NR509 Week 3 Advanced Physical Assessment Quiz (2 Versions, Latest-2022) / NR509 Advanced Physical Assessment Quiz 3 / NR509 Week 3 Quiz / NR 509 Week 3 Quiz: Chamberlain College of Nursing |Verified and 100% Correct Q & A|

NR509 Week 3 Advanced Physical Assessment Quiz (2 Versions, Latest-2022) / NR509 Advanced Physical Assessment Quiz 3 / NR509 Week 3 Quiz / NR 509 Week 3 Quiz: Chamberlain College of Nursing |Verified and 100% Correct Q & A| NR509 Week 3 Quiz / NR 509 Week 3 Quiz (Latest): Advanced Physical Assessment: Chamberlain NR 509 Advanced Physical Assessment Quiz 3 / NR509 Advanced Physical Assessment Quiz 3 (Latest): Chamberlain NR509 Week 3 Advanced Physical Assessment Quiz / NR509 Week 3 Advanced Physical Assessment Quiz (Latest): Chamberlain Question1. A patient tells the nurse that he has noticed that one of his moles has started to burn and bleed. When assessing his skin, the nurse would pay special attention to the danger signs for pigmented lesions and would be concerned with which additional finding? : Color variation Border regularity Symmetry of lesions Diameter less than 6 mm Question 2. The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax, and dry. This finding would be related to which factor? : Increased vascularity of the skin in the elderly Increased numbers of sweat and sebaceous glands in the elderly An increase in elastin and a decrease in subcutaneous fat in the elderly An increased loss of elastin and a decrease in subcutaneous fat in the elderly Question 3. A patient comes to the clinic and tells the nurse that he has been confined to his recliner chair for about three days with his feet down and he wants the nurse to evaluate his feet. During the assessment, the nurse might expect to find : pallor. coolness. distended veins. prolonged capillary filling time. Question 4. A 65-year-old man with emphysema and bronchitis has come to the clinic for a follow-up appointment. On assessment, the nurse might expect to see which assessment finding? : Anasarca Scleroderma Pedal erythema Clubbing of the nails Question 5. The nurse notices that a school-aged child has bluish-white, red-based spots in her mouth that are elevated about 1 mm to 3 mm. What other signs would the nurse expect to find in this patient? : A pink, papular rash on the face and neck Pruritic vesicles over her trunk and neck Hyperpigmentation on the chest, abdomen, and the back of the arms A red-purple, maculopapular, blotchy rash behind the ears and on the face Question 6. During an examination, the nurse knows that Paget’s disease would be indicated by which of these assessment findings? : Positive Macewen sign Premature closure of the sagittal suture Headache, vertigo, tinnitus, and deafness Elongated head with heavy eyebrow ridge Question 7. A mother brings her newborn in for an assessment and asks, “Is there something wrong with my baby? His head seems so big.” The nurse recognizes that which statement is true regarding the relative proportions of the head and trunk of the newborn? : At birth, the head is one fifth the total length. Head circumference should be greater than chest circumference at birth. The head size reaches 90% of its final size when the child is 3 years old. When the anterior fontanel closes at 2 months, the head will be more proportioned to the body. Question 8. A male patient with a history of AIDS has come in for an examination and he states, “I think that I have the mumps.” The nurse would begin by examining the : thyroid gland. parotid gland. cervical lymph nodes. mouth and skin for lesions. Question 9. A patient visits the clinic because he has recently noticed that the left side of his mouth is paralyzed. He states that he cannot raise his eyebrow or whistle. The nurse suspects that he has : Cushing’s syndrome. Parkinson disease. Bell’s palsy. had a cerebrovascular accident (stroke). Question 10. The nurse is performing an eye-screening clinic at a daycare center. When examining a 2-year-old child, the nurse suspects that the child has “lazy eye” and should : examine the external structures of the eye. assess visual acuity with the Snellen eye chart. assess the child’s visual fields with the confrontation test. test for strabismus by performing the corneal light reflex test. Question 11. During an ophthalmoscopic examination of the eye, the nurse notices areas of exudate that look like “cotton wool” or fluffy gray-white cumulus clouds. This finding indicates which possible problem? : Diabetes Hyperthyroidism Glaucoma Hypotension Question 12. When examining the eye, the nurse notices that the patient’s eyelid margins approximate completely. The nurse recognizes that this assessment finding : is expected. may indicate a problem with extraocular muscles. may result in problems with tearing. indicates increased intraocular pressure. Question 13. A mother asks when her newborn infant’s eyesight will be developed. The nurse should reply : “Vision is not totally developed until 2 years of age.” “Infants develop the ability to focus on an object at around 8 months.” “By about 3 months, infants develop more