NR509 FINAL EXAM Advanced Physical
Assessment 100% ACCURATE GRADED A+
A 73-year-old retired salesman presents to the
Emergency Department complaining of chest pain that
started about 2 hours ago. Electrocardiogram, cardiac
enzymes, and chest x-ray are normal. The nurse notes
that his blood pressures in the right arm are significantly
lower than of blood pressures in his left arm. Based on
history and physical examination, which of the following
will most likely explain his signs and symptoms?
a. Dissecting aortic aneurysm
,b. Coarctation of the aorta
c. Myocardial infarction (MI)
d. Pulmonary embolism (PE)
e. Pericarditis - __100% correct answer as a. Dissecting
aortic aneurysm
A 19-year-old carwash attendant sustained a laceration
to the ulnar aspect of his mid-forearm while at work last
week. He did not have it evaluated at that time and is
now noticing purulent discharge and increasing pain from
the wound along with fever and chills. Where would the
clinician expect to find the first signs of
lymphadenopathy?
a. Epitrochlear nodes
b. Lateral axillary nodes
c. Central axillary nodes
d. Infraclavicular nodes
e. Cervical chain nodes - __100% correct answer as a.
Epitrochlear nodes
,When assessing for the femoral pulse, where should the
clinician begin deeply palpating?
a. Above the inguinal ligament, just lateral to the
symphysis pubis
b. Above the inguinal ligament, just medial to the
anterior superior iliac spine
c. Below the inguinal ligament, midway between the
anterior superior iliac spine and symphysis pubis d.
Below the inguinal ligament, just lateral to the symphysis
pubis
e. Below the inguinal ligament, just medial to the anterior
superior iliac spine - __100% correct answer as c. Below
the inguinal ligament, midway between the anterior
superior iliac spine and symphysis pubis
The clinician is palpating pulses in the foot of a diabetic
patient while in the clinic. A strong pulse is felt located
on the dorsum of the foot, just lateral to the extensor
tendon of the big toe. Which artery is being assessed?
, a. Arterial arch of the foot
b. Posterior tibial
c. Dorsalis pedis
d. Popliteal
e. Femoral - __100% correct answer as c. Dorsalis pedis
A 61-year-old retired librarian was recently diagnosed
with ovarian cancer. She was otherwise healthy until her
recent cancer diagnosis. She has not been feeling well
lately and has had a cough and some mild shortness of
breath for the past couple of days. She now presents to
the clinic complaining of pain and swelling in her right
groin and leg, which she says is been there for about a
week but is worsening. On physical examination, 2+
edema of the right leg up to the thigh; 1+ femoral,
popliteal, dorsalis pedis, and posterior tibial pulses; and
no significant erythema are noted. What is the chief
concern with this patient?
a. Acute arterial occlusion
Assessment 100% ACCURATE GRADED A+
A 73-year-old retired salesman presents to the
Emergency Department complaining of chest pain that
started about 2 hours ago. Electrocardiogram, cardiac
enzymes, and chest x-ray are normal. The nurse notes
that his blood pressures in the right arm are significantly
lower than of blood pressures in his left arm. Based on
history and physical examination, which of the following
will most likely explain his signs and symptoms?
a. Dissecting aortic aneurysm
,b. Coarctation of the aorta
c. Myocardial infarction (MI)
d. Pulmonary embolism (PE)
e. Pericarditis - __100% correct answer as a. Dissecting
aortic aneurysm
A 19-year-old carwash attendant sustained a laceration
to the ulnar aspect of his mid-forearm while at work last
week. He did not have it evaluated at that time and is
now noticing purulent discharge and increasing pain from
the wound along with fever and chills. Where would the
clinician expect to find the first signs of
lymphadenopathy?
a. Epitrochlear nodes
b. Lateral axillary nodes
c. Central axillary nodes
d. Infraclavicular nodes
e. Cervical chain nodes - __100% correct answer as a.
Epitrochlear nodes
,When assessing for the femoral pulse, where should the
clinician begin deeply palpating?
a. Above the inguinal ligament, just lateral to the
symphysis pubis
b. Above the inguinal ligament, just medial to the
anterior superior iliac spine
c. Below the inguinal ligament, midway between the
anterior superior iliac spine and symphysis pubis d.
Below the inguinal ligament, just lateral to the symphysis
pubis
e. Below the inguinal ligament, just medial to the anterior
superior iliac spine - __100% correct answer as c. Below
the inguinal ligament, midway between the anterior
superior iliac spine and symphysis pubis
The clinician is palpating pulses in the foot of a diabetic
patient while in the clinic. A strong pulse is felt located
on the dorsum of the foot, just lateral to the extensor
tendon of the big toe. Which artery is being assessed?
, a. Arterial arch of the foot
b. Posterior tibial
c. Dorsalis pedis
d. Popliteal
e. Femoral - __100% correct answer as c. Dorsalis pedis
A 61-year-old retired librarian was recently diagnosed
with ovarian cancer. She was otherwise healthy until her
recent cancer diagnosis. She has not been feeling well
lately and has had a cough and some mild shortness of
breath for the past couple of days. She now presents to
the clinic complaining of pain and swelling in her right
groin and leg, which she says is been there for about a
week but is worsening. On physical examination, 2+
edema of the right leg up to the thigh; 1+ femoral,
popliteal, dorsalis pedis, and posterior tibial pulses; and
no significant erythema are noted. What is the chief
concern with this patient?
a. Acute arterial occlusion
