Description

NR 509 Week 2 Quiz – 10 out of 10 Points

1. Question: What is the recommended approach for depression screening in adolescents aged 12 to 18 years?
2. Question: A 9-year-old child presents with recent behavioral changes, including nightmares, irritability, and school refusal. What is the most appropriate next step for the nurse practitioner?
3. Question: In the electronic health record (EHR), which of the following statements should be documented in the Assessment section?
4. Question: During a HEENT exam, a patient is noted to have diminished hearing in one ear. What is the most appropriate next step in assessment?
5. Question: What is the bell of the stethoscope primarily used for?
6. Question: Which of the following findings most strongly suggests a neurologic disorder?
7. Question: Which of the following is the best example of using pertinent positives to support a diagnosis?
8. Question: A patient is asked to interpret a proverb but responds literally. Which aspect of mental functioning is being assessed?
9. Question: A patient presents with acute chest pain radiating to the left arm and shortness of breath. What should the nurse practitioner do first?
10. Question: A 72-year-old patient has multiple rough, scaly lesions with a horn-like texture on the forearms. What is the most likely diagnosis and management consideration?
    

    ---

NR 509 Week 2 Quiz – 10 out of 10 Points

1. Question: While conducting a general survey during a comprehensive physical exam, which of the following findings would most warrant further evaluation of the patient’s neurologic status?
2. Question: During the process of differential diagnosis, the NP lists several possible conditions for a patient presenting with fatigue, weight loss, and night sweats. Which of the following best demonstrates the correct use of pertinent positives and negatives?
3. Question: A 63-year-old male presents with a 3-day history of productive cough, fever, and fatigue. He reports a 20-yearhistory of smoking. His temperature is 101.8F, respiratory rate is 22, and auscultation reveals crackles in the right lower lung field. A chest x-ray shows consolidation in the right lower lobe. “What information belongs in the assessment section of the EHR?”
4. Question: A 7-year-old child is brought into the clinic by a parent who reports recent changes in behavior, including frequent nightmares, refusal to go to school, and increased irritability. What is the most appropriate initial clinical response by the NP?
5. Question: A 45-year-old female presents with acute chest pain radiating to the left arm and shortness of breath. In constructing a differential diagnosis, which of the following actions best reflects the NP’s prioritization of a “must not miss” diagnosis?
6. Question: During the HEENT portion of an exam, the NP tests a patient’s auditory acuity and notes diminished hearing in the right ear. What is the most appropriate next step?
7. Question: During a mental status exam, the NP asks a patient to interpret the meaning of the proverb, “people who live in glass houses shouldn’t throw stones.” The patient responds with, “Because the glass will break and they’ll get hurt.” This response most directly suggests a deficit in which area of mental functioning?
8. Question: A 72-year-old patient presents with multiple rough, scaly lesions on the dorsal On examination, the lesions have a “horn-like” texture and vary in appearance. Which of the following is the most appropriate clinical interpretation and next step?
9. Question: The NP is conducting a well-child visit for a 14-year-old adolescent. In alignment with clinical practice guidelines, which of the following best reflects appropriate depressions screening practice?
10. Question: A 60-year-old male presents for a routine exam. The NP auscultates the heart using both the diaphragm and bell of the stethoscope. What is the primary reason for using the bell at the apex and lower left sternal border?