Week 1 quiz
Question 1Drawing of stick figures is most useful to:
Question 2Mr. F. is speaking with you, the health care
provider, about his respiratory problem. Mr. F. says, I ve had this cough for 3
days, and it s getting worse. You reply, Tell me more about your cough. Mr. F.
states, I wish I could tell you more. That s why I m here. You tell me what s
wrong! Which caregiver response would be most appropriate for enhancing
communication?
Question 3During the course of the interview you should:
Question 4Which of the following formats would be used for
visits that address problems not yet identified in the problem-oriented medical
record (POMR)?
Question 5Constitutional symptoms in the ROS refer to:
Question 6A detailed description of the symptoms related to
the chief complaint is presented in the:
Question 7Which of the following is not a characteristic of
the plan portion of the problem-oriented medical record?
Question 8When recording assessments during the construction
of the problem-oriented medical record, the examiner should:
Question 9Mrs. G. reports an increase in her alcohol intake
over the past 5 years. To screen her for problem drinking, you would use the:
Question 10During a history-taking session, Mr. B. appears
to be avoiding certain questions. He keeps looking out the window. What should
the caregiver do?
Question 11Mary Jane has brought in her 16-year-old son,
Kyle. She states that he has been sleeping more, doesn t hang around his
friends, and recently his girlfriend broke up with him. Your most immediate
question is to ask Kyle:
Question 12You are collecting a history from an 11-year-old
girl. Her mother is sitting next to her in the examination room. When
collecting history from older children or adolescents, they should be:
Question 13J.M. has been seen in your clinic for 5 years.
She presents today with signs and symptoms of acute sinusitis. The type of
history that is warranted is a(n) _____ history.
Question 14A tool used to screen adolescents for alcoholism
is the:
Question 15Ms. S. reports that she is concerned about her
loss of appetite. During the history, you learn that her last child recently
moved out of her house to go to college. Rather than infer the cause of Ms. S.
s loss of appetite, it would be better to:
Question 16Subjective and symptomatic data are:
Question 17Which of the following is an effective adjunct to
document location of findings during recording of physical examinations?
Question 18When taking a history, you should:
Question 19Which question would be considered a leading
question?
Question 20Which of the following is considered an IADL but
not an ADL?
Week2 quiz
Question 1When percussing, a dull tone is expected to be
heard over:
Question 2Which technique should be used to stabilize the
stethoscope during auscultation?
Question 3The degree of percussion tone is determined by the
density of the medium through which the sound waves travel. Which statement is
true regarding the relationship between density of the medium and percussion
tone?
Question 4Which of the following describes a physical, not a
cultural, differentiator?
Question 5Your new patient is a 40-year-old Middle Eastern
man with the complaint of new abdominal pain. You are concerned about violating
a cultural prohibition when you prepare to do his rectal examination. The best
tactic would be to:
Question 6Which statement is true regarding the
impoverished?
Question 7To perform a deep tendon reflex measurement, you
should:
Question 8In terms of cultural communication differences,
Americans are more likely to _____ than are other groups of patients.
Question 9Underestimation of blood pressure will occur if
the blood pressure cuff s bladder:
Question 10Guidelines for Standard Precautions indicate that
mask and eye protection or a face mask should be worn while performing:
Question 11A patient in the emergency department has a
concussion to the head. You suspect the patient may also have a retinal
hemorrhage. You are using the ophthalmoscope to examine the retina of this
patient. Which aperture of the ophthalmoscope is most appropriate for this
patient?
Question 12A nonambulatory 80-year-old male patient tells
the female nurse that he feels like he is having drainage from his rectum.
Which initial nursing action is appropriate?
Question 13For a woman with a small vaginal opening, the
examiner should use a _____ speculum.
Question 14Which statement is true regarding the
relationship of physical characteristics and culture?
Question 15You are performing a vaginal examination for a
patient with a history of spina bifida. As you insert the metal speculum, the
patient suddenly feels nauseated and is sweating, and her skin turns blotchy.
What is your most immediate reaction to this situation?
Question 16The infant should be placed in which position to
have his or her height or length measured?
Question 17Which question has the most potential for
exploring a patient s cultural beliefs related to a health problem?
Question 18Expected normal percussion tones include:
Question 19A naturalistic or holistic approach to health
care often assumes:
Question 20Because of common cultural food preferences,
avoidance of monosodium glutamate (MSG) is likely to be most problematic for
the hypertensive patient of which group?
