NURS 6512 Assignment Exam

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NURS 6512 Assignment Exam

NURS 6512 Assignment Exam


Question 1You are palpating a patient’s thyroid and find that its broadest dimension measures 4 cm. The right lobe is 25% larger than the left. These data would indicate:


B. a multinodular goiter.

D. thyroiditis.

A. a congenital anomaly.

C. a normal thyroid gland.

Question 2Mrs. Britton brings her 16-year-old son in with a complaint that he is not developing correctly into adolescence. Which structures disproportionately enlarge in the male during adolescence?


A. Coronal sutures

D. Nose and thyroid cartilages

C. Mandible and maxilla bones

B. Hyoid and cricoid cartilages

Question 3Peritonitis produces bowel sounds that are:




high pitched.


Question 4When communicating with older children and teenagers, you should be sensitive to their:


desire for adult companionship.

natural urge to communicate.

need for verbal instructions.

typical reluctance to talk.

Question 5The review of systems is a component of the:



physical examination.

health history.

past medical/surgical history.

Question 6You are examining a pregnant patient and have noted a vascular lesion. When you blanche over the vascular lesion, the site blanches and refills evenly from the center outward. The nurse documents this lesion as a:


D. purpura.

A. telangiectasia.

B. spider angioma.

C. petechiae.

Question 7Mr. Akins is a 78-year-old patient who presents to the clinic with complaints of hearing loss. Which of the following are changes in hearing that occur in the elderly? Select all that apply.



a. Loss of high frequency

b. Progression is slow

c. Bone conduction heard longer than air conduction

d. Sounds may be garbled and difficult to localize

e. Results from cranial nerve VII

f. Unable to hear in a crowded room

Question 8A guideline for history taking is for caregivers to:


write detailed information as stated by patients so that their priorities are reflected.

make notes sparingly so that patients can be observed during the history taking.

ask direct questions before open-ended questions so that data move from simple to complex.

ask for a complete history at once so that data are not forgotten between meetings.

Question 9Mr. Johnson presents with a freely movable cystic mass in the midline of the high neck region at the base of the tongue. This is most likely a:


A. parotid gland tumor.

B. branchial cleft cyst.

C. Stensen duct stone.

D. thyroglossal duct cyst.

Question 10A 51-year-old woman calls with complaints of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to:


use topical over-the-counter hemorrhoid treatment for 1 week.

eat six small meals a day.

come to the laboratory for a stool guaiac test.

exercise and eat more fiber.

Question 11

Which cranial nerves innervate the face?


D. VIII and IX

B. III and VI

A. II and V

C. V and VII

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Question 12Mr. Black is a 44-year-old patient who presents to the clinic with complaints of neck pain that he thinks is from his job involving computer data entry. As the examiner, you are checking the range of motion in his neck and note the greatest degree of cervical mobility is at:


D. C4 to C5.

B. C2 to C3.

C. C3 to C4.

A. C1 to C2.

Question 13Expected hair distribution changes in older adults include:


increased terminal hair follicles on the scalp.

more prominent peripheral extremity hair production.

more prominent axillary and pubic hair production.

increased terminal hair follicles to the tragus of men’s ears.

Question 14The attitudes of the health care professional:


do not influence patient behavior.

are culturally derived.

are largely irrelevant to the success of relationships with the patient.

are difficult for the patient to sense.

Question 15Which of the following is the most vital nutrient?






Question 16The recommended minimum daily protein requirement for the normal adult is ______.


Evaluation Method          Answer  Case Sensitivity

Match  10% to 35% of total calories

Contains              10 to 35 percent

Pattern Match    It is recommended that protein content of the diet be 10% to 35% of total calories, or 46 g in adults.

Contains              10% to 35%

Question 17Mr. Mills is a 55-year-old patient who presents to the office for an initial visit for health promotion. A survey of mobility and activities of daily living (ADLs) is part of a(an):


ethnic assessment.

functional assessment.

social history.

genetic examination.

Question 18When examining the skull of a 4-month-old baby, you should normally find:


D. overlap of cranial bones.

A. closure of the anterior fontanel.

C. ossification of all sutures.

B. closure of the posterior fontanel.

Question 19Periods of silence during the interview can serve important purposes, such as:


allowing the clinician to catch up on documentation.

increasing the length of the visit.

providing time for reflection.

promoting calmness.

Question 20After thorough inspection of the abdomen, the next assessment step is:




rectal examination.


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