NR509 - I Human Marvin Webster Course Advanced Physical
Assessment (NR-509) - Chamberlain College Of Nursing (NR
509 Advanced Physical Assessment)
3P’s EXAM
1q
1. When performing a visual acuitytest the nurse practitioner notes 20/30 in the left eye and
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
20/40 in the right eye using the Snellen eye chart. This means:
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
a) have the patient returning in two weeks for a follow up vision screen
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
b) dilated the eye and retest 1q 1q 1q 1q
c) refer the patient to an ophthalmologist
1q 1q 1q 1q 1q
d) document this as a normal finding 1q 1q 1q 1q 1q
2. TheAmerican psychiatric association’s diagnostic and statistical manual of mental
1q 1q 1q 1q 1q 1q 1q 1q 1q
disorder defines Munchausen Syndrome By Proxy
1q 1q 1q 1q 1q 1q
a) a self-inflicted injuryto gain attention
1q 1q 1q 1q 1q
b) a caregiver making up or causing an illness or injury in a person under his or her care
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
c) an abusive behavior that does not involve the caregiver
1q 1q 1q 1q 1q 1q 1q 1q
d) a situation in which the abuser is often inattentive and uncaring toward the victim
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
Munchausen syndrome by proxyis a mental illness and a form of child abuse. The caretaker of a
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
child, most often a mother, either makes up fake symptoms or causes real symptoms to make it
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
look like the child is sick.
1q 1q 1q 1q 1q 1q
3. Symptoms of depression are a side effect of which neurotransmitter medication? 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
a) dopamine serotonin, norepinephrine 1q
b) gabapentin
c) mil
d) cortisol
4. Which lesion is dark raised and asymmetric with irregularborder? QuizletBates
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
Chapter 20
1q 1q
a) Nevus
b) Actinic keratosis 1q
,c) Keratoacanthoma
d) Melanoma
5. A 32 years old woman presents with dull puffiness of the ayes pronounced not pitting
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
periorbital edema this finding is suggestive of this condition? APEA
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
a) Nephrotic syndrome 1q
b) Myxedema
c) Cushing syndrome 1q
d) Sinusitis
Myxedema is a deposition of mucopolysaccarides in the dermis. Is commonly found if patients
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
with advanced hypothyroidism. The classic skin changes are: swelling of face, lips, eyelids, and
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
tongue or swelling and thickening of skin anywhere on the body, especially in the lower legs.
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
Myxedema is the hallmark of Grave’s disease, an autoimmune form of hyperthyroidism.
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
Myxedema can also occur in Hashimoto’s thyroiditis a form of hypothyroidism.
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
6. A 42 years old woman with a past medical history of migraine headaches is
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
requesting prophylactic medication treatment. Which medication should the Nurse
1q 1q 1q 1q 1q 1q 1q 1q 1q
practitioner prescribe?
1q 1q
a) Sumatriptan (Imitrex) 1q
b) Amitriptyline (Elavil) 1q
c) Verapamil (verelan) 1q
d) Metoprolol (Lopressor) 1q
Amitriptyline (Elavil) is a tricyclic antidepresant and is considered offlabel use for prophylactic
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
treatment of migrane. Sumatriptan (Imimtrex) Is aTriptans used to abort migraine
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
7. A pediatric patient has areas of scalingon the scalp with round patches of alopecia. This
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
clinical finding is consistent with:
1q 1q 1q 1q 1q
a) Tinea capitis 1q
b) Seborrheic dermatitis 1q
c) Trichotillomania
d) Alopecia areata 1q
,8. What is the appropriate prophylactic medication for an 18 years old woman with a past
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
medical history of migraine headaches?
1q 1q 1q 1q 1q
a) Sumatriptan (Imitrex) 1q
b) Propanolol (Inderal) 1q
c) Ibuprofeno (motrin) 1q
d) Dihydroergotamine (DHE) 1q
9. Why would a combined hormonal contraceptive be contraindicated in a 36 year old patient
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
with a past medical history of type 2 diabetes, obesity, chronic smoking and sedentary life
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
a) She is obese 1q 1q
b) She has type 2 diabetes mellitus
1q 1q 1q 1q 1q
c) Her age and tobacco use 1q 1q 1q 1q
d) She leads a sedentary lifestyle
1q 1q 1q 1q
Combined oral contraceptive is contraindicated in women olderthan 45, breastfeeding, smoking,
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
HTN, diabetes or hx of stroke
1q 1q 1q 1q 1q 1q
10. During the breast examination of a perimenopausal woman the NP detects a bloody
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
spontaneous discharge from the right nipple. This indicates further evaluation.
