past quiz questions Flashcards
Hey Genome is used to illustrate
Past health history
Past history of hospitalizations
Family health history
Frequency of episodic care
Family health history
Cultural assessment must be done on all clients the most accurate description of this is
The process of assisting clients having different cultural orientations
An assessment of a clients, dominant culture, including accompanying health, beliefs, and beliefs about birth, illness, and death
An area that has always been in nursing is included in nursing criteria
An assessment of whether the child and family care for a traditional healer, and to advise them to avoid such healers
An assessment of a clients, dominant culture, including the accompanying health, beliefs, and beliefs about birth, illness, and death
Which statement is true regarding the relationship of physical characteristics and cult
Physical characteristics should be used to identify members of cultural group
There is a difference between distinguishing cultural characteristics and distinguishing physical characteristics
To be a member of a specific culture, an individual must have certain identifiable, physical characteristics
Gender and race are the two essential physical characteristics used to identify cultural groups
There is a difference between distinguishing cultural characteristics and distinguishing physical characteristics
When assessing physical growth and development in infants and children, the APR knows the cephalcaudle development corresponds to
Gross motor develop
Fine motor development
Cognitive development
Social emotional development
Gross development
When assessing physical growth and development in infants and children, the APRN knows that proximal distal development corresponds to
Gross motor development
Find motor development
Cognitive develop
Socio emotional development
Fine Motor development
The bell of the stethoscope
Is used to osculate low soft pitch sounds
Is used to osculate high-pitched sounds
Should be held firmly against the skin
Is used to oscillate normal lung sounds
Is used to osculate soft low pitch sounds
The best description of the sound that’s heard when percussion is done over muscle or bone is
Flatness dullness residence, Timpany
Dullness
The best description of the sound that has heard when percussion is done over the abdomen that is distended with air is
Flatness dullness resonance Timpany
Timpany
Which of the following describes a primary lesion of the skin?
Scale
Fissure
Crust
Plaque
Plaque
Which of the following describes a secondary lesion of the skin?
Macule
Tumor
Atrophy
Wheel
Atrophy
What should be included in descriptions of skin lesions?
Color, dry or moist, raised, or flat, borders, measurement, location (specifically)
Oscillation for a temporal bruit can be indicative of:
Temporal arthritis
Migraine
Impending blindness
Hypoglossal nerve impairment
 temporal arthritis
 the cover/uncover test is used to detect
Glaucoma
Cataracts
A stigmatism
Strabismus
Strabismus
Untreated strabismus will result in:
 epiphora
Neurological blindness (amblyopia)
Photophobia
Esotropia
Neurological blindness
 which of the following is associated with conductive hearing loss: 
Increased intracranial pressure
Use of aminoglycosides
Bacterial meningitis
Impacted cerumen
Impacted cerumen
Which of the following is associated with Sero neural hearing loss?
Head trauma
Otitis media with a effusion
Impacted cerumen
Perforated tympanic membrane
Head trauma
What age can we start doing the whisper test to evaluate hearing in children?
Three years
Symmetrical movement of the soft palate and uvula in indicates intact function of which cranial nerve?
Glossopharyngeal and vagus nerve
Which which is nine and 10
What is the cause of blue dark circles under the eyes?
Allergic rhinitis, vasodilation or nasal congestion
Geographical tongue or benign migratory glossitis is described as
Dry, yellow colored ventral surface of the tongue
Inflamed tongue with erythematous Pelia
Superficial deduded, circle or irregular areas exposing the tips of Pelia
Enlarged and red tongue
 superficial deluded circle or irregular areas exposing the tips of Pelia
Which of the following is true regarding the inspection of the skin and mucous membrane in an individual with darker skin tones
Petechia or more visible darker skin
Eccmosis appears lighter on darker skin
Pallor may appear as yellow brown in brown skin and as gray and very dark brown or black skin
Cyanosis appears as a red and color and individuals with darker skin tones
 Pour may appear as yellow brown in brown skin and as gray and very dark brown or on black skin 
Asking the patient to raise and lower the eyebrows evaluates, which cranial nerve?
Five
The normal contour of the tympanic membrane in adults should be
Slightly conicle with a concavity at the Umbo
Low pitch loud often, rattling bubbling, or gurgling sound her mainly at the beginning of inspiration caused by secretions in large airways often clears with coughing described as
Wheezes
Diminished
Crackles
Rhonchi
Rhonchi
Which is true about the respiratory rate in children
The respiratory rate increases initially with respiratory distress
The respiratory rate decreases initially with the respiratory distress
The rate increases in the latter phase of respiratory distress
The normal respiratory rate for children is 12 to 20 breaths per minute
The respiratory rate is not affected by bronco construction in young children
The respiratory rate increases initially with respiratory distress
The respiratory rate increases initially with respiratory distress and decreases as severe respiratory distress in respiratory failure, and the normal respiratory rate for children varies according to age the respiratory rate is affected by bronco construction in young children 
Why does asthma cause prolonged expiratory time?
Prolonged expiratory phase may occur with an acute asthma exacerbation due to carbon dioxide retention nasal pharyngitis, laryngotracheobronchitis and bacterial tracheitis do not cause carbon dioxide retention or a prolonged expiratory phase 
Acrocyanosis is:
A late sign of respiratory distress in children
An indication of cardio, pulmonary disease
A sign of anemia in children
A normal finding in the newborn
Normal finding in the newborn. Central is a late sign of respiratory distress and children, as well as an indication of cardio, pulmonary disease.
Retractions are caused by what?
