Walden University - NURS 6512N-153 Week 3 Quiz (1). Graded A

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Walden University - NURS 6512N-153 Week 3 Quiz (1) • Question 1 2 out of 2 points At what age does peak height growth velocity occur in boys? • Question 2 2 out of 2 points ... After 50 years of age, stature: • Question 3 2 out of 2 points Between 5 and 24 months of life, the infant's chest circumference is normally: • Question 4 2 out of 2 points Healthy term babies generally double their birth weight by what age? • Question 5 2 out of 2 points In clinical practice, the Ballard Assessment Tool is used to assess a newborn's: • Question 6 2 out of 2 points The position on a clock, topographic notations, and anatomic landmarks: • Question 7 2 out of 2 points Objective data are usually recorded: • Question 8 0 out of 2 points A college student comes to the student health center complaining of difficulty in concentrating during class and while studying. The diet that would contribute to this problem is one that consumes mostly: • Question 9 2 out of 2 points To obtain essential fatty acids, an intake of at least ____ g per day of fat is recommended. • Question 10 0 out of 2 points • Question 11 2 out of 2 points Data relevant to the social history of older adults include information on: • Question 12 2 out of 2 points Regardless of the orifice, discharge is described by noting: • Question 13 2 out of 2 points Which of the following is an effective adjunct to document location of findings during recording of physical examinations? • Question 14 2 out of 2 points Which of the following is a major function of dietary protein? • Question 15 0 out of 2 points Which of the following is the most accurate reflection of an individual s food intake? • Question 16 2 out of 2 points The body handles excess carbohydrate ingestion by: • Question 17 2 out of 2 points Which part of the information contained in the patient s record may be used in court? • Question 18 2 out of 2 points Under normal circumstances, how much water is lost daily by the body? • Question 19 0 out of 2 points When recording physical findings, which data are recorded first for all systems? • Question 20 2 out of 2 points Which medication is frequently associated with weight gain? • Question 1 2 out of 2 points The effect of the chief complaint on the patient s lifestyle is recorded in which section of the medical record? • Question 2 2 out of 2 points The patient s perceived disabilities and functional limitations are recorded in the: • Question 3 2 out of 2 points You 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. Response Feedback: This patient has two risk factors, a moderately high risk, so the LDL-C goal is <130 mg/dL, with an optional goal of <100 mg/dL. • Question 4 2 out of 2 points Three meals a day are recommended in order to: Response Feedback: Carbohydrate storage can only fuel about 13 hours of moderate physical activity; therefore, carbohydrates in frequents intervals (three meals a day) should be consumed in order to meet the energy demands of the body. • Question 5 2 out of 2 points You are using the rule of thumb for advising a 150-pound person regarding the appropriate number of calories to promote weight loss. Your advice is for the person to consume no more than _____ calories. Response Feedback: The person weighs 68 kg, which multiplied by 25 (rule of thumb for weight loss) equals 1700 calories. • Question 6 2 out of 2 points Macronutrients are so named because they: Response Feedback: Carbohydrates, protein, and fat are referred to as macronutrients because they are required in large amounts. • Question 7 2 out of 2 points Ms. G. is being seen for her routine physical examination. She is a college graduate and president of a research firm. Although her exact salary is unknown, she has adequate health insurance. Most of the above information is part of Ms. G. s _____ history. Response Feedback: The information such as education and economic condition are part of the personal and social history. It is not family data, nor does it contain any specific past medical information. Identifying information is usually limited to the name, date of birth, and assigned history number. • Question 8 2 out of 2 points Which medication is frequently associated with weight gain? Response Feedback: Medications that contribute to weight gain include steroids, oral contraceptives, antidepressants, and insulin. • Question 9 2 out of 2 points Deficiency of which of the following is a concern in the vegetarian diet? Response Feedback: The nutrients that may be deficient in a vegetarian diet if not carefully planned include proteins, calcium, iron, vitamin