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Final Exam: NR 509/ NR509 Advanced Physical Assessment Final Practice Questions with Verified Answers (2025/ 2026Update)

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Final Exam: NR 509/ NR509 Advanced Physical Assessment Final Practice Questions with Verified Answers (2025/ 2026Update)

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NRsd509sdFinalsdExam


Suspicioussdbreastsdmasssd-sdcorrectsdanswer✔ ✔ -
Asdmobilesdmasssdthatsdbecomessdfixedsdwhensdthesdarmsdrelaxessdissdattachedsd
tosdthesdribssdandsdintercostalsdmuscles;sdifsdfixedsdwhensdthesdhandsdissdpresseds
dagainstsdthesdhip,sditsdissdattachedsdtosdthesdpectoralsdfascia.



-
Hardsdirregularsdpoorlysdcircumscribedsdnodules,sdfixedsdtosdthesdskinsdorsdund
erlyingsdtissues,sdstronglysdsuggestsdcancer


RisksdforsdBreastsdcancersd-sdcorrectsdanswer✔ ✔ --*Age*

-familysdhistorysdofsdbreast/ovariansdCA
-sdinheritedsdgeneticsdmutations,sd
-personalsdhistorysdofsdbreastsdcancersd
-sdhighsdlevelssdofsdendogenoussdhormonessd
-sdbreastsdtissuesddensity
-sdproliferativesdlesionssdwithsdatypiasdonsdbreastsdbiopsy,sd-
sddurationsdofsdunopposedsdestrogensdexposuresdrelatedsdtosdearlysd menarche



-agesdofsdfirstsdfull-termsdpregnancy
-sdlatesdmenopause.sd
-sdbreastfeedingsdforsdlesssdthansd1sdyear,
-sdpostmenopausalsdobesity

,-cigarettesdsmoking,sdalcoholsdingestion,sd
-sdphysicalsdinactivity,sdandsdtypesdofsdcontraception.


Characteristicssdofsdasdbreastsdcystsd-sdcorrectsdanswer✔ ✔
Softsdtosdfirm,sdround,sdmobile,sdoftensdtender.


Thesdbestsdwaysdtosdexaminesdthesdlateralsdportionsdofsdthesdbreastsd-
sdcorrectsdanswer✔ ✔ -Havesdptsdrollsdontosdthesdoppositesdhip

-placesdhersdhandsdonsdhersdforehead.
-sdkeepsdshoulderssdpressedsdagainstsdthesdbedsd
-
palpatesdinsdthesdaxilla,sdmovingsdinsdasdstraightsdlinesddownsdtosdthesdbrasdline,sdt
hensdmovesdthesdfingerssdmediallysdandsdpalpatesdinsdasdverticalsdstripsdupsdthesdc
hestsdtosdthesdclavicle.sdContinuesdinsdverticalsdoverlappingsdstripssduntilsdyousd
reachsdthesdnipple


BacterialsdVaginosissd(BV)sd-sdcorrectsdanswer✔ ✔ -
Causedsdbysdovergrowthsdofsdanaerobicsdbacteriasd(oftensdfromsdsex)
-
Discharge:sdGraysdorsdwhite,sdthin,sdhomogenous,sdmalodorous,sdcoatssdthesd
sd


vaginalsdwalls,sdusuallysdnotsdprofuse,sdmaysdbesdminimal
-sdFishy/mustysdgenitalsdodor
-Normalsdvulvasdandsdvaginalsdmucosa

, -
Scansdsalinesdwetsdmountsdforsdcluesdcellssd(epithelialsdcellssdwithsdstippledsdbo
rders);sdsniffsdforsdfishysdodorsdaftersdapplyingsdKOHsd("whiffsdtest");sdtestsdthe
sdvaginalsdsecretionssdforsdpHsd>sd4.5




CandidalsdVaginitissd-sdcorrectsdanswer✔ ✔ -
Cause:sdCandidasdalbicans,sdasdyeastsd(normalsdovergrowthsdofsdvaginalsdflora
);sdmanysdfactorssdpredispose,sdincludingsdantibioticsdtherapy
-
Discharge:sdwhitesdandsdcurdy,sdmaysdbesdthinsdbutsdusuallysdthick,sdnotsdassdpr
ofusesdassdtrichomonalsdinfection,sdnotsdmalodorous
-
vaginalsdsoreness,sdpruritus,sdpainsdonsdurination,sddyspareuniasd(painfulsdint
sd


ercourse)
-
Thesdvulvasdandsdsurroundingsdskinsdaresdinflamedsdandsdsometimessdswollensd
tosdasdvariablesdextent;sdthesdvaginalsdmucosasdissdreddened,sdwithsdwhitesdtena
cioussdpatchessdofsddischarge;sdthesdmucosasdmaysdbleedsdwhensdthesesdpatche
ssdaresdscrapedsdoff;sdinsdmildsdcases,sdthesdmucosasdlookssdnormal
-
Scansdpotassiumsdhydroxidesd(KOH)sdpreparationsdforsdthesdbranchingsdhyph
aesdofsdCandida



TrichomonalsdVaginitissd-sdcorrectsdanswer✔ ✔ -
Trichomonassdvaginalis,sdasdprotozoan;sdoftensdbutsdnotsdalwayssdacquiredsdse
xually

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