Week 3 quiz
Question 1Milestone achievements are data most likely to
appear in the history of:
Question 2In clinical practice, the Ballard Assessment Tool
is used to assess a newborn’s:
Question 3At what age does peak height growth velocity occur
in boys?
Question 4Which breast Tanner stage corresponds to a
secondary areola mound development above the breast?
Question 5Gender-specific skeletal differences first occur
during:
Question 6A detailed description of the symptoms related to
the chief complaint is presented in the:
Question 7Subjective and symptomatic data are:
Question 8Which of the following is an example of a problem
requiring recording on the patient s problem list?
Question 9Deficiency of which micronutrient is implicated in
osteoporosis?
Question 10When recording assessments during the
construction of the problem-oriented medical record, the examiner should:
Question 11In children 3 to 18 years of age, the formula age
+ 5 g should be used to determine _____ needs.
Question 12Which medication is frequently associated with
weight gain?
Question 13Which of the following is an effective adjunct to
document location of findings during recording of physical examinations?
Question 14A major risk factor for developing an eating
disorder is having:
Question 15Which of the following formats would be used for
visits that address problems not yet identified in the problem-oriented medical
record (POMR)?
Question 16An anorexia patient is different from the bulimic
patient because of the following characteristics:
Question 17You are advising a patient concerning his
targeted low-density lipoprotein cholesterol (LDL-C) level. The patient
currently smokes and has medication-controlled hypertension. You should tell
this patient that he should modify his diet and exercise in order to meet the
target LDL-C of <_____ mg/dL.
Question 18The patient s perceived disabilities and
functional limitations are recorded in the:
Question 19During the course of the interview you should:
Question 20Which B vitamin is deficient in patients with
pernicious anemia?
Week 4 quiz
Question 1Which of the following is a noncandidal fungal
infection?
Question 2Which of the following is an “ABCD”
characteristic of malignant melanoma?
Question 3A 5-year-old child presents with discrete vesicles
on an erythematous base (dew drops on a rose petal appearance) that began near
her scalp and are spreading to the trunk. The child has a low-grade fever and
feels tired. What is the nurse’s next action?
Question 4Cherry angiomas are a common finding in:
Question 5 The skin repairs surface wounds by:
Question 6As part of your health promotion education for a
new patient, you explain that the risk factors for skin cancer include:
Question 7Mrs. Britton is a 34-year-old patient who presents
to the office with complaints of skin rashes. You have noted a 4 ´ 3-cm, rough,
elevated area of psoriasis. This is an example of a:
Question 8Small, minute bruises are called:
Question 9A 17-year-old student complains of a “rash
for 3 days.” You note pale, erythematous oval plaques over the trunk. They
have fine scales and are arranged in a fernlike pattern with parallel
alignment. What is the nurse’s next action?
Question 10A 29-year-old white woman appears jaundiced. An
etiology of liver disease has been excluded. What history questions should the
nurse ask?
Question 11A simian line seen in the palm of a small child
may imply:
Question 12The nurse inspects an annular lesion. What type
of additional lighting source should be used for further assessment?
Question 13The characteristic that best differentiates
psoriasis from other skin abnormalities is the:
Question 14Age spots are also called:
Question 15 The secretory activity of the sebaceous glands
is stimulated by:
Question 16A Dennie-Morgan fold is probably caused by:
Question 17The most common cutaneous neoplasm is:
Question 18Sally comes to your family practice clinic 24
hours after she lacerated her foot on an oyster shell. The wound is 4cm in
length, shallow, and is on the sole of her foot. There is a small amount of
bleeding on the dressing. She asks you to suture it closed because it keeps
leaking blood. What is the best response?
Question 19The rationale for suturing wounds includes:
Question 20Wound infections are often
cause by all of the following organisms except:
Week 5 quiz
Question 1 Mrs.
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?
Question 2 Self-analysis assists providers in giving proper
context to:
Question 3 You are using a pneumonic attachment on the
otoscope while assessing tympanic membrane movement. You gently squeeze the
bulb but see no movement of the membrane. Your next action should be to:
Question 4 Which of the following is true regarding
cephalhematoma?
Question 5 The thyroid gland should:
Question 6 To approximate vocal frequencies, which tuning
fork should be used to assess hearing?
Question 7 Expected physical changes associated with older
adults include:
Question 8 L.G., age 58, has a chief complaint of diffuse,
crampy abdominal pain, which has progressed to a severity scale of 7 out of 10.
