NR509 - I Human Marvin Webster Course Advanced Physical
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Assessment (NR-509) - Chamberlain College Of Nursing (NR
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509 Advanced Physical Assessment)
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3P’s EXAM
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1. When performing a visual acuitytest the nurse practitioner notes 20/30 in the left eye and
22 22 22 22 22 22 22 22 22 22 22 22 22 22 22
20/40 in the right eye using the Snellen eye chart. This means:
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a) have the patient returning in two weeks for a follow up vision screen
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b) dilated the eye and retest 22 22 22 22
c) refer the patient to an ophthalmologist
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d) document this as a normal finding 22 22 22 22 22
2. TheAmerican psychiatric association’s diagnostic and statistical manual of mental
22 22 22 22 22 22 22 22 22
disorder defines Munchausen Syndrome By Proxy
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a) a self-inflicted injuryto gain attention
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b) a caregiver making up or causing an illness or injury in a person under his or her care
22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22
c) an abusive behavior that does not involve the caregiver
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d) a situation in which the abuser is often inattentive and uncaring toward the victim
22 22 22 22 22 22 22 22 22 22 22 22 22
Munchausen syndrome by proxyis a mental illness and a form of child abuse. The caretaker of a
22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22
child, most often a mother, either makes up fake symptoms or causes real symptoms to make it
22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22
look like the child is sick.
22 22 22 22 22 22
3. Symptoms of depression are a side effect of which neurotransmitter medication? 22 22 22 22 22 22 22 22 22 22
a) dopamine serotonin, norepinephrine 22
b) gabapentin
c) mil
d) cortisol
4. Which lesion is dark raised and asymmetric with irregularborder? QuizletBates
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Chapter 20
22 22
a) Nevus
b) Actinic keratosis 22
,c) Keratoacanthoma
d) Melanoma
5. A 32 years old woman presents with dull puffiness of the ayes pronounced not pitting
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periorbital edema this finding is suggestive of this condition? APEA
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a) Nephrotic syndrome 22
b) Myxedema
c) Cushing syndrome 22
d) Sinusitis
Myxedema is a deposition of mucopolysaccarides in the dermis. Is commonly found if patients
22 22 22 22 22 22 22 22 22 22 22 22 22
with advanced hypothyroidism. The classic skin changes are: swelling of face, lips, eyelids, and
22 22 22 22 22 22 22 22 22 22 22 22 22 22
tongue or swelling and thickening of skin anywhere on the body, especially in the lower legs.
22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22
Myxedema is the hallmark of Grave’s disease, an autoimmune form of hyperthyroidism.
22 22 22 22 22 22 22 22 22 22 22
Myxedema can also occur in Hashimoto’s thyroiditis a form of hypothyroidism.
22 22 22 22 22 22 22 22 22 22 22
6. A 42 years old woman with a past medical history of migraine headaches is
22 22 22 22 22 22 22 22 22 22 22 22 22
requesting prophylactic medication treatment. Which medication should the Nurse
22 22 22 22 22 22 22 22 22
practitioner prescribe?
22 22
a) Sumatriptan (Imitrex) 22
b) Amitriptyline (Elavil) 22
c) Verapamil (verelan) 22
d) Metoprolol (Lopressor) 22
Amitriptyline (Elavil) is a tricyclic antidepresant and is considered offlabel use for prophylactic
22 22 22 22 22 22 22 22 22 22 22 22
treatment of migrane. Sumatriptan (Imimtrex) Is aTriptans used to abort migraine
22 22 22 22 22 22 22 22 22 22 22
7. A pediatric patient has areas of scalingon the scalp with round patches of alopecia. This
22 22 22 22 22 22 22 22 22 22 22 22 22 22 22
clinical finding is consistent with:
22 22 22 22 22
a) Tinea capitis 22
b) Seborrheic dermatitis 22
c) Trichotillomania
d) Alopecia areata 22
,8. What is the appropriate prophylactic medication for an 18 years old woman with a past
22 22 22 22 22 22 22 22 22 22 22 22 22 22
medical history of migraine headaches?