coordinated eye movements and can fixate on an object.” “Most infants have uncoordinated eye movements for the first year of life.” Question 14. In performing an examination of a 3-year-old with a suspected ear infection, the nurse would : omit the otoscopic examination if the child has a fever. pull the ear up and back before inserting the speculum. ask the mother to leave the room while examining the child. perform the otoscopic examination at the end of the assessment. Question 15. The nurse is taking the history of a patient who may have a perforated eardrum. What would be an important question in this situation? : “Do you ever notice ringing or crackling in your ears?” “When was the last time you had your hearing checked?” “Have you ever been told you have any type of hearing loss?” “Was there any relationship between the ear pain and the discharge you mentioned?” Question 16. The nurse suspects that a patient has otitis media. Early signs of otitis media include which of these findings of the tympanic membrane? : Red and bulging Hypomobility Retraction with landmarks clearly visible Flat, slightly pulled in at the center, and moves with insufflation Question 17. The nurse is performing an ear examination of an 80-year-old patient. Which of these would be considered a normal finding? : A high-tone frequency loss Increased elasticity of the pinna A thin, translucent membrane A shiny, pink tympanic membrane Question 18. Which of these techniques best describes the test the nurse should use to assess the function of cranial nerve X? : Observe the patient’s ability to articulate specific words. Assess movement of the hard palate and uvula with the gag reflex. Have the patient stick out the tongue and observe for tremors or pulling to one side. Ask the patient to say “ahhh” and watch for movement of the soft palate and uvula. Question 19. A woman who is in the second trimester of pregnancy mentions that she has had “more nosebleeds than ever” since she became pregnant. The nurse recognizes that this is due to : a problem with the patient’s coagulation system. increased vascularity in the upper respiratory tract as a result of the pregnancy. increased susceptibility to colds and nasal irritation. inappropriate use of nasal sprays. Question 20. During a check-up, a 22-year-old woman tells the nurse that she uses an over-the-counter nasal spray because of her allergies. She also states that it does not work as well as it used to when she started using it. The best response by the nurse would be : “You should never use over-the-counter nasal sprays because of the risk of addiction.” “You should try switching to another brand of medication to prevent this problem.” “It is important to keep using this spray to keep your allergies under control.” “Using these nasal medications irritates the lining of the nose and may cause rebound swelling.” Question 21. The nurse notices that the mother of a 2-year-old boy brings him into the clinic quite frequently for various injuries and suspects there may be some child abuse involved. In doing the inspection of his mouth, the nurse should inspect for : swollen, red tonsils. ulcerations on the hard palate. bruising on the buccal mucosa or gums. small yellow papules along the hard palate. Question 22. A 45-year-old man is in the clinic for a physical examination. During the abdominal assessment, the nurse percusses the abdomen and notices an area of dullness above the right costal margin of about 10 cm. The nurse should : document the presence of hepatomegaly. ask additional history questions regarding his alcohol intake. describe this as an enlarged liver and refer him to a physician. consider this a normal finding and proceed with the examination. Question 23. A nurse notices that a patient has ascites, which indicates the presence of : fluid. feces. flatus. fibroid tumors. Question 24. An older patient has been diagnosed with pernicious anemia. The nurse knows that this condition could be related to : increased gastric acid secretion. decreased gastric acid secretion. delayed gastrointestinal emptying time. increased gastrointestinal emptying time. Question 25. During a health history, the patient tells the nurse, “I have pain all the time in my stomach. It’s worse two hours after I eat, but it gets better if I eat again!” The nurse suspects that the patient has which condition, based on these symptoms? : Appendicitis Gastric ulcer Duodenal ulcer Cholecystitis NR 509 Week 3 Quiz / NR509 Week 3 Quiz (Latest): Advanced Physical Assessment: Chamberlain NR 509 Advanced Physical Assessment Quiz 3 / NR509 Advanced Physical Assessment Quiz 3 (Latest): Chamberlain NR 509 Week 3 Advanced Physical Assessment Quiz / NR509 Week 3 Advanced Physical Assessment Quiz (Latest): Chamberlain 1. A teenage girl has arrived complaining of pain in her left wrist. She was playing basketball when she fell and landed on her left hand. The FNP examined her hand and will expect a fracture if the girl complains: 2. A patient has been diagnosed with osteoporosis and asked the FNP “what is osteoporosis?” The FNP explains to the patient that osteoporosis is defined as: 3. Patient states, “I can hear a crunching or grating sound when I kneel”. She also states “that it is very difficult to get out of bed in the morning because of stiffness and pain in my joints”. The FNP should assess for signs of what problem? 