He is afebrile and denies nausea and vomiting and diarrhea. Family history is
positive for intestinal polyps, diabetes mellitus, and Alzheimer disease. His
past medical history is positive for kidney stones, gastroesophageal reflux
disease, and hypercholesterolemia. Physical examination is positive for
guarding and tenderness in the epigastric region but is otherwise normal. In an
effort to confirm your hypothesis, you should schedule a(n):
Question 9 In the presence of otitis externa, tympanic
membrane perforation, or myringotomy tubes you should:
Question 10 When hearing is evaluated, which cranial nerve
is being tested?
Question 11 A newborn whose serum bilirubin is greater than
20 mg/100 mL risks later:
Question 12 Which of the following is not a component of a
management plan?
Question 13 Which of the following recreational drugs is
commonly associated with nasal septum perforation?
Question 14 For best results, an otoscopic and oral
examination in a child should be:
Question 15 A patient has come in with a chief complaint of
facial pain and “sinus issues.” Transillumination of the right sinus produces
no light. You consulted your preceptor to order a sinus x-ray and she agreed.
Which of the following findings on x-ray would support your diagnosis of
sinusitis?
Question 16 An increased level of lysozyme in the tears will
occur normally during which life stage?
Question 17 Xanthelasma may suggest that the patient has an
abnormality of:
Question 18 When testing corneal sensitivity controlled by
cranial nerve V, you should expect the patient to respond by:
Question 19 You are attempting to examine the eyes of a
newborn. To facilitate eye opening, you would first:
Question 20 Cotton wool spots are most closely associated
with:
Week 6 quiz
Question 1 On a CXR, which of the following is true of the
diaphragm?
Question 2 The most helpful finding in determining
left-sided heart failure is:
Question 3 Respiratory effort usually exhibited by the
patient with cerebral brain damage is called:
Question 4 A third heart sound is created by:
Question 5 Electrical activity recorded by the
electrocardiogram (ECG) tracing that denotes the spread of the stimulus through
the atria is the:
Question 6 The amplitude of pulses is recorded on a(n):
Question 7 Chronic obstructive pulmonary disease,
pericarditis, and pericardial effusion are most often associated with:
Question 8 A bounding pulse in an infant may be associated
with:
Question 9 Conduction system impairment should be suspected
if an irregular heartbeat is:
Question 10 The spread of the impulse through the ventricles
(ventricular depolarization) is depicted on the ECG as the:
Question 11 In infants or small children, a capillary refill
time of 4 seconds:
Question 12 Thrombosis of a leg vein should be suspected if
the patient feels calf pain:
Question 13 A 34-year-old man is being seen for complaints
of dull pain between the shoulder blades that is more intense with deep
breathing and coughing. Upon auscultation of the chest you suspect that you
will hear:
Question 14 Heart position can vary depending on body
habitus. In a short, stocky individual, you would expect the heart to be
located:
Question 15 The level at which the jugular venous pulse is
visible gives an indication of:
Question 16 Which of the following statements is most
accurate in describing hepatic jugular reflux?
Question 17 Purkinje fibers are located in the:
Question 18 As you take vital signs on Mr. B., age 78, you
note that his respirations are 40 per minute. He has been resting and his
mucosa is pink. Concerning Mr. B. s respirations, you would:
Question 19 Systolic hypertension in the adult is generally
defined as pressure in excess of:
Question 20 In barrel chest, the ratio of anteroposterior
diameter to transverse (lateral) diameter is:
Week 7 quiz
Question 1 A patient suspected of having a peptic ulcer
would receive further routine evaluation with all of the following except:
Question 2 Pulsus paradoxus greater than 20 mm Hg,
tachycardia greater than 130 beats per minute, and increasing dyspnea are signs
of:
Question 3 A 23-year-old man comes to the urgent care clinic
with intense left flank and lower left quadrant pain. One patient response to
history of present illness questions that further supports a tentative
diagnosis of renal calculi is:
Question 4 Auscultation of borborygmi is associated with:
Question 5 When examining a patient with tense abdominal
musculature, a helpful technique is to have the patient:
Question 6 Mrs. G. is 7 months pregnant and states that she
has developed a problem with constipation. She eats a well-balanced diet and is
usually regular. You should explain that constipation is common during
pregnancy due to changes in the colorectal areas, such as:
Question 7 An umbilical assessment in the newborn that is of
concern is:
Question 8 In order to assess for liver enlargement in the
obese person, you should:
Question 9 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?