B12, and vitamin D. • Question 10 0 out of 2 points Which of the following is an example of a problem requiring recording on the patient s problem list? • Question 11 2 out of 2 points Information recorded about an infant differs from that of an adult, mainly because of the infant s: Response Feedback: The organizational structure of an infant s record is different because the infant s current and future health are referenced in terms of developmental status. • Question 12 2 out of 2 points Linoleic acid, a major fatty acid, is thought to be essential for: Response Feedback: Linoleic acid, found abundantly in milk and dairy fats, is required for normal growth and development. Recently, it has been suggested to reduce body fat in overweight persons as well as to have cancer-fighting properties. • Question 13 2 out of 2 points Deficiency of which micronutrient is implicated in osteoporosis? Response Feedback: Ninety-nine percent of bone is composed of calcium. A deficiency in calcium would lead to the fragile bone condition of osteoporosis. • Question 14 2 out of 2 points The examiner s evaluation of a patient s mental status belongs in the: Response Feedback: Mental status assessment, including cognitive and emotional stability and speech and language are part of the physical examination. • Question 15 2 out of 2 points Data relevant to the social history of older adults include information on: Response Feedback: The social history of older adults includes community and family support systems. Health care visits, medications, cancer screenings, and extra time to assume positions for the physical examination are not part of the social history. • Question 16 2 out of 2 points A Mexican American mother brings her 12-year-old daughter to the clinic because this child is not maturing as quickly as her classmates. You examine the daughter and determine that her growth and physical findings are within normal limits. You should explain to the family that: Response Feedback: Mexican Americans typically are taller than Asian children but shorter than Native American/American Indian, white, and African American children. This child's growth pattern should be similar to other children of similar ethnicity. More tests are not required. The daughter does not need to drink more juices and eat more fruit. There is no problem with the daughter's development. • Question 17 2 out of 2 points Mrs. Layton is a 33-year-old patient who has obesity. The majority of adult obesity begins: Response Feedback: Seventy percent of adult obesity begins in adolescence, before skeletal growth or sexual maturation is complete. • Question 18 2 out of 2 points Skeletal mass and organ systems double in size during: Response Feedback: During puberty, sex steroids stimulate secretion of growth hormone, causing the organs and skeletal mass to double in size. • • Question 19 0 out of 2 points An 11-year-old boy is brought in for an annual physical examination by his mother. You suspect _____ when you measure his arm span at 65 inches and his height at 60 inches. • Question 20 Milestone achievements are data most likely to appear in the history of: Response Feedback: As part of developmental assessment in infants, milestone achievements at certain ages, such as crawling, laughing, picking up the head, and turning over, are recorded. • Question 1 2 out of 2 points Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)? • Question 2 2 out of 2 points Which of the following is not a characteristic of the plan portion of the problem-oriented medical record? • Question 3 2 out of 2 points Body mass index (BMI) is calculated by which of the following? • Question 4 0 out of 2 points Objective data are usually recorded: • Question 5 2 out of 2 points Subjective and symptomatic data are: • Question 6 2 out of 2 points Deficiency of which of the following is a concern in the vegetarian diet? • Question 7 2 out of 2 points You are using the rule of thumb for advising a 150-pound person regarding the appropriate number of calories to promote weight loss. Your advice is for the person to consume no more than _____ calories. • Question 8 2 out of 2 points Ms. 