NR 509 / NR509 Advanced Physical Assessment Midterm NR 509 / NR509 Advanced Physical Assessment Midterm
Exam Review | 100 Questions and Answers | Rated A Exam Review | 100 Questions and Answers | Rated A
3P’s EXAM 6. A 42 years old woman with a past medical history of migraine headaches is requesting
1. When performing a visual acuity test the nurse practitioner notes 20/30 in the left eye and prophylactic medication treatment. Which medication should the Nurse practitioner
20/40 in the right eye using the Snellen eye chart. This means: prescribe?
a) have the patient returning in two weeks for a follow up vision screen a) Sumatriptan (Imitrex)
b) dilated the eye and retest b) Amitriptyline (Elavil)
c) refer the patient to an ophthalmologist c) Verapamil (verelan)
d) document this as a normal finding d) Metoprolol (Lopressor)
2. The American psychiatric association’s diagnostic and statistical manual of mental disorder Amitriptyline (Elavil) is a tricyclic antidepresant and is considered offlabel use for prophylactic
defines Munchausen Syndrome By Proxy treatment of migrane. Sumatriptan (Imimtrex) Is aTriptans used to abort migraine
a) a self-inflicted injury to gain attention
b) a caregiver making up or causing an illness or injury in a person under his or her 7. A pediatric patient has areas of scaling on the scalp with round patches of alopecia. This
care clinical finding is consistent with:
c) an abusive behavior that does not involve the caregiver a) Tinea capitis
d) a situation in which the abuser is often inattentive and uncaring toward the victim b) Seborrheic dermatitis
c) Trichotillomania
Munchausen syndrome by proxy is a mental illness and a form of child abuse. The caretaker of a d) Alopecia areata
child, most often a mother, either makes up fake symptoms or causes real symptoms to make it
look like the child is sick. 8. What is the appropriate prophylactic medication for an 18 years old woman with a past
medical history of migraine headaches?
a) Sumatriptan (Imitrex)
3. Symptoms of depression are a side effect of which neurotransmitter medication? b) Propanolol (Inderal)
a) dopamine serotonin, norepinephrine c) Ibuprofeno (motrin)
b) gabapentin d) Dihydroergotamine (DHE)
c) mil
d) cortisol 9. Why would a combined hormonal contraceptive be contraindicated in a 36 year old patient
with a past medical history of type 2 diabetes, obesity, chronic smoking and sedentary life
4. Which lesion is dark raised and asymmetric with irregular border? Quizlet Bates Chapter 20 a) She is obese
a) Nevus b) She has type 2 diabetes mellitus
b) Actinic keratosis c) Her age and tobacco use
c) Keratoacanthoma d) She leads a sedentary lifestyle
d) Melanoma Combined oral contraceptive is contraindicated in women older than 45, breastfeeding, smoking,
HTN, diabetes or hx of stroke
5. A 32 years old woman presents with dull puffiness of the ayes pronounced not pitting
periorbital edema this finding is suggestive of this condition? APEA 10. During the breast examination of a perimenopausal woman the NP detects a bloody
a) Nephrotic syndrome spontaneous discharge from the right nipple. This indicates further evaluation.
b) Myxedema a) Fibroadenoma
c) Cushing syndrome b) Polycystic breast disease Generalized breast pain or tenderness. Green or dark brown
d) Sinusitis nonbloody nipple discharge that tends to leak without pressure or squeezing
Myxedema is a deposition of mucopolysaccarides in the dermis. Is commonly found if patients
with advanced hypothyroidism. The classic skin changes are: swelling of face, lips, eyelids, and c) An intraductal papilloma
tongue or swelling and thickening of skin anywhere on the body, especially in the lower legs.
Myxedema is the hallmark of Grave’s disease, an autoimmune form of hyperthyroidism. d) Pituitary prolactinoma
Myxedema can also occur in Hashimoto’s thyroiditis a form of hypothyroidism.