Question 10 Visible intestinal peristalsis may indicate:
Question 11 Which abdominal organs also produce hormones and
function as endocrine glands?
Question 12 A 51-year-old woman calls with complaints of
weight loss and constipation. She reports enlarged hemorrhoids and rectal
bleeding. You advise her to:
Question 13
A mother brings her 2-year-old child for you to assess. The
mother feels a lump whenever she fastens the child s diaper. Nephroblastoma is
likely for this child when your physical examination of the abdomen reveals
a(n):
Question 14 What condition is associated with purplish
striae?
Question 15 When using the bimanual technique for palpating
the abdomen, you should:
Question 16 Your patient presents with symptoms that lead
you to suspect acute appendicitis. Which assessment finding is least likely to
be associated with this condition early in its course?
Question 17 Ms. Green is an 85-year-old female patient with
dementia who presents to the emergency department with her daughter because of
a change in function. Which pain assessment scale would be the best choice?
Question 18 Body language that leads you to suspect the
person is in pain is:
Question 19 Your 85-year-old patient is complaining of right
knee pain. She has a history of osteoarthritis for which she is given antiinflammatory
medication. To assess her right knee pain, you should ask her if:
Question 20 The Joint Commission (TJC, formerly The Joint
Commission on Accreditation of Healthcare Organizations [JCAHO]) requires that:
Week 8 quiz
Question 1 A 7-year-old boy is brought into your office with
a chief complaint of possible fracture in 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?
Question 2 A patient presenting for the first time with
typical low back pain should receive which of the following diagnostic tests?
Question 3 Classic carpal tunnel syndrome would result in:
Question 4 A tingling sensation radiating from the wrist to
the hand on striking the median nerve is a positive _____ sign.
Question 5 A red, hot swollen joint in a 40-year-old man
should lead you to suspect:
Question 6 The usual number of vertebrae is:
Question 7 In differentiating osteoarthritis from rheumatoid
arthritis (RA), the osteoarthritis patient typically exhibits:
Question 8 The physical assessment technique most frequently
used to assess joint symmetry is:
Question 9 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.
Question 10 Light skin and thin body habitus are risk
factors for:
Question 11 Risk factors for sports-related injuries
include:
Question 12 An adult with bowed tibias and a shortened
thorax may have:
Question 13 Ligaments are stronger than bone until:
Question 14 An increase in muscle tone is known as:
Question 15 A goniometer is used to assess:
Question 16 When the patient flexes forward at the waist,
what spinal observation would lead you to suspect scoliosis?
Question 17 The dowager hump is:
Question 18 You note that a child has a positive Gower sign.
You know that this indicates generalized:
Question 19 The elasticity of pelvic ligaments and softening
of cartilage in a pregnant woman are due to:
Question 20 Injuries to long bones and joints are more
likely to result in fractures than in sprains until:
Week 9 quiz
Question 1 A woman brings her husband to the emergency
department and states that he is having a stroke. You are the student NP on the
hospitalist service and are sent down first to obtain the history and physical.
You develop a differential diagnosis and know that the initial gold standard
radiology test to further evaluate is:
Question 2 You are examining a patient in the emergency
department who has recently sustained head trauma. In order to initially assess
this patient s neurologic status, you would:
Question 3 While interviewing a patient, you ask him to
explain the Lion and the Mouse in order to assess:
Question 4 Which area of the brain is responsible for
perceiving sounds and for determining their source?
Question 5 You are initially evaluating the equilibrium of
Ms. Q. You ask her to stand with her feet together and arms at her sides. She
loses her balance. Ms. Q. has a positive:
Question 6 An older adult is administered the Set Test and
scores a 14. The nurse interprets this score as indicative of:
Question 7 To assess spinal levels L2, L3, and L4, which
deep tendon reflex should be tested?
Question 8 The examiner should be concerned about neurologic
competence if a social smile cannot be elicited by the time a child is _____
old.
Question 9 Environmental hazards and cognitive function are
data needed for the personal and social history section of a neurologic
assessment for:
Question 10 When you ask the patient to tell you the meaning
of a proverb or metaphor, you are assessing which of the following?
Question 11 Appropriateness of logic, sequence, cohesion,
and relevance to topics are markers for assessment of:
Question 12 Facial muscle or tongue weakness may result in:
Question 13 If a patient cannot shrug the shoulders against
resistance, which cranial nerve (CN) requires further evaluation?
