NR 509 Physical Assessment - Final Exam (Bates) Updated
2024/2025 Solved 100%-Chamberlain
Sensitivity
Number of people who test positive.
A test with a high sensitivity will rule _______ (in/out)?
IN
Specificity
Number of people who test negative.
A test with a high specificity will rule _____(in/out)?
OUT
If 100 patients known to have a colon cancer were tested, and 43 tested positive,
what percentage would be the sensitivity of the test?
43%
Do we rule out a disease with high sensitivity or high specificity?
Specificity
If 100 patients with no known colon cancer are tested and 94 return with a
negative results, what percentage would the specificity of the test?
94%
What does the phrase Lets Tackle Symptoms with Q's and A's stand for?
Location, timing (duration, onset, frequency), setting (when, where), quality/quantity
(burning, itching, sharp, aggravating/associating/alleviating
True or False:
An established patient comes to your office with a new onset of sore throat and
headache. She has recently given birth (3 weeks ago), which was uncomplicated.
A comprehensive exam is necessary.
True
What is a macule?
Flat lesion, <1cm
What is a patch?
Flat lesion, >1cm
What is a papule?
Raised lesion, <1cm, no fluid
What is a plaque?
Raised lesion, >1cm, no fluid
What is a vesicle?
Raised lesion, <1cm, fluid filled
What is a bulla?
Raised lesion, >1com, fluid filled
True or False:
A papule is a fluid filled lesion.
False
A patient recently had a malignant melanoma removed from her back. Which
statement by the patient ensures she understood your instructions about
preventing skin cancer and further skin care?
,A. Melanoma rarely metastasis only squamous cell.
B. I will wear SPF greater than 30 and check for any skin changes weekly.
C. I can go outside without sunscreen after 3 pm because the dangerous sun rays
has gone away.
D. I will only concern myself with moles that have had constant sun exposure.
B
The most sensitive criteria when ruling in melanoma is?
Evolution
During a full body skin assessment of a patient you see the following lesion with
these characteristics: waxy border, red papule with a central crater. This
describes what type of lesion?
A. Basal Cell
B. Normal nevi
C. Squamous Cell
D. Melanoma
A
A nurse assesses a client suspected of having major depressive disorder. Which
client symptom would eliminate this diagnosis?
A. The client is disheveled and malodorous.
B. The client refuses to interact with others.
C. The client is unable to feel any pleasure.
D. The client has maxed-out charge cards and exhibits promiscuous behaviors.
D
What is the rationale for a nurse practitioner to perform a full physical health
assessment on a client admitted with a diagnosis of major depressive disorder?
A. The attention during the assessment is beneficial in decreasing social
isolation.
B. Depression can generate somatic symptoms that can mask actual physical
disorders.
C. Physical health complications are likely to arise from antidepressant therapy.
D. Depressed clients avoid addressing physical health and ignore medical
problems.
B
A nurse admits an older client who is experiencing memory loss, confused
thinking, and apathy. A psychiatrist suspects depression. What is the rationale
for performing a mini-mental status exam?
A. To rule out bipolar disorder
B. To rule out schizophrenia
C. To rule out dementia
D. To rule out a personality disorder
C
What are the functional syndromes?
, IBS, Chronic Fatigue, Fibro Myalgia, TMJ
It is not uncommon for a patient to experience high volume nocturia when
diagnosed with?
A. CHF
B. Benigh Prostate Hypertrophy
C. Nephrotic Syndrome
D. Hepatic Cirrohsis
E. Pancretitis
F. A & B
G. A, B, & D
H. A, C, & E
I. A, C, & D
I
True or False?
Low frequency nocturia is common in patients diagnosed with benign prostate
hypertrophy?
False (they are diagnosed with low volume nocturia)
The nurse practitioner would expect to find which of the following in a patient
diagnosed with chronic arterial insufficiencies?
A. Red, dusky legs
B. Pale with leg elevation
C. Edema
D. Normal Pulses
E. A & B
F. A, B, C
G A, B, D
E
A patient that complains of intermittent claudication that progresses to pain while
walking but resolves at rest may be diagnosed with what type of insufficiency?
Arterial
A patient with chronic venous insufficiency may present with?
A. Cool legs and feet
B. Brown pigmentation, staining
C. Grangrene
D. Ulceration on toes
E. A & B
F. A, B, & C
G. B, C, & D
B
A patents ankle-brachial index was calculated as 0.74. This would be considered?
Mid PAD
Normal ankle-brachial index values are?
