Final Exam: NR509/ NR 509 (New 2024/ 2025 Update) Advanced Physical Assessment | Complete Guide| Questions and Verified Answers| Weeks 5-8 Covered| 100% Co... [Show More] rrect| A Grade - Chamberlain
QUESTION
Colorectal Cancer
Answer:
affects the large intestine and results in gastrointestinal symptoms such as diarrhea, constipation, blood in the stool, or unexplained weight loss
-risk increases with age
-Other risk factors: inflammatory bowel disease, a family history of colorectal cancer, certain genetic syndromes, and lifestyle factors such as a low-fiber, high-fat diet; obesity; alcohol intake; and use of tobacco
-Prevention: screening for & removing precancerous adenomatous polyps
-Screening: beginning at age 45, include options for stool-based tests, direct visualization tests, or computed tomography colonography
QUESTION
Of all cancers, colorectal cancer is the ____ leading cause of death
Answer:
2nd
QUESTION
Clients with early colorectal cancer are often _________
Answer:
asymptomatic
QUESTION
Victor, a 55-year-old male, presents with a chief complaint of abdominal pain. Select the top four questions the NP should ask the client related to the chief complaint:
"How would you rate your pain on a scale of 1-10?"
"Can you point to the area that is causing the pain?"
"When did the pain in your abdomen start?"
"Does anything make the pain better or worse?"
"Is there any pattern to your nausea and vomiting?"
Answer:
"How would you rate your pain on a scale of 1-10?"
"Can you point to the area that is causing the pain?"
"When did the pain in your abdomen start?"
"Does anything make the pain better or worse?"
Rationale: The client's chief complaint is abdominal pain; the NP should ask questions to identify onset, location, characteristics, radiation, factors that make it better or worse, and any related medical, surgical, or social factors. Nausea and vomiting may be related symptoms; therefore, the NP should further investigate these symptoms as well.
QUESTION
Victor, a 55-year-old male, presents with a chief complaint of abdominal pain. The client reports having progressively worsening nausea, vomiting, and epigastric abdominal pain rated 7/10 that started 3 days ago. The NP assesses that the client has mild abdominal distension and hypoactive bowel sounds. The client also has a history of alcohol abuse. Which finding should the NP identify as the most significant active problem?
epigastric abdominal pain
mild abdominal distension
nausea and vomiting
hypoactive bowel sounds
Answer:
epigastric abdominal pain
Rationale: The most significant active problem is epigastric abdominal pain. The abdominal distension, nausea and vomiting, and hypoactive bowel sounds are all findings related to the epigastric abdominal pain.
QUESTION
Victor, a 55-year-old male, presents with a chief complaint of abdominal pain. The NP diagnoses the client with acute pancreatitis. Which ICD-10-CM Diagnosis Code should the NP select?
K85.2 alcohol-induced acute pancreatitis
K85.9 acute pancreatitis, unspecified
K85 acute pancreatitis
K85.20 alcohol-induced acute pancreatitis without necrosis or infection
Answer:
K85.20 alcohol-induced acute pancreatitis without necrosis or infection
Rationale: K85.20 alcohol-induced acute pancreatitis without necrosis or infection is the most specific ICD code. The most specific code should be selected because it is billable. K85.2 alcohol-induced acute pancreatitis, K85.9 acute pancreatitis, unspecified, and K85 acute pancreatitis are not billable.
QUESTION
Dominique, a 36-year-old female, presents to the NP with a chief complaint of painful urination. Select the top three questions the NP should ask the client related to the chief complaint:
"How would you rate your pain on a scale of 1-10?"
"When did the painful urination start?"
"How long have you had a fever?"
"Do you have pain anywhere else?"
"Does anything make the pain better or worse?"
Answer:
"How would you rate your pain on a scale of 1-10?"
"When did the painful urination start?"
"Does anything make the pain better or worse?"
Rationale: The client's chief complaint is painful urination; the NP should ask questions to identify onset, location, characteristics, radiation, factors that make it better or worse, and any related medical, surgical, or social factors. Fever and other areas of pain may be related symptoms, which require further investigation as well.
QUESTION
Dominique, a 36-year-old female, presents to the NP with a chief complaint of painful urination. The client reports having frequent, urgent, and painful urination that began two days ago. Since yesterday, the client has had a fever of up to 102F. The client rates flank pain 7/10. Current vital signs: temperature 101F, pulse 110, respiratory rate 16, and blood pressure 120/80. Which finding should the NP identify as the most significant active problem?
flank pain
fever
dysuria, frequency, urgency
tachycardia
Answer:
dysuria, frequency, urgency
Rationale: The most significant active problem is dysuria, frequency, and urgency. The flank pain, fever, and tachycardia are findings that are likely related to dysuria, frequency, and urgency.
QUESTION
ICD-10-CM Diagnosis Code for acute pyelonephritis
Answer:
N10 acute pyelonephritis
QUESTION
The nervous system contains:
Answer:
brain, brainstem, and nerves
-divided into two structural systems:
• CNS
• PNS
QUESTION
CNS [Show Less]