Question 14 The finger-to-nose test allows assessment of:
Question 15 Visible or palpable extension of the elbow is
caused by reflex contraction of which muscle?
Question 16 The major portion of brain growth and
myelinization occurs between ____ year(s) of age.
Question 17 At what age should the infant begin to transfer
objects from hand to hand?
Question 18 An acute polyneuropathy that commonly follows a
nonspecific infection occurring 10 to 14 days earlier and that primarily
affects the motor and autonomic peripheral nerves in an ascending pattern is:
Question 19 The Mini-Mental State Examination:
Question 20 You have asked a patient to close his eyes and
identify an object placed in his hand. You are evaluating:
Week 10 quiz
Question 1 Prostate examination findings of a hard,
irregular, painless nodule with obliteration of the median sulcus are signs of:
Question 2 Bimanual examination of the uterus includes:
Question 3 Which of the following is a normal component of
vaginal discharge seen on a wet mount?
Question 4 The tail of Spence extends:
Question 5 When should girls be taught to perform breast
self-examination?
Question 6 The form of gynecologic cancer that is increased
in obese women is:
Question 7 Small, pale yellow, raised, and rounded areas are
visualized on the surface of the cervix. You should:
Question 8 A 70-year-old man has a prostate-specific antigen
(PSA) value of 6 and a negative digital rectal examination (DRE). These
findings indicate:
Question 9 Initial digital approach to the rectal examination
should be:
Question 10 The most emergent cause of testicular pain in a
young male is:
Question 11 The risk of ovarian cancer is increased by a
history of:
Question 12 A mother brings her 8-year-old daughter to the
clinic because the child says it hurts to urinate after she fell while riding
her bicycle. Upon inspection, you find posterior vulvar and gross perineum
bruising. These findings are consistent with:
Question 13 The mother of a newborn boy tells you that her
baby s breasts are swollen and sometimes look as if they are leaking milk. It
is most appropriate to tell her that the:
Question 14 Your patient s chief complaint is repeated
pencil-like stools. Further examination should include:
Question 15 The female patient should ideally be in which
position for the pelvic examination?
Question 16 While examining an 18-year-old man, you note
that the penis and testicles are more darkly pigmented than the body skin. You
should consider this finding to be:
Question 17 When examining a small child, in which position
should he be placed to help push the testicles into the scrotum?
Question 18 A 23-year-old female presents with severe right
lower quadrant tenderness. All of the following should be considered in the
differential except:
Question 19 What is the initial diagnostic radiology test
that should be ordered if you suspect a ruptured ovarian cyst?
Question 20 A 17-year-old male was brought into the
emergency room with testicular/scrotal pain. The differential diagnosis should
include all except:
Week 11 quiz
Question 1 When interviewing a disabled patient, it is best
to speak to:
Question 2 Which of the following is most likely to enhance
examiner reliability?
Question 3 Throughout the history and physical examination,
the clinician should:
Question 4 At your first meeting with a patient, it is
usually best to say:
Question 5 Which of the following is true regarding the
relationship between the examiner and the patient?
Question 6 When conducting a geriatric assessment, basic
activities of daily living (ADLs) include:
Question 7 Your 15-year-old patient is athletic and thin.
Radiography of an ankle injury reveals a stress fracture. You should question
this patient about her:
Question 8 The reliability of health-related findings and
observations is the responsibility of the:
Question 9 The cranial nerves are usually assessed while the
patient is in which position?
Question 10 The best way to ease the apprehension of a
3-year-old child before a physical examination is to:
Question 11 When you attempt to move a 10-month-old child
from his mother s lap to the examination table, he screams loudly. Your best
action is to:
Question 12 Palpation of epitrochlear nodes is part of the:.
Question 13 Which medical condition would exclude one from
sports participation?
Question 14 The greatest risk for potential health problems
occurs in which age group?
Question 15 Functional assessment is most important during
the examination of a(n):
Question 16 When conveying bad or distasteful news to the
patient and family, it is best to:
Question 17 The checkout station for preparticipation
physical evaluation (PPE) is critical because at this point:
Question 18 To promote your examination time with a
cooperative child, your approach to the examination should be to:
Question 19 Which of the following data are not part of your
general inspection?
Question 20 Part of the screening orthopedic component of
the examination includes evaluating the person while:
