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NR509 MIDTERM EXAM (LATEST 2023-2024); ANDVANCED PYYSICAL
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ASSESSMENT EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
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|ALREADY A GRADED
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A mother brings her two-month-old daughter in for an examination says "my daughter rolled
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over against the wall and now I have noticed that she has the spot soft on the top of her head,
is there something terribly wrong?" The FNP's best response would be:
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- " That soft spot is normal and actually allows for growth of the brain during the first
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year of your baby's life"
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During percussion the FNP knows that a dull percussion note elicited over a lung lobe. This most
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likely results from:
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- Increased density of lung tissue
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The patient is unable to differentiate between sharp and dull stimulation to both sides of her
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face.
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The FNP suspects Damage to:
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- The trigeminal nerve
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When examining the face, the FNP is aware that the two pairs of salivary gland's that are
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accessible to examination are the glands
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- Parotid and submandibular
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A patient comes to the clinic complaining of neck and shoulder pain and is unable to turn her
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head. The FNP suspects damage to cranial nerve and proceeds with the examination
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by
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- XI; asking the patient you should have her shoulders against resistance
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When examining a patient's cranial nerve function, the FNP remembers that the muscles in the
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neck that are innervated by CN XI are the:
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- Sternomastoid and trapezius
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The patient's laboratory data reveal an elevated thyroxine level. The FNP would proceed with
an examination of the gland
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- Thyroid
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A patient says that she has recently noticed a lump in the front of her neck below her "Adams
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apple" that seems to be getting bigger. During the assessment, the finding that leaves the FNP
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to suspect that this may not be a cancerous thyroid nodule is that the lump:
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- Is mobile and not hard
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The FNP notices that the patient's submental lymph nodes are enlarged. In an effort to identify
the cause of the node enlargement, the FNP would assess the patient's:
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- Area proximal to the enlarged node
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The FNP is aware that the four areas in the body were lymph nodes accessible are the:
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- Head and neck, arms, inguinal area, and axillae
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A 52-year-old patient describes the presence of occasional floaters or spots moving in front of
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his eyes. The FNP should know that floaters are usually not significant and are caused
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by:
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- Condensed vitreous fibers
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