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NR509 Final Exam & Study Guide, NR509 Midterm Exam & Study Guide, NR509 Week 1, 2, 3, 4, 5, 6, 7 Quiz (2 Versions of Each Quiz) (Latest-2021): Chamberlain College of Nursing |100% Correct Q & A|
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NR509 Final Exam (Latest-2021) / NR 509 Final Exam: Chamberlain College of Nursing |100% Correct Q & A, Download to Score “A”|
NR509 Final Exam (Latest-2021) / NR 509 Final Exam: Chamberlain College of Nursing |100% Correct Q & A, Download to Score “A”| NR509 Final Exam ... [Show More] / NR 509 Final Exam (Latest): Chamberlain College of Nursing Chamberlain College of Nursing NR509 Final Exam (Latest) Question: The function of the auditory ossicles is to: transmit the light reflex to the light cone. transform sound vibrations into mechanical waves for the inner ear. to capture sound waves from the external ear for transmission into the middle ear. to separate the inner ear from the middle ear. Question: A 35-year-old patient complains of vertigo accompanied by nausea and vomiting. Examination reveals bilateral diplopia and an unsteady gait. These symptoms could be suggestive of: Anarrhythmia .a neurological condition .an inner ear infection. orthostatic hypotension. Question: A 60-year-old was concerned about a yellowish colored lesion above her right eyelid. Findings revealed a slightly raised yellowish, well circumscribed plaque along the nasal area of her right eyelid. This finding is most consistent with: apinguecula. achalazion. episcleritis. xanthelasma. Question: Assessment of a patient's visual acuity resulted in 20/200 using the Snellen eye chart. This means that: at 200 feet the patient can read printed information that a person with normal vision could read at 20 feet. at 20 feet the patient can read printed information that a person with normal vision could read at 200 feet. the patient has normal visual acuity. the patient may not be able to read so he should be tested with the picture or "E" eye charts. Question: Findings following assessment of a person's left eye gaze include impaired movements when attempting to look upward, downward, or inward. This condition is most consistent with: a conjugate gaze. left cranial nerve III (oculomotor) paralysis cranial nerve IV (trochlear) paralysis. cranial nerve VI (abducens) paralysis. Question: Findings following assessment of a person's eye gaze include both eyes moving in the same direction simultaneously. This condition is most consistent with: a conjugate gaze. left cranial nerve III (oculomotor) paralysis cranial nerve IV (trochlear) paralysis. cranial nerve VI (abducens) paralysis. Question: A patient was diagnosed as being farsighted. The term for this condition is: hyperopia. myopia. strabismus. astigmatism. Question: A buildup of excess fluid around the periphery of the eye orbits is known as: episcleritis. pinguecula. ptosis. periorbital edema. Question: In order to visualize the opening of Stensen's duct, examine the: dorsal surface of the tongue. area beneath the mandible at the angle of the jaw. buccal mucosa opposite the second molar. small openings along the sublingual fold under the tongue. Question: What connects the middle ear to the nasopharynx? The tympanic membrane The proximal end of the eustachian tube Themalleus Theossicles Question: The fleshly projection of the earlobe is known as the: lobule. tragus. auricle. helix. Question: When examining the pupils, the left pupil is noted to be fixed and dilated to light and near accommodation. This condition may be suggestive of: a tonic pupil. Incorrect oculomotor nerve (CN III) paralysis. Horner'ssyndrome. Argyll Robertson pupils. Question: A deposit of uric acid crystals appearing as hard nodules on the helix or antihelix is termed: akeloid. a tophi. a cutaneous cyst. chondrodermatitis. Question: On the outer ear, anterior and parallel to the helix, is a curved prominence known as the: Antihelix Helix Auricle Tragus Question: On examination of the pupils, both are round but the right pupil appears larger than the left and reacts much slower to light. This condition may be indicative of: a tonic pupil. oculomotor nerve (CN III) paralysis. Horner'ssyndrome. Argyll Robertson pupils. Question: Leukoplakia was noted during an exam of the mouth. This symptom may be: a normal finding. precancerous. associated with periodontal disease. consistent with gingivitis. Question: The majority of people who present with non-24 hour sleep-wake disorder are: legallyblind. attentiondeficit. colorblind. totally blind. Question: The most common cause of bacterial pharyngeal infections in children is: Corynebacterium. Chlamydia. mononucleosis.group A beta-hemolytic Streptococcus. Question: When inspecting the neck for the thyroid gland, slightly tilt the patient's head back, and using tangential lighting directed downward from the tip of the patient's chin, inspect the: region above the thyroid cartilage. region below the cricoid cartilage. area along the sternomastoidborder. area along the anterior edge of the trapezius. Question: A condition in which the eyes are not properly aligned with each other is termed: hyperopia. myopia. strabismus. astigmatism. Question: Round or oval shaped lesions surrounded by erythematous mucosa and noted on an area of the oral mucosa may be: leukoplakia. aphthous ulcers. Koplik'sspots. ulcerative gingivitis. Question: On physical exam, an abnormal Rinne test might indicate: impaired physical mobility. impaired visual acuity. impaired hearing ability. impaired swallowing ability. Question: Ophthalmoscopic examination reveals dark specks noted between the fundus and the lens. These specks are most likely: superficial retinal hemorrhages. cataracts. drusen. vitreous floaters. Question: A 60- year-old patient presents with severe, deep left eye pain. Findings reveal dilated and fixed left pupil and the cornea is cloudy. There is no ocular discharge noted. These findings are most likely consistent with: acuteiritis. corneal injury. cornealinfection. acute angle closure glaucoma. Question: The function of the labyrinth in the inner ear is to: assist with air conduction. maintain equilibrium. maintain acoustic transmission. capture sound waves. Question: The curved outer ridge of the auricle of the ear is known as the: Antihelix Helix Auricle Tragus Question: A person who has been blind since birth presents for a physical exam. Expected findings of the pupillary reaction when light is shown would be: constriction of both pupils. dilation of both pupils. no reaction from either pupil.it depends. Question: A six-year-old complains that something is in her left eye. There is a red raised area of the left lid. There is redness and tenderness of the eye and tearing. These findings are consistent with: blepharitis. conjunctivitis. a corneal ulcer. ahordeolum. Question: Ophthalmoscopic examination of the retina reveals AV tapering. This appears as if the: vein "winds" down on either side of the artery. vein is twisted on the distal side of the artery. vein crosses beneath the artery. vein stops abruptly on either side of the artery. Question: A patient presents with complaints of burning, itching, tearing, and some pain in the eye. Findings reveal red, scaly, greasy flakes and thickened, crusted lid margins. This would be suggestive of: achalazion. blepharitis. ahordeolum. dacryocystitis. Question: Ophthalmoscopic examination of the fundus reveals small, rounded, slightly irregular red spots embedded in the retina. These findings are consistent with: superficial retinal hemorrhages. preretinalhemorrhages. microaneurysms. deep retinal hemorrhages. Question: Redness, bleeding, pain, and swelling of the gums is most likely: stomatitis. gingivitis. leukoplakia. aphthous ulcers. Question: Ophthalmoscopic examination of the retina reveals a normal arteriovenous crossing. This appears as if the: vein tapers down on either side of the artery. vein is twisted on the distal side of the artery. vein crosses beneath the artery. vein stops abruptly on either side of the artery. Question: Otosclerosis is an example of a(n): conductive hearing loss. sensorineural hearing loss. mixed hearing loss. acquired hearing loss. Question: Which of the following findings in a preschooler would indicate the need for further evaluation? Intelligible speech by 24 months of age Variation in quality of speech pattern and tone Responds to facial expressions and gestures rather than to verbal explanations Looks at people when they speak Question: A 50- year-old patient complains of being unable to read the hymnal at church. This describes: hyperopia. myopia. presbyopia. astigmatism. Question: The gradual loss of vision with a change in color and size of the optic disc is referred to as: macular degeneration. glaucoma. cataracts. retinoblastoma Question: In order to examine the tongue, ask the patient to stick out his tongue and with the examiner's right hand: stimulate the patient to cough. pull the tongue downward and push down with the finger on the left hand to elicit the gag reflex. grasp the tip of the tongue, gently pull it to the left side , and inspect the side of the tongue. inspect it for symmetry. Question: A 30-year-old patient presents with complaints of seeing double in the right eye. Examination reveals diplopia in the right eye when the left eye is closed. This may be suggestive of a: problem in the cornea. problem in the optic disc. palsy of cranial nerve III or IV. palsy of cranial nerve III or VI. Question: One cause of nasal septum perforation may be: nasalpolyps. intranasal use of cocaine. cysticfibrosis. chronic sinusitis. Question: A 30-year-old patient presents with a moderate "aching" in his right eye. Findings reveal a small and irregular shaped right pupil. The cornea appears cloudy with a slight erythematous area around the corneal limbus. There is no ocular discharge noted. These findings are consistent with: acute iritis. corneal injury. cornealinfection. acute angle closure glaucoma. Question: Sudden bilateral and painless visual loss is rare but can be associated with all the following except: cholinergics. anticholinergics. steroids. chemical exposure. Question: The Weber test uses a tuning fork to test hearing. The frequency range closest to that of conversational speech would be one with a frequency of: 256 Hz. 512 Hz. 800 Hz. 1000Hz. Question: On ophthalmoscopic examination, optic atrophy appears: pink and hyperemic. yellowish orange to creamy pink. pale. white. Question: Ophthalmoscopic examination of the retina reveals AV banking. This appears as if the: vein tapes down on either side of the artery. vein is twisted on the distal side of the artery. vein crosses beneath the artery. vein stops abruptly on either side of the artery. Question: Causes of sensorineural hearing loss include all of the following except: aging. loud noises over prolonged periods of time. perforated tympanic membrane. acoustic neuroma. Question: What visual acuity constitutes legal blindness? Visual acuity of 20/80 or worse bilaterally. Visual acuity of 20/200 or worse in the better eye with corrected lens. Visual acuity of 20/200 in the better eye without corrected lens. Visual acuity of 20/100 with corrected lens. Question: An example of a cause of conductive hearing loss in children would be: prolonged use of tobramycin. Incorrect the presence of a peanut in the ear for three weeks. congenital rubella syndrome. maternal history of Herpes infection. Question: Miosis is a term used to describe: the shape of the pupils. constriction of the pupils. dilation of the pupils. symmetry of the pupils. Question: If a patient complains of seeing flashing lights across the field of vision, this could be: a normal response if around bright lights. a retinal detachment. detachment of the vitreous from the retina. lesion in the visual pathways. [Show Less]
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NR509 Final Exam Study Guide (Latest-2021) / NR 509 Final Exam Study Guide: Chamberlain College of Nursing
NR509 Final Exam Study Guide (Latest-2021) / NR 509 Final Exam Study Guide: Chamberlain College of Nursing
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NR509 Midterm Exam (Latest-2021)/ NR 509 Midterm Exam: Chamberlain College of Nursing |100% Correct Q & A, Download to Score “A”|
NR509 Midterm Exam (Latest-2021)/ NR 509 Midterm Exam: Chamberlain College of Nursing |100% Correct Q & A, Download to Score “A”| NR 509 Midterm Exa... [Show More] m / NR509 Midterm Exam (Latest): Advanced Physical Assessment: Chamberlain College of Nursing 1. A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the FNP expect to see during an assessment of this patient? 2. The direction of blood flow through the heart is best described by which of these 3. In assessing the carotid artery’s of an older patient with cardiovascular disease, the FNP would 4. When listening to heart sounds the FNP knows that the valve closures that can be heard best at the base of the heart are 5. The sack that surrounds and protects the heart is called the 6. When assessing a newborn infant who is five minutes old the FNP knows that which of these statements would be true? 7. The FNP is performing an assessment on an adult. The adults vital signs are normal and capillary refill is five seconds. What should the FNP do next? 8. During an assessment of an older adult the FNP should expect to notice which finding as normal physiologic change associated with aging process? 9. The mother of a three month old infant states that her baby has not been gaining weight. With further questioning the FNP finds that the infant falls asleep after nursing and wakes up after a short amount of time hungry again. What other information with the FNP want to have? 10. In assessing a patient’s major risk factors for heart disease which would the FNP want to include when taking a history? 11. The FNP is … the pulses of a patient who has been admitted for untreated hyperthyroidism. The FNP should expect to find a____pulse 12. A patient complains of leg pain that wakes him at night. He states that he has been having problems with his legs. ….. his legs when they are … and disappears when he dangles them. He recently noticed a sore on the inner aspect of his right ankle. On the basis of this history information the FNP interprets that the patient is most likely experiencing 13. During an assessment the FNP uses the profile sign to detect 14. Which of these statements describes the closure of the valves in a normal cardiac cycle? 15. When performing a peripheral vascular assessment on a patient the FNP is unable to palpate the ulnar pulses. The patient skin is warm and capillary refill is normal. The FNP should next 16. A 67-year-old patient states that he “recently began have pain in his left calf when climbing the 10 stairs to his apartment”. This pain is relieved by sitting for about two minutes then he’s able to resume activities. The FNP interprets this patient is most likely experiencing 17. In assessing a 70-year-old man the FNP finds the following blood pressure 140/100 mmHg, heart rate 104 and slightly irregular, split S2. Which of these findings can… by expected hemodynamic changes related to age? 18. The FNP is examining the lymphatic system of a healthy three year old child. Which finding should the FNP expect? 19. The FNP is preparing to perform modified Allen test. Which is an appropriate reason for this test? 20. A 25-year-old woman is in her fifth month of pregnancy has a blood pressure of 100/70 mmHg. In reviewing her previous exam the FNP notes that her blood pressure in her second month was 124/80 mmHg. When evaluating this change what does the FNP know to be true? 21. Findings from an … of a 70-year-old patient with swelling in his ankles include jugular venous pusations, 5 cm above the sternal angle when the head of his bed is …. 45°. The FNP knows that this finding indicate: 22. The component of the conduction system referred to as the pacemaker of the heart is the 23. The FNP is reviewing anatomy and physiology of the heart. Which statement best … by atrial kick? 24. A 45-year-old man is in the clinic for a routine physical. During history the patient states he has been having difficulty sleeping. I’ll be sleeping great and then I wake up and feel like I can’t catch my breath. The FNP‘s best response to this would be 25. When assessing a patient the FNP notes that the left femoral pulse as diminished 1+/4+. What should the FNP do next? [Show Less]
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NR509 Midterm Exam Study Guide (Latest-2021) / NR 509 Midterm Exam Study Guide: Chamberlain College of Nursing
NR509 Midterm Exam Study Guide (Latest-2021) / NR 509 Midterm Exam Study Guide: Chamberlain College of Nursing
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NR509 Week 1 Quiz (2 Versions, Latest-2021) / NR 509 Week 1 Quiz: Advanced Physical Assessment: Chamberlain College of Nursing |100% Correct Q & A, Download to Score “A”|