Hypoxia
True regarding innocent murmurs:
The murmur is diastolic
A precordial thrill is present
Innocent murmurs are always loud
The murmur is low intensity, grade one through three
Low intensity. Innocent murmurs are never purely diastolic presence of a thrill occurs in grade 4 through six Murmurs. innocent murmurs are low to medium in Audible intensity.
Newborns are screening for congenital heart disease. The timing of the screening is as follows:
After 24 hours of age before discharge from the hospital
Anytime before discharge
Immediately after birth
Within 24 hours of birth
After 24 hours of age before discharge from the hospital
Which of the following is true regarding the third heart sound
May normally be heard in thin, school-age, children, and adolescence
Is associated with excessive flow across the AV valves
Suggest decrease ventricular compliance
Is where children is always pathologic
Thin children
Which action will diminish the intensity of a Venus hum
Tilting the head upward
Turning the head away from the area of auscultation
Performing the Vasavada maneuver
Taking a deep breath
Turning the head away from the area of auscultation
How does turning the patient’s head to the side being examined facilitate palpation of the carotid pulse?
Relaxes sternocleidomastoid muscle
The jugular reflex can be used to evaluate which condition
Right sided heart failure
Degree of aortic stenosis
Incompetence of Venus valves
Arterial insufficiency
Right sided heart failure
Which problem should be suspected when an examiner documents of the patient has thicken skin and 2+ putting edema of the right lower extremity?
Occlusion of a major vein 
Dextrocardia is a condition characterized by which of the following
The right side of the heart is enlarged
The heart is position to the right of the stomach
The heart is position to the right ear rotated or displaced
Blood glucose level in the heart is higher than in other organs
The heart is positioned to the right, rotated or displaced
Which disease process should the examiner consider if a patient reports a history of fever and has had sudden onset of clinical symptoms of congestive heart failure?
Bacterial endocarditis
Infarction
Myocarditis
Cardiac tamponade
Seidel textbook chapter 15, page 353
The examiner suspects that a patient has pulmonary hypertension what examination findings are consistent with this
Decrease intensity of S1 increase intensity of two heart sounds
A thrill palpated in the Apex
Paradoxic, splitting of S1 and S2 heart sounds
Pericardial friction rub
splitting
Seidel textbook chapter 15, page 340
While palpating the precordium, a heave is identified with lateral displacement of the apical pulse. Such a finding may indicate.
Left ventricular hypertrophy
What position should you put your patient into hear Low pitch filling sounds of the heart.
Left lateral recumbent position and listen with the bell of the stethoscope
48-year-old patient presents for the examination of his knee on examination you know excessive hyper extension of the knee on weight-bearing. This may indicate.
Genu Valgum
Weakness in the quadriceps muscles
Weakness in the cruciate ligament
Weakness in the collateral ligament
Seidel textbook chapter 22 page 558
For which type of problem does a family history have significance?
Ankylosing spondylitis
Dislocation of radius
Lumbosacral radiopathy
Bursitis
Seidel textbook chapter 22 page 572
Which of the following data from a patient’s history indicates an increase increase risk for osteomyelitis
Severe gout
Rheumatoid arthritis
Severe osteoporosis
Fracture of the radius
Seidel textbook chapter 22 page 574
Genu varum is:
Flat feet
Bowing of the legs
Knock knees
Convex curvature of the spine
Bowing of the legs
Normal BMI
18.5 to 24.9 
Which rule states that the further way from the naval abdominal pain occurs the more likely it is to be of pathological importance?
Apley
When diagnosing abdominal pain asked the patient to point a finger to the location of the pain. If it is not directed to the umbilicus, but goes immediately to a fixed point there is a greater likelihood that this has a significant pathological importance.
What is fibrocytic disease?
Fiber, acidic changes are typically benign fluid filled cyst, formations caused by ductal enlargement, tender, painful breast and or palpable lumps that fluctuate with mines, and that are usually worse pre-menstrually
Which finding may be indicative of a pelvic mass
The cervix is pale in color
Deviated to the right
Protruding 2.5 cm into the vagina
Pointing anteriorly
The cervix is
Deviated may indicate a pelvic mass uterine adhesion or pregnancy 
Orthorexia is characterized by an unhealthy obsession with healthy eating rather than a primary focus on weight. The main therapeutic approach of often involves addressing the underlying obsessions rigid food, beliefs rather than restoration
Which of the following glands in addition to the pituitary gland and gonads play a crucial role in regulating these changes in teens?
Adrenal
Thyroid
Pancreas
Hypothalamus
 hypothalamus, along with the pituitary and the gonads play a crucial role in regulating the hormone changes that occurred during puberty, it releases tropin releasing hormone, which stimulates the pituitary gland to release hormone that acts on the gonads leading to the physical and emotional changes associated with puberty
Characteristics of concerning cancer
Hard, fixed, large
Which of the following best describes the feel of a normal prostate gland?
Soft olive or grape
Small sea sponge
Ping-pong ball
Pencil eraser
Pencil eraser, firm, smooth and slightly movable, and it should be nontender
Rectal pain is almost always indicative of
Local disease
Which finding on examination of a females patient’s breast requires further investigation
Wrinkled areolas
Prominent Montgomery tubercles
One breast larger than the other
Unilateral visible Venus network
Venus network may be visible, although they are usually pronounced only in breast of pregnant or obese women. Venus pattern should be symmetric unilateral Venus patterns can occur as a result of increased blood flow to a malignancy this finding requires further investigation 
Most primitive reflexes disappeared by age what
4 to 6 months
An example of a formal screening tool that can be used in primary care to assess for substance abuse, in teens is
The CRAFFT screening interview screens for substance-abuse and teens