Intraductal papillomas are usually solitary and smaller than 1 cm. They are located in large
lactiferous sinuses or ducts and have a tendency to bleed. Quizlet Nipple Discharge
, NR 509 / NR509 Advanced Physical Assessment Midterm NR 509 / NR509 Advanced Physical Assessment Midterm
Exam Review | 100 Questions and Answers | Rated A Exam Review | 100 Questions and Answers | Rated A
11. Rh negative women should receive Rho (D) immunoglobulin at what gestational time?
a) 6 weeks 16. Which of the following conditions is NOT a typical finding of hyperprolactinemia in a 47-
b) 12 weeks year-old premenopausal woman?
a) Hirsutism
c) 28 weeks
d) 35 weeks b) Gynecomastia
What happens is the client is Rh negative and has a negative antibody screen? c) Oligomenorrhea
She will need repeat antibody screens and should receive Rho(D) immune globulin (RhoGAM) d) Acne
at 28 weeks' gestation (Quizlet Antepartum Diagnostic Testing Saunders) Hyperprolactinemia causes typical symptoms in premenopausal women and in men, but not in
postmenopausal women. Premenopausal women — Hyperprolactinemia in premenopausal
12. When interpreting a complete blood count (CBC) lab report which of the following results women causes hypogonadism, with symptoms that include infertility, oligomenorrhea, or
describes the size of the RBCs? amenorrhea and less often galactorrhea. (uptodate.com/clinical-manifestations)
a) Hemoglobin
b) Mean corpuscular volume (MCV)
c) Red cell distribution width (RDw) 17. When treating a patient with asthma who is experiencing acute wheezing which medication
d) Hematocrit should be given to relieve the symptom?
a) Short acting bronchodilator
The mean corpuscle (cell) volume (MCV) is a measurement of the average size of the RBCs. b) Long acting bronchodilator
Small-sized RBCs result in a lower MCV, while larger RBCs result in a higher MCV. c) Inhaled corticosteroid
d) Combination of methylxanthine and long acting bronchodilator
13. What medication should be avoided when prescribe prophylactic therapy for headache Short-Acting Beta Agonist (SABA) inhalers; used for acute asthma attacks; quickly reduce
a) Verapamil airway constriction & restore normal airflow; agonists/stimulators of adrenergic receptors in SNS
b) Propranolol (sympathomimetics); albuterol (Ventolin), levalburterol (Xopenex), pirbuterol (Maxair),
terbutaline (Brethine), metaproterenol (Alupent). (Quizlet Pharm Ch 37 Respiratory drugs)
c) Venlataxin (Effexor)
d) Nimodipine
Serotonin Norepinephrine Reuptake inhibitor have the most serious side effect. Patients should 18. Which immunization reduces a patient’s risk for infection with the virus that causes painful
have drug free period for 3-4 weeks after every 6 months of treatment (pharmacology book page localized blistering rash?
1047) a) Smallpox vaccine
b) Varicella vaccine (chicken Pox)
14. What is the mechanism of action of prostaglandin E1 (PG1) in a patient with transposition of c) Shingles (herpes zoster) vaccine
the great arteries d) Meningococcal vaccine
a) To maintain equal pressure in the ventricles Shingles (herpes zoster) is an extremely painful skin rash caused by the varicella zoster virus, the
b) To maintain patency of the great arteries same virus that causes chickenpox. In people who have had chickenpox, the virus is never fully
cleared from the body; instead, it remains dormant in the nerve tissues. (medicinet.com/shingles)
c) To produce vasodilation on …………….