22 22 22 22 22
a) Sumatriptan (Imitrex) 22
b) Propanolol (Inderal) 22
c) Ibuprofeno (motrin) 22
d) Dihydroergotamine (DHE) 22
9. Why would a combined hormonal contraceptive be contraindicated in a 36 year old patient
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with a past medical history of type 2 diabetes, obesity, chronic smoking and sedentary life
22 22 22 22 22 22 22 22 22 22 22 22 22 22 22
a) She is obese 22 22
b) She has type 2 diabetes mellitus
22 22 22 22 22
c) Her age and tobacco use 22 22 22 22
d) She leads a sedentary lifestyle
22 22 22 22
Combined oral contraceptive is contraindicated in women olderthan 45, breastfeeding, smoking,
22 22 22 22 22 22 22 22 22 22 22
HTN, diabetes or hx of stroke
22 22 22 22 22 22
10. During the breast examination of a perimenopausal woman the NP detects a bloody
22 22 22 22 22 22 22 22 22 22 22 22
spontaneous discharge from the right nipple. This indicates further evaluation.
22 22 22 22 22 22 22 22 22 22
a) Fibroadenoma
b) Polycystic breast disease Generalized breast pain or tenderness. Green or dark brown 22 22 22 22 22 22 22 22 22 22 22
nonbloody nipple discharge that tends to leak without pressure or squeezing
22 22 22 22 22 22 22 22 22 22 22
c) An intraductal papilloma
22 22
d) Pituitaryprolactinoma 22
Intraductal papillomas are usuallysolitary and smaller than 1 cm. They are located in large
22 22 22 22 22 22 22 22 22 22 22 22 22 22
lactiferous sinuses or ducts and have a tendency to bleed. Quizlet Nipple Discharge
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11. Rh negative women should receive Rho (D) immunoglobulin at what gestational
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time?
22
a) 6 weeks
22
b) 12 weeks 22
c) 28 weeks 22
d) 35 weeks 22
What happens is the client is Rh negative and has a negative antibody screen?
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, She will need repeat antibody screens and should receive Rho(D) immune globulin (RhoGAM) at
22 22 22 22 22 22 22 22 22 22 22 22 22
28 weeks' gestation (Quizlet Antepartum Diagnostic Testing Saunders)
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12. When interpreting a complete blood count (CBC) lab report which of the following
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results describes the size of the RBCs?
22 22 22 22 22 22 22
a) Hemoglobin
b) Mean corpuscular volume (MCV) 22 22 22
c) Red cell distribution width (RDw)
22 22 22 22
d) Hematocrit
The mean corpuscle (cell) volume (MCV) is a measurement of the average size of the RBCs. Small-
22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22
sized RBCs result in a lower MCV, while larger RBCs result in a higher MCV.
22 22 22 22 22 22 22 22 22 22 22 22 22 22
13. What medication should be avoided when prescribe prophylactic therapy for headache
22 22 22 22 22 22 22 22 22 22
a) Verapamil
b) Propranolol
c) Venlataxin (Effexor) 22
d) Nimodipine
Serotonin Norepinephrine Reuptake inhibitor have the most serious side effect. Patients should
22 22 22 22 22 22 22 22 22 22 22
have drug free period for 3-4 weeks after every 6 months of treatment (pharmacology book page
22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22
1047)
22
14. What is the mechanism of action of prostaglandin E1 (PG1) in a patient with
22 22 22 22 22 22 22 22 22 22 22 22 22
transposition of the great arteries
22 22 22 22 22
a) To maintain equal pressure in the ventricles
22 22 22 22 22 22
b) To maintain patency of the great arteries
22 22 22 22 22 22
c) To produce vasodilation on …………….
