ADVANCED PHYSICAL ASSESSMENT NR 509 WEEK 1-4
MIDTERM EXAM / NR509 ADVANCED PHYSICAL
ASSESSMENT MIDTERM WEEK 1-4 LATEST ACTUAL
EXAM REAL QUESTIONS AND CORRECT DETAILED
ANSWERS (CORRECT VERIFIED ANSWERS) A NEW
UPDATED VERSION |ALREADY GRADED A+
The nurse is preparing to complete a health assessment on a 16-year-old girl whose
parents have brought her to the clinic. Which instruction would be appropriate for
the parents before the interview begins? - ANSWER: While I interview your daughter,
will you step out to the waiting room and complete these family health history
questionnaires.
Which of these statements describe a chief complaint or reason for seeking care?
Select all that apply.
A.
identifies duration of problem
B.
symptom analysis of presenting problem
C.
statement of problem as a direct quote from patient
D.
treatment of problem - ANSWER: A & B
Mrs. R. brings her 28-month-old daughter into your office for a well-child visit. At the
beginning of the visit, you focus your attention away from the toddler, but as the
interview progresses, she begins to "warm up" and is smiling shyly at you. You will be
most successful if you next do which of these actions?
A.
Stoop down to her level and ask her about the toy she is holding.
B.
Tickle the toddler and get her to laugh.
C.
Continue to ignore her until you are ready for the physical examination.
D.
Ask Mrs. R. to leave while you examine the toddler, since toddlers often fuss less if
their parents aren't in view. - ANSWER: A
Which of the following assessment findings is most consistent with clubbing of the
fingernails?
A.
A nail base that is firm to palpation and slightly tender.
B.
An angle of the nail base of 180 degrees or greater with a nail base that feels spongy.
,C.
A nail base that feels spongy with an angle of the nail base of 120 degrees.
D.
Curved nails with a convex profile and ridges across the nail. - ANSWER: B
After the health history, the nurse asks the client to define his perception of health.
Which of the following questions is appropriate for this portion of the health history?
A.
What do you expect from us as health care providers?
B.
What do you think caused your problem?
C.
How do you spend a typical day?
D.
How often do you perform your testicular self-examination? - ANSWER: A
A linear crack in the skin is a fissure. - ANSWER: True
The nurse will use which technique of assessment to determine the presence of
crepitus, swelling, and pulsations?
A.
Palpation
B.
Auscultation
C.
Inspection
D.
Palpation - ANSWER: A
Which of the following is considered an example of objective data?
A.
complaints of dizziness
B.
a history of chronic sore throats
C.
a patient description of an earache
D.
swollen, tender lymph nodes - ANSWER: D
The nurse is assessing a patient's skin during an office visit. What part of the hand
and technique should be used to best assess the patient's skin temperature?
A.
Dorsal surface of the hand; the skin is thinner on this surface than on the palms
B.
Fingertips; they are more sensitive to small changes in temperature
C.
,Palmar surface of the hand; this surface is the most sensitive to temperature
variations because of its increased nerve supply in this area.
D.
Ulnar portion of the hand; increased blood supply in this area enhances temperature
sensitivity. - ANSWER: A
The nurse is conducting a DEVELOPMENTAL history on a 5 year old child. Which
questions are appropriate to ask the parents for this part of the assessment? Select
all that apply.
A.
Does he have any food allergies?
B.
How many teeth has he lost, and when did he lose them?
C.
How much junk food does your child eat?
D.
Does he take a children's vitamin?
E.
Can he tell time?
F.
Is he able to tie his shoelaces? - ANSWER: B, E, & F
A 75-year-old woman is at your clinic for a preoperative interview. This interview
may take longer than interviews with younger persons. Why?
A.
An aged person has a longer story to tell and is likely to have multiple health
concerns.
B.
All aged persons are lonely and likes to have someone to talk to.
C.
Aged persons lose much of their mental capacities and require greater time to
complete an interview.
D.
As aged persons mature, all are unable to hear and thus interviewers usually need to
repeat much of what is said. - ANSWER: A
What is an example of subjective data?
A.
"My left knee has been swollen and hot for the past three days."
B.
range of motion of 30 degrees of flexion in right elbow
C.
hemoglobin of 9.9
D.
crepitation in the left knee - ANSWER: A
, The nurse is conducting an interview with Jeremy, a 17 year old male accompanied
by his mother. Which statement by the nurse is most therapeutic when conducting a
sexual history with an adolescent?
A.
"Mrs. Williams,does Jeremy have a history of STD's?"
B.
"Mrs. Williams, is your son sexually active?"
C.
"Are you sexually active yet?"
D.
Tell me about your sex life. - ANSWER: D
The nurse is preparing to use a stethoscope for auscultation. Which statement is true
regarding the diaphragm of the stethoscope?
A.
It should be held lightly against the body part being auscultated.
B.
It should be cold when placing it on the patient's skin to induce dilation of the blood
vessels.
C.
It is used to listen to low pitched sounds.
D.
It is used to listen for high pitched sounds. - ANSWER: D
Which of these areas of the client's history helps to organize and illustrate the
family's health problems?
A.
the review of symptoms
B.
the biographical data
C.
the relationships within the family
D.
the genogram - ANSWER: D
The nurse is unable to palpate the right radial pulse on a patient. What instrument
would the nurse use in this situation? - ANSWER: Doppler
Interviewing traps include using which of these nontherapeutic techniques?