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 9 0 out of 2 points Differential diagnoses belong in the: • Question 10 2 out of 2 points Which of the following should be assessed first in the patient with sustained rapid respirations? • Question 11 2 out of 2 points The examiner s evaluation of a patient s mental status belongs in the: • Question 12 0 out of 2 points An anorexia patient is different from the bulimic patient because of the following characteristics: • Question 13 2 out of 2 points When recording assessments during the construction of the problem-oriented medical record, the examiner should: • Question 14 2 out of 2 points A problem may be defined as anything that will require: • Question 15 0 out of 2 points The largest proportion of total energy expenditure by the body is through: • Question 16 2 out of 2 points A pregnant woman of normal prepregnancy weight should be expected to gain how much weight per week during the second and third trimesters of pregnancy? • Question 17 0 out of 2 points Which breast Tanner stage corresponds to a secondary areola mound development above the breast? • Question 18 2 out of 2 points During adolescence, the head size normally increases as a result of: • Question 19 2 out of 2 points In clinical practice, the Ballard Assessment Tool is used to assess a newborn's: • Question 20 2 out of 2 points Fifty percent of an individual's ideal weight is gained during: 1. Which recommendation is correct? A. Drink at least 6 cups of water daily. B. Fat should provide at least 40% of caloric intake. C. Limit carbohydrates to no more than 25% of the diet. D. Caloric intake is mainly from complex carbohydrates. Correct Complex carbohydrates, such as grains, fruits, and vegetables that contain starches and fiber, should supply the majority of calories in the diet. There is no specific recommendation regarding water intake. Carbohydrates should supply 45% to 65% of caloric intake. Fat intake should be limited to no more than 35% of caloric intake. Awarded 1.0 points out of 1.0 possible points. 2. 2.ID: 986687152 Which body organ depends on carbohydrates as its only energy supply? A. Brain Correct B. Liver C. Lungs D. Heart The brain uses carbohydrates in the form of glucose for its only energy supply. Persons with severe hypoglycemia develop symptoms related to disturbed mental functioning. The liver, lungs, and heart do not depend on carbohydrates solely for energy. Awarded 1.0 points out of 1.0 possible points. 3. 3.ID: 986687154 Which common breakfast food increases the bioavailability of medications such as simvastatin and may increase the incidence of adverse effects? A. Coffee B. Orange C. Oatmeal D. Grapefruit Correct Grapefruit is the food that alters how many medications, including simvastatin, are metabolized. This results in a higher risk of adverse effects. Coffee, orange, and oatmeal are not known to interfere with medications significantly. Awarded 1.0 points out of 1.0 possible points. 4. 4.ID: 986687150 Which condition is associated with decreased serum hemoglobin, hematocrit, and transferrin saturation levels? A. Scurvy B. Iron-deficiency anemia Correct C. Folic acid deficiency anemia D. Vitamin B12 deficiency anemia With iron-deficiency anemia, there are decreased levels of hemoglobin, hematocrit, and transferrin saturation (amount of serum iron that is bound). Transferrin saturation levels are normal in folic acid and vitamin B12 deficiency anemias. Scurvy is caused by a lack of vitamin C in the diet. Awarded 1.0 points out of 1.0 possible points. 5. 5.ID: 986687191 Which food source contains the most calories per gram? A. Fats Correct B. Protein C. Insoluble fiber D. Carbohydrates Incorrect A gram of fat supplies 9 calories per gram. Protein and carbohydrates supply 4 calories per gram. Insoluble fiber is not significantly broken down and does not supply calories. Awarded 0.0 points out of 1.0 possible points. 6. 6.ID: 986687171 What is the significance of body mass index (BMI)? A. Indicator of obesity Correct B. Presence of dyslipidemia C. Percentage of saturated fat in diet D. Need for nutritional supplementation BMI is a marker of optimal weight for height and an indicator of obesity. It does not diagnose dyslipidemia or give data regarding the amount of saturated fat in the diet or need for supplementation. Awarded 1.0 points out of 1.0 possible points. 7. 7.ID: 986687178 Which group of patients is most appropriate to have the triceps skinfold testing to estimate body fat stores? A. Obese adults B. Obese children C. Nonobese adults Correct D. Nonobese children Triceps skinfold testing is most appropriate with nonobese adults who are easier to test with this method. The use of triceps skinfold testing is not recommended in children or obese adults because of difficulty with technique and inconclusive results. Awarded 1.0 points out of 1.0 possible points. 8. 8.ID: 986687169 Which intervention will lower serum total cholesterol and improve HDL and LDL levels? A. Decrease fiber in the diet. B. Increase physical activity Correct C. Eliminate fat from the diet. Incorrect D. Take a multivitamin supplement Increasing physical activity will improve the cholesterol levels. Increasing fiber would also improve cholesterol levels. Fat should not be eliminated because fatty acids are essential for nutrition. Multivitamin supplementation is not a factor in lowering cholesterol levels. Awarded 0.0 points out of 1.0 possible points. 