NR509 Week 1 Quiz (2 Versions, Latest-2021) / NR 509 Week 1 Quiz: Advanced Physical Assessment: Chamberlain College of Nursing |100% Correct Q & A, Downloa... [Show More] d to Score “A”| NR509 Week 1 Advanced Physical Assessment Quiz (2 Versions, Latest-2021) / NR509 Advanced Physical Assessment Quiz 1: Chamberlain College of Nursing |100% Correct Q & A| NR 509 Week 1 Quiz / NR509 Week 1 Quiz (Latest): Advanced Physical Assessment: Chamberlain NR 509 Advanced Physical Assessment Quiz 1 / NR509 Advanced Physical Assessment Quiz 1 (Latest): Chamberlain NR 509 Week 1 Advanced Physical Assessment Quiz / NR509 Week 1 Advanced Physical Assessment Quiz (Latest): Chamberlain Question1. The nurse is performing a physical assessment on a newly admitted patient. An example of objective information obtained during the physical assessment includes the patient’s history of allergies. patient’s use of medications at home. last menstrual period one month ago. 2 5 cm scar present on the right lower forearm. Question 2. Barriers to incorporating evidence-based practice (EBP) include nurses’ lack of research skills in evaluating quality of research studies. lack of significant research studies. insufficient clinical skills of nurses. inadequate physical assessment skills. Question 3. The nurse has implemented several planned interventions to address the nursing diagnosis of acute pain. Which would be the next appropriate action? Establish priorities. Identify expected outcomes. Evaluate the individual’s condition and compare actual outcomes with expected outcomes. Interpret data and then identify clusters of cues and make inferences. Question 4. Which of these would be formulated by a nurse using diagnostic reasoning? Nursing diagnosis Medical diagnosis Diagnostic hypothesis Diagnostic assessment Question 5. The nurse asks, “I would like to ask you some questions about your health and your usual daily activities so that we can better plan your stay here.” This question is found at the _____ phase of the interview process. summary closing body opening or introduction Question 6. A female nurse is interviewing a male patient who is near the same age as the nurse. During the interview, the patient makes an overtly sexual comment. The nurse’s best reaction would be “Stop that immediately!” “Oh, you are too funny. Let’s keep going with the interview.” “Do you really think I would be interested?” “It makes me uncomfortable when you talk that way. Please stop.” Question 7. The nurse makes this comment to a patient: “I know it may be hard, but you should do what the doctor ordered because she is the expert in this field.” Which statement is correct about the nurse’s comment? This comment is inappropriate because it shows the nurse’s bias. This comment is appropriate because members of the healthcare team are experts in the area of patient care. This type of comment promotes dependency and inferiority on the part of the patient and is best avoided in an interview situation. At times, it is necessary to use authority statements when dealing with patients, especially when they are undecided about an issue. Question 8. A patient has finished giving the nurse information about the reason he is seeking care. When reviewing the data, the nurse finds that some information about past hospitalizations is missing. At this point, which statement by the nurse would be most appropriate to gather these data? “Mr. Y., at your age, surely you have been hospitalized before!” “Mr. Y., I just need permission to get your medical records from County Medical.” “Mr. Y., you mentioned that you have been hospitalized on several occasions. Would you tell me more about that?” “Mr. Y., I just need to get some additional information about your past hospitalizations. When was the last time you were admitted for chest pain?” Question 9. The nurse is incorporating a person’s spiritual values into the health history. Which of these questions illustrates the “community” portion of the FICA questions? “Do you believe in God?” “Are you a part of any religious or spiritual congregation?” “Do you consider yourself to be a religious or spiritual person?” “How does your religious faith influence the way you think about your health?” Question 10. The nurse is performing a review of symptoms. Which of these questions is appropriate as health promotion questions to ask during this time? “Do you use sunscreen while outside?” “May I see if your skin is warm and dry?” “Have you had any dizziness or headaches?” “When you cough, what color is the sputum you bring up?” Question 11. The nurse is obtaining a history from a 30-year-old male patient and is concerned about health promotion activities. Which of these questions would be appropriate to use to assess health promotion activities for this patient? “Do you perform testicular self-examinations?” “Have you ever noticed any pain in your testicles?” “Have you had any problems with passing urine?” “Do you have any history of sexually transmitted disease?” Question 12. A 5-year-old boy is being admitted to the hospital to have his tonsils removed. Which information should the nurse collect before this procedure? The child’s birth weight The age at which he crawled Whether he has had the measles Reactions to previous hospitalizations Question 13. A female patient tells the nurse that she has had six pregnancies, with four live births at term and two spontaneous abortions. Her four children are still living. How would the nurse record this information? P-6, B-4, (S)Ab-2 Grav 6, Term 4, (S)Ab 2, Living 4 Patient has had four living babies. Patient has been pregnant six times. Question 14. The nurse is preparing to use an otoscope for an examination. Which statement is true regarding the otoscope? The otoscope is often used to direct light onto the sinuses. uses a short, broad speculum to help visualize the ear. is used to examine the structures of the internal ear. directs light into the ear canal and onto the tympanic membrane. Question 15. Which of these statements is true regarding the use of standard precautions in the healthcare setting? Standard precautions apply to all body fluids, including sweat. Use alcohol-based hand rub if hands are visibly dirty. Standard precautions are intended for use with all patients regardless of their risk or presumed infection status. Standard precautions are to be used only when there is nonintact skin, excretions containing visible blood, or expected contact with mucous membranes. Question 16. Which of these techniques uses the sense of touch to assess texture, temperature, moisture, and swelling when the nurse is assessing a patient? Palpation Inspection Percussion Auscultation Question 17. A man is at the clinic for a physical examination. He states that he is “very anxious” about the physical examination. What steps can the nurse take to make him more comfortable? Appear unhurried and confident when examining him. Stay in the room when he undresses in case he needs assistance. Ask him to change into an examining gown and take off his undergarments. Defer measuring vital signs until the end of the examination, which allows him time to become comfortable. Question 18. The nurse is preparing to use a stethoscope for auscultation. Which statement is true regarding the diaphragm of the stethoscope? The diaphragm is used to listen for high-pitched sounds. is used to listen for low-pitched sounds. should be held lightly against the person’s skin to block out low-pitched sounds. should be held lightly against the person’s skin to listen for extra heart sounds and murmurs. Question 19. The nurse knows that one advantage of the tympanic thermometer is that its rapid measurement is useful for uncooperative younger children. it is the most accurate method for measuring temperature in newborn infants. it is an inexpensive means of measuring temperature. studies strongly support use of the tympanic route in children under age six years. Question 20. The nurse is conducting a health fair for older adults. Which statement is true regarding vital sign measurements in aging adults? The pulse is more difficult to palpate because of the stiffness of the blood vessels. An increased respiratory rate and a shallower inspiratory phase are expected findings. A decreased pulse pressure occurs from changes in systolic and diastolic blood pressures. Changes in the body’s temperature regulatory mechanism leave the aging person more likely to develop a fever. Question 21. The nurse is taking an initial blood pressure on a 72-year-old patient with documented hypertension. How should the nurse proceed? Place the cuff on the patient’s arm and inflate it 30 mm Hg above the patient’s pulse rate. Inflate the cuff to 200 mm Hg in an attempt to obtain the most accurate systolic reading. Inflate the blood pressure cuff 30 mm Hg above the point at which the palpated pulse disappears. Look at the patient’s past blood pressure readings and inflate the cuff 30 mm Hg above the highest systolic reading recorded. Question 22. The nurse is examining a patient who is complaining of “feeling cold.” Which is a mechanism of heat loss in the body? Exercise Radiation Metabolism Food digestion Question 23. When measuring a patient’s weight, the nurse keeps in mind which of these guidelines? Always weigh the patient with only his or her undergarments on. It does not matter what type of scale is used, as long as the weights are similar from day-to-day. The patient may leave on his or her jacket and shoes as long as this is documented next to the weight. Attempt to weigh the patient at approximately the same time of day, if a sequence of weights is necessary. Question 24. The nurse knows that which statement is true regarding the pain experienced by infants? Pain in infants can only be assessed by physiologic changes, such as increased heart rate. The Faces Pain Scale—revised (FPS-R) can be used to assess pain in infants. A procedure that induces pain in adults will also induce pain in the infant. Infants feel pain less than adults do. Question 25. A patient is complaining of severe knee pain after twisting it during a basketball game and is requesting pain medication. Which action by the nurse is appropriate? Complete the physical examination first and then give the pain medication. Tell the patient that the pain medication must wait until after the x-rays are completed. Evaluate full range of motion of the knee and then medicate for pain. Administer pain medication and then proceed with the assessment. NR 509 Week 1 Quiz / NR509 Week 1 Quiz (Latest): Advanced Physical Assessment: Chamberlain NR 509 Advanced Physical Assessment Quiz 1 / NR509 Advanced Physical Assessment Quiz 1 (Latest): Chamberlain NR 509 Week 1 Advanced Physical Assessment Quiz / NR509 Week 1 Advanced Physical Assessment Quiz (Latest): Chamberlain 1. A patient tells the FNP that he is very nervous, that he is nauseated, and that he “feels hot”. This type of data would be: 2. The patient’s record, laboratory studies, objective data, and subjective data combine to form the: 3. The FNP is reviewing information about evidence-based practice. Which statement best reflects evidence-based practice? 4. A 59-year-old patient tells the FNP that he has ulcerative colitis. He has been having black stools for the last 24 hours. How would the FNP best document his reason for seeking care? 5. A 29-year-old woman tells the FNP that she has excruciating pain in her back. Which would be an appropriate response by the FNP to the woman statement? 6. In recording the childhood illnesses of a patient who denies having had any, which note by the FNP would be most accurate? 7. If a female patient tells the FNP that she has had six pregnancies, with four live births at term and two spontaneous abortions. Her four children are still living. How would the FNP record this information? 8. If a female patient tells the FNP that she has had six pregnancies, with four live births at term and two spontaneous abortions. Her four children are still living. How would the FNP record this information? 9. Which of these statements represents subjective data the FNP obtained from the patient regarding the patient’s skin? 10. The FNP is obtaining a history for a 30-year-old male patient and is concerned about health promotion activities. Which of these questions would be appropriate to use to assess health promotion activities for this patient? 11. Which statement indicates that the FNP understands the pain experienced by an elderly person? 12. The FNP is performing a vision examination. Which of these charts is most widely used for visual examination? 13. During a complete health assessment, how would the FNP test the patients hearing? 14. The FNP has just completed an examination of a patient’s extra-ocular muscles. When documenting the findings, the FNP should document the assessment of which cranial nerves? 15. A patient’s uvula rises midline when she says “ahh” and she has a positive gag reflex. The FNP has just tested which cranial nerve? 16. During an examination the FNP notices that a patient is unable to stick out his tongue. Which cranial nerve is involved with successful performance of this action? 17. A patient is unable to shrug her shoulders against the FNP‘s resistant hands. What cranial nerve is involved with successful shoulder shrugging? 18. During an examination, the patient has just successfully completed the finger to nose and rapid alternating movements test and is able to run each heel down the opposite shin. The FNP would conclude that the patient’s___ function is intact 19. A five-year-old child is in the clinic for checkup. The FNP would expect him to: 20. When the FNP performs the confrontation test the FNP has assessed: 21. Which of these statements is true regarding the complete physical assessment? 22. Which of these statements is true regarding recording of data from the history and physical examination? 23. Which of these is included in assessment of general appearance? 24. The FNP is performing a review of symptoms. Which of these questions are appropriate as Health promotion questions to ask during this time? 25. The FNP is incorporating a person’s spiritual values into the health history. Which of these questions illustrates the community portion of the FICA questions? 26. The FNP 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? [Show Less]
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NR509 Week 2 Quiz (2 Versions, Latest-2021) / NR 509 Week 2 Quiz: Advanced Physical Assessment: Chamberlain College of Nursing |100% Correct Q & A, Download to Score “A”|
NR509 Week 2 Quiz (2 Versions, Latest-2021) / NR 509 Week 2 Quiz: Advanced Physical Assessment: Chamberlain College of Nursing |100% Correct Q & A, Downloa... [Show More] d to Score “A”| NR509 Week 2 Advanced Physical Assessment Quiz (2 Versions, Latest-2021) / NR509 Advanced Physical Assessment Quiz 2: Chamberlain College of Nursing |100% Correct Q & A| NR 509 Week 2 Quiz / NR509 Week 2 Quiz (Latest): Advanced Physical Assessment: Chamberlain NR 509 Advanced Physical Assessment Quiz 2 / NR509 Advanced Physical Assessment Quiz 2 (Latest): Chamberlain NR509 Week 2 Advanced Physical Assessment Quiz / NR 509 Week 2 Advanced Physical Assessment Quiz (Latest): Chamberlain Question1. The nurse is reviewing theories of illness. The germ theory, which states that microscopic organisms such as bacteria and viruses are responsible for specific disease conditions, is a basic belief of which theory of illness? Holistic Biomedical Naturalistic Magicoreligious Question 2. In the hotcold theory, illnesses are believed to be caused by hot or cold entering the body. Which of these patients’ conditions is most consistent with a “cold” condition? Diabetic patient with renal failure Teenager with an abscessed tooth Child with symptoms of itching and a rash Elderly male with gastrointestinal discomfort Question 3. The nurse is conducting a heritage assessment. Which question is most appropriate for this assessment? “What is your religion?” “Do you mostly participate in the religious traditions of your family?” “Do you smoke?” “Do you have a history of heart disease?” Question 4. The nurse is comparing the concepts of religion and spirituality. Which of the following is an appropriate component of one’s spirituality? Belief in and the worship of God or gods Attendance at a specific church A personal effort to find purpose and meaning in life Spirituality is closely tied to one’s ethnic background Question 5. The nurse is reviewing the hotcold theory of health and illness. Which statement best describes the basic tenets of this theory? The causation of illness is based on supernatural forces that influence the humors of the body. Herbs and medicines are classified on their physical characteristics of hot and cold and the humors of the body. The four humors of the body consist of blood, yellow bile, spiritual connectedness, and social aspects of the individual. The treatment of disease consists of adding or subtracting cold, heat, dryness, or wetness to restore the balance of the humors of the body. Question 6. An elderly Mexican-American woman with traditional beliefs has been admitted to an inpatient care unit. A culturally-sensitive