NR 509 Advanced Physical Assessment quiz 3
S S S S S S
AdvancedSPhysicalSAssessmentSquizS3
1. QuestionS:
ASpatientStellsStheSnurseSthatSheShasSnoticedSthatSoneSofShisSmolesS
hasSstartedStoSburnSandSbleed.SWhenSassessingShisSskin,StheSnurseS
wouldSpaySspecialSattentionStoStheSdangerSsignsSforSpigmentedSle
sionsSandSwouldSbeSconcernedSwithSwhichSadditionalSfinding?
StudentSAnswer:
ColorSvariationSB
orderSregularitySSy
mmetrySofSlesions
DiameterSlessSthanS6Smm
InstructorSE AbnormalScharacteristicsSofSpigmentedSlesionsSareSsummarizedSinStheSmnem
xplanation: onicSABCD:SasymmetrySofSpigmentedSlesion,SborderSirregularity,ScolorSvariati
on,SandSdiameterSgreaterSthanS6Smm.
PointsSReceived: 2SofS2
Comments:
QuestionS2.QuestionS:
TheSnurseSisSbathingSanS80-year-
oldSmanSandSnoticesSthatShisSskinSisSwrinkled,Sthin,Slax,SandSdry.SThis
SfindingSwouldSbeSrelatedStoSwhichS factor?
StudentSAnswer: IncreasedSvascularitySofStheSskinSinStheSelderly
IncreasedSnumbersSofSsweatSandSsebaceousSglandsSinStheSelderlyS
AnSincreaseSinSelastinSandSaSdecreaseSinSsubcutaneousSfatSinSthe
elderly
AnSincreasedSlossSofSelastinSandSaSdecreaseSinSsubcutaneousSfat
inStheSelderly
InstructorSE AnSaccumulationSofSfactorsSplaceStheSagingSpersonSatSriskSforSskinSdiseaseS
xplanation: andSbreakdown:StheSthinningSofStheSskin,StheSdecreaseSinSvascularitySandSn
utrients,StheSlossSofSprotectiveScushioningSofStheSsubcutaneousSlayer,SaSlife
timeSofSenvironmentalStraumaStoSskin,StheSsocialSchangesSofSaging,StheSincr
easinglySsedentarySlifestyle,SandStheSchanceSofSimmobility.
PointsSReceived: 2SofS2
,NR 509 Advanced Physical Assessment quiz 3
S S S S S S
Comments:
QuestionS3.QuestionS:
ASpatientScomesStoStheSclinicSandStellsStheSnurseSthatSheShasSbeenSc
onfinedStoShisSreclinerSchairSforSaboutSthreeSdaysSwithShisSfeetSdo
wnSandSheSwantsStheSnurseStoSevaluateShisSfeet.SDuringStheSassess
ment,StheSnurseSmightSexpectStoSfind
StudentSAnswer:
pallor.Scooln
ess.SdistendedSv
eins.
prolongedScapillarySfillingStime.
InstructorSE KeepingStheSfeetSinSaSdependentSpositionScausesSvenousSpooling,SresultingSinSred
xplanation: ness,Swarmth,SandSdistendedSveins.SProlongedSelevationSwouldScauseSpallorSandSc
oolness.SImmobilizationSorSprolongedSinactivitySwouldScauseSprolongedScapillar
ySfillingStime.SSeeSTableS12-1.
PointsSReceived: 2SofS2
Comments:
QuestionS4.QuestionS:
AS65-year-
oldSmanSwithSemphysemaSandSbronchitisShasScomeStoStheSclinicSforSa
Sfollow-
upSappointment.SOnSassessment,StheSnurseSmightSexpectStoSseeSwhic
hSassessmentSfinding?
StudentSAnswer:
AnasarcaSSc
lerodermaSPed
alSerythema
ClubbingSofStheSnails
InstructorSE ClubbingSofStheSnailsSoccursSwithScongenitalScyanoticSheartSdisease,Sneoplastic
xplanation: ,SandSpulmonarySdiseases.STheSotherSresponsesSareSassessmentSfindingsSnotSasso
ciatedSwithSpulmonarySdiseases.