22 22 22 22
d) To prevent cyanotic episodes by trapping blood in the lower …………
22 22 22 22 22 22 22 22 22 22
15. Which ofthe following complaints best describes lower extremitycalf pain
22 22 22 22 22 22 22 22 22 22
associated with peripheral artery disease
22 22 22 22 22
a) A sharp stabbing pains
22 22 22
b) A dull pain or cramp
22 22 22 22
c) An electric shock 22 22
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Assessment (NR-509) - Chamberlain College Of Nursing (NR
22 22 22 22 22 22 22 22
509 Advanced Physical Assessment)
22 22 22 22
3P’s EXAM
22
1. When performing a visual acuitytest the nurse practitioner notes 20/30 in the left eye and
22 22 22 22 22 22 22 22 22 22 22 22 22 22 22
20/40 in the right eye using the Snellen eye chart. This means:
22 22 22 22 22 22 22 22 22 22 22 22
a) have the patient returning in two weeks for a follow up vision screen
22 22 22 22 22 22 22 22 22 22 22 22
b) dilated the eye and retest 22 22 22 22
c) refer the patient to an ophthalmologist
22 22 22 22 22
d) document this as a normal finding 22 22 22 22 22
2. TheAmerican psychiatric association’s diagnostic and statistical manual of mental
22 22 22 22 22 22 22 22 22
disorder defines Munchausen Syndrome By Proxy
22 22 22 22 22 22
a) a self-inflicted injuryto gain attention
22 22 22 22 22
b) a caregiver making up or causing an illness or injury in a person under his or her care
22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22
c) an abusive behavior that does not involve the caregiver
22 22 22 22 22 22 22 22
d) a situation in which the abuser is often inattentive and uncaring toward the victim
22 22 22 22 22 22 22 22 22 22 22 22 22
Munchausen syndrome by proxyis a mental illness and a form of child abuse. The caretaker of a
22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22
child, most often a mother, either makes up fake symptoms or causes real symptoms to make it
22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22
look like the child is sick.
22 22 22 22 22 22
3. Symptoms of depression are a side effect of which neurotransmitter medication? 22 22 22 22 22 22 22 22 22 22
a) dopamine serotonin, norepinephrine 22
b) gabapentin
c) mil
d) cortisol
4. Which lesion is dark raised and asymmetric with irregularborder? QuizletBates
22 22 22 22 22 22 22 22 22 22 22
Chapter 20
22 22
a) Nevus
b) Actinic keratosis 22
,c) Keratoacanthoma
d) Melanoma
5. A 32 years old woman presents with dull puffiness of the ayes pronounced not pitting
22 22 22 22 22 22 22 22 22 22 22 22 22 22
periorbital edema this finding is suggestive of this condition? APEA
22 22 22 22 22 22 22 22 22 22
a) Nephrotic syndrome 22
b) Myxedema
c) Cushing syndrome 22
d) Sinusitis
Myxedema is a deposition of mucopolysaccarides in the dermis. Is commonly found if patients
22 22 22 22 22 22 22 22 22 22 22 22 22
with advanced hypothyroidism. The classic skin changes are: swelling of face, lips, eyelids, and
22 22 22 22 22 22 22 22 22 22 22 22 22 22
tongue or swelling and thickening of skin anywhere on the body, especially in the lower legs.
22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22
Myxedema is the hallmark of Grave’s disease, an autoimmune form of hyperthyroidism.
22 22 22 22 22 22 22 22 22 22 22
Myxedema can also occur in Hashimoto’s thyroiditis a form of hypothyroidism.
22 22 22 22 22 22 22 22 22 22 22
6. A 42 years old woman with a past medical history of migraine headaches is
22 22 22 22 22 22 22 22 22 22 22 22 22
requesting prophylactic medication treatment. Which medication should the Nurse
22 22 22 22 22 22 22 22 22
practitioner prescribe?
22 22
a) Sumatriptan (Imitrex) 22
b) Amitriptyline (Elavil) 22
c) Verapamil (verelan) 22
d) Metoprolol (Lopressor) 22
Amitriptyline (Elavil) is a tricyclic antidepresant and is considered offlabel use for prophylactic
22 22 22 22 22 22 22 22 22 22 22 22
treatment of migrane. Sumatriptan (Imimtrex) Is aTriptans used to abort migraine
22 22 22 22 22 22 22 22 22 22 22
7. A pediatric patient has areas of scalingon the scalp with round patches of alopecia. This
22 22 22 22 22 22 22 22 22 22 22 22 22 22 22
clinical finding is consistent with:
22 22 22 22 22
a) Tinea capitis 22
b) Seborrheic dermatitis 22
c) Trichotillomania
d) Alopecia areata 22
,8. What is the appropriate prophylactic medication for an 18 years old woman with a past
22 22 22 22 22 22 22 22 22 22 22 22 22 22
medical history of migraine headaches?