9. 9.ID: 986715114 A patient is following a vegan vegetarian diet. Which nutrients are likely to be deficient in this diet? (Select all that apply.) A. Protein Correct B. Calcium Correct C. Potassium D. Magnesium E. Carbohydrates Incorrect A patient who follows a vegan vegetarian diet eliminates meat, dairy, and eggs from the diet. These patients are at risk for deficiencies in calcium and protein. Potassium, magnesium, and carbohydrates are found in grains, vegetables, and fruit. Awarded 1.0 points out of 2.0 possible points. 10. 10.ID: 986687146 0<div><div>The formula for waist-to-hip ratio is Waist circumference/Hip circumference. Calculate the waist-to-hip ratio for a woman with a waist circumference of 28 inches and a hip circumference of 40 inches.<br>_______________</div> <br/></div>00falsefalse0.7True11Divide 28 by 40. A waist-to-hip ratio for men of 1.0 or greater and for women 0.85 or greater is indicative of central obesity and an increased risk for obesity-related disorders.True110011 Correct Responses 0.7 • Question 1 2 out of 2 points Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)? Selected Answer: Brief SOAP note Correct Answer: Brief SOAP note Response Feedback: Follow-up visits for problems identified in the POMR are recorded in the progress notes. Those visits not identified as problems are recorded using the SOAP format. Careful review of all SOAP notes on a regular basis will detect the emergence of a condition that explains the patient s complaints; at that point, SOAP documentation is stopped. • Question 2 2 out of 2 points Which of the following is not a characteristic of the plan portion of the problem-oriented medical record? Selected Answer: Differential diagnosis Correct Answer: Differential diagnosis Response Feedback: Develop a plan for each problem on the problem list. A differential diagnosis is part of the assessment phase. Diagnostics ordered, therapeutics, and patient education are all part of the plan related to the diagnosis given. • Question 3 2 out of 2 points Body mass index (BMI) is calculated by which of the following? Selected Answer: [(Weight in pounds ´ 703) ÷ height in inches] ÷ height in inches. Correct Answer: [(Weight in pounds ´ 703) ÷ height in inches] ÷ height in inches. Response Feedback: BMI is calculated by the weight in pounds multiplied by 703 divided by the height in inches squared. • Question 4 0 out of 2 points Objective data are usually recorded: • Question 5 2 out of 2 points Subjective and symptomatic data are: • Question 6 2 out of 2 points Deficiency of which of the following is a concern in the vegetarian diet? • Question 7 2 out of 2 points You are using the rule of thumb for advising a 150-pound person regarding the appropriate number of calories to promote weight loss. Your advice is for the person to consume no more than _____ calories. Selected Answer: 1700 Correct Answer: 1700 • Question 8 2 out of 2 points Ms. 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 9 0 out of 2 points Differential diagnoses belong in the: • Question 10 2 out of 2 points Which of the following should be assessed first in the patient with sustained rapid respirations? • Question 11 2 out of 2 points The examiner s evaluation of a patient s mental status belongs in the: • Question 12 0 out of 2 points An anorexia patient is different from the bulimic patient because of the following characteristics: • Question 13 2 out of 2 points When recording assessments during the construction of the problem-oriented medical record, the examiner should: • Question 14 2 out of 2 points A problem may be defined as anything that will require: • Question 15 0 out of 2 points The largest proportion of total energy expenditure by the body is through: • Question 16 2 out of 2 points A pregnant woman of normal prepregnancy weight should be expected to gain how much weight per week during the second and third trimesters of pregnancy? • Question 17 0 out of 2 points Which breast Tanner stage corresponds to a secondary areola mound development above the breast? • Question 18 2 out of 2 points During adolescence, the head size normally increases as a result of: • Question 19 2 out of 2 points In clinical practice, the Ballard Assessment Tool is used to assess a newborn's: • Question 20 2 out of 2 points Fifty percent of an individual's ideal weight is gained during: [Show More]

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