d) To prevent cyanotic episodes by trapping blood in the lower …………
19. Headache warning signs that need prompt investigation include all of the following
15. Which of the following complaints best describes lower extremity calf pain associated with
peripheral artery disease EXCEPT:
a) new onset after age 50
a) A sharp stabbing pains
b) aggravated or relieved by change of position
b) A dull pain or cramp
c) An electric shock c) precipitated by Valsalva maneuver
d) A pulsating pain d) Headache relieved with mild infrequent use of analgesics
Peripheral artery disease signs and symptoms include: Painful cramping in one or both of your
hips, thighs or calf muscles after certain activities, such as walking or climbing stairs 20. The client with iron deficiency anemia should be advised to take the iron supplement
(claudication) Leg numbness or weakness. Coldness in your lower leg or foot, especially when a) With milk to avoid stomach upset
compared with the other side. (Mayoclinic) b) With milk of magnesia at bedtime to avoid constipation
c) On an empty stomach between meals
, NR 509 / NR509 Advanced Physical Assessment Midterm NR 509 / NR509 Advanced Physical Assessment Midterm
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d) For 30 days to 5 weeks c) Urge incontinence
Because iron is best absorbed on an empty stomach, patients should be advised to take the d) Overflow incontinence
supplement an hour before meals. Most patients can use the less expensive, more standard forms
of ferrous sulfate (Quizlet Hematology Cht 33) Anticholinergics are drugs that block the action of acetylcholine. Anticholinergics can treat a
variety of conditions, including: urinary incontinence, overactive bladder, COPD, They also
21. Which one of the following statements is true of Munchausen syndrome by proxy? help block involuntary muscle movements associated with certain diseases such as Parkinson’s
a) The injury is self-inflicted as the patient is seeking attention from others disease.
b) Under the supervision of adults other than the abuser, the patient does not exhibit
symptoms
c) The caregiver is usually not involver in the abusive behavior 26. A patient presents with signs of chest pain, the nurse practitioner observes jugular venous
d) The abuser is often inattentive and uncaring towards the victim distention. Their finding is consistent with
Munchausen syndrome by proxy (MSP) is a mental illness. It is also a form of child abuse. It a) Hypertension
affects caregivers, especially caregivers of children. It is also known as factitious disorder by b) Heart failure
proxy. Mothers of small children are most often affected by this condition. Fathers or other c) Asthma
caregivers can have it as well. d) Pneumonia
Heart failure causes decreased cardiac output when the heart fails as a pump and the circulation
becomes backed up and congested. Signs and symptoms: dyspnea, orthopnea, paroxysmal
22. Which of the following is the most common presenting sign of substance abuse in nocturnal dyspnea, decreased blood pressure, dependent, pitting edema; anxiety; confusion;
adolescents? jugular vein distention; fatigue. The S3 may be the earliest sign of heart failure.(Studyblue)
a) Poor school performance
b) change in sleep habits
c) increased blood pressure 27. On examination of the neck, a dome shaped lesion in the dermis forming a benign closed
d) changes in behavior firm sac attached to the epidermis is noted on the right lateral side of the neck. The type of
lesion is known as
23. A woman is 11 weeks pregnant and has a maternity history of one full term vaginal delivery, a) Keloid
a set of premature triplets delivered vaginally, and a first trimester abortion. Using her TPAL b) Tophi
system to document her maternal status c) A cutaneous cyst
a) Gravida 4 para 1114 d) Chondrodermatitis
b) Gravida 4, para 1314 4 is the number of living children GTPAL
c. Gravida 3, para 1114 Dome-shaped lump in the dermis forms a benign closed firm sac attached to the epidermis. A
c) Gravida 3, para 1112 dark dot (blackhead) may be visible on its surface. Usually either an Epidermoid cyst (common
on face/neck) or pilar (trichilemmal) cyst (common in the scalp). Both may become inflamed.
Gravida, Term babies, Preterm babies, Abort and Living child Error! Filename not specified.
24. The nurse practitioner palpates an enlarged right epitrochlear lymph node in a 30 years old 28. Symptoms of heartburn and regurgitation are associated with:
patient. The Nurse Practitioner should asses the patents a) Hiatal hernia
a) Throat, face, and right ear b) Gastroesophageal reflux
b) Neck and supraclavicular region c) Peptic ulcer disease
c) Right forearm and hand d) Esophageal cancer
d) Right groin and abdomen
Lower arm and hand for erythema and swelling Classic GERD symptoms are: Heartburn, Regurgitation: bitter, acidic fluid in the mouth when
lying down or bending over
25. Anticholinergics are indicated for the treatment of
a) Asymptomatic bacteriuria 29. A 70 years old man walks 20 minutes most days of the week. He has begun to complain of
b) Renal insufficiency pain of his left calf when he is walking. The problem has gotten gradually worse and now he
Exam Review | 100 Questions and Answers | Rated A Exam Review | 100 Questions and Answers | Rated A
3P’s EXAM 6. A 42 years old woman with a past medical history of migraine headaches is requesting
1. When performing a visual acuity test the nurse practitioner notes 20/30 in the left eye and prophylactic medication treatment. Which medication should the Nurse practitioner
20/40 in the right eye using the Snellen eye chart. This means: prescribe?
