NR 509 Week 8 Final
Exam –
NR 509 ADVANCED PHYSICAL ASSESSMENT (SPRING
2022)
1. Question: A 6-year-old female presents to the clinic with sore throat. The point
of care test for Group A Streptococcal infection is positive. Which of the
following indicates the expected lymphadenopathy presentation in this case?
2. Question: Which of the following changes are … in vision as part of the
normal aging process?
3. Question: Identify the anatomical structure in this image between both of the
examiner’s hands and fingertips.
4. Question: A 19-year-old African-American female presents to the clinic with
moderate to severe right lower quadrant abdominal pain for the last 2 days.
She has been experiencing nausea and vomiting but unsure if she has had
Which of the following is a possible differential diagnosis?
5. Question: A 15-day old infant girl is brought to the outpatient clinic by her
mother on a Monday morning. The mother is concerned about a rash that seems
to have appeared suddenly after she and her infant daughter spent the previous
weekend in Florida visiting family. The time of year is August and the house did
not have air conditioning. The infant is a febrile, eating and drinking well, and
does not appear to be in distress. You note scattered vesicles on an
erythematous base involving the infant’s face and trunk. Based on the history
and physical examination findings, what is the likely diagnosis?
6. Question: A 48-year-old high school librarian comes to your clinic, complaining of
1 week of heavy discharge causing severe itching. She is not presently sexually
active and has had no burning with urination. The symptoms started several
days after her last period. She just finished a course of antibiotics for a sinus
infection. Her past medical history consists of type
, 2 diabetes and high blood pressure. She is widowed and has three children. She
denies tobacco, alcohol, or drug use. Her mother has high blood pressure and her
father died of diabetes complications. On examination you see a healthy
appearing woman. Her blood pressure is 130/80 and her pulse is 70. Her head,
eyes, ears, nose, throat, cardiac, lung, and abdominal examinations are
unremarkable. Palpation of the inguinal lymph nodes is unremarkable. On
visualization of the vulva, a thick, white, curdy discharge is seen at the introitus.
On speculum examination there is a copious amount of this discharge. The pH of
the discharge is 4.1 and the KOH whiff test is negative, with no unusual smell.
Wet prep shows budding hyphae. What vaginitis does this patient most likely
have?
7. Question: A 32-year-old female presents with a complaint of a singular breast
mass. The nurse practitioner collects a thorough history and physical
examination of the client’s breast and related systems. Based on the
characteristics of a soft, round, mobile, and tender mass, as well at the client’s
age, select the most likely cause of the breast mass.
8. Question: A 16-year-old female presents with the complaint of acne as
represented in this image. When documenting the assessment findings, what
is the morphology of the predominant skin lesions?
9. Question: You are observing an infant born at 42-weeks gestation who is able
to pull to a stand, uses “mama” and “dada” specifically, and indicates his
wants by vocalization and pointing. Where would you place this child’s
developmental age?
10. Question: Which of the following vaccinations are safe during pregnancy?
11. Question: A 50- year-old Caucasian male presents to the clinic with left leg pain
that increases with rest and a feeling of warmth in the calf area. During your
physical examination, you note erythema and increased warm involving the left
posterior lower leg as well as a palpable cord. What diagnosis do you suspect?
12. Question: Upon physical examination of an 11-month-old infant, you note the
skin findings represented in this image. What is your initial assessment?
13. Question: Jim is a 60-year-old man who presents with vomiting. He denies seeing
any blood with emesis, which has been occurring for 2 days. He does note a
dark, granular substance resembling the coffee left in the filter after brewing.
What do you suspect?
, 14. Question: A 57-year-old maintenance worker comes to your office for evaluation
of pain in his legs. He has smoked two packs per day since the age of 16, but he
is otherwise You are
Exam –
NR 509 ADVANCED PHYSICAL ASSESSMENT (SPRING
2022)
1. Question: A 6-year-old female presents to the clinic with sore throat. The point
of care test for Group A Streptococcal infection is positive. Which of the
following indicates the expected lymphadenopathy presentation in this case?
2. Question: Which of the following changes are … in vision as part of the
normal aging process?
3. Question: Identify the anatomical structure in this image between both of the
examiner’s hands and fingertips.
4. Question: A 19-year-old African-American female presents to the clinic with
moderate to severe right lower quadrant abdominal pain for the last 2 days.
She has been experiencing nausea and vomiting but unsure if she has had
Which of the following is a possible differential diagnosis?
5. Question: A 15-day old infant girl is brought to the outpatient clinic by her
mother on a Monday morning. The mother is concerned about a rash that seems
to have appeared suddenly after she and her infant daughter spent the previous
weekend in Florida visiting family. The time of year is August and the house did
not have air conditioning. The infant is a febrile, eating and drinking well, and
does not appear to be in distress. You note scattered vesicles on an
erythematous base involving the infant’s face and trunk. Based on the history
and physical examination findings, what is the likely diagnosis?
6. Question: A 48-year-old high school librarian comes to your clinic, complaining of
1 week of heavy discharge causing severe itching. She is not presently sexually
active and has had no burning with urination. The symptoms started several
days after her last period. She just finished a course of antibiotics for a sinus
infection. Her past medical history consists of type
, 2 diabetes and high blood pressure. She is widowed and has three children. She
denies tobacco, alcohol, or drug use. Her mother has high blood pressure and her
father died of diabetes complications. On examination you see a healthy
appearing woman. Her blood pressure is 130/80 and her pulse is 70. Her head,
eyes, ears, nose, throat, cardiac, lung, and abdominal examinations are
unremarkable. Palpation of the inguinal lymph nodes is unremarkable. On
visualization of the vulva, a thick, white, curdy discharge is seen at the introitus.
On speculum examination there is a copious amount of this discharge. The pH of
the discharge is 4.1 and the KOH whiff test is negative, with no unusual smell.
Wet prep shows budding hyphae. What vaginitis does this patient most likely
have?
7. Question: A 32-year-old female presents with a complaint of a singular breast
mass. The nurse practitioner collects a thorough history and physical
examination of the client’s breast and related systems. Based on the
characteristics of a soft, round, mobile, and tender mass, as well at the client’s
age, select the most likely cause of the breast mass.
8. Question: A 16-year-old female presents with the complaint of acne as
represented in this image. When documenting the assessment findings, what
is the morphology of the predominant skin lesions?
9. Question: You are observing an infant born at 42-weeks gestation who is able
to pull to a stand, uses “mama” and “dada” specifically, and indicates his
wants by vocalization and pointing. Where would you place this child’s
developmental age?
10. Question: Which of the following vaccinations are safe during pregnancy?
11. Question: A 50- year-old Caucasian male presents to the clinic with left leg pain
that increases with rest and a feeling of warmth in the calf area. During your
physical examination, you note erythema and increased warm involving the left
posterior lower leg as well as a palpable cord. What diagnosis do you suspect?
12. Question: Upon physical examination of an 11-month-old infant, you note the
skin findings represented in this image. What is your initial assessment?
13. Question: Jim is a 60-year-old man who presents with vomiting. He denies seeing
any blood with emesis, which has been occurring for 2 days. He does note a
dark, granular substance resembling the coffee left in the filter after brewing.
What do you suspect?
, 14. Question: A 57-year-old maintenance worker comes to your office for evaluation
of pain in his legs. He has smoked two packs per day since the age of 16, but he
is otherwise You are