nurse would contact the hospital administrator about the best course of action. automatically get a curandero for her because it is not culturally appropriate for her to request one. further assess the patient’s cultural beliefs and offer the patient assistance in contacting a curandero or priest if she desires. ask the family what they would like to do because Mexican-Americans traditionally give control of decisions to their families. Question 7. The nurse recognizes that working with children with a different cultural perspective may be especially difficult because children have spiritual needs that are influenced by their stages of development. children have spiritual needs that are direct reflections of what is occurring in their homes. religious beliefs rarely affect the parents’ perceptions of the illness. parents are often the decision makers, and they have no knowledge of their children’s spiritual needs. Question 8. During morning rounds, the nurse asks a patient, “How are you today?” The patient responds, “You today, you today, you today!” and mumbles the words. This speech pattern is an example of echolalia. clanging. word salad. perseveration. Question 9. A patient repeats, “I feel hot. Hot, cot, rot, tot, got. I’m a spot.” The nurse documents this as an illustration of blocking. clanging. echolalia. neologism. Question 10. A 26-year-old woman was robbed and beaten a month ago. She is returning to the clinic today for a follow-up assessment. The nurse would want to be certain to ask her which of these questions? “How are things going with the trial?” “How are things going with your job?” “Tell me about your recent engagement!” “Are you having any disturbing dreams?” Question 11. A 45-year-old woman is at the clinic for a mental status assessment. In giving her the Four Unrelated Words Test, the nurse would be concerned if she could not _____ four unrelated words _____. invent; within 5 minutes invent; within 30 seconds recall; after a 30-minute delay recall; after a 60-minute delay Question 12. The nurse is assessing a 75-year-old man. As the nurse begins the mental status portion of the assessment, the nurse expects that this patient will have no decrease in any of his abilities, including response time. will have difficulty on tests of remote memory because this typically decreases with age. may take a little longer to respond, but his general knowledge and abilities should not have declined. will have had a decrease in his response time because of language loss and a decrease in general knowledge. Question 13. A patient has had a cerebrovascular accident, or stroke. He is trying very hard to communicate. He seems driven to speak and says, “I buy obie get spirding and take my train.” What is the best description of this patient’s problem? Global aphasia Broca’s aphasia Echolalia Wernicke’s aphasia Question 14. A 20-year-old construction worker has been brought into the emergency department with heat stroke. He has delirium as a result of the fluid and electrolyte imbalance. For the mental status examination, the nurse should first assess the patient’s affect and mood. memory and affect. language abilities. level of consciousness and cognitive abilities. Question 15. The nurse is reviewing aspects of substance abuse in preparation for a seminar. Which of these statements illustrates the concept of “tolerance” to an illicit substance? The person has a physiologic dependence on a substance. requires an increased amount of the substance to produce the same effect. requires daily use of the substance in order to function, and is unable to stop using it. experiences a syndrome of physiologic symptoms if the substance is not used. Question 16. The nurse is assessing bruising on an injured patient. Which color indicates a new bruise that is less than two hours old? Red Purple-blue Greenish-brown Brownish-yellow Question 17. The nurse is examining a 3-year-old child who was brought to the emergency room after a fall. Which bruise, if found, would be of most concern? A bruise on the knee A bruise on the elbow Bruising on the abdomen A bruise on the shin Question 18. A 16-year-old girl is being seen at the clinic for gastrointestinal complaints and weight loss. The nurse determines that many of her complaints may be related to erratic eating patterns, eating predominantly fast foods, and high caffeine intake. In this situation, which is most appropriate when collecting current dietary intake information? Schedule a time for direct observation of the adolescent during meals. Ask the patient for a 24-hour diet recall and assume this is reflective of a typical day for her. Have the patient complete a food diary for three days, including two weekdays and one weekend day. Use the food frequency questionnaire to identify the amount of intake of specific foods. Question 19. The nurse is evaluating patients for obesity-related diseases by calculating the waist-to-hip ratios. Which one of these patients would be at increased risk? 29-year-old woman whose waist is 33 inches and whose hips are 36 inches 32-year-old man whose waist is 34 inches and whose hips are 36 inches 38-year-old man whose waist is 35 inches and whose hips are 38 inches 46-year-old woman whose waist is 30 inches and whose hips are 38 inches Question 20. The nurse is providing care for a 68-year-old woman who is complaining of constipation. What concern exists regarding her nutritional status? The absorption of nutrients may be impaired. The constipation may represent a food allergy. She may need emergency surgery for the problem. The gastrointestinal problem will increase her caloric demand. Question 21. Which of these conditions is due to an inadequate intake of both protein and calories? Obesity Bulimia Marasmus Kwashiorkor Question 22. After completing a diet assessment on a 30-year-old woman, the nurse suspects that she may be deficient in iron. Laboratory studies to obtain to verify this condition would be hemoglobin and hematocrit. cholesterol and triglycerides. urinalysis. serum albumin. Question 23. When assessing a patient’s nutritional status, the nurse recalls that the best definition of optimal nutritional status is nutrients in excess of daily body requirements. sufficient nutrients to provide for the minimum body needs. sufficient nutrients for daily body requirements but not for increased metabolic demands. sufficient nutrients to provide for daily body requirements and for increased metabolic demands. Question 24. A patient tells the nurse that his food just doesn’t have any taste anymore. The nurse’s best response would be “That must be really frustrating.” “When did you first notice this change?” “My food doesn’t always have a lot of taste either.” “Sometimes that happens but your taste will come back.” Question 25. The nurse is concerned about the skeletal protein reserves of a patient who has been hospitalized frequently for chronic lung disease. Which of these measurements would be necessary to include in the assessment? Body mass index Weight and height Mid-arm muscle area Ideal body weight and frame size NR 509 Week 2 Quiz / NR509 Week 2 Quiz (Latest): Advanced Physical Assessment: Chamberlain NR 509 Advanced Physical Assessment Quiz 2 / NR509 Advanced Physical Assessment Quiz 2 (Latest): Chamberlain NR 509 Week 2 Advanced Physical Assessment Quiz / NR509 Week 2 Advanced Physical Assessment Quiz (Latest): Chamberlain 1. A mother brings her two month old daughter in for an examination says “my daughter rolled 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: 2. During percussion the FNP knows that a dull percussion note elicited over a lung lobe. This most likely results from: 3. The patient is unable to differentiate between sharp and dull stimulation to both sides of her face. The FNP suspects Damage to: 4. When examining the face, the FNP is aware that the two pairs of salivary gland‘s that are accessible to examination are the _____ glands 5. A patient comes to the clinic complaining of neck and shoulder pain and is unable to turn her head. The FNP suspects damage to cranial nerve ____ and proceeds with the examination by____ 6. When examining a patient’s cranial nerve function, the FNP remembers that the muscles in the neck that are innervated by CN XI are the: 7. The patient’s laboratory data reveal an elevated thyroxine level. The FNP would proceed with an examination of the _____ gland 8. A patient says that she has recently noticed a lump in the front of her neck below her “Adams apple” that seems to be getting bigger. During the assessment, the finding that leaves the FNP to suspect that this may not be a cancerous thyroid nodule is that the lump: 9. 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: 10. The FNP is aware that the four areas in the body were lymph nodes accessible are the: 11. A 52-year-old patient describes the presence of occasional floaters or spots moving in front of his eyes. The FNP should know that floaters are usually not significant and are caused by: 12. The FNP is preparing to assess the visual acuity of a 16-year-old patient. How should the FNP proceed? 13. A patient’s vision is recorded as 20/30 when the Snellen eye chart is used. The FNP interprets these results to indicate that: 14. A patient is unable to read even the largest letters on the Snellen chart. The FNP should take which action next: 15. A patient’s vision is reported as 20/80 in each eye. The FNP interprets this finding to mean that 16. When performing the corneal light reflex assessment, the FNP notes that the light is reflected at 2 o’clock in each eye. The FNP should 17. The FNP is performing the diagnostic positions test. Normal findings would be which of these results? 18. During an assessment of the sclera of an African-American patient, the FNP would consider which of these an expected finding? 19. A 60-year-old man is at the clinic for an examination. The FNP suspects that he has ptosis of one eye. How should the FNP check for this? 20. The FNP is doing an assessment on a 21-year-old patient and notices that his nasal mucosa appears pale gray and swollen. What would be the most appropriate question to ask the patient? 21. The FNP is palpating the sinus areas. If the findings are normal, then the patient should report which sensation? 22. During an oral assessment of a 30-year-old African-American patient, the FNP notices bluish lips and a dark line along the gingival margin. What would the FNP do in response to these findings 23. During an assessment of a 20-year-old patient with a three day history of nausea and vomiting the FNP notices dry mucous and deep vertical fissures on the tongue. These findings are reflective of: 24. The FNP is reviewing the technique of palpating for tactile fremitus with a new graduate. Which statement by the graduate FNP reflects a correct understanding of tactile fremitus? 25. The FNP student is reviewing physical assessment findings of the HEENT system associated with pregnancy. Which statement by the graduate FNP reflects a correct understanding of expected HEENT changes associated with pregnancy? During pregnancy [Show Less]
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NR509 Week 3 Quiz (2 Versions, Latest-2021) / NR 509 Week 3 Quiz: Advanced Physical Assessment: Chamberlain College of Nursing |100% Correct Q & A, Download to Score “A”|
NR509 Week 3 Quiz (2 Versions, Latest-2021) / NR 509 Week 3 Quiz: Advanced Physical Assessment: Chamberlain College of Nursing |100% Correct Q & A, Downloa... [Show More] d to Score “A”| NR509 Week 3 Advanced Physical Assessment Quiz (2 Versions, Latest-2021) / NR509 Advanced Physical Assessment Quiz 3: Chamberlain College of Nursing |100% Correct Q & A| NR509 Week 3 Quiz / NR 509 Week 3 Quiz (Latest): Advanced Physical Assessment: Chamberlain NR 509 Advanced Physical Assessment Quiz 3 / NR509 Advanced Physical Assessment Quiz 3 (Latest): Chamberlain NR509 Week 3 Advanced Physical Assessment Quiz / NR509 Week 3 Advanced Physical Assessment Quiz (Latest): Chamberlain Question1. A patient tells the nurse that he has noticed that one of his moles has started to burn and bleed. When assessing his skin, the nurse would pay special attention to the danger signs for pigmented lesions and would be concerned with which additional finding? : Color variation Border regularity Symmetry of lesions Diameter less than 6 mm Question 2. The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax, and dry. This finding would be related to which factor? : Increased vascularity of the skin in the elderly Increased numbers of sweat and sebaceous glands in the elderly An increase in elastin and a decrease in subcutaneous fat in the elderly An increased loss of elastin and a decrease in subcutaneous fat in the elderly Question 3. A patient comes to the clinic and tells the nurse that he has been confined to his recliner chair for about three days with his feet down and he wants the nurse to evaluate his feet. During the assessment, the nurse might expect to find : pallor. coolness. distended veins. prolonged capillary filling time. Question 4. A 65-year-old man with emphysema and bronchitis has come to the clinic for a follow-up appointment. On assessment, the nurse might expect to see which assessment finding? : Anasarca Scleroderma Pedal erythema Clubbing of the nails Question 5. The nurse notices that a school-aged child has bluish-white, red-based spots in her mouth that are elevated about 1 mm to 3 mm. What other signs would the nurse expect to find in this patient? : A pink, papular rash on the face and neck Pruritic vesicles over her trunk and neck Hyperpigmentation on the chest, abdomen, and the back of the arms A red-purple, maculopapular, blotchy rash behind the ears and on the face Question 6. During an examination, the nurse knows that Paget’s disease would be indicated by which of these assessment findings? : Positive Macewen sign Premature closure of the sagittal suture Headache, vertigo, tinnitus, and deafness Elongated head with heavy eyebrow ridge Question 7. A mother brings her newborn in for an assessment and asks, “Is there something wrong with my baby? His head seems so big.” The nurse recognizes that which statement is true regarding the relative proportions of the head and trunk of the newborn? : At birth, the head is one fifth the total length. Head circumference should be greater than chest circumference at birth. The head size reaches 90% of its final size when the child is 3 years old. When the anterior fontanel closes at 2 months, the head will be more proportioned to the body. Question 8. A male patient with a history of AIDS has come in for an examination and he states, “I think that I have the mumps.” The nurse would begin by examining the : thyroid gland. parotid gland. cervical lymph nodes. mouth and skin for lesions. Question 9. A patient visits the clinic because he has recently noticed that the left side of his mouth is paralyzed. He states that he cannot raise his eyebrow or whistle. The nurse suspects that he has : Cushing’s syndrome. Parkinson disease. Bell’s palsy. had a cerebrovascular accident (stroke). Question 10. The nurse is performing an eye-screening clinic at a daycare center. When examining a 2-year-old child, the nurse suspects that the child has “lazy eye” and should : examine the external structures of the eye. assess visual acuity with the Snellen eye chart. assess the child’s visual fields with the confrontation test. test for strabismus by performing the corneal light reflex test. Question 11. During an ophthalmoscopic examination of the eye, the nurse notices areas of exudate that look like “cotton wool” or fluffy gray-white cumulus clouds. This finding indicates which possible problem? : Diabetes Hyperthyroidism Glaucoma Hypotension Question 12. When examining the eye, the nurse notices that the patient’s eyelid margins approximate completely. The nurse recognizes that this assessment finding : is expected. may indicate a problem with extraocular muscles. may result in problems with tearing. indicates increased intraocular pressure. Question 13. A mother asks when her newborn infant’s eyesight will be developed. The nurse should reply : “Vision is not totally developed until 2 years of age.” “Infants develop the ability to focus on an object at around 8 months.” “By about 3 months, infants develop more coordinated eye movements and can fixate on an object.” “Most infants have uncoordinated eye movements for the first year of life.” Question 14. In performing an examination of a 3-year-old with a suspected ear infection, the nurse would : omit the otoscopic examination if the child has a fever. pull the ear up and back before inserting the speculum. ask the mother to leave the room while examining the child. perform the otoscopic examination at the end of the assessment. Question 15. The nurse is taking the history of a patient who may have a perforated eardrum. What would be an important question in this situation? : “Do you ever notice ringing or crackling in your ears?” “When was the last time you had your hearing checked?” “Have you ever been told you have any type of