PointsSReceived: 2SofS2
Comments:
,NR 509 Advanced Physical Assessment quiz 3
S S S S S S
QuestionS5.QuestionS:
TheSnurseSnoticesSthatSaSschool-agedSchildShasSbluish-white,Sred-
basedSspotsSinSherSmouthSthatSareSelevatedSaboutS1SmmStoS3Smm.S
S
WhatSotherSsignsSwouldStheSnurseSexpectStoSfindSinSthisSpatient?
StudentSAnswer: ASpink,SpapularSrashSonStheSfaceSandSneck
PruriticSvesiclesSoverSherStrunkSandSneck
HyperpigmentationSonStheSchest,Sabdomen,SandStheSbackSofStheS
arms
ASred-purple,Smaculopapular,SblotchySrashSbehindStheSearsSand
onStheSface
InstructorSE WithSmeaslesS(rubeola),StheSexaminerSwouldSassessSaSred-
xplanation: purple,SblotchySrashSonStheSthirdSorSfourthSdaySofSillnessSthatSappearsSfirstSbe
hindStheSearsSandSspreadsSoverStheSfaceSandSthenSoverStheSneck,Strunk,SarmsSa
ndSlegs.SItSlooksScopperySandSdoesSnotSblanch.STheSbluish-white,Sred-
basedSspotsSinStheSmouthSareSknownSasSKoplik’sSspots.
PointsSReceived: 2SofS2
Comments:
QuestionS6.QuestionS:
DuringSanSexamination,StheSnurseSknowsSthatSPaget’sSdiseaseSwouldS
beSindicatedSbySwhichSofStheseSassessmentSfindings?
StudentSAnswer: PositiveSMacewenSsign
PrematureSclosureSofStheSsagittalSsutureSH
eadache,Svertigo,Stinnitus,SandSdeafnessSEl
ongatedSheadSwithSheavySeyebrowSridge
, NR 509 Advanced Physical Assessment quiz 3
S S S S S S
Instructor Paget’sSdiseaseSoccursSmoreSoftenSinSmalesSandSisScharacterizedSbySbowed
Explanation: longSbones,SsuddenSfractures,SandSenlargingSskullSbonesSthatSpressSonScranial
nervesScausingSsymptomsSofSheadache,Svertigo,Stinnitus,SandSprogressive
S S S S S S
AdvancedSPhysicalSAssessmentSquizS3
1. QuestionS:
ASpatientStellsStheSnurseSthatSheShasSnoticedSthatSoneSofShisSmolesS
hasSstartedStoSburnSandSbleed.SWhenSassessingShisSskin,StheSnurseS
wouldSpaySspecialSattentionStoStheSdangerSsignsSforSpigmentedSle
sionsSandSwouldSbeSconcernedSwithSwhichSadditionalSfinding?
StudentSAnswer:
ColorSvariationSB
orderSregularitySSy
mmetrySofSlesions
DiameterSlessSthanS6Smm
InstructorSE AbnormalScharacteristicsSofSpigmentedSlesionsSareSsummarizedSinStheSmnem
xplanation: onicSABCD:SasymmetrySofSpigmentedSlesion,SborderSirregularity,ScolorSvariati
on,SandSdiameterSgreaterSthanS6Smm.
PointsSReceived: 2SofS2
Comments:
QuestionS2.QuestionS:
TheSnurseSisSbathingSanS80-year-
oldSmanSandSnoticesSthatShisSskinSisSwrinkled,Sthin,Slax,SandSdry.SThis
SfindingSwouldSbeSrelatedStoSwhichS factor?
StudentSAnswer: IncreasedSvascularitySofStheSskinSinStheSelderly
IncreasedSnumbersSofSsweatSandSsebaceousSglandsSinStheSelderlyS
AnSincreaseSinSelastinSandSaSdecreaseSinSsubcutaneousSfatSinSthe
elderly
AnSincreasedSlossSofSelastinSandSaSdecreaseSinSsubcutaneousSfat
inStheSelderly
InstructorSE AnSaccumulationSofSfactorsSplaceStheSagingSpersonSatSriskSforSskinSdiseaseS
xplanation: andSbreakdown:StheSthinningSofStheSskin,StheSdecreaseSinSvascularitySandSn
utrients,StheSlossSofSprotectiveScushioningSofStheSsubcutaneousSlayer,SaSlife
timeSofSenvironmentalStraumaStoSskin,StheSsocialSchangesSofSaging,StheSincr
easinglySsedentarySlifestyle,SandStheSchanceSofSimmobility.