a) have the patient returning in two weeks for a follow up vision screen a) Sumatriptan (Imitrex)
b) dilated the eye and retest b) Amitriptyline (Elavil)
c) refer the patient to an ophthalmologist c) Verapamil (verelan)
d) document this as a normal finding d) Metoprolol (Lopressor)
2. The American psychiatric association’s diagnostic and statistical manual of mental disorder Amitriptyline (Elavil) is a tricyclic antidepresant and is considered offlabel use for prophylactic
defines Munchausen Syndrome By Proxy treatment of migrane. Sumatriptan (Imimtrex) Is aTriptans used to abort migraine
a) a self-inflicted injury to gain attention
b) a caregiver making up or causing an illness or injury in a person under his or her 7. A pediatric patient has areas of scaling on the scalp with round patches of alopecia. This
care clinical finding is consistent with:
c) an abusive behavior that does not involve the caregiver a) Tinea capitis
d) a situation in which the abuser is often inattentive and uncaring toward the victim b) Seborrheic dermatitis
c) Trichotillomania
Munchausen syndrome by proxy is a mental illness and a form of child abuse. The caretaker of a d) Alopecia areata
child, most often a mother, either makes up fake symptoms or causes real symptoms to make it
look like the child is sick. 8. What is the appropriate prophylactic medication for an 18 years old woman with a past
medical history of migraine headaches?
a) Sumatriptan (Imitrex)
3. Symptoms of depression are a side effect of which neurotransmitter medication? b) Propanolol (Inderal)
a) dopamine serotonin, norepinephrine c) Ibuprofeno (motrin)
b) gabapentin d) Dihydroergotamine (DHE)
c) mil
d) cortisol 9. Why would a combined hormonal contraceptive be contraindicated in a 36 year old patient
with a past medical history of type 2 diabetes, obesity, chronic smoking and sedentary life
4. Which lesion is dark raised and asymmetric with irregular border? Quizlet Bates Chapter 20 a) She is obese
a) Nevus b) She has type 2 diabetes mellitus
b) Actinic keratosis c) Her age and tobacco use
c) Keratoacanthoma d) She leads a sedentary lifestyle
d) Melanoma Combined oral contraceptive is contraindicated in women older than 45, breastfeeding, smoking,
HTN, diabetes or hx of stroke
5. A 32 years old woman presents with dull puffiness of the ayes pronounced not pitting
periorbital edema this finding is suggestive of this condition? APEA 10. During the breast examination of a perimenopausal woman the NP detects a bloody
a) Nephrotic syndrome spontaneous discharge from the right nipple. This indicates further evaluation.
b) Myxedema a) Fibroadenoma
c) Cushing syndrome b) Polycystic breast disease Generalized breast pain or tenderness. Green or dark brown
d) Sinusitis nonbloody nipple discharge that tends to leak without pressure or squeezing
Myxedema is a deposition of mucopolysaccarides in the dermis. Is commonly found if patients
with advanced hypothyroidism. The classic skin changes are: swelling of face, lips, eyelids, and c) An intraductal papilloma
tongue or swelling and thickening of skin anywhere on the body, especially in the lower legs.
Myxedema is the hallmark of Grave’s disease, an autoimmune form of hyperthyroidism. d) Pituitary prolactinoma
Myxedema can also occur in Hashimoto’s thyroiditis a form of hypothyroidism.