hearing loss?” “Was there any relationship between the ear pain and the discharge you mentioned?” Question 16. The nurse suspects that a patient has otitis media. Early signs of otitis media include which of these findings of the tympanic membrane? : Red and bulging Hypomobility Retraction with landmarks clearly visible Flat, slightly pulled in at the center, and moves with insufflation Question 17. The nurse is performing an ear examination of an 80-year-old patient. Which of these would be considered a normal finding? : A high-tone frequency loss Increased elasticity of the pinna A thin, translucent membrane A shiny, pink tympanic membrane Question 18. Which of these techniques best describes the test the nurse should use to assess the function of cranial nerve X? : Observe the patient’s ability to articulate specific words. Assess movement of the hard palate and uvula with the gag reflex. Have the patient stick out the tongue and observe for tremors or pulling to one side. Ask the patient to say “ahhh” and watch for movement of the soft palate and uvula. Question 19. A woman who is in the second trimester of pregnancy mentions that she has had “more nosebleeds than ever” since she became pregnant. The nurse recognizes that this is due to : a problem with the patient’s coagulation system. increased vascularity in the upper respiratory tract as a result of the pregnancy. increased susceptibility to colds and nasal irritation. inappropriate use of nasal sprays. Question 20. During a check-up, a 22-year-old woman tells the nurse that she uses an over-the-counter nasal spray because of her allergies. She also states that it does not work as well as it used to when she started using it. The best response by the nurse would be : “You should never use over-the-counter nasal sprays because of the risk of addiction.” “You should try switching to another brand of medication to prevent this problem.” “It is important to keep using this spray to keep your allergies under control.” “Using these nasal medications irritates the lining of the nose and may cause rebound swelling.” Question 21. The nurse notices that the mother of a 2-year-old boy brings him into the clinic quite frequently for various injuries and suspects there may be some child abuse involved. In doing the inspection of his mouth, the nurse should inspect for : swollen, red tonsils. ulcerations on the hard palate. bruising on the buccal mucosa or gums. small yellow papules along the hard palate. Question 22. A 45-year-old man is in the clinic for a physical examination. During the abdominal assessment, the nurse percusses the abdomen and notices an area of dullness above the right costal margin of about 10 cm. The nurse should : document the presence of hepatomegaly. ask additional history questions regarding his alcohol intake. describe this as an enlarged liver and refer him to a physician. consider this a normal finding and proceed with the examination. Question 23. A nurse notices that a patient has ascites, which indicates the presence of : fluid. feces. flatus. fibroid tumors. Question 24. An older patient has been diagnosed with pernicious anemia. The nurse knows that this condition could be related to : increased gastric acid secretion. decreased gastric acid secretion. delayed gastrointestinal emptying time. increased gastrointestinal emptying time. Question 25. During a health history, the patient tells the nurse, “I have pain all the time in my stomach. It’s worse two hours after I eat, but it gets better if I eat again!” The nurse suspects that the patient has which condition, based on these symptoms? : Appendicitis Gastric ulcer Duodenal ulcer Cholecystitis NR 509 Week 3 Quiz / NR509 Week 3 Quiz (Latest): Advanced Physical Assessment: Chamberlain NR 509 Advanced Physical Assessment Quiz 3 / NR509 Advanced Physical Assessment Quiz 3 (Latest): Chamberlain NR 509 Week 3 Advanced Physical Assessment Quiz / NR509 Week 3 Advanced Physical Assessment Quiz (Latest): Chamberlain 1. A teenage girl has arrived complaining of pain in her left wrist. She was playing basketball when she fell and landed on her left hand. The FNP examined her hand and will expect a fracture if the girl complains: 2. A patient has been diagnosed with osteoporosis and asked the FNP “what is osteoporosis?” The FNP explains to the patient that osteoporosis is defined as: 3. Patient states, “I can hear a crunching or grating sound when I kneel”. She also states “that it is very difficult to get out of bed in the morning because of stiffness and pain in my joints”. The FNP should assess for signs of what problem? 4. When taking the history on a patient with a seizure disorder the FNP assesses whether the patient has an aura. Which of these would be the best question for obtaining this information? 5. The FNP is teaching a class on osteoporosis prevention to a group of post menopausal women. A participant shows that she needs more instruction when she states I will: 6. The FNP is performing a neurological assessment on a 41-year-old woman with a history of diabetes. When testing her ability to feel the vibrations of a tuning fork the FNP notices that the patient is unable to feel vibrations on the great toe or ankle bilaterally, but she is able to feel vibrations on both patella. Given this information what would the FNP suspect? 7. And 80-year-old woman is visiting the clinic for a check up. She states “I can’t walk as much as I used to”. The FNP is observing from motor dysfunction in her hip and should have her: 8. The FNP is testing the function of cranial nerve XI. Which of these best describes the response the FNP should expect if the nerve is intact? The patient: 9. A 50-year-old woman is in a clinic for weakness in her left arm and leg that she noticed for the past week. The FNP should perform which type of neurologic examination? 10. During the neurological assessment of a healthy 35-year-old patient the FNP asks him to relax his muscles completely. The FNP then moves each extremity through full range of motion. Which of these results would the FNP expect to find? 11. A woman who is 8 months pregnant comments that she has noticed a change in posture and is having lower back pain. The FNP tells her that during pregnancy women have a posture shift to compensate for the enlarging fetus. This shift and posture is known as: 12. A patient is able to flex his right arm forward without difficulty or pain but is unable to abduct his arm because of pain and muscle spasm’s. The FNP should suspect: 13. A professional tennis player comes into the clinic complaining of a sore elbow. The FNP will assess for tenderness at the: 14. The FNP suspect that a patient has carpal tunnel syndrome and wants to perform the Phalens test. To perform this task the FNP should instruct the patient to: 15. During the history a patient tells the FNP that “it feels like the room is spinning around me”. The FNP would document this as: 16. The assessment of a 60-year-old patient has taken longer than anticipated. In testing his pain perception the FNP decides to complete the test as quickly as possible. When the FNP applies the sharp point of a pin on his arm several times he is only able to identify these as one very sharp prick. What would be the most accurate explanation for this? 17. An 85-year-old patient comments during his annual physical that “he seems to be getting shorter as he ages”. The FNP should explain that decrease height occurs with aging because: 18. A patient is complaining of pain in his joints that is worse in the morning, is better after he has moved around for a while, and then gets worse again if he sits for long periods of time. The FNP should assess for other signs of what problem? 19. When the FNP asks a 68-year-old patient to stand with feet together and arms at his side with his eyes closed he starts to sway and moves his feet farther apart. The FNP would document this finding as: 20. During an assessment of the cranial nerves the FNP finds the following asymmetry when the patient smiles or frowns, uneven lifting of eyebrows, sagging of lower eyelids, and escape of air when the FNP presses against the right path cheek. This would indicate dysfunction of which of these cranial nerves? 21. The FNP is teaching a class on osteoporosis prevention to a group of postmenopausal women which of these actions is the best way to prevent or delay bone loss in this group? 22. In obtaining a history on a 74 year old patient the FNP notes that he drinks alcohol daily and that he has noticed a tremor in his hands that affects his ability to hold thing. With this information what should the FNP‘s response be? 23. During a history of a 78-year-old man his wife states that “he occasionally has problems with short-term memory loss and confusion. He can’t even remember how to button his shirt”. In doing the assessment of his sensory system which action of the FNP‘s is most appropriate? 24. While obtaining a history of a 3 month old infant from the mother the FNP asks about the infants ability to suck and grass the mothers finger. What is the FNP assessing? 25. The FNP is doing an assessment on a 29-year-old woman who visits the clinic complaining of always dropping things and falling down. While testing rapid alternating movements the FNP notices that the woman is unable to pat both her knees. Her response is very slow and she misses frequently. What should the FNP suspect? [Show Less]
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NR509 Week 4 Quiz (2 Versions, Latest-2021) / NR 509 Week 4 Quiz: Advanced Physical Assessment: Chamberlain College of Nursing |100% Correct Q & A, Download to Score “A”|
NR509 Week 4 Quiz (2 Versions, Latest-2021) / NR 509 Week 4 Quiz: Advanced Physical Assessment: Chamberlain College of Nursing |100% Correct Q & A, Downloa... [Show More] d to Score “A”| NR509 Week 4 Advanced Physical Assessment Quiz (2 Versions, Latest-2021) / NR509 Advanced Physical Assessment Quiz 4: Chamberlain College of Nursing |100% Correct Q & A| NR509 Week 4 Quiz / NR 509 Week 4 Quiz (Latest): Advanced Physical Assessment: Chamberlain NR 509 Advanced Physical Assessment Quiz 4 / NR509 Advanced Physical Assessment Quiz 4 (Latest): Chamberlain NR509 Week 4 Advanced Physical Assessment Quiz / NR509 Week 4 Advanced Physical Assessment Quiz (Latest): Chamberlain Question1. During an examination, the patient states he is hearing a buzzing sound and says that it is “driving me crazy!” The nurse recognizes that this symptom indicates : vertigo. pruritus. tinnitus. cholesteatoma. Question 2. A patient has been shown to have a sensorineural hearing loss. During the assessment, it would be important for the nurse to : speak loudly so he can hear the questions. assess for middle ear infection as a possible cause. ask the patient what medications he is currently taking. look for the source of the obstruction in the external ear. Question 3. The nurse is explaining to a patient that there are “shock absorbers” in his back to cushion the spine and to help it move. The nurse is referring to his : vertebral column. nucleus pulposus. vertebral foramen. intervertebral disks. Question 4. The nurse educator is preparing an education module for the nursing staff on the epidermal layer of skin. Which of these statements would be included in the module? The epidermis is : highly vascular. thick and tough. thin and nonstratified. replaced every 4 weeks. Question 5. The nurse is examining a 6-month-old infant and places the infant’s feet flat on the table and flexes his knees up. The nurse notes that the right knee is significantly lower than the left. Which of these statements is true of this finding? : This is a positive Allis sign and suggests hip dislocation. The infant probably has a dislocated patella on the right. This is a normal finding for the Allis test for an infant of this age. The infant should return to the clinic in 2 weeks to see if this has changed. Question 6. A patient drifts off to sleep when she is not being stimulated. The nurse can arouse her easily when calling her name, but she remains drowsy during the conversation. The best description of this patient’s level of consciousness would be : lethargic. obtunded. stuporous. semialert. Question 7. A 65-year-old man is brought to the emergency department after he was found dazed and incoherent, alone in his apartment. He has an enlarged liver and is moderately dehydrated. When evaluating his serum albumin level, the nurse must keep in mind that : serum albumin levels will increase as liver function decreases. serum albumin levels are a sensitive measure of early protein malnutrition. low serum albumin levels may be caused by reasons other than protein-calorie malnutrition. the results of the serum albumin measurement along with the patient’s hemoglobin level should be considered. Question 8. The nurse is checking the range of motion in a patient’s knee and knows that the knee is capable of which movement(s)? : Flexion and extension Supination and pronation Circumduction Inversion and eversion Question 9. A patient has been admitted after an accident at work. During the assessment, the patient is having trouble hearing and states, “I don’t know what the matter is. All of a sudden, I can’t hear you out of my left ear!” What should the nurse do next? : Make note of this finding for report to the next shift. Prepare to remove cerumen from the patient’s ear. Notify the patient’s healthcare provider. Irrigate the ear with rubbing alcohol. Question 10. A 40-year-old man has come into the clinic with complaints of “extreme tenderness in my toes.” The nurse notices that his toes are slightly swollen, reddened, and warm to the touch. His complaints would suggest : osteoporosis. acute gout. ankylosing spondylitis. degenerative joint disease. Question 11. A 19-year-old college student is brought to the emergency department with a severe headache he describes as “like nothing I’ve ever had before.” His temperature is 104° F, and he has a stiff neck. The nurse looks for other signs and symptoms of which problem? : Head injury Cluster headache Migraine headache Meningeal inflammation Question 12. A mother brings her newborn baby boy in for a checkup; she tells the nurse that he doesn’t seem to be moving his right arm as much as his left and that he seems to have pain when she lifts him up under the arms. The nurse suspects a fractured clavicle and would observe for : a negative Allis test. a positive Ortolani’s sign. limited range of motion during the Moro’s reflex. limited range of motion during Lasègue’s test Question 13. While performing the otoscopic examination of a 3-year-old boy who has been pulling on his left ear, the nurse finds that his left tympanic membrane is bright red and that the light reflex is not visible. The nurse interprets these findings to indicate : a fungal infection. acute otitis media. perforation of the ear drum. cholesteatoma. Question 14. The nurse is teaching a class on osteoporosis prevention to a group of postmenopausal women. Which of these actions is the best way to prevent or delay bone loss in this group? : Taking calcium and vitamin D supplements Taking medications to prevent osteoporosis Performing physical activity, such as fast walking Assessing bone density annually Question 15. The nurse is examining a 2-year-old child and asks, “May I listen to your heart now?” Which critique of the nurse’s technique is most accurate? : Asking questions enhances the child’s autonomy. Asking the child for permission helps to develop a sense of trust. This is an appropriate statement because children at this age like to have choices. Children at this age like to say “no.” The examiner should not offer a choice when there is none. Question 16. Which of these assessment findings would the nurse expect to see when examining the eyes of a black patient? : Increased night vision A dark retinal background Increased photosensitivity Narrowed palpebral fissures Question 17. A 50-year-old patient has been brought to the emergency department after a housemate found that he could not get out of bed alone. He has lived in a group home for years, but for several months he has not participated in the activities and has stayed in his room. The nurse assesses for signs of undernutrition, and x-rays reveal that he has osteomalacia, which is a deficiency of : iron. riboflavin. vitamin D and calcium. vitamin C. Question 18. A patient who has had rheumatoid arthritis for years comes to the clinic to ask about changes in her fingers. The nurse will assess for signs of what problems? : Heberden’s nodes Bouchard’s nodules Swan neck deformities Dupuytren’s contractures Question 19. The nurse notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 cm in diameter. When documenting this finding, the nurse would report this as a : bulla. wheal. nodule. papule. Question 20. Just before going home, a new mother asks the nurse about the infant’s umbilical cord. Which of these statements is correct? : “It should fall off by 10 to 14 days.” “It will soften before it falls off.” “It contains two veins and one artery.” “Skin will cover the area within 