PointsSReceived: 2SofS2
,NR 509 Advanced Physical Assessment quiz 3
S S S S S S
Comments:
QuestionS3.QuestionS:
ASpatientScomesStoStheSclinicSandStellsStheSnurseSthatSheShasSbeenSc
onfinedStoShisSreclinerSchairSforSaboutSthreeSdaysSwithShisSfeetSdo
wnSandSheSwantsStheSnurseStoSevaluateShisSfeet.SDuringStheSassess
ment,StheSnurseSmightSexpectStoSfind
StudentSAnswer:
pallor.Scooln
ess.SdistendedSv
eins.
prolongedScapillarySfillingStime.
InstructorSE KeepingStheSfeetSinSaSdependentSpositionScausesSvenousSpooling,SresultingSinSred
xplanation: ness,Swarmth,SandSdistendedSveins.SProlongedSelevationSwouldScauseSpallorSandSc
oolness.SImmobilizationSorSprolongedSinactivitySwouldScauseSprolongedScapillar
ySfillingStime.SSeeSTableS12-1.
PointsSReceived: 2SofS2
Comments:
QuestionS4.QuestionS:
AS65-year-
oldSmanSwithSemphysemaSandSbronchitisShasScomeStoStheSclinicSforSa
Sfollow-
upSappointment.SOnSassessment,StheSnurseSmightSexpectStoSseeSwhic
hSassessmentSfinding?
StudentSAnswer:
AnasarcaSSc
lerodermaSPed
alSerythema
ClubbingSofStheSnails
InstructorSE ClubbingSofStheSnailsSoccursSwithScongenitalScyanoticSheartSdisease,Sneoplastic
xplanation: ,SandSpulmonarySdiseases.STheSotherSresponsesSareSassessmentSfindingsSnotSasso
ciatedSwithSpulmonarySdiseases.
PointsSReceived: 2SofS2
Comments:
,NR 509 Advanced Physical Assessment quiz 3
S S S S S S
QuestionS5.QuestionS:
TheSnurseSnoticesSthatSaSschool-agedSchildShasSbluish-white,Sred-
basedSspotsSinSherSmouthSthatSareSelevatedSaboutS1SmmStoS3Smm.S
S
WhatSotherSsignsSwouldStheSnurseSexpectStoSfindSinSthisSpatient?
StudentSAnswer: ASpink,SpapularSrashSonStheSfaceSandSneck
PruriticSvesiclesSoverSherStrunkSandSneck
HyperpigmentationSonStheSchest,Sabdomen,SandStheSbackSofStheS
arms
ASred-purple,Smaculopapular,SblotchySrashSbehindStheSearsSand
onStheSface
InstructorSE WithSmeaslesS(rubeola),StheSexaminerSwouldSassessSaSred-
xplanation: purple,SblotchySrashSonStheSthirdSorSfourthSdaySofSillnessSthatSappearsSfirstSbe
hindStheSearsSandSspreadsSoverStheSfaceSandSthenSoverStheSneck,Strunk,SarmsSa
ndSlegs.SItSlooksScopperySandSdoesSnotSblanch.STheSbluish-white,Sred-
basedSspotsSinStheSmouthSareSknownSasSKoplik’sSspots.
PointsSReceived: 2SofS2
Comments:
QuestionS6.QuestionS:
DuringSanSexamination,StheSnurseSknowsSthatSPaget’sSdiseaseSwouldS
beSindicatedSbySwhichSofStheseSassessmentSfindings?
StudentSAnswer: PositiveSMacewenSsign
PrematureSclosureSofStheSsagittalSsutureSH
eadache,Svertigo,Stinnitus,SandSdeafnessSEl
ongatedSheadSwithSheavySeyebrowSridge
, NR 509 Advanced Physical Assessment quiz 3
S S S S S S
Instructor Paget’sSdiseaseSoccursSmoreSoftenSinSmalesSandSisScharacterizedSbySbowed
Explanation: longSbones,SsuddenSfractures,SandSenlargingSskullSbonesSthatSpressSonScranial
nervesScausingSsymptomsSofSheadache,Svertigo,Stinnitus,SandSprogressive
