advanced physical assessment
(Latest 2026/2027 Update)
Questions & Answers | Grade A |
100% Correct
This NUR 505 Exam 3 is 200+ Q&A focuses on advanced physical assessment,
covering cardiovascular, respiratory, and endocrine systems, along with cultural
considerations and pain management. Key topics include thyroid assessment, heart
sounds/bruits, lung sounds, and prioritizing patient care. Expected content involves
interpreting objective/subjective data for conditions like hypothyroidism,
hyperthyroidism, and pneumonia.
Key Study Topics for Exam 3
Cardiovascular & Peripheral Vascular: Auscultating for bruits, assessing blood
pressure (Korotkoff sounds), and evaluating peripheral pulses.
Respiratory Assessment: Techniques include inspection, palpation, percussion, and
auscultation. Normal and abnormal lung sounds (crackles, wheezes), assessing for
tactile fremitus, and identifying barrel chest.
Endocrine & Neck Assessment: Thyroid palpation, identifying nodules/asymmetry,
and distinguishing between hypo- and hyperthyroidism (symptoms like cold/heat
intolerance, fatigue, weight changes).
Cultural Competence: Understanding cultural phenomena in care, such as health
beliefs within specific populations (e.g., German, Haitian, Cuban-American).
Pain & General Assessment: Differentiating types of pain (neuropathic) and utilizing
assessment data to determine care needs.
Prioritization (ABC+VL): Prioritizing patient care based on Airway, Breathing,
Cardiac/Circulation, Vital Signs, and Lab values.
Key Exam Preparation Concepts
1
, Thyroid Abnormalities: Gritty sensation suggests inflammation; nodules should be
counted and assessed for texture (soft vs. hard).
Cardiovascular Risks: Assessing waist-to-hip ratio for cardiovascular disease risk.
Nursing Interventions: Recognizing when to immediately intervene, such as for
severe pain after medication, and understanding that weight gain of 0.9 to 1.4 kg
(2-3 lb) in one day indicates potential fluid retention.
Assessment Tools: Familiarity with the use of a stethoscope, otoscope, and penlight
for physical exams.
Module 7: HEENT
Module 8: Chest and Lungs
Module 9: Abdomen
Module 10: Female GU
Module 11: Male GU
Module 12: Growth and Nutrition
Quiz_________________?
Major facial landmarks -
Answer
Palpebral fissures (horizontal, almond-shaped opening of the upper and
lower eyelids) and the nasolabial folds (creases in the skin extending
from both sides of the nose to the corners of the mouth).
2
, Quiz_________________?
Frontal, Parietal, Temporal, and Occipital -
Answer
List the bones that compose the skull.
Quiz_________________?
Sternocleidomastoid Muscle -
Answer
Easily recognizable, palpable muscle that plays a vital role in the posture
of the neck and body.
Quiz_________________?
2 months -
Answer
At what age does the posterior fontanel close?
Quiz_________________?
12 to 15 months -
Answer
At what age does the anterior fontanel close?
3
, Quiz_________________?
6 years -
Answer
Ossification of sutures begins at age ___ and is finished by adulthood.
Quiz_________________?
Second -
Answer
Fetal thyroid gland becomes functional in the _____ trimester. Before
then, the mother is the source of thyroid hormone for the fetus and
requires increased iodine intake.
Quiz_________________?
Aging -
Answer
The rate of T4 production and degradation gradually decreases with
____ and the thyroid gland becomes more fibrotic.
Quiz_________________?
4