1 week.” Question 21. The nurse is assessing a patient with a history of intravenous drug abuse. In assessing his mouth, the nurse notices a dark red confluent macule on the hard palate. This could be an early sign of : AIDS. measles. leukemia. carcinoma. Question 22. When observing a patient’s verbal and nonverbal communication, the nurse notices a discrepancy. Which statement is true regarding this situation? The nurse should : ask someone who knows the patient well to help interpret this discrepancy. focus on the patient’s verbal message and try to ignore the nonverbal behaviors. try to integrate the verbal and nonverbal messages and then interpret them as an “average.” focus on the patient’s nonverbal behaviors because these are often more reflective of a patient’s true feelings. Question 23. The nurse is assessing a 75-year-old man. As the nurse begins the mental status portion of the assessment, the nurse expects that this patient : will have no decrease in any of his abilities, including response time. will have difficulty on tests of remote memory because this typically decreases with age. may take a little longer to respond, but his general knowledge and abilities should not have declined. will have had a decrease in his response time because of language loss and a decrease in general knowledge. Question 24. When reviewing the demographics of ethnic groups in the United States, the nurse recalls that the largest and fasting growing population is : Hispanic. Black. Asian. American Indian. Question 25. During an examination, the nurse asks a patient to bend forward from the waist and notices that the patient has lateral tilting. When his leg is raised straight up, he complains of a pain going down his buttock into his leg. The nurse suspects : scoliosis. meniscus tear. herniated nucleus pulposus. spasm of paravertebral muscles. Question 26. During an examination of a 3-year-old child, the nurse will need to take her blood pressure. What might the nurse do to try to gain the child’s full cooperation? : Tell the child that the blood pressure cuff is going to give her arm a big hug. Tell the child that the blood pressure cuff is asleep and cannot wake up. Give the blood pressure cuff a name and refer to it by this name during the assessment. Tell the child that by using the blood pressure cuff, we can see how strong her muscles are. Question 27. Which of these statements is true regarding the use of standard precautions in the healthcare setting? : Standard precautions apply to all body fluids, including sweat. Use alcohol-based hand rub if hands are visibly dirty. Standard precautions are intended for use with all patients regardless of their risk or presumed infection status. Standard precautions are to be used only when there is nonintact skin, excretions containing visible blood, or expected contact with mucous membranes. Question 28. Which term refers to a wound produced by the tearing or splitting of body tissue, usually from blunt impact over a bony surface? : Abrasion Contusion Laceration Hematoma Question 29. A 70-year-old man has a blood pressure of 15090 mm Hg in a lying position, 13080 mm Hg in a sitting position, and 10060 mm Hg in a standing position. How should the nurse evaluate these findings? : This is a normal response due to changes in the patient’s position. The change in blood pressure readings is called orthostatic hypotension. The blood pressure reading in the lying position is within normal limits. The change in blood pressure reading is considered within normal limits for the patient’s age. Question 30. A patient with a middle ear infection asks the nurse, “What does the middle ear do?” The nurse responds by telling the patient that the middle ear functions to : maintain balance. interpret sounds as they enter the ear. conduct vibrations of sounds to the inner ear. increase amplitude of sound for the inner ear to function. Question 31. Which statement is best for the nurse to use when preparing to administer the Abuse Assessment Screen? : “We are required by law to ask these questions.” “We need to talk about whether you feel you have been abused.” “We are asking these questions because we suspect that you are being abused.” “We ask the following questions because domestic violence is so common in our society.” Question 32. A professional tennis player comes into the clinic complaining of a sore elbow. The nurse will assess for tenderness at the : olecranon bursa. annular ligament. base of the radius. medial and lateral epicondyle. Question 33. The nurse is assessing the mental status of a child. Which of these statements about children and mental status is true? : All aspects of mental status in children are interdependent. Children are highly labile and unstable until the age of 2 years. Children’s mental status is largely a function of their parents’ level of functioning until the age of 7 years. A child’s mental status is impossible to assess until the child develops the ability to concentrate. Question 34. A 19-year-old woman comes to the clinic at the insistence of her brother. She is wearing black combat boots and a black lace nightgown over the top of her other clothes. Her hair is dyed pink with black streaks throughout. She has several pierced holes in her nares and ears and is wearing an earring through her eyebrow and heavy black makeup. The nurse concludes : she probably doesn’t have any problems at all. she is just trying to shock people and her dress should be ignored. she has manic syndrome because of her abnormal dress and grooming. that more information should be gathered to decide whether her dress is appropriate. Question 35. A patient is visiting the clinic for an evaluation of a swollen, painful knuckle. The nurse notices that the knuckle above his ring on the left hand is swollen and that he is unable to remove his wedding ring. This joint is called the _____ joint. : interphalangeal tarsometatarsal metacarpophalangeal tibiotalar Question 36. A 52-year-old patient describes the presence of occasional “floaters” or “spots” moving in front of his eyes. The nurse should : examine the retina to determine the number of floaters. presume the patient has glaucoma and refer him for further testing. consider this an abnormal finding and refer him to an ophthalmologist. know that floaters are usually not significant and are caused by condensed vitreous fibers. Question 37. A mother brings in her newborn infant for an assessment and tells the nurse that she has noticed that whenever her newborn’s head is turned to the right side, she straightens out the arm and leg on the same side and flexes the opposite arm and leg. After finding this on examination, the nurse would tell her that this is : abnormal and is called the atonic neck reflex. normal and should disappear by the first year of life. normal and should disappear between 3 and 4 months of age. abnormal. The baby should be flexing the arm and leg on the right side of his body when the head is turned to the right. Question 38. A patient comes to the clinic complaining of neck and shoulder pain and is unable to turn her head. The nurse suspects damage to cranial nerve (CN) _____ and proceeds with the examination by _____. : XI; palpating the anterior and posterior triangles XI; asking the patient to shrug her shoulders against resistance XII; percussing the sternomastoid and submandibular neck muscles XII; assessing for a positive Romberg sign Question 39. The nurse is testing a patient’s visual accommodation, which refers to which action? : Pupillary constriction when looking at a near object Pupillary dilation when looking at a far object Changes in peripheral vision in response to light Involuntary blinking in the presence of bright light Question 40. The nurse is assessing the skin of a patient who has AIDS and notices multiple patch-like lesions on the temple and beard area that are faint pink in color. The nurse recognizes these lesions as : measles (rubeola). Kaposi’s sarcoma. angiomas. herpes zoster. Question 41. The nurse is assessing the vital signs of a 20-year-old male marathon runner and documents the following vital signs: temperature—97 F; pulse—48 beats per minute; respirations—14 per minute; blood pressure—10468 mm Hg. Which statement is true about these results? : The patient is experiencing tachycardia. These are normal vital signs for a healthy, athletic adult. The patient’s pulse rate is not normal—his physician should be notified. On the basis of today’s readings, the patient should return to the clinic in 1 week. Question 42. The nurse is planning health teaching for a 65-year-old woman who has had a cerebrovascular accident, or stroke, and is aphasic. Which of these questions is most important to use when assessing mental status in this situation? : “Please count back from 100 by seven.” “I will name three items and ask you to repeat them in a few minutes.” “Please point to articles in the room and parts of the body as I name them.” “What would you do if you found a stamped, addressed envelope on the sidewalk?” Question 43. The nurse is unable to identify any changes in sound when percussing over the abdomen of an obese patient. What should the nurse do next? : Ask the patient to take deep breaths to relax the abdominal musculature. Consider this a normal finding and proceed with the abdominal assessment. Increase the amount of strength used when attempting to percuss over the abdomen. Decrease the amount of strength used when attempting to percuss over the abdomen. Question 44. A 35-year-old pregnant woman comes to the clinic for a monthly appointment. During the assessment, the nurse notices that she has a brown patch of hyperpigmentation on her face. The nurse continues the skin assessment aware that another finding may be : keratoses. xerosis. chloasma acrochordons. Question 45. During a session on substance abuse, the nurse is reviewing statistics with the class. For persons aged 12 years and older, which of these illicit substances was the one most commonly used? : Crack cocaine Heroin Marijuana Hallucinogens Question 46. A 92-year-old patient has had a stroke. The right side of his face is drooping. The nurse might also suspect which of these assessment findings? : Epistaxis Rhinorrhea Dysphagia Xerostomia Question 47. The nurse is assessing the body weight as a percentage of ideal body weight on an adolescent patient who was admitted for suspected anorexia nervosa. The patient’s usual weight was 125 pounds, but today she weighs 98 pounds. The nurse calculates the patient’s ideal body weight, and reaches which conclusion? : She is experiencing mild malnutrition. She is experiencing moderate malnutrition. She is experiencing severe malnutrition. Her current weight is still within expected parameters. Question 48. The nurse knows that one advantage of the tympanic thermometer is that : its rapid measurement is useful for uncooperative younger children. it is the most accurate method for measuring temperature in newborn infants. it is an inexpensive means of measuring temperature. studies strongly support use of the tympanic route in children under age 6 years. Question 49. The nurse recognizes that an example of a person who is heritage-consistent would be a : woman who has adapted her clothing to the clothing style of her new country. woman who follows the traditions that her mother followed regarding meals. man who is not sure of his ancestor’s country of origin. child who is not able to speak his parents’ native language. Question 50. During an assessment of an infant, the nurse notes that the fontanels are depressed and sunken. The nurse suspects which condition? : Rickets Dehydration Mental retardation Increased intracranial pressure Question 51. When considering a nutritional assessment, the nurse is aware that the most common anthropometric measurements include : height and weight. leg circumference. biceps skinfold thickness. hip and waist measurement. Question 52. The nurse is providing nutrition information to the mother of a 1-year-old child. Which of these statements represents accurate information for this age group? : It is important to maintain adequate fat and caloric intake. The recommended dietary allowances for an infant are the same as for an adolescent. At this age, the baby’s growth is minimal so caloric requirements are decreased. The baby should be placed on skim milk to decrease the risk of coronary artery disease when older. Question 53. The nurse needs to palpate the temporomandibular joint for crepitation. This joint is located just below the temporal artery and anterior to the : hyoid. vagus nerve. tragus. mandible. Question 54. The physician reports that a patient with a neck tumor has a tracheal shift. The nurse is aware that this means that the patient’s trachea is : pulled to the affected side. pushed to the unaffected side. pulled downward. pulled downward in a rhythmic pattern. Question 55. The nurse is incorporating a person’s spiritual values into the health history. Which of these questions illustrates the “community” portion of the FICA questions? : “Do you believe in God?” “Are you a part of any religious or spiritual congregation?” “Do you consider yourself to be a religious or spiritual person?” “How does your religious faith influence the way you think about your health?” Question 56. The patient’s record, laboratory studies, objective data, and subjective data combine to form the : data base. admitting data. financial statement. discharge summary. Question 57. During an interview, the patient states, “I can feel this bump on the top of both of my shoulders—it doesn’t hurt but I am curious about what it might be.” The nurse should tell the patient, “That is : your subacromial bursa.” your acromion process.” your glenohumeral joint.” the greater tubercle of your humerus.” Question 58. After completing an initial assessment on a patient, the nurse has charted that his respirations are eupneic and his pulse is 58. This type of data would be : objective. reflective. subjective. introspective. Question 59. During a class on religion and spirituality, the nurse is asked to define spirituality. Which answer is correct? “Spirituality is : a personal search to discover a supreme being.” an organized system of beliefs concerning the cause, nature, and purpose of the universe.” a belief that each person exists forever in some form, such as a belief in reincarnation or the afterlife.” that which arises out of each person’s unique life experience and his or her personal effort to find purpose in life.” Question 60. In the hotcold theory, illnesses are believed to be caused by hot or cold entering the body. Which of these patients’ conditions is most consistent with a “cold” condition? : Diabetic patient with renal failure Teenager with an abscessed tooth Child with symptoms of itching and a rash Elderly male with gastrointestinal discomfort Question 61. A woman is leaving on a trip to Hawaii and has come in for a checkup. During the examination, the nurse notices that she is diabetic and takes oral hypoglycemic agents. The patient needs to be concerned about which possible effect of her medications? : An increased possibility of bruising Skin sensitivity as a result of exposure to salt water Lack of availability of glucose monitoring supplies The importance of sunscreen and avoiding direct sunlight Question 62. Symptoms, such as pain, are often influenced by a person’s cultural heritage. Which of the following is a true statement regarding pain? : Nurses’ attitudes toward their patients’ pain are unrelated to their own experiences with pain. Nurses need to recognize that many cultures practice silent suffering as a response to pain. A nurse’s area of clinical practice is most likely to determine his or her assessment of a patient’s pain. A nurse’s years of clinical experience and current position are a strong indicator of his or her response to patient pain. Question 63. Because hair for humans is no longer needed for protection from cold or trauma, it is called : vellus. vagus. vestigial. vestibule. Question 64. During an assessment of a 20-year-old patient with a 3-day history of nausea and vomiting, the nurse notices dry mucosa and deep vertical fissures in the tongue. These findings are reflective of : dehydration. irritation by gastric juices. a normal oral assessment. side effects from nausea medication. Question 65. In response to a question about stress, a 39-year-old woman tells the nurse that her husband and mother both died in the past year. Which response by the nurse is most appropriate? : “This has been a difficult year for you.” “I don’t know how anyone could handle that much stress in one year!” “What did you do to cope with the loss of both your husband and mother?” “That is a lot of stress; now let’s go on to the next section of your history.” Question 66. The nurse is preparing to perform a physical assessment. Which statement is true about the inspection phase of the physical assessment? : Inspection usually yields little information. Inspection takes time and reveals a surprising amount of information. Inspection may