NURS 5352 Advanced health Assessment; Final Exam Questions With Answers Latest Answers 2023/2024 Graded A+

NURS 5352 Advanced health Assessment; Final Exam Questions With Answers Latest Answers 2023/2024 Graded A+. Peripheral vision is assessed by which test? Confrontation Pupillary reaction Accomodation Snellen E chart Question 3 2 / 2 pts University of Texas, Tyler NURS 5352 Advanced health assessment test 1 with complete solution EYE: The confrontation test measures peripheral vision. The examiner sits or stands across from the patient and asks the patient to close one eye while the examiner closes the opposite eye. The examiner then proceeds to wave the fingers while moving the extended arms from a lateral to a central position along both the temporal and the nasal fields. The pupillary reaction test is done by observing the pupil’s response to light. The accommodation test deals with pupil reaction to light, whereas the Snellen chart measures visual acuity. The swinging flashlight test evaluates the health of the optic nerve by looking for an afferent pupillary defect. Seidel, p. 271 Nasal symptoms that imply an allergic response include: Deviated septum Bluish grey or pale pink turbinates Purulent nasal discharge Small atrophied nasal mucous membranes NOSE: An allergic finding includes bluish gray or pale pink nasal turbinates that are swollen and boggy and a transverse crease at the junction between the cartilage and the bone of the nose. Seidel, p. 312 Intense pain with movement of the pinna is most closely associated with: Question 4 2 / 2 pts Question 5 2 / 2 pts University of Texas, Tyler NURS 5352 Advanced health assessment test 1 with complete solution Otitis media with effusion Otitis externa Temporomandibular joint syndrome Bacterial otitis media EAR: suspect otitis externa (swimmer’s ear) when pulling of the pinna reproduces ear pain. The other conditions do not commonly cause the same finding. Seidel, p. 327 A smooth red tongue with a slick appearance may indicate: Fungal infection Niacin or B12 deficiency Recent use of antibiotics Geographic tongue Question 6 2 / 2 pts University of Texas, Tyler NURS 5352 Advanced health assessment test 1 with complete solution THROAT: A smooth red tongue with a slick appearance may indicate a niacin or vitamin B12 deficiency. Oral cancer involves lesions; recent use of antibiotics can turn the tongue yellow-brown to black and hairy; and fungal infections result in slightly raised white, cream-colored, or yellow spots in the mouth. Geographic tongue has irregular areas of whitish and red areas. Seidel, 316-317 Bulging of an amber tympanic membrane with decreased mobility is consistent with: Healed tympanic membrane perforation Impacted cerumen in the external auditory canal Pseudomonas infection of the external auditory canal Middle ear effusion EAR: An amber color, with bulging of the tympanic membrane and without mobility or redness, most often indicates the presence of fluid in the middle ear. Seidel, p. 310 The head and chest circumference should be about the same on a patient until what age? 6 years Question 7 2 / 2 pts Question 8 2 / 2 pts University of Texas, Tyler NURS 5352 Advanced health assessment test 1 with complete solution 2 years 4 years 1 year CHEST & LUNGS: Seidel 361 and tegrity lecture. There are variations based on the maturity of the infant at birth noted in Seidel but they should generally be the same until age two or further investigation is needed. A 29-year-old white woman presents to the clinic for evaluation. She is concerned because her skin, palms and soles of her feet are really yellow. You order blood work including LFTs and a hepatitis profile. The results of all her blood work are negative for hepatitis and her LFTs are within normal limits. With this in mind, what would the nurse practitioner want to ask this patient to explore other differential diagnoses, since hepatitis and other forms of liver disease are ruled out? If she takes a lot of Iron? If she has a history of diabetes mellitus If she eats a lot of yellow and orange vegetables Whether she has unusual bleeding problems Question 9 2 / 2 pts University of Texas, Tyler NURS 5352 Advanced health assessment test 1 with complete solution SKIN/HAIR/NAILS: In the absence of liver disease, another cause of jaundice is increased carotene pigmentation. Diets high in carrots, sweet potatoes, and squash are high in carotene and can make the skin appear to be jaundiced. Seidel, p. 162 Well-circumscribed silvery plaques on the trunk and extensor surfaces of the body is most consistent with which skin disorder? Psoriasis Pityriasis Rosea Tinea Eczema SKIN/HAIR/NAILS: Unlike other skin conditions, silvery plaques characterize psoriasis. Seidel, p. 190 A 17-year-old student complains of a "rash for 3 days." After a complete history and ROS, the patient admits that there was a solitary oval plaque (Known as a "Herald Patch") on his upper chest about a week prior to the onset of this rash. Upon examination, you note pale, erythematous oval plaques over the trunk. They have fine scales and are arranged in a "christmas tree" pattern on his trunk. What is highest on your list of differential diagnoses? Question 10 2 / 2 pts Question 11 2 / 2 pts University of Texas, Tyler NURS 5352 Advanced health assessment test 1 with complete solution Tinea Contact Dermatitis Seborrheic Dermatitis Pityriasis Rosea SKIN/HAIR/NAILS: The described rash is the typical presentation of pityriasis rosea. The rash is not infectious or contagious, does not involve the palms and soles, and usually lasts for several weeks. Pityriasis rosea begins with a sudden primary (herald) patch, with the generalized eruption to the trunk and extremities following 1 to 3 weeks later.