NSG 6020 Midterm Quiz (Latest)
Question 1 (2 points)
In performing an examination of a 3-year-old with a suspected
ear infection, the nurse practitioner would:
Question 1 options:
omit the otoscopic exam if the child has a fever.
pull the ear up and back before inserting the speculum.
ask the mother to leave the room while examining the
child.
perform the otoscopic examination at the end of the
assessment.
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Question 2 (2 points)
A female patient tells the nurse that she has had six
pregnancies, with four live births at term and two spontaneous
abortions. Her four children are still living. How would the nurse
record this information?
Question 2 options:
P-6, B-4, (S)Ab-2.
Grav 6, Term 4, (S)Ab 2, Living 4.
Patient has had four living babies.
Patient has been pregnant six times.
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Question 3 (2 points)
During an examination of a female patient, the nurse
practitioner notes lymphadenopathy and suspects an acute infection.
Acutely infected lymph nodes would be:
Question 3 options:
clumped.
unilateral.
firm but freely movable.
hard and nontender.
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Question 4 (2 points)
A visitor from Poland who does not speak English seems to be
somewhat apprehensive about the nurse practitioner examining his
neck. He would probably be most comfortable with the nurse
practitioner examining his thyroid:
Question 4 options:
from behind with the examiner’s hands placed firmly around
his neck.
from the side with the examiner’s eyes averted toward the
ceiling and thumbs on his neck.
from the front with the examiner’s thumbs placed on either
side of his trachea and his head tilted forward.
from the front with the examiner’s thumbs placed on
either side of his trachea and his head tilted backward.
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Question 5 (2 points)
When palpating the abdomen of a 20-year-old patient, the
nurse practitioner notes the presence of tenderness in the left
upper quadrant with deep palpation. Which of the following
structures is most likely to be involved?
Question 5 options:
Spleen
Sigmoid
Appendix
Gallbladder
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Question 6 (2 points)
A 6-month-old infant has been brought to the well-child
clinic for a check-up. She is currently sleeping. What should the
examiner do first?
Question 6 options:
Auscultate the lungs and heart while the infant is still
sleeping.
Examine the infant’s hips because this procedure is
uncomfortable.
Begin with the assessment of the eye and continue with the
remainder of the examination in a head-to-toe approach.
Wake the infant before beginning any portion of the
examination to obtain the most accurate assessment of body systems.
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Question 7 (2 points)
During a morning assessment, the nurse practitioner notes
that the patient’s sputum is frothy and pink. Which condition could
this finding indicate?
Question 7 options:
Croup
Tuberculosis
Viral infection
Pulmonary edema
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Question 8 (2 points)
A woman comes to the clinic and states, “My eyes have gotten
so puffy, and my eyebrows and hair have become coarse and dry.” The
nurse practitioner suspects:
Question 8 options:
cachexia.
cretinism.
myxedema.
scleroderma.
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Question 9 (2 points)
In performing auscultation of heart sounds, which sequence
would the nurse practitioner use?
Question 9 options:
Aortic area—pulmonic area—Erb’s point—tricuspid area—mitral
area
Pulmonic area—aortic area—Erb’s point—tricuspid area—mitral
area
Aortic area—tricuspid area—Erb’s point—mitral area—pulmonic
area
Pulmonic area—Erb’s point—tricuspid area—pulmonic area—mitral
area
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Question 10 (2 points)
During an admission assessment, the nurse practitioner
notices that a male patient has an enlarged and rather thick skull.
The nurse practitioner suspects acromegaly and would further assess
for:
Question 10 options:
exophthalmos.
bowed long bones.
coarse facial features.
an acorn-shaped cranium.
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Question 11 (2 points)
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