4. When taking the history on a patient with a seizure disorder the FNP assesses whether the patient has an aura. Which of these would be the best question for obtaining this information? 5. The FNP is teaching a class on osteoporosis prevention to a group of post menopausal women. A participant shows that she needs more instruction when she states I will: 6. The FNP is performing a neurological assessment on a 41-year-old woman with a history of diabetes. When testing her ability to feel the vibrations of a tuning fork the FNP notices that the patient is unable to feel vibrations on the great toe or ankle bilaterally, but she is able to feel vibrations on both patella. Given this information what would the FNP suspect? 7. And 80-year-old woman is visiting the clinic for a check up. She states “I can’t walk as much as I used to”. The FNP is observing from motor dysfunction in her hip and should have her: 8. The FNP is testing the function of cranial nerve XI. Which of these best describes the response the FNP should expect if the nerve is intact? The patient: 9. A 50-year-old woman is in a clinic for weakness in her left arm and leg that she noticed for the past week. The FNP should perform which type of neurologic examination? 10. During the neurological assessment of a healthy 35-year-old patient the FNP asks him to relax his muscles completely. The FNP then moves each extremity through full range of motion. Which of these results would the FNP expect to find? 11. A woman who is 8 months pregnant comments that she has noticed a change in posture and is having lower back pain. The FNP tells her that during pregnancy women have a posture shift to compensate for the enlarging fetus. This shift and posture is known as: 12. A patient is able to flex his right arm forward without difficulty or pain but is unable to abduct his arm because of pain and muscle spasm’s. The FNP should suspect: 13. A professional tennis player comes into the clinic complaining of a sore elbow. The FNP will assess for tenderness at the: 14. The FNP suspect that a patient has carpal tunnel syndrome and wants to perform the Phalens test. To perform this task the FNP should instruct the patient to: 15. During the history a patient tells the FNP that “it feels like the room is spinning around me”. The FNP would document this as: 16. The assessment of a 60-year-old patient has taken longer than anticipated. In testing his pain perception the FNP decides to complete the test as quickly as possible. When the FNP applies the sharp point of a pin on his arm several times he is only able to identify these as one very sharp prick. What would be the most accurate explanation for this? 17. An 85-year-old patient comments during his annual physical that “he seems to be getting shorter as he ages”. The FNP should explain that decrease height occurs with aging because: 18. A patient is complaining of pain in his joints that is worse in the morning, is better after he has moved around for a while, and then gets worse again if he sits for long periods of time. The FNP should assess for other signs of what problem? 19. When the FNP asks a 68-year-old patient to stand with feet together and arms at his side with his eyes closed he starts to sway and moves his feet farther apart. The FNP would document this finding as: 20. During an assessment of the cranial nerves the FNP finds the following asymmetry when the patient smiles or frowns, uneven lifting of eyebrows, sagging of lower eyelids, and escape of air when the FNP presses against the right path cheek. This would indicate dysfunction of which of these cranial nerves? 21. The FNP is teaching a class on osteoporosis prevention to a group of postmenopausal women which of these actions is the best way to prevent or delay bone loss in this group? 22. In obtaining a history on a 74 year old patient the FNP notes that he drinks alcohol daily and that he has noticed a tremor in his hands that affects his ability to hold thing. With this information what should the FNP‘s response be? 23. During a history of a 78-year-old man his wife states that “he occasionally has problems with short-term memory loss and confusion. He can’t even remember how to button his shirt”. In doing the assessment of his sensory system which action of the FNP‘s is most appropriate? 24. While obtaining a history of a 3 month old infant from the mother the FNP asks about the infants ability to suck and grass the mothers finger. What is the FNP assessing? 25. The FNP is doing an assessment on a 29-year-old woman who visits the clinic complaining of always dropping things and falling down. While testing rapid alternating movements the FNP notices that the woman is unable to pat both her knees. Her response is very slow and she misses frequently. What should the FNP suspect?