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
a) Fibroadenoma
b) Polycystic breast disease Generalized breast pain or tenderness. Green or dark brown 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
nonbloody nipple discharge that tends to leak without pressure or squeezing
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
c) An intraductal papilloma
1q 1q
d) Pituitaryprolactinoma 1q
Intraductal papillomas are usuallysolitary and smaller than 1 cm. They are located in large
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
lactiferous sinuses or ducts and have a tendency to bleed. Quizlet Nipple Discharge
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
11. Rh negative women should receive Rho (D) immunoglobulin at what gestational
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
time?
1q
a) 6 weeks
1q
b) 12 weeks 1q
c) 28 weeks 1q
d) 35 weeks 1q
What happens is the client is Rh negative and has a negative antibody screen?
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
, She will need repeat antibody screens and should receive Rho(D) immune globulin (RhoGAM) at
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
28 weeks' gestation (Quizlet Antepartum Diagnostic Testing Saunders)
1q 1q 1q 1q 1q 1q 1q 1q
12. When interpreting a complete blood count (CBC) lab report which of the following
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
results describes the size of the RBCs?
1q 1q 1q 1q 1q 1q 1q
a) Hemoglobin
b) Mean corpuscular volume (MCV) 1q 1q 1q
c) Red cell distribution width (RDw)
1q 1q 1q 1q
d) Hematocrit
The mean corpuscle (cell) volume (MCV) is a measurement of the average size of the RBCs. Small-
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
sized RBCs result in a lower MCV, while larger RBCs result in a higher MCV.
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
13. What medication should be avoided when prescribe prophylactic therapy for headache
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
a) Verapamil
b) Propranolol
c) Venlataxin (Effexor) 1q
d) Nimodipine
Serotonin Norepinephrine Reuptake inhibitor have the most serious side effect. Patients should
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
have drug free period for 3-4 weeks after every 6 months of treatment (pharmacology book page
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
1047)
1q
14. What is the mechanism of action of prostaglandin E1 (PG1) in a patient with
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
transposition of the great arteries
1q 1q 1q 1q 1q
a) To maintain equal pressure in the ventricles
1q 1q 1q 1q 1q 1q
b) To maintain patency of the great arteries
1q 1q 1q 1q 1q 1q
c) To produce vasodilation on …………….
1q 1q 1q 1q
d) To prevent cyanotic episodes by trapping blood in the lower …………
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
15. Which ofthe following complaints best describes lower extremitycalf pain
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
associated with peripheral artery disease
1q 1q 1q 1q 1q
a) A sharp stabbing pains
1q 1q 1q
b) A dull pain or cramp
1q 1q 1q 1q
c) An electric shock 1q 1q
Assessment (NR-509) - Chamberlain College Of Nursing (NR
509 Advanced Physical Assessment)
3P’s EXAM
1q
1. When performing a visual acuitytest the nurse practitioner notes 20/30 in the left eye and
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
20/40 in the right eye using the Snellen eye chart. This means:
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
a) have the patient returning in two weeks for a follow up vision screen
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
b) dilated the eye and retest 1q 1q 1q 1q
c) refer the patient to an ophthalmologist
1q 1q 1q 1q 1q
d) document this as a normal finding 1q 1q 1q 1q 1q
2. TheAmerican psychiatric association’s diagnostic and statistical manual of mental
1q 1q 1q 1q 1q 1q 1q 1q 1q
disorder defines Munchausen Syndrome By Proxy
1q 1q 1q 1q 1q 1q
a) a self-inflicted injuryto gain attention
1q 1q 1q 1q 1q
b) a caregiver making up or causing an illness or injury in a person under his or her care
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
c) an abusive behavior that does not involve the caregiver
1q 1q 1q 1q 1q 1q 1q 1q
d) a situation in which the abuser is often inattentive and uncaring toward the victim
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
Munchausen syndrome by proxyis a mental illness and a form of child abuse. The caretaker of a
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
child, most often a mother, either makes up fake symptoms or causes real symptoms to make it
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
look like the child is sick.
1q 1q 1q 1q 1q 1q
3. Symptoms of depression are a side effect of which neurotransmitter medication? 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
a) dopamine serotonin, norepinephrine 1q
b) gabapentin
c) mil
d) cortisol
4. Which lesion is dark raised and asymmetric with irregularborder? QuizletBates
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
Chapter 20
1q 1q
a) Nevus
b) Actinic keratosis 1q
,c) Keratoacanthoma
d) Melanoma
5. A 32 years old woman presents with dull puffiness of the ayes pronounced not pitting
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
periorbital edema this finding is suggestive of this condition? APEA
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
a) Nephrotic syndrome 1q
b) Myxedema
c) Cushing syndrome 1q
d) Sinusitis
Myxedema is a deposition of mucopolysaccarides in the dermis. Is commonly found if patients
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
with advanced hypothyroidism. The classic skin changes are: swelling of face, lips, eyelids, and
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
tongue or swelling and thickening of skin anywhere on the body, especially in the lower legs.
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
Myxedema is the hallmark of Grave’s disease, an autoimmune form of hyperthyroidism.