be somewhat uncomfortable for the expert practitioner. Inspection requires a quick glance at the patient’s body systems before proceeding on with palpation. Question 67. The nurse is performing an eye assessment on an 80-year-old patient. Which of these findings is considered abnormal? : A decrease in tear production Unequal pupillary constriction in response to light The presence of arcus senilis seen around the cornea Loss of the outer hair on the eyebrows due to a decrease in hair follicles Question 68. The nurse is reviewing for a class in age-related changes in the eye. Which of these physiological changes is responsible for presbyopia? : Degeneration of the cornea Loss of lens elasticity Decreased adaptation to darkness Decreased distance vision abilities Question 69. A student is late for his appointment and has rushed across campus to the health clinic. Before assessing his vital signs, the nurse should : allow him 5 minutes to relax and rest before checking his vital signs. check the blood pressure in both arms, expecting a difference in the readings because of his recent exercise. monitor his vital signs immediately on his arrival at the clinic, then 5 minutes later, and notice any differences. check his blood pressure in the supine position because this will give a more accurate reading and will allow him to relax at the same time. Question 70. During an oral assessment of a 30-year-old African-American patient, the nurse notices bluish lips and a dark line along the gingival margin. What would the nurse do in response to this finding? : Check the patient’s hemoglobin for anemia. Assess for other signs of insufficient oxygen supply. Proceed with assessment, knowing that this is a normal finding. Ask if he has been exposed to an excessive amount of carbon monoxide. Question 71. After a symptom is recognized, the first effort at treatment is often self-care. The nurse recognizes that which of the following statements about self-care is true? Self-care is : not recognized as valuable by most healthcare providers. usually ineffective and may delay more effective treatment. always less expensive than biomedical alternatives. influenced by the accessibility of over-the-counter medicines. Question 72. In using verbal responses to assist the patient’s narrative, some responses focus on the patient’s frame of reference and some focus on the healthcare provider’s perspective. An example of a verbal response that focuses on the healthcare provider’s perspective would be : empathy. reflection. facilitation. confrontation. Question 73. The nurse recognizes that the concept of prevention in describing health is essential because : disease can be prevented by treating the external environment. the majority of deaths among Americans under age 65 years are not preventable. prevention places emphasis on the link between health and personal behavior. the means to prevention is through treatment provided by primary healthcare practitioners. Question 74. The nurse notices that a patient’s submental lymph nodes are enlarged. In an effort to identify the cause of the node enlargement, the nurse would assess the patient’s : infraclavicular area. supraclavicular area. area distal to the enlarged node. area proximal to the enlarged node. Question 75. A patient tells the nurse that he is allergic to penicillin. What would be the nurse’s best response to this information? : “Are you allergic to any other drugs?” “How often have you received penicillin?” “I’ll write your allergy on your chart so you won’t receive any penicillin.” “Please describe what happens to you when you take penicillin.” NR 509 Week 4 Quiz / NR509 Week 4 Quiz (Latest): Advanced Physical Assessment: Chamberlain NR 509 Advanced Physical Assessment Quiz 4 / NR509 Advanced Physical Assessment Quiz 4 (Latest): Chamberlain NR 509 Week 4 Advanced Physical Assessment Quiz / NR509 Week 4 Advanced Physical Assessment Quiz (Latest): Chamberlain 1. A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the FNP expect to see during an assessment of this patient? 2. The direction of blood flow through the heart is best described by which of these 3. In assessing the carotid artery’s of an older patient with cardiovascular disease, the FNP would 4. When listening to heart sounds the FNP knows that the valve closures that can be heard best at the base of the heart are 5. The sack that surrounds and protects the heart is called the 6. When assessing a newborn infant who is five minutes old the FNP knows that which of these statements would be true? 7. The FNP is performing an assessment on an adult. The adults vital signs are normal and capillary refill is five seconds. What should the FNP do next? 8. During an assessment of an older adult the FNP should expect to notice which finding as normal physiologic change associated with aging process? 9. The mother of a three month old infant states that her baby has not been gaining weight. With further questioning the FNP finds that the infant falls asleep after nursing and wakes up after a short amount of time hungry again. What other information with the FNP want to have? 10. In assessing a patient’s major risk factors for heart disease which would the FNP want to include when taking a history? 11. The FNP is … the pulses of a patient who has been admitted for untreated hyperthyroidism. The FNP should expect to find a____pulse 12. A patient complains of leg pain that wakes him at night. He states that he has been having problems with his legs. ….. his legs when they are … and disappears when he dangles them. He recently noticed a sore on the inner aspect of his right ankle. On the basis of this history information the FNP interprets that the patient is most likely experiencing 13. During an assessment the FNP uses the profile sign to detect 14. Which of these statements describes the closure of the valves in a normal cardiac cycle? 15. When performing a peripheral vascular assessment on a patient the FNP is unable to palpate the ulnar pulses. The patient skin is warm and capillary refill is normal. The FNP should next 16. A 67-year-old patient states that he “recently began have pain in his left calf when climbing the 10 stairs to his apartment”. This pain is relieved by sitting for about two minutes then he’s able to resume activities. The FNP interprets this patient is most likely experiencing 17. In assessing a 70-year-old man the FNP finds the following blood pressure 140/100 mmHg, heart rate 104 and slightly irregular, split S2. Which of these findings can… by expected hemodynamic changes related to age? 18. The FNP is examining the lymphatic system of a healthy three year old child. Which finding should the FNP expect? 19. The FNP is preparing to perform modified Allen test. Which is an appropriate reason for this test? 20. A 25-year-old woman is in her fifth month of pregnancy has a blood pressure of 100/70 mmHg. In reviewing her previous exam the FNP notes that her blood pressure in her second month was 124/80 mmHg. When evaluating this change what does the FNP know to be true? 21. Findings from an … of a 70-year-old patient with swelling in his ankles include jugular venous pusations, 5 cm above the sternal angle when the head of his bed is …. 45°. The FNP knows that this finding indicate: 22. The component of the conduction system referred to as the pacemaker of the heart is the 23. The FNP is reviewing anatomy and physiology of the heart. Which statement best … by atrial kick? 24. A 45-year-old man is in the clinic for a routine physical. During history the patient states he has been having difficulty sleeping. I’ll be sleeping great and then I wake up and feel like I can’t catch my breath. The FNP‘s best response to this would be 25. When assessing a patient the FNP notes that the left femoral pulse as diminished 1+/4+. What should the FNP do next? [Show Less]
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NR509 Week 5 Quiz (2 Versions, Latest-2021) / NR 509 Week 5 Quiz: Advanced Physical Assessment: Chamberlain College of Nursing |100% Correct Q & A, Download to Score “A”|
NR509 Week 5 Quiz (2 Versions, Latest-2021) / NR 509 Week 5 Quiz: Advanced Physical Assessment: Chamberlain College of Nursing |100% Correct Q & A, Downloa... [Show More] d to Score “A”| NR509 Week 5 Advanced Physical Assessment Quiz (2 Versions, Latest-2021) / NR509 Advanced Physical Assessment Quiz 5: Chamberlain College of Nursing |100% Correct Q & A| NR 509 Week 5 Quiz / NR509 Week 5 Quiz (Latest): Advanced Physical Assessment: Chamberlain NR 509 Advanced Physical Assessment Quiz 5 / NR509 Advanced Physical Assessment Quiz 5 (Latest): Chamberlain NR 509 Week 5 Advanced Physical Assessment Quiz / NR509 Week 5 Advanced Physical Assessment Quiz (Latest): Chamberlain Question 1. A woman in her 26th week of pregnancy states that she is “not really short of breath” but feels that she is aware of her breathing and the need to breathe. What is the nurse’s best reply? “The diaphragm becomes fixed during pregnancy, making it difficult to take in a deep breath.” “The increase in estrogen levels during pregnancy often causes a decrease in the diameter of the rib cage and makes it difficult to breathe.” “What you are experiencing is normal. Some women may interpret this as shortness of breath, but it is a normal finding and nothing is wrong.” “This is normal as the fetus grows because of the increased oxygen demand on the mother’s body and results in an increased respiratory rate.” Question 2. A mother brings her 3-month-old infant to the clinic for evaluation of a cold. She tells the nurse that he had “a runny nose for a week.” When performing the physical assessment, the nurse notes that the child has nasal flaring and sternal and intercostal retractions. The nurse’s next action should be to assure the mother that these are normal symptoms of a cold. recognize that these are serious signs and contact the physician. ask the mother if the infant has had trouble with feedings. perform a complete cardiac assessment because these are probably signs of early heart failure. Question 3. When performing a respiratory assessment on a patient, the nurse notices a costal angle of approximately 90 degrees. This characteristic is seen in patients with kyphosis. indicative of pectus excavatum. a normal finding in a healthy adult. an expected finding in a patient with a barrel chest. Question 4. During a morning assessment, the nurse notices that the patient’s sputum is frothy and pink. Which condition could this finding indicate? Croup Tuberculosis Viral infection Pulmonary edema Question 5. A patient has been admitted to the emergency department with a possible medical diagnosis of pulmonary embolism. The nurse expects to see which assessment findings related to this condition? Absent or decreased breath sounds Productive cough with thin, frothy sputum Chest pain that is worse on deep inspiration, dyspnea Diffuse infiltrates with areas of dullness upon percussion Question 6. During auscultation of the lungs of an adult patient, the nurse notices the presence of bronchophony. The nurse should assess for signs of which condition? Airway obstruction Emphysema Pulmonary consolidation Asthma Question 7. An adult patient with a history of allergies comes to the clinic complaining of wheezing and difficulty in breathing when working in his yard. The assessment findings include tachypnea, use of accessory neck muscles, prolonged expiration, intercostal retractions, decreased breath sounds, and expiratory wheezes. The nurse interprets that these assessment findings are consistent with asthma. atelectasis. lobar pneumonia. heart failure. Question 8. Which of these statements is true regarding the vertebra prominens? The vertebra prominens is the spinous process of C7. usually not palpable in most individuals. opposite the interior border of the scapula. located next to the manubrium of the sternum. Question 9. The nurse knows that auscultation of fine crackles would most likely be noticed in a healthy 5-year-old child. a pregnant woman. the immediate newborn period. association with a pneumothorax. Question 10. During a cardiac assessment on a 38-year-old patient in the hospital for “chest pain,” the nurse finds the following: jugular vein pulsations 4 cm above sternal angle when he is elevated at 45 degrees, blood pressure 9860 mm Hg, heart rate 130 beats per minute, ankle edema, difficulty in breathing when supine, and an S3 on auscultation. Which of these conditions best explains the cause of these findings? Fluid overload Atrial septal defect Myocardial infarction Heart failure Question 11. During an assessment of a healthy adult, where would the nurse expect to palpate the apical impulse? Third left intercostal space at the midclavicular line Fourth left intercostal space at the sternal border Fourth left intercostal space at the anterior axillary line Fifth left intercostal space at the midclavicular line Question 12. The direction of blood flow through the heart is best described by which of these? Vena cava right atrium right ventricle lungs pulmonary artery left atrium left ventricle Right atrium right ventricle pulmonary artery lungs pulmonary vein left atrium left ventricle Aorta right atrium right ventricle lungs pulmonary vein left atrium left ventricle vena cava Right atrium right ventricle pulmonary vein lungs pulmonary artery left atrium left ventricle Question 13. In assessing the carotid arteries of an older patient with cardiovascular disease, the nurse would palpate the artery in the upper one third of the neck. listen with the bell of the stethoscope to assess for bruits. palpate both arteries simultaneously to compare amplitude. instruct patient to take slow deep breaths during auscultation. Question 14. A 45-year-old man is in the clinic for a routine physical. During the history, the patient states he’s been having difficulty sleeping. “I’ll be sleeping great and then I wake up and feel like I can’t get my breath.” The nurse’s best response to this would be “When was your last electrocardiogram?” “It’s probably because it’s been so hot at night.” “Do you have any history of problems with your heart?” “Have you had a recent sinus infection or upper respiratory infection?” Question 15. A 25-year-old woman in her fifth month of pregnancy has a blood pressure of 10070 mm Hg. In reviewing her previous exam, the nurse notes that her blood pressure in her second month was 12480 mm Hg. In evaluating this change, what does the nurse know to be true? This is the result of peripheral vasodilatation and is an expected change. Because of increased cardiac output, the blood pressure should be higher this time. This is not an expected finding because it would mean a decreased cardiac output. This would mean a decrease in circulating blood volume, which is dangerous for the fetus. Question 16. While counting the apical pulse on a 16-year-old patient, the nurse notices an irregular rhythm. His rate speeds up on inspiration and slows on expiration. What would be the nurse’s response? Talk with the patient about his intake of caffeine. Perform an electrocardiogram after the examination. No further response is needed because this is normal. Refer the patient to a cardiologist for further testing. Question 17. During the precordial assessment on an patient who is 8 months pregnant, the nurse palpates the apical impulse at the fourth left intercostal space lateral to the midclavicular line. This finding would indicate right ventricular hypertrophy. increased volume and size of the heart as a result of pregnancy. displacement of the heart from elevation of the diaphragm. increased blood flow through the internal mammary artery. Question 18. A 67-year-old patient states that he recently began to have pain in his left calf when climbing the 10 stairs to his apartment. This pain is relieved by sitting for about 2 minutes; then he is able to resume his activities. The nurse interprets that this patient is most likely experiencing claudication. sore muscles. muscle cramps. venous insufficiency. Question 19. A patient has a positive Homans’ sign. The nurse knows that a positive Homans’ sign may indicate venous insufficiency. deep vein thrombosis. severe edema. problems with arterial circulation. Question 20. When using a Doppler ultrasonic stethoscope, the nurse recognizes venous flow when which sound is heard? Low humming sound Regular “lub, dub” pattern Swishing, whooshing sound Steady, even, flowing sound Question 21. During an assessment, the nurse uses the “profile sign” to detect pitting edema. early clubbing. symmetry of the fingers. insufficient capillary refill. Question 22. The nurse is reviewing risk factors for venous disease. Which of these situations best describes a person at highest risk for development of venous disease? Woman in her second month of pregnancy Person who has been on bed rest for 4 days Person with a 30-year, 1-pack-per-day smoking history Elderly person taking anticoagulant medication Question 23. Which of these veins is responsible for most of the venous return in the arm? Deep Ulnar Subclavian Superficial Question 24. A patient has been diagnosed with venous stasis. Which of these findings would the nurse most likely observe? A unilateral cool foot Thin, shiny, atrophic skin Pallor of the toes and cyanosis of the nail beds A brownish discoloration to the skin of the lower leg Question 25. The nurse is describing a weak, thready pulse on the documentation flow sheet. Which statement is correct? “Easily palpable, pounds under the fingertips.” “Greater than normal force, then collapses suddenly.” “Hard to palpate, may fade in and out, easily obliterated by pressure.” “Rhythm is regular, but force varies with alternating beats of large and small amplitude.” NR 509 Week 5 Quiz / NR509 Week 5 Quiz (Latest): Advanced Physical Assessment: Chamberlain NR 509 Advanced Physical Assessment Quiz 5 / NR509 Advanced Physical Assessment Quiz 5 (Latest): Chamberlain NR 509 Week 5 Advanced Physical Assessment Quiz / NR509 Week 5 Advanced Physical Assessment Quiz (Latest): Chamberlain 1. An older patient has been diagnosed with pernicious anemia. The FNP knows that this condition could be related to 2. ….. examining a patient who tells the FNP “I sure sweat a lot especially on my face and feet but it doesn’t have an odor”. The FNP knows that this could … related to 3. During an abdominal assessment the FNP elicits tenderness on light palpation in the right lower quadrant. The FNP interprets that this finding could indicate a disorder which of these structures? 