Intraductal papillomas are usually solitary and smaller than 1 cm. They are located in large
lactiferous sinuses or ducts and have a tendency to bleed. Quizlet Nipple Discharge
, NR 509 / NR509 Advanced Physical Assessment Midterm NR 509 / NR509 Advanced Physical Assessment Midterm
Exam Review | 100 Questions and Answers | Rated A Exam Review | 100 Questions and Answers | Rated A
11. Rh negative women should receive Rho (D) immunoglobulin at what gestational time?
a) 6 weeks 16. Which of the following conditions is NOT a typical finding of hyperprolactinemia in a 47-
b) 12 weeks year-old premenopausal woman?
a) Hirsutism
c) 28 weeks
d) 35 weeks b) Gynecomastia
What happens is the client is Rh negative and has a negative antibody screen? c) Oligomenorrhea
She will need repeat antibody screens and should receive Rho(D) immune globulin (RhoGAM) d) Acne
at 28 weeks' gestation (Quizlet Antepartum Diagnostic Testing Saunders) Hyperprolactinemia causes typical symptoms in premenopausal women and in men, but not in
postmenopausal women. Premenopausal women — Hyperprolactinemia in premenopausal
12. When interpreting a complete blood count (CBC) lab report which of the following results women causes hypogonadism, with symptoms that include infertility, oligomenorrhea, or
describes the size of the RBCs? amenorrhea and less often galactorrhea. (uptodate.com/clinical-manifestations)
a) Hemoglobin
b) Mean corpuscular volume (MCV)
c) Red cell distribution width (RDw) 17. When treating a patient with asthma who is experiencing acute wheezing which medication
d) Hematocrit should be given to relieve the symptom?
a) Short acting bronchodilator
The mean corpuscle (cell) volume (MCV) is a measurement of the average size of the RBCs. b) Long acting bronchodilator
Small-sized RBCs result in a lower MCV, while larger RBCs result in a higher MCV. c) Inhaled corticosteroid
d) Combination of methylxanthine and long acting bronchodilator
13. What medication should be avoided when prescribe prophylactic therapy for headache Short-Acting Beta Agonist (SABA) inhalers; used for acute asthma attacks; quickly reduce
a) Verapamil airway constriction & restore normal airflow; agonists/stimulators of adrenergic receptors in SNS
b) Propranolol (sympathomimetics); albuterol (Ventolin), levalburterol (Xopenex), pirbuterol (Maxair),
terbutaline (Brethine), metaproterenol (Alupent). (Quizlet Pharm Ch 37 Respiratory drugs)
c) Venlataxin (Effexor)
d) Nimodipine
Serotonin Norepinephrine Reuptake inhibitor have the most serious side effect. Patients should 18. Which immunization reduces a patient’s risk for infection with the virus that causes painful
have drug free period for 3-4 weeks after every 6 months of treatment (pharmacology book page localized blistering rash?
1047) a) Smallpox vaccine
b) Varicella vaccine (chicken Pox)
14. What is the mechanism of action of prostaglandin E1 (PG1) in a patient with transposition of c) Shingles (herpes zoster) vaccine
the great arteries d) Meningococcal vaccine
a) To maintain equal pressure in the ventricles Shingles (herpes zoster) is an extremely painful skin rash caused by the varicella zoster virus, the
b) To maintain patency of the great arteries same virus that causes chickenpox. In people who have had chickenpox, the virus is never fully
cleared from the body; instead, it remains dormant in the nerve tissues. (medicinet.com/shingles)
c) To produce vasodilation on …………….
