preview image27.A 28-year-old patient comes to the office for evalua-tion of a rash. At first there was only one large patch,but then more lesions erupted suddenly on the backand torso; the lesions itch. On physical examination,you note that the pattern of eruption is like a Christ-mas tree and that there are a variety of erythematouspapules and macules on the cleavage lines of theback. Based on this description, what is the mostlikely diagnosis?Tinea versicolorPityriasis roseaPsoriasisAtopic eczemaPityriasis rosea28.A 19-year-old construction worker presents for eval-uation of a rash. He notes that it started on his backwith a multitude of spots and is also on his arms,chest, and neck. It itches a lot. He does sweat morethan before because being outdoors is part of his job.On physical examination, you note dark tan patcheswith a reddish cast that has sharp borders and finescales, scattered more prominently around the upperback, chest, neck, and upper arms as well as underthe arms. Based on this description, what is yourmost likely diagnosis?Tinea versicolorPityriasis roseaTinea versicolor8 / 45
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Health Assessment Midterm Review Exam With Answers (107 Solved Questions) - Page 10 preview imagePsoriasisAtopic eczema29.Which skin lesions are most commonly found onsun-exposed skin of older, fair-skinned people?Skin tagsSeborrheic keratosesActinic keratosesAngiomasActinic keratoses30.A 68-year-old retired farmer comes to your office forevaluation of a skin lesion. On the right temporalarea of the forehead, you see a flattened papule thesame color as his skin, covered by a dry scale that isround and feels hard. He has several more of thesescattered on the forehead, arms, and legs. Based onthis description, what is your most likely diagnosis?Seborrheic keratosisActinic keratosisBasal cell carcinomaActinic keratosis9 / 45
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Health Assessment Midterm Review Exam With Answers (107 Solved Questions) - Page 11 preview imageSquamous cell carcinoma31.Which type of lesion often grows out of already pre-sent nevi that are changing or atypical, especially ifthe patient is over 50 years old:malignant melanomabasal cell carcinomasquamous cell carcinomakarposi sarcomamalignantmelanoma32.Nail involvement characterized by painless separa-tion of the nail plate from the nail bed is termed:Hippocratic nailsOnycholysisKoilonychiaAnonychiaOnycholysis33.A 72-year-old teacher comes to a skilled nursing fa-cility for rehabilitation after being in the hospital for6 weeks. She was treated for sepsis and respiratoryfailure and had to be on the ventilator for 3 weeks.You are completing your initial assessment and areStage 310 / 45
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Health Assessment Midterm Review Exam With Answers (107 Solved Questions) - Page 12 preview imageevaluating her skin condition. On her sacrum there isfull-thickness skin loss that is 5 cm in diameter, withdamage to the subcutaneous tissue. The underlyingmuscle is not affected. You diagnose this as a pres-sure ulcer. What is the stage of this ulcer?Stage 1Stage 2Stage 3Stage 434.Sammy, age 12, presents with claerly demarcatedround or oval patches of hair loss without visiblescaling or inflammation. What do you suspect?PsoriasisErythema multiformeAlopecia AreataSyphilisAlopecia Areata35.A basal cell carcinoma is:an epithelial tumor that originates from either thebasal layer of the epidermis or cells in the sur-rounding dermal structures and are usually found inan epithelial tu-mor that origi-nates from eitherthe basal layerof the epidermis11 / 45
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Health Assessment Midterm Review Exam With Answers (107 Solved Questions) - Page 13 preview imagesun-exposed areasa malignant tumor of the squamous epithelium of theskin or mucous membranesan overgrowth and thickening of the cornified epithe-liumlined with epithelium and contains a fluid or semisol-id materialor cells in thesurrounding der-mal structures andare usually foundin sun-exposed ar-eas36.You ask a patient to follow your finger laterallywhen evaluating extraocular movements. Which cra-nial nerves are you testing?IV, VIIIII, VIIII, XII, IIIIII, VI37.The mental status examination enables the nursepractitioner to identify:Intelligence quotient and reasoningAbstract thinking and memory functioningReasoning and psychomotor skillsAbstract thinkingand memory func-tioning12 / 45
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Health Assessment Midterm Review Exam With Answers (107 Solved Questions) - Page 14 preview imageMemory functioning and intelligence38.An assessment of a client experiencing hallucina-tions would most likely reveal all of the followingexcept:experiences that seem real but lack actual externalstimulationmay be auditorymay be visualonly occurs in the setting of schizophreniaonly occurs in thesetting of schizo-phrenia39.The nurse practitioner is examining an adolescentwho has been a long-term IV cocaine user.What otherfindings would alert the nurse practitioner to a fre-quent complication.Epistaxis and chronic rhinorrheaCardiac arrhythmias and hypertensionChest congestion and wheezingHepatitis and cellulitisHepatitis and cel-lulitis40.The nurse practitioner is completing a history andphysical on a child who she suspects may be autistic.Findings associated with autism include:Delay in language developmentDelay in languagedevelopment13 / 45
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