A.
using silence
B.
providing clarification
C.
using professional jargon
D.
using closed questions to gather specific data - ANSWER: C
MIDTERM EXAM / NR509 ADVANCED PHYSICAL
ASSESSMENT MIDTERM WEEK 1-4 LATEST ACTUAL
EXAM REAL QUESTIONS AND CORRECT DETAILED
ANSWERS (CORRECT VERIFIED ANSWERS) A NEW
UPDATED VERSION |ALREADY GRADED A+
The nurse is preparing to complete a health assessment on a 16-year-old girl whose
parents have brought her to the clinic. Which instruction would be appropriate for
the parents before the interview begins? - ANSWER: While I interview your daughter,
will you step out to the waiting room and complete these family health history
questionnaires.
Which of these statements describe a chief complaint or reason for seeking care?
Select all that apply.
A.
identifies duration of problem
B.
symptom analysis of presenting problem
C.
statement of problem as a direct quote from patient
D.
treatment of problem - ANSWER: A & B
Mrs. R. brings her 28-month-old daughter into your office for a well-child visit. At the
beginning of the visit, you focus your attention away from the toddler, but as the
interview progresses, she begins to "warm up" and is smiling shyly at you. You will be
most successful if you next do which of these actions?
A.
Stoop down to her level and ask her about the toy she is holding.
B.
Tickle the toddler and get her to laugh.
C.
Continue to ignore her until you are ready for the physical examination.
D.
Ask Mrs. R. to leave while you examine the toddler, since toddlers often fuss less if
their parents aren't in view. - ANSWER: A
Which of the following assessment findings is most consistent with clubbing of the
fingernails?
A.
A nail base that is firm to palpation and slightly tender.
B.
An angle of the nail base of 180 degrees or greater with a nail base that feels spongy.
,C.
A nail base that feels spongy with an angle of the nail base of 120 degrees.
D.
Curved nails with a convex profile and ridges across the nail. - ANSWER: B
After the health history, the nurse asks the client to define his perception of health.
Which of the following questions is appropriate for this portion of the health history?
A.
What do you expect from us as health care providers?
B.
What do you think caused your problem?
C.
How do you spend a typical day?
D.
How often do you perform your testicular self-examination? - ANSWER: A
A linear crack in the skin is a fissure. - ANSWER: True
The nurse will use which technique of assessment to determine the presence of
crepitus, swelling, and pulsations?
A.
Palpation
B.
Auscultation
C.
Inspection
D.
Palpation - ANSWER: A
Which of the following is considered an example of objective data?
A.
complaints of dizziness
B.
a history of chronic sore throats
C.
a patient description of an earache
D.
swollen, tender lymph nodes - ANSWER: D
The nurse is assessing a patient's skin during an office visit. What part of the hand
and technique should be used to best assess the patient's skin temperature?
A.
Dorsal surface of the hand; the skin is thinner on this surface than on the palms
B.
Fingertips; they are more sensitive to small changes in temperature
C.
,Palmar surface of the hand; this surface is the most sensitive to temperature
variations because of its increased nerve supply in this area.
D.
Ulnar portion of the hand; increased blood supply in this area enhances temperature
sensitivity. - ANSWER: A
The nurse is conducting a DEVELOPMENTAL history on a 5 year old child. Which
questions are appropriate to ask the parents for this part of the assessment? Select
all that apply.
A.
Does he have any food allergies?
B.
How many teeth has he lost, and when did he lose them?
C.
How much junk food does your child eat?
D.
Does he take a children's vitamin?
E.
Can he tell time?
F.
Is he able to tie his shoelaces? - ANSWER: B, E, & F
A 75-year-old woman is at your clinic for a preoperative interview. This interview
may take longer than interviews with younger persons. Why?
A.
An aged person has a longer story to tell and is likely to have multiple health
concerns.
B.
All aged persons are lonely and likes to have someone to talk to.
C.
Aged persons lose much of their mental capacities and require greater time to
complete an interview.
D.
As aged persons mature, all are unable to hear and thus interviewers usually need to
repeat much of what is said. - ANSWER: A
What is an example of subjective data?
A.
"My left knee has been swollen and hot for the past three days."
B.
range of motion of 30 degrees of flexion in right elbow
C.
hemoglobin of 9.9
D.
crepitation in the left knee - ANSWER: A
, The nurse is conducting an interview with Jeremy, a 17 year old male accompanied
by his mother. Which statement by the nurse is most therapeutic when conducting a
sexual history with an adolescent?
A.
"Mrs. Williams,does Jeremy have a history of STD's?"
B.
"Mrs. Williams, is your son sexually active?"
C.
"Are you sexually active yet?"
D.
Tell me about your sex life. - ANSWER: D
The nurse is preparing to use a stethoscope for auscultation. Which statement is true
regarding the diaphragm of the stethoscope?
A.
It should be held lightly against the body part being auscultated.
B.
It should be cold when placing it on the patient's skin to induce dilation of the blood
vessels.
C.
It is used to listen to low pitched sounds.
D.
It is used to listen for high pitched sounds. - ANSWER: D
Which of these areas of the client's history helps to organize and illustrate the
family's health problems?
A.
the review of symptoms
B.
the biographical data
C.
the relationships within the family
D.
the genogram - ANSWER: D
The nurse is unable to palpate the right radial pulse on a patient. What instrument
would the nurse use in this situation? - ANSWER: Doppler
Interviewing traps include using which of these nontherapeutic techniques?
A.
using silence
B.
providing clarification
C.
using professional jargon
D.
using closed questions to gather specific data - ANSWER: C