d) To prevent cyanotic episodes by trapping blood in the lower …………
19. Headache warning signs that need prompt investigation include all of the following
15. Which of the following complaints best describes lower extremity calf pain associated with
peripheral artery disease EXCEPT:
a) new onset after age 50
a) A sharp stabbing pains
b) aggravated or relieved by change of position
b) A dull pain or cramp
c) An electric shock c) precipitated by Valsalva maneuver
d) A pulsating pain d) Headache relieved with mild infrequent use of analgesics
Peripheral artery disease signs and symptoms include: Painful cramping in one or both of your
hips, thighs or calf muscles after certain activities, such as walking or climbing stairs 20. The client with iron deficiency anemia should be advised to take the iron supplement
(claudication) Leg numbness or weakness. Coldness in your lower leg or foot, especially when a) With milk to avoid stomach upset
compared with the other side. (Mayoclinic) b) With milk of magnesia at bedtime to avoid constipation
c) On an empty stomach between meals
, NR 509 / NR509 Advanced Physical Assessment Midterm NR 509 / NR509 Advanced Physical Assessment Midterm
Exam Review | 100 Questions and Answers | Rated A Exam Review | 100 Questions and Answers | Rated A
d) For 30 days to 5 weeks c) Urge incontinence
Because iron is best absorbed on an empty stomach, patients should be advised to take the d) Overflow incontinence
supplement an hour before meals. Most patients can use the less expensive, more standard forms
of ferrous sulfate (Quizlet Hematology Cht 33) Anticholinergics are drugs that block the action of acetylcholine. Anticholinergics can treat a
variety of conditions, including: urinary incontinence, overactive bladder, COPD, They also
21. Which one of the following statements is true of Munchausen syndrome by proxy? help block involuntary muscle movements associated with certain diseases such as Parkinson’s
a) The injury is self-inflicted as the patient is seeking attention from others disease.
b) Under the supervision of adults other than the abuser, the patient does not exhibit
symptoms
c) The caregiver is usually not involver in the abusive behavior 26. A patient presents with signs of chest pain, the nurse practitioner observes jugular venous
d) The abuser is often inattentive and uncaring towards the victim distention. Their finding is consistent with
Munchausen syndrome by proxy (MSP) is a mental illness. It is also a form of child abuse. It a) Hypertension
affects caregivers, especially caregivers of children. It is also known as factitious disorder by b) Heart failure
proxy. Mothers of small children are most often affected by this condition. Fathers or other c) Asthma
caregivers can have it as well. d) Pneumonia
Heart failure causes decreased cardiac output when the heart fails as a pump and the circulation
becomes backed up and congested. Signs and symptoms: dyspnea, orthopnea, paroxysmal
22. Which of the following is the most common presenting sign of substance abuse in nocturnal dyspnea, decreased blood pressure, dependent, pitting edema; anxiety; confusion;
adolescents? jugular vein distention; fatigue. The S3 may be the earliest sign of heart failure.(Studyblue)
a) Poor school performance
b) change in sleep habits
c) increased blood pressure 27. On examination of the neck, a dome shaped lesion in the dermis forming a benign closed
d) changes in behavior firm sac attached to the epidermis is noted on the right lateral side of the neck. The type of
lesion is known as
23. A woman is 11 weeks pregnant and has a maternity history of one full term vaginal delivery, a) Keloid
a set of premature triplets delivered vaginally, and a first trimester abortion. Using her TPAL b) Tophi
system to document her maternal status c) A cutaneous cyst
a) Gravida 4 para 1114 d) Chondrodermatitis
b) Gravida 4, para 1314 4 is the number of living children GTPAL
c. Gravida 3, para 1114 Dome-shaped lump in the dermis forms a benign closed firm sac attached to the epidermis. A
c) Gravida 3, para 1112 dark dot (blackhead) may be visible on its surface. Usually either an Epidermoid cyst (common
on face/neck) or pilar (trichilemmal) cyst (common in the scalp). Both may become inflamed.
Gravida, Term babies, Preterm babies, Abort and Living child Error! Filename not specified.
24. The nurse practitioner palpates an enlarged right epitrochlear lymph node in a 30 years old 28. Symptoms of heartburn and regurgitation are associated with:
patient. The Nurse Practitioner should asses the patents a) Hiatal hernia
a) Throat, face, and right ear b) Gastroesophageal reflux
b) Neck and supraclavicular region c) Peptic ulcer disease
c) Right forearm and hand d) Esophageal cancer
d) Right groin and abdomen
Lower arm and hand for erythema and swelling Classic GERD symptoms are: Heartburn, Regurgitation: bitter, acidic fluid in the mouth when
lying down or bending over
25. Anticholinergics are indicated for the treatment of
a) Asymptomatic bacteriuria 29. A 70 years old man walks 20 minutes most days of the week. He has begun to complain of
b) Renal insufficiency pain of his left calf when he is walking. The problem has gotten gradually worse and now he