4. An Inuit visiting Nevada from anchorage has come to the clinic in July during the hottest part of the day. It so happens that the clinics air conditioning is broken and the temperature is very hot. The FNP knows that which of these statements is true about the Inuit sweating tendencies? 5. The FNP notices that a patient has black, tarry stool and recalls that a possible cause would … 6. ….. an abdominal …. deep palpation is used to determine 7. The FNP is assessing the abdomen of an aging adult. Which of these statements regarding an aging adult and abdominal assessment is true? 8. During examination the FNP finds that a patient has excessive dryness of the skin. The best term to describe this condition is 9. A FNP notices that a patient has ascites, which indicates the presence of 10. The FNP is performing percussion during an abdominal assessment. Percussion notes during the abdominal assessment may include 11. The FNP is caring for a black child who has … with marasmus. The FNP would expect to find the 12. … patient’s medical record that the patient has a lesion that is confluent in nature. On examination the FNP would expect to find 13. The FNP is assessing the abdomen of a pregnant woman who is complaining of having acid indigestion all the time. The FNP knows that esophageal reflux during pregnancy can cause 14. The patient has abdominal borborygmi. The FNP knows that this term refers to 15. A patient has a terrible itch for several months that he … scratching continuously. On examination the FNP might expect to find 16. During aging process, the hair can look gray or white and begin to feel thin and fine. The FNP knows that this occurs because of a decrease in number of functioning 17. The FNP notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 cm in diameter. When documenting this finding the FNP would report this as a 18. During an abdominal assessment the FNP would consider which of these findings as normal? 19. A 52 -year-old Woman has a papule on her nose that has a rounded pearly border and a central red ulcer. She said she first noticed it several months ago and that it is slowly growing larger. The FNP suspects which condition? 20. The FNP is listening to bowel sounds. Which of these statements is true about bowel sounds? 21. The FNP is watching a new graduate FNP perform auscultation of a patient abdomen. Which statement by the new graduate shows a correct understanding of the reason auscultation proceeds percussion and palpitation of the abdomen? 22. A patient is complaining of a sharp pain along the costovertebral angles. The FNP knows that this symptom is most often indicative of 23. The patient is … of having inflammation of the gallbladder or cholecystitis. The FNP should conduct which of these techniques to assess for this condition? 24. A newborn infant is in the clinic for a well baby check. The FNP observes the infant for possibility of fluid loss because of which these factors? 25. During an assessment of a newborn infant, the FNP recalls that pyloric stenosis would … manifested by [Show Less]
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NR509 Week 6 Quiz (2 Versions, Latest-2021) / NR 509 Week 6 Quiz: Advanced Physical Assessment: Chamberlain College of Nursing |100% Correct Q & A, Download to Score “A”|
NR509 Week 6 Quiz (2 Versions, Latest-2021) / NR 509 Week 6 Quiz: Advanced Physical Assessment: Chamberlain College of Nursing |100% Correct Q & A, Downloa... [Show More] d to Score “A”| NR509 Week 6 Advanced Physical Assessment Quiz (2 Versions, Latest-2021) / NR509 Advanced Physical Assessment Quiz 6: Chamberlain College of Nursing |100% Correct Q & A| NR 509 Week 6 Quiz / NR509 Week 6 Quiz (Latest): Advanced Physical Assessment: Chamberlain NR 509 Advanced Physical Assessment Quiz 6 / NR509 Advanced Physical Assessment Quiz 6 (Latest): Chamberlain NR 509 Week 6 Advanced Physical Assessment Quiz / NR509 Week 6 Advanced Physical Assessment Quiz (Latest): Chamberlain Question 1. During a health history, a patient tells the nurse that he has trouble in starting his urine stream. This problem is known as urgency. dribbling. frequency. hesitancy. Question 2. Which of these statements is most appropriate when the nurse is obtaining a genitourinary history from an elderly man? “Do you need to get up at night to urinate?” “Do you experience nocturnal emissions, or ‘wet dreams’?” “Do you know how to perform a testicular self-examination?” “Has anyone ever touched your genitals when you did not want them to?” Question 3. When performing a genitourinary assessment on a 16-year-old boy, the nurse notices a swelling in the scrotum that increases with increased intra-abdominal pressure and decreases when he is lying down. The patient complains of pain when straining. The nurse knows that this description is most consistent with a(n) _____ hernia. femoral incisional direct inguinal indirect inguinal Question 4. A 45-year-old mother of two children is seen at the clinic for complaints of “losing my urine when I sneeze.” The nurse documents that she is experiencing urinary frequency. enuresis. stress incontinence. urge incontinence. Question 5. Which of these statements is true regarding the penis? The urethral meatus is located on the ventral side of the penis. The prepuce is the fold of foreskin covering the shaft of the penis. The penis is composed of two cylindrical columns of erectile tissue. The corpus spongiosum expands into a cone of erectile tissue called the glans. Question 6. Which of these statements about the testes is true? The lymphatics of the testes drain into the abdominal lymph nodes. The vas deferens is located along the inferior portion of each testis. The right testis is lower than the left because the right spermatic cord is longer. The cremaster muscle contracts in response to cold and draws the testicles closer to the body. Question 7. The mother of a 10-year-old boy asks the nurse to discuss the recognition of puberty. The nurse should reply by saying “Puberty usually begins at about age fifteen.” “The first sign of puberty is enlargement of the testes.” “Penis size does not increase until about the age of sixteen.” “The development of pubic hair precedes testicular or penis enlargement.” Question 8. A 62-year-old man states that his doctor told him that he has an “inguinal hernia.” He asks the nurse to explain what a hernia is. The nurse should tell him not to worry and that most men his age develop hernias. explain that a hernia is often the result of prenatal growth abnormalities. refer him to his physician for additional consultation because the physician made the initial diagnosis. explain that a hernia is a loop of bowel protruding through a weak spot in the abdominal muscles. Question 9. During an examination, the nurse notices that a male patient has a red, round, superficial ulcer with a yellowish serous discharge on his penis. On palpation, the nurse finds a nontender base that feels like a small button between the thumb and fingers. At this point, the nurse suspects that this patient has genital warts. a herpes infection. a syphilitic chancre. a carcinoma lesion. Question 10. The nurse is performing a genitourinary assessment on a 50-year-old obese male laborer. On examination, the nurse notices a painless round swelling close to the pubis in the area of the internal inguinal ring that is easily reduced when the individual is supine. These findings are most consistent with a(n) _____ hernia. scrotal femoral direct inguinal indirect inguinal Question 11. The nurse is performing a genital examination on a male patient and notices urethral drainage. When collecting urethral discharge for microscopic examination and culture, the nurse should ask the patient to urinate into a sterile cup. ask the patient to obtain a specimen of semen. insert a cotton-tipped applicator into the urethra. compress the glans between the examiner’s thumb and forefinger and collect any discharge. Question 12. A 59-year-old patient has been diagnosed with prostatitis and is being seen at the clinic for complaints of burning and pain during urination. He is experiencing dysuria. nocturia. polyuria. hematuria. Question 13. A 2-month-old uncircumcised infant has been brought to the clinic for a well-baby checkup. How would the nurse proceed with the genital examination? Elicit the cremasteric reflex. Assess the glans for redness or lesions. Avoid retracting the foreskin until the infant is 3 months old. Note any dirt or smegma that has collected under the foreskin. Question 14. During a health history of a patient who complains of chronic constipation, the patient asks the nurse about high-fiber foods. The nurse relates that an example of a high-fiber food would be broccoli. hamburger. iceberg lettuce. yogurt. Question 15. The nurse is examining only the rectal area of a woman and should place the woman in what position? Lithotomy position Prone position Left lateral decubitus position Bending over the table while standing Question 16. The nurse notices that a patient has had a pale, yellow, greasy stool, or steatorrhea, and recalls that this is caused by occult bleeding. absent bile pigment. increased fat content. ingestion of bismuth preparations. Question 17. The nurse is performing an examination of the anus and rectum. Which of these statements is correct and important to remember during this examination? The rectum is about 8 cm long. The anorectal junction cannot be palpated. Above the anal canal, the rectum turns anteriorly. There are no sensory nerves in the anal canal or rectum. Question 18. During a history, the patient states, “It really hurts back there, and sometimes it itches, too. I have even seen blood on the tissue when I have a bowel movement. Is there something there?” The nurse should expect to see which of these upon examination of the anus? Rectal prolapse Internal hemorrhoid External hemorrhoid that has resolved External hemorrhoid that is thrombosed Question 19. After completing an assessment of a 60-year-old man with a family history of colon cancer, the nurse discusses with him early detection measures for colon cancer. The nurse should mention the need for a(n) annual proctoscopy. colonoscopy every 10 years. fecal test for blood every 6 months. digital rectal examinations every 2 years. Question 20. While performing a rectal examination, the nurse notices a firm, irregularly shaped mass. What should the nurse do next? Continue with the examination and document the finding in the chart. Instruct patient to return for repeat assessment in 1 month. Tell the patient that a mass was felt but it is nothing to worry about. Report the finding and refer the patient to a specialist for further examination. Question 21. A 30-year-old woman is visiting the clinic because of “pain in my bottom when I have a bowel movement.” The nurse should assess for which problem? Pinworms Hemorrhoids Colon cancer Fecal incontinence Question 22. During an assessment of a 20-year-old man, the nurse finds a small palpable lesion with a tuft of hair located directly over the coccyx. The nurse knows that this lesion would most likely be a polyp. pruritus ani. carcinoma. pilonidal cyst. Question 23. A 46-year-old man requires assessment of his sigmoid colon. The nurse is aware that which of these is most appropriate for this examination? Proctoscope Ultrasound Colonoscope Rectal exam with an examining finger Question 24. During an assessment of the newborn, the nurse expects to see which finding when the anal area is slightly stroked? A jerking of the legs Flexion of the knees A quick contraction of the sphincter Relaxation of the external sphincter Question 25. A 70-year-old man is visiting the clinic for difficulty in passing urine. In the history, he indicates he has to urinate frequently, especially at night. He has burning when he urinates and has noticed pain in his back. Given this history, what might the nurse expect to find during the physical assessment? Asymmetric, hard, fixed prostate gland Occult blood and perianal pain to palpation Symmetrically enlarged, soft prostate gland A soft nodule protruding from rectal mucosa NR 509 Week 6 Quiz / NR509 Week 6 Quiz (Latest): Advanced Physical Assessment: Chamberlain NR 509 Advanced Physical Assessment Quiz 6 / NR509 Advanced Physical Assessment Quiz 6 (Latest): Chamberlain NR 509 Week 6 Advanced Physical Assessment Quiz / NR509 Week 6 Advanced Physical Assessment Quiz (Latest): Chamberlain 1. A woman has come to the clinic to seek help with a substance-abuse problem. She admits to using cocaine just before arrival. Which of these assessment findings would the FNP expect to find when examining the woman? 2. A 63-year-old Chinese American man enters the office with complaints of chest pain, shortness of breath, and palpitations. Which statement most accurately reflect the FNPs best course of action? 3. The FNP is planning to assess new memory with the patient. The best way for the FNP to do this would be 4. During the health history the FNP asks a female patient “how many alcoholic drinks do you have a week?” Which answer by the patient would indicate at risk drinking? 5. Symptoms such as pain are often influenced by a person’s cultural heritage. Which of the following is a true statement regarding pain? 6. The FNP suspect abuse when a 10-year-old child is taken to the urgent care center for leg injury. The best way to document the history and physical findings is to 7. During a mental status assessment, which question by the FNP would best assess a persons judgment? 8. The FNP is performing a mental status assessment on a five-year-old girl. Her parents are undergoing a bitter divorce and are worried about the effect it is having on their daughter. Which action or statement might leave FNP to be concerned about the girls mental status? 9. During mental status examination, the FNP wants to assess a patient’s affect. The FNP should ask the patient which question? 10. During an examination FNP notices a patterned injury on a patients back. Which of these would cause such an injury? 11. The FNP is aware that intimate partner violence screening should occur with which situation? 12. Which statement is best for the FNP to use when preparing to administer the abuse assessment screen? 13. The FNP is conducting a class on alcohol and the effects of alcohol on the body. How many standard drinks (each containing 12 g alcohol) Per day are associated with increased deaths from cirrhosis, cancers of the mouth, esophagus and injuries in men? 14. A woman who has just discovered that she is pregnant is in the clinic for her first obstetric visit. She asked the FNP how many drinks a day safe for my baby? The FNP‘s best response is 15. The FNP is performing the Denver II screen test on a 12 month old infant during a routine well child visit. The FNP should tell the infants parents that the Denver II 16. Which term refers to a one produced by tearing or splitting of body tissue usually from blunt impact of a bony surface 17. When reviewing the use of alcohol by older adults the FNP notes that the older adults have several characteristics that can increase the risk of alcohol use which would increase the bioavailability of alcohol in the blood for longer periods of time in the older adult? 18. The FNP is reviewing concepts of cultural aspects of pain. Which statement is true regarding pain? 19. The FNP is planning to assess a child using behavioral checklist. This tool is most appropriate for a(an) 20. The FNP is assessing orientation in a 79-year-old patient. Which of these responses … leave the FNP to … that the patient is … ? 21. As a mandatory reporter of elder abuse, which of these must be present before an FNP notifies the authorities? 22. A 30-year-old female patient is describing feelings of hopelessness and depression. She has attempted self-mutilation and has a history of prior suicide attempts. She describes difficulty sleeping at night and has lost 10 pounds in the past month. Which of these statements or questions is the FNP‘s best response in this situation? 23. For persons age 12 years and older which of these illicit substances was one of the most commonly used? 24. Which of these individuals would the FNP consider at highest risk for suicide attempt? 25. The FNP is …. a patient who has … for cirrhosis of the liver secondary to chronic alcohol use. During the physical … the FNP looks for cardiac problems that are … with chronic heavy use of alcohol such as [Show Less]
