NR 603 CEA
FINAL EXAM
Advanced Clinical Diagnosis
Chamberlain
This Document Description:
includes 150 questions
Exam-Style Qs that mirror the actual Advanced Clinical
Diagnosis Exam at Chamberlain.
Question Type: The exam consists of Multiple Choice Questions
(MCQs) that utilize clinical scenarios.
,While assessing the 19 year old patient for a new onset
cough, the nurse practitioner may inspect, auscultate,
palpate, and/or percuss.
How does performing percussion of the thorax assist the
provider during the physical examination?
*To assist with the confirmation of cardiac origin of
angina.
*To assess for deep-seated lesion and tumors.
*To assess for any pain or discomfort prior to palpitation
of the chest wall.
*To identify if underlying tissue are air-filled, fluid-filled or
consolidated
To identify if underlying tissue are air-filled, fluid-filled or
consolidated
Your 42 year old male patient has been referred to your
clinic for establishing care and on his intake survey, you
note he has documented diagnosis of interstitial lung
disease. You have decided to perform a diaphragmatic
excursion test on the patient. Which one of the following
results would you expect to see in this patient?
*Approximately equal level of change in the descent of the
diaphragm bilaterally during maximal inspiration and
expiration. with a decreased overall inspiratory capacity.
*Ascension of 8-12 inches of the diaphragm noted
bilaterally on expiration, though often much less on the
right side due to the location of the heart and great
vessels.
*Much greater descent of the diaphragm on the right side
due to the liver present (two-three times larger).
*Absent or no change in movement of the diaphragm
,noted between full inspiration and full expiration
measurement.
Approximately equal level of change in the descent of the
diaphragm bilaterally during maximal inspiration and expiration.
with a decreased overall inspiratory capacity
Your 50 year old Caucasian male patient has not seen a
primary care giver in 20+ years and is here for a history
and physical examination. While examining the head and
face, you see your patient has nonpitting periorbital
edema, particularly underneath their eyes and very dry,
thinned hair, including the lateral third of eyebrows (as
pictured below: Sparse hairline, thin lateral eyebrows,
Periobital edema). Which one of the folowing would you
expect to cause this finding?
*Severe hypothyroidism
*Addison's disease
*Grave's disease
*Alzhemiers.
Severe hypothyroidism
A40 year old, female, African American patient presents
for history and physical. Upon your initial assessment, you
notice she has severe exophthalmos as pictured below.
Which one of the following diagnoses below would be the
highest on your differential diagnose of this physical
examination finding? (eyes bulging out of her head)
*Bilateral conjunctivitis.
*Hyperthyroidism.
*hypothyroidism
*myexedma
, Hyperthyroidism.
Your patient with a suspected diagnosis of COPD has been
seen by pulmonology and has underwent a pulmonary
function test (PFT) with spirometry. As the patient's
primary healthcare provider, you have been asked to
explain the findings of the PFT to the patient in a
follow-up visit at which time the patient asks what the
study was evaluating. To describe the PFT to the patient in
more useful terms, you state that the large inspiration of
air to the furthest extent they could reasonably
accomplish followed by a full exhalation is referred to as
which of the following measurements during the PFT?
*Forced Expiratory Volume over 1 second (FEV1).
*Functional Reserve Capacity.
*Inspiratory Reserve
*Forced Vital Capacity.
Forced Vital Capacity.
Your newly established patient states in the past year,
they have progressively developed a noticeable bump on
their neck and when asked about symptoms, they report
feeling very anxious, have developed a tremor, and are
commonly feeling palpitations in their chest.
On examination, you identify an enlarged thyroid gland
suspicious for a goiter. Of the following diagnoses, which
is most likely for the patient to develop based on these
findings above?
*Thyrotoxicosis.
*lodine Excess.
FINAL EXAM
Advanced Clinical Diagnosis
Chamberlain
This Document Description:
includes 150 questions
Exam-Style Qs that mirror the actual Advanced Clinical
Diagnosis Exam at Chamberlain.
Question Type: The exam consists of Multiple Choice Questions
(MCQs) that utilize clinical scenarios.
,While assessing the 19 year old patient for a new onset
cough, the nurse practitioner may inspect, auscultate,
palpate, and/or percuss.
How does performing percussion of the thorax assist the
provider during the physical examination?
*To assist with the confirmation of cardiac origin of
angina.
*To assess for deep-seated lesion and tumors.
*To assess for any pain or discomfort prior to palpitation
of the chest wall.
*To identify if underlying tissue are air-filled, fluid-filled or
consolidated
To identify if underlying tissue are air-filled, fluid-filled or
consolidated
Your 42 year old male patient has been referred to your
clinic for establishing care and on his intake survey, you
note he has documented diagnosis of interstitial lung
disease. You have decided to perform a diaphragmatic
excursion test on the patient. Which one of the following
results would you expect to see in this patient?
*Approximately equal level of change in the descent of the
diaphragm bilaterally during maximal inspiration and
expiration. with a decreased overall inspiratory capacity.
*Ascension of 8-12 inches of the diaphragm noted
bilaterally on expiration, though often much less on the
right side due to the location of the heart and great
vessels.
*Much greater descent of the diaphragm on the right side
due to the liver present (two-three times larger).
*Absent or no change in movement of the diaphragm
,noted between full inspiration and full expiration
measurement.
Approximately equal level of change in the descent of the
diaphragm bilaterally during maximal inspiration and expiration.
with a decreased overall inspiratory capacity
Your 50 year old Caucasian male patient has not seen a
primary care giver in 20+ years and is here for a history
and physical examination. While examining the head and
face, you see your patient has nonpitting periorbital
edema, particularly underneath their eyes and very dry,
thinned hair, including the lateral third of eyebrows (as
pictured below: Sparse hairline, thin lateral eyebrows,
Periobital edema). Which one of the folowing would you
expect to cause this finding?
*Severe hypothyroidism
*Addison's disease
*Grave's disease
*Alzhemiers.
Severe hypothyroidism
A40 year old, female, African American patient presents
for history and physical. Upon your initial assessment, you
notice she has severe exophthalmos as pictured below.
Which one of the following diagnoses below would be the
highest on your differential diagnose of this physical
examination finding? (eyes bulging out of her head)
*Bilateral conjunctivitis.
*Hyperthyroidism.
*hypothyroidism
*myexedma
, Hyperthyroidism.
Your patient with a suspected diagnosis of COPD has been
seen by pulmonology and has underwent a pulmonary
function test (PFT) with spirometry. As the patient's
primary healthcare provider, you have been asked to
explain the findings of the PFT to the patient in a
follow-up visit at which time the patient asks what the
study was evaluating. To describe the PFT to the patient in
more useful terms, you state that the large inspiration of
air to the furthest extent they could reasonably
accomplish followed by a full exhalation is referred to as
which of the following measurements during the PFT?
*Forced Expiratory Volume over 1 second (FEV1).
*Functional Reserve Capacity.
*Inspiratory Reserve
*Forced Vital Capacity.
Forced Vital Capacity.
Your newly established patient states in the past year,
they have progressively developed a noticeable bump on
their neck and when asked about symptoms, they report
feeling very anxious, have developed a tremor, and are
commonly feeling palpitations in their chest.
On examination, you identify an enlarged thyroid gland
suspicious for a goiter. Of the following diagnoses, which
is most likely for the patient to develop based on these
findings above?
*Thyrotoxicosis.
*lodine Excess.