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
Myxedema can also occur in Hashimoto’s thyroiditis a form of hypothyroidism.
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
6. A 42 years old woman with a past medical history of migraine headaches is
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
requesting prophylactic medication treatment. Which medication should the Nurse
1q 1q 1q 1q 1q 1q 1q 1q 1q
practitioner prescribe?
1q 1q
a) Sumatriptan (Imitrex) 1q
b) Amitriptyline (Elavil) 1q
c) Verapamil (verelan) 1q
d) Metoprolol (Lopressor) 1q
Amitriptyline (Elavil) is a tricyclic antidepresant and is considered offlabel use for prophylactic
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
treatment of migrane. Sumatriptan (Imimtrex) Is aTriptans used to abort migraine
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
7. A pediatric patient has areas of scalingon the scalp with round patches of alopecia. This
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
clinical finding is consistent with:
1q 1q 1q 1q 1q
a) Tinea capitis 1q
b) Seborrheic dermatitis 1q
c) Trichotillomania
d) Alopecia areata 1q
,8. What is the appropriate prophylactic medication for an 18 years old woman with a past
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
medical history of migraine headaches?
1q 1q 1q 1q 1q
a) Sumatriptan (Imitrex) 1q
b) Propanolol (Inderal) 1q
c) Ibuprofeno (motrin) 1q
d) Dihydroergotamine (DHE) 1q
9. Why would a combined hormonal contraceptive be contraindicated in a 36 year old patient
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
with a past medical history of type 2 diabetes, obesity, chronic smoking and sedentary life
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
a) She is obese 1q 1q
b) She has type 2 diabetes mellitus
1q 1q 1q 1q 1q
c) Her age and tobacco use 1q 1q 1q 1q
d) She leads a sedentary lifestyle
1q 1q 1q 1q
Combined oral contraceptive is contraindicated in women olderthan 45, breastfeeding, smoking,
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
HTN, diabetes or hx of stroke
1q 1q 1q 1q 1q 1q
10. During the breast examination of a perimenopausal woman the NP detects a bloody
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
spontaneous discharge from the right nipple. This indicates further evaluation.
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
a) Fibroadenoma
b) Polycystic breast disease Generalized breast pain or tenderness. Green or dark brown 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
nonbloody nipple discharge that tends to leak without pressure or squeezing
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
c) An intraductal papilloma
1q 1q
d) Pituitaryprolactinoma 1q
Intraductal papillomas are usuallysolitary and smaller than 1 cm. They are located in large
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
lactiferous sinuses or ducts and have a tendency to bleed. Quizlet Nipple Discharge
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
11. Rh negative women should receive Rho (D) immunoglobulin at what gestational
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
time?
1q
a) 6 weeks
1q
b) 12 weeks 1q
c) 28 weeks 1q
d) 35 weeks 1q
What happens is the client is Rh negative and has a negative antibody screen?
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
, She will need repeat antibody screens and should receive Rho(D) immune globulin (RhoGAM) at
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
28 weeks' gestation (Quizlet Antepartum Diagnostic Testing Saunders)
1q 1q 1q 1q 1q 1q 1q 1q
12. When interpreting a complete blood count (CBC) lab report which of the following
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
results describes the size of the RBCs?
1q 1q 1q 1q 1q 1q 1q
a) Hemoglobin
b) Mean corpuscular volume (MCV) 1q 1q 1q
c) Red cell distribution width (RDw)
1q 1q 1q 1q
d) Hematocrit
The mean corpuscle (cell) volume (MCV) is a measurement of the average size of the RBCs. Small-
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
sized RBCs result in a lower MCV, while larger RBCs result in a higher MCV.
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
13. What medication should be avoided when prescribe prophylactic therapy for headache
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
a) Verapamil
b) Propranolol
c) Venlataxin (Effexor) 1q
d) Nimodipine
Serotonin Norepinephrine Reuptake inhibitor have the most serious side effect. Patients should
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
have drug free period for 3-4 weeks after every 6 months of treatment (pharmacology book page
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
1047)
1q
14. What is the mechanism of action of prostaglandin E1 (PG1) in a patient with
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
transposition of the great arteries
1q 1q 1q 1q 1q
a) To maintain equal pressure in the ventricles
1q 1q 1q 1q 1q 1q
b) To maintain patency of the great arteries
1q 1q 1q 1q 1q 1q
c) To produce vasodilation on …………….
1q 1q 1q 1q
d) To prevent cyanotic episodes by trapping blood in the lower …………
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
15. Which ofthe following complaints best describes lower extremitycalf pain
1q 1q 1q 1q 1q 1q 1q 1q 1q 1q
associated with peripheral artery disease
1q 1q 1q 1q 1q
a) A sharp stabbing pains
1q 1q 1q
b) A dull pain or cramp
1q 1q 1q 1q
c) An electric shock 1q 1q