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NR509 Week 7 Quiz (2 Versions, Latest-2021) / NR 509 Week 7 Quiz: Advanced Physical Assessment: Chamberlain College of Nursing |100% Correct Q & A, Download to Score “A”|
NR509 Week 7 Quiz (2 Versions, Latest-2021) / NR 509 Week 7 Quiz: Advanced Physical Assessment: Chamberlain College of Nursing |100% Correct Q & A, Downloa... [Show More] d to Score “A”| NR509 Week 7 Advanced Physical Assessment Quiz (2 Versions, Latest-2021) / NR509 Advanced Physical Assessment Quiz 7: Chamberlain College of Nursing |100% Correct Q & A| NR 509 Week 7 Quiz / NR509 Week 7 Quiz (Latest): Advanced Physical Assessment: Chamberlain NR 509 Advanced Physical Assessment Quiz 7 / NR509 Advanced Physical Assessment Quiz 7 (Latest): Chamberlain NR 509 Week 7 Advanced Physical Assessment Quiz / NR509 Week 7 Advanced Physical Assessment Quiz (Latest): Chamberlain Question 1. A 65-year-old patient remarks that she just can’t believe that her breasts sag so much. She states it must be from lack of exercise. What explanation should the nurse offer her? After menopause, only women with large breasts experience sagging. After menopause, sagging is usually due to decreased muscle mass within the breast. After menopause, a diet that is high in protein will help maintain muscle mass, which keeps the breasts from sagging. After menopause, the glandular and fat tissue atrophies, causing breast size and elasticity to diminish, resulting in breasts that sag. Question 2. During a physical examination, a 45-year-old woman states that she has had a crusty, itchy rash on her breast for about 2 weeks. In trying to find the cause of the rash, which of these would be important for the nurse to determine? Is the rash raised and red? Does it appear to be cyclic? Where did it first appear—on the nipple, the areola, or the surrounding skin? What was she doing when she first noticed the rash, and do her actions make it worse? Question 3. The nurse is performing a breast examination. Which of these statements best describes the correct procedure to use when screening for nipple and skin retraction during a breast examination? Have the woman bend over and touch her toes. lie down on her left side and notice any retraction. shift from a supine position to a standing position; notice any lag or retraction. slowly lift her arms above her head and note any retraction or lag in movement. Question 4. During an annual physical exam, a 43-year-old patient states that she doesn’t perform monthly breast self-examinations (BSE). She tells the nurse that she believes that mammograms “do a much better job than I ever could to find a lump.” The nurse should explain to her that BSEs may detect lumps that appear between mammograms. breast self-examination is unnecessary until the age of 50 years. she is correct; mammography is a good replacement for breast self-examination. she doesn’t need to perform breast self-examination as long as a physician checks her breasts yearly. Question 5. While examining a 75-year-old woman, the nurse notices that the skin over her right breast is thickened and the hair follicles are exaggerated. This condition is known as dimpling. retraction. peau d’orange. benign breast disease. Question 6. During an examination of a 7-year-old girl, the nurse notices that the girl is showing breast budding. What should the nurse do next? Ask her if her periods have started. Assess the girl’s weight and body mass index (BMI). Ask the girl’s mother at what age she started to develop breasts. Nothing; this is a normal finding. Question 7. The nurse is discussing breast self-examination with a postmenopausal woman. The best time for postmenopausal women to perform breast self-examination is the same day every month. daily, during the shower or bath. 1 week after her menstrual period. every year with her annual gynecologic examination. Question 8. During an examination of a woman, the nurse notices that her left breast is slightly larger than her right breast. Which of these statements is true about this finding? Breasts should always be symmetric. This finding is probably due to breastfeeding and is nothing to worry about. This finding is not unusual, but the nurse should verify that this change is not new. This finding is very unusual and means she may have an inflammation or growth. Question 9. A 46-year-old woman is in the clinic for her annual gynecologic examination. She voices a concern about ovarian cancer because her mother and sister died of it. The nurse knows that which of these statements is correct regarding ovarian cancer? Ovarian cancer rarely has any symptoms. The Pap smear detects the presence of ovarian cancer. Women at high risk for ovarian cancer should have annual transvaginal ultrasonography for screening. Women over age 40 years should have a thorough pelvic examination every 3 years. Question 10. A nurse is assessing a patient’s risk of contracting a sexually transmitted infection (STI). An appropriate question to ask would be “You know that it’s important to use condoms for protection, right?” “Do you use a condom with each episode of sexual intercourse?” “Do you have a sexually transmitted infection?” “You are aware of the dangers of unprotected sex, aren’t you?” Question 11. During the interview with a female patient, the nurse gathers data that indicate that the patient is perimenopausal. Which of these statements made by this patient leads to this conclusion? “I have noticed that my muscles ache at night when I go to bed.” “I will be very happy when I can stop worrying about having a period.” “I have been noticing that I sweat a lot more than I used to, especially at night.” “I have only been pregnant twice, but both times I had breast tenderness as my first symptom.” Question 12. During an examination, the nurse observes a female patient’s vestibule and expects to see the urethral meatus and vaginal orifice. vaginal orifice and vestibular (Bartholin) glands. urethral meatus and paraurethral (Skene) glands. paraurethral (Skene) and vestibular (Bartholin) glands. Question 13. During a vaginal examination of a 38-year-old woman, the nurse notices that the vulva and vagina are erythematous and edematous with thick, white, curdlike discharge adhering to the vaginal walls. The woman reports intense pruritus and thick white discharge from her vagina. The nurse knows that these history and physical examination findings are most consistent with which of these conditions? Candidiasis Trichomoniasis Atrophic vaginitis Bacterial vaginosis Question 14. The nurse has just completed an inspection of a nulliparous woman’s external genitalia. Which of these would be a description of a finding within normal limits? Redness of the labia majora Multiple nontender sebaceous cysts Discharge that is sticky and yellow-green Gaping and slightly shriveled labia majora Question 15. The nurse is preparing for an internal genitalia examination of a woman. Which order of the examination is correct? Bimanual, speculum, rectovaginal Speculum, rectovaginal, bimanual Speculum, bimanual, rectovaginal Rectovaginal, bimanual, speculum Question 16. A patient calls the clinic for instructions before having a Papanicolaou (Pap) smear. The most appropriate instructions from the nurse are “If you are menstruating, please use pads to avoid placing anything into the vagina.” “Avoid intercourse, inserting anything into the vagina, or douching within 24 hours of your appointment.” “If you suspect that you have a vaginal infection, please gather a sample of the discharge to bring with you.” “We would like you to use a mild saline douche before your examination. You may pick this up in our office.” Question 17. A 22-year-old woman is being seen at the clinic for problems with vulvar pain, dysuria, and fever. On physical examination, the nurse notices clusters of small, shallow vesicles with surrounding erythema on the labia. There is also inguinal lymphadenopathy present. The most likely cause of these lesions is pediculosis pubis. contact dermatitis. human papillomavirus. herpes simplex virus type 2. Question 18. During a prenatal visit at 30 weeks of gestation, the patient mentions to the nurse, “The baby has not moved very much since yesterday.” The nurse notices that fetal movement is not as active as it was the last visit, and notifies the physician. What should the nurse prepare to do next? Admit the woman to a hospital. Administer a nonstress test for fetal monitoring. Start an intravenous infusion. Have the patient walk around the hallways and then check fetal movement again. Question 19. When performing the examination of a woman who is 8 weeks pregnant, the nurse notices that the cervix is a bluish color. The nurse would document this finding as _____ sign. Hegar’s Homans’ Chadwick’s Goodell’s Question 20. A woman who is 28 weeks pregnant has edema in her lower legs bilaterally after working 8 hours a day as a cashier at a local grocery store. She is worried about her legs. What is the nurse’s best response? “You will be at risk for development of varicose veins when your legs are edematous.” “I would like to listen to your heart sounds. Edema can indicate a problem with your heart.” “Edema is usually the result of too much salt and fluids in your diet. You may need to try to cut down on salty foods.” “As your baby grows, it slows blood return from your legs, causing the swelling. This often occurs with prolonged standing.” Question 21. When the nurse is assessing the deep tendon reflexes (DTRs) on a woman who is 32 weeks pregnant, which of these would be considered a normal finding on a 0 to 4+ scale? Absent DTRs 2+ 4+ Brisk reflexes and the presence of clonus Question 22. During a history interview, a 38-year-old woman shares that she is thinking about having another baby. The nurse knows that which statement is true regarding pregnancy after age 35 years? Fertility does not start to decline until age 40 years. The occurrence of Down syndrome is much more frequent after age 35 years. Genetic counseling and prenatal screening are not routine until after age 40 years. Women older than 35 years who are pregnant have the same rate of pregnancy-related complications as those who are younger than 35 years. Question 23. The nurse knows that the best time to assess a woman’s blood pressure during an initial prenatal visit is at the end of the examination when she will be the most relaxed. at the beginning of the interview as a nonthreatening method of gaining rapport. during the middle of the physical examination when she is the most comfortable. before beginning the pelvic examination because her blood pressure will be higher after the pelvic examination. Question 24. When performing an examination of a woman who is 34 weeks pregnant, the nurse notices that as the woman raises her head and shoulders off of the bed, there is a midline linear protrusion in the abdomen over the area of the rectus abdominis muscles. Which response by the nurse is correct? Document the presence of diastasis recti. Discuss this condition with the physician because it will most likely need to be surgically repaired. Suspect that the woman has a hernia from the increased pressure within the abdomen from pregnancy. Tell the woman that she may have a difficult time with delivery because of the weakness in her abdominal muscles. Question 25. A patient who is 24 weeks pregnant asks about wearing a seat belt while driving. Which response by the nurse is correct? “Seat belts should not be worn during pregnancy.” “Place the lap belt below the uterus and use the shoulder strap at the same time.” “Place the lap belt below the uterus but omit the shoulder strap during pregnancy.” “Place the lap belt at your waist above the uterus and use the shoulder strap at the same time.” NR 509 Week 7 Quiz / NR509 Week 7 Quiz (Latest): Advanced Physical Assessment: Chamberlain NR 509 Advanced Physical Assessment Quiz 7 / NR509 Advanced Physical Assessment Quiz 7 (Latest): Chamberlain NR 509 Week 7 Advanced Physical Assessment Quiz / NR509 Week 7 Advanced Physical Assessment Quiz (Latest): Chamberlain 1. During an examination of an aging male the FNP recognizes that normal changes to expect would be: 2. During a health history, a 22-year-old woman asks “can I get that vaccine for HPV? I have gentle warts and I’d like them to go away!” What is the FNP‘s best response? 3. During a speculum inspection of the vagina the FNP would expect to see what at the end of the vaginal canal? 4. A 62-year-old man is experiencing fever, chills, malaise, urinary frequency and urgency. He also reports urethral discharge and a dull aching pain in the perineal and rectal area. The symptoms are most consistent with which of the following? 5. When performing a genital examination on a 25-year-old man the FNP notices deeply pigmented, wrinkled scrotal skin with large sebaceous follicles. On the basis of this information the FNP would: 6. The mother of a 10-year-old boy asks the FNP to discuss the recognition of puberty. The FNP should reply by saying: 7. The uterus is usually … tilting forward and superior to the bladder. This position is known as 8. A male patient with possible fertility problems asks the FNP where sperm is produced. The FNP knows that sperm production occurs in 9. A 15-year-old boy is seen in the clinic for complaints of dull pain and pulling in the scrotal area. On examination the FNP palpates a soft, irregular mass posterior to and above the testes on the left. This mass collapses when the patient is supine in refills when he is up right. This description is consistent with: 10. In performing an assessment of a woman’s axillary lymph system the FNP should assess which of these nodes? 11. A patient contacts the office and tells the FNP that she is worried about her 10-year-old daughter having breast cancer. She describes a unilateral enlargement of the right breast with associated tenderness. She is worried because the left breast is not enlarged. What would be the FNP‘s best response? 12. An 11-year-old girl is in the clinic for a sports physical. The FNP notices that she has begun to develop breasts, and during the conversation the girl reveals that she is worried about her development. …. which of these techniques to best assist the young girl in understanding the expected sequence for development? The FNP should: 13. A 54-year-old woman who has just completed menopause is in the clinic today for yearly physical examination. Which of these statements should the FNP include in patient education? A post menopausal woman: 14. A 62-year-old man states that his doctor told him that he has an inguinal hernia. He asks the FNP to explain what a hernia is……: 15. When performing a genital assessment on a middle-age man, the FNP notices multiple soft, moist, painless papules in the shape of cauliflower like patches scattered across the shaft of the penis. These lesions are characteristics of: 16. If a patient reports a recent breast infection, then the FNP should expect to find_____node enlargement 17. A 9-year-old girl is in the clinic for a sports physical. After some initial shyness she finally asked “am I normal? I don’t seem to need a bra yet, but I have some friends who do. What if I never get breasts?” The FNP‘s best response would be: 18. Which of these statements about the testes this true? 19. During an examination FNP observes a female patients vestibule and expect to see the 20. A 14-year-old girl is anxious about not having reached menarche. When taking history, the FNP should ascertain which of the following? The age: 21. A woman who is 22 weeks pregnant has a vaginal infection. She tells the FNP that she is afraid that the infection will hurt the fetus. The FNP knows that which of these statements is true? 22. In performing a breast examination the FNP knows that it is especially important to examine the upper outer quadrant of the breast. The reason for this is that the upper outer quadrant 23. An accessory glandular structure for the male genital organs is the 24. Which of these statements is true regarding the penis? 25. A woman who is 8 weeks pregnant is in the clinic for a check up. The FNP reads on her chart that her cervix is … cyanotic. The FNP knows that the woman is exhibiting____sign and _____sign [Show Less]
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