>.90
2024/2025 Solved 100%-Chamberlain
Sensitivity
Number of people who test positive.
A test with a high sensitivity will rule _______ (in/out)?
IN
Specificity
Number of people who test negative.
A test with a high specificity will rule _____(in/out)?
OUT
If 100 patients known to have a colon cancer were tested, and 43 tested positive,
what percentage would be the sensitivity of the test?
43%
Do we rule out a disease with high sensitivity or high specificity?
Specificity
If 100 patients with no known colon cancer are tested and 94 return with a
negative results, what percentage would the specificity of the test?
94%
What does the phrase Lets Tackle Symptoms with Q's and A's stand for?
Location, timing (duration, onset, frequency), setting (when, where), quality/quantity
(burning, itching, sharp, aggravating/associating/alleviating
True or False:
An established patient comes to your office with a new onset of sore throat and
headache. She has recently given birth (3 weeks ago), which was uncomplicated.
A comprehensive exam is necessary.
True
What is a macule?
Flat lesion, <1cm
What is a patch?
Flat lesion, >1cm
What is a papule?
Raised lesion, <1cm, no fluid
What is a plaque?
Raised lesion, >1cm, no fluid
What is a vesicle?
Raised lesion, <1cm, fluid filled
What is a bulla?
Raised lesion, >1com, fluid filled
True or False:
A papule is a fluid filled lesion.
False
A patient recently had a malignant melanoma removed from her back. Which
statement by the patient ensures she understood your instructions about
preventing skin cancer and further skin care?
,A. Melanoma rarely metastasis only squamous cell.
B. I will wear SPF greater than 30 and check for any skin changes weekly.
C. I can go outside without sunscreen after 3 pm because the dangerous sun rays
has gone away.
D. I will only concern myself with moles that have had constant sun exposure.
B
The most sensitive criteria when ruling in melanoma is?
Evolution
During a full body skin assessment of a patient you see the following lesion with
these characteristics: waxy border, red papule with a central crater. This
describes what type of lesion?
A. Basal Cell
B. Normal nevi
C. Squamous Cell
D. Melanoma
A
A nurse assesses a client suspected of having major depressive disorder. Which
client symptom would eliminate this diagnosis?
A. The client is disheveled and malodorous.
B. The client refuses to interact with others.
C. The client is unable to feel any pleasure.
D. The client has maxed-out charge cards and exhibits promiscuous behaviors.
D
What is the rationale for a nurse practitioner to perform a full physical health
assessment on a client admitted with a diagnosis of major depressive disorder?
A. The attention during the assessment is beneficial in decreasing social
isolation.
B. Depression can generate somatic symptoms that can mask actual physical
disorders.
C. Physical health complications are likely to arise from antidepressant therapy.
D. Depressed clients avoid addressing physical health and ignore medical
problems.
B
A nurse admits an older client who is experiencing memory loss, confused
thinking, and apathy. A psychiatrist suspects depression. What is the rationale
for performing a mini-mental status exam?
A. To rule out bipolar disorder
B. To rule out schizophrenia
C. To rule out dementia
D. To rule out a personality disorder
C
What are the functional syndromes?
, IBS, Chronic Fatigue, Fibro Myalgia, TMJ
It is not uncommon for a patient to experience high volume nocturia when
diagnosed with?
A. CHF
B. Benigh Prostate Hypertrophy
C. Nephrotic Syndrome
D. Hepatic Cirrohsis
E. Pancretitis
F. A & B
G. A, B, & D
H. A, C, & E
I. A, C, & D
I
True or False?
Low frequency nocturia is common in patients diagnosed with benign prostate
hypertrophy?
False (they are diagnosed with low volume nocturia)
The nurse practitioner would expect to find which of the following in a patient
diagnosed with chronic arterial insufficiencies?
A. Red, dusky legs
B. Pale with leg elevation
C. Edema
D. Normal Pulses
E. A & B
F. A, B, C
G A, B, D
E
A patient that complains of intermittent claudication that progresses to pain while
walking but resolves at rest may be diagnosed with what type of insufficiency?
Arterial
A patient with chronic venous insufficiency may present with?
A. Cool legs and feet
B. Brown pigmentation, staining
C. Grangrene
D. Ulceration on toes
E. A & B
F. A, B, & C
G. B, C, & D
B
A patents ankle-brachial index was calculated as 0.74. This would be considered?
Mid PAD
Normal ankle-brachial index values are?
>.90