22 22 22 22 22
a) Sumatriptan (Imitrex) 22
b) Propanolol (Inderal) 22
c) Ibuprofeno (motrin) 22
d) Dihydroergotamine (DHE) 22
9. Why would a combined hormonal contraceptive be contraindicated in a 36 year old patient
22 22 22 22 22 22 22 22 22 22 22 22 22
with a past medical history of type 2 diabetes, obesity, chronic smoking and sedentary life
22 22 22 22 22 22 22 22 22 22 22 22 22 22 22
a) She is obese 22 22
b) She has type 2 diabetes mellitus
22 22 22 22 22
c) Her age and tobacco use 22 22 22 22
d) She leads a sedentary lifestyle
22 22 22 22
Combined oral contraceptive is contraindicated in women olderthan 45, breastfeeding, smoking,
22 22 22 22 22 22 22 22 22 22 22
HTN, diabetes or hx of stroke
22 22 22 22 22 22
10. During the breast examination of a perimenopausal woman the NP detects a bloody
22 22 22 22 22 22 22 22 22 22 22 22
spontaneous discharge from the right nipple. This indicates further evaluation.
22 22 22 22 22 22 22 22 22 22
a) Fibroadenoma
b) Polycystic breast disease Generalized breast pain or tenderness. Green or dark brown 22 22 22 22 22 22 22 22 22 22 22
nonbloody nipple discharge that tends to leak without pressure or squeezing
22 22 22 22 22 22 22 22 22 22 22
c) An intraductal papilloma
22 22
d) Pituitaryprolactinoma 22
Intraductal papillomas are usuallysolitary and smaller than 1 cm. They are located in large
22 22 22 22 22 22 22 22 22 22 22 22 22 22
lactiferous sinuses or ducts and have a tendency to bleed. Quizlet Nipple Discharge
22 22 22 22 22 22 22 22 22 22 22 22 22
11. Rh negative women should receive Rho (D) immunoglobulin at what gestational
22 22 22 22 22 22 22 22 22 22
time?
22
a) 6 weeks
22
b) 12 weeks 22
c) 28 weeks 22
d) 35 weeks 22
What happens is the client is Rh negative and has a negative antibody screen?
22 22 22 22 22 22 22 22 22 22 22 22 22
, She will need repeat antibody screens and should receive Rho(D) immune globulin (RhoGAM) at
22 22 22 22 22 22 22 22 22 22 22 22 22
28 weeks' gestation (Quizlet Antepartum Diagnostic Testing Saunders)
22 22 22 22 22 22 22 22
12. When interpreting a complete blood count (CBC) lab report which of the following
22 22 22 22 22 22 22 22 22 22 22 22
results describes the size of the RBCs?
22 22 22 22 22 22 22
a) Hemoglobin
b) Mean corpuscular volume (MCV) 22 22 22
c) Red cell distribution width (RDw)
22 22 22 22
d) Hematocrit
The mean corpuscle (cell) volume (MCV) is a measurement of the average size of the RBCs. Small-
22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22
sized RBCs result in a lower MCV, while larger RBCs result in a higher MCV.
22 22 22 22 22 22 22 22 22 22 22 22 22 22
13. What medication should be avoided when prescribe prophylactic therapy for headache
22 22 22 22 22 22 22 22 22 22
a) Verapamil
b) Propranolol
c) Venlataxin (Effexor) 22
d) Nimodipine
Serotonin Norepinephrine Reuptake inhibitor have the most serious side effect. Patients should
22 22 22 22 22 22 22 22 22 22 22
have drug free period for 3-4 weeks after every 6 months of treatment (pharmacology book page
22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22
1047)
22
14. What is the mechanism of action of prostaglandin E1 (PG1) in a patient with
22 22 22 22 22 22 22 22 22 22 22 22 22
transposition of the great arteries
22 22 22 22 22
a) To maintain equal pressure in the ventricles
22 22 22 22 22 22
b) To maintain patency of the great arteries
22 22 22 22 22 22
c) To produce vasodilation on …………….
22 22 22 22
d) To prevent cyanotic episodes by trapping blood in the lower …………
22 22 22 22 22 22 22 22 22 22
15. Which ofthe following complaints best describes lower extremitycalf pain
22 22 22 22 22 22 22 22 22 22
associated with peripheral artery disease
22 22 22 22 22
a) A sharp stabbing pains
22 22 22
b) A dull pain or cramp
22 22 22 22
c) An electric shock 22 22
