NR 509 / NR509 Advanced Physical Assessment Midterm
i i i i i i i i
Exam Review | 100 Questions and Answers | Rated A
i i i i i i i i i
3P’si EXAM
1. Wheni performingi ai visuali acuityi testi thei nursei practitioneri notesi 20/30i ini thei lefti eyei
andi 20/40i ini thei righti eyei usingi thei Snelleni eyei chart.i Thisi means:
a) havei thei patienti returningi ini twoi weeksi fori ai followi upi visioni screen
b) dilatedi thei eyei andi retest
c) referi thei patienti toi ani ophthalmologist
d) documenti thisi asi ai normali finding
2. Thei Americani psychiatrici association’si diagnostici andi statisticali manuali ofi mentali disorderi
definesi Munchauseni Syndromei Byi Proxy
a) ai self-inflictedi injuryi toi gaini attention
b) ai caregiveri makingi upi ori causingi ani illnessi ori injuryi ini ai personi underi hisi ori
heri care
c) ani abusivei behaviori thati doesi noti involvei thei caregiver
d) ai situationi ini whichi thei abuseri isi ofteni inattentivei andi uncaringi towardi thei victim
Munchauseni syndromei byi proxyi isi ai mentali illnessi andi ai formi ofi childi abuse.i Thei caretakeri ofi
ai child,i mosti ofteni ai mother,i eitheri makesi upi fakei symptomsi ori causesi reali symptomsi toi
makei iti looki likei thei childi isi sick.
3. Symptomsi ofi depressioni arei ai sidei effecti ofi whichi neurotransmitteri medication?
a) dopamine serotonin,i norepinephrine
b) gabapentin
c) mil
d) cortisol
4. Whichi lesioni isi darki raisedi andi asymmetrici withi irregulari border?i Quizleti Batesi Chapteri 20
a) Nevus
b) Actinici keratosis
c) Keratoacanthoma
d) Melanoma
5. Ai 32i yearsi oldi womani presentsi withi dulli puffinessi ofi thei ayesi pronouncedi noti
pittingi periorbitali edemai thisi findingi isi suggestivei ofi thisi condition?i APEA
a) Nephrotici syndrome
b) Myxedema
c) Cushingi syndrome
d) Sinusitis
Myxedemai isi ai depositioni ofi mucopolysaccaridesi ini thei dermis.i Isi commonlyi foundi ifi
patientsi withi advancedi hypothyroidism.i Thei classici skini changesi are:i swellingi ofi face,i lips,i
eyelids,i andi tonguei ori swellingi andi thickeningi ofi skini anywherei oni thei body,i especiallyi ini
thei loweri legs.
Myxedemai isi thei hallmarki ofi Grave’si disease,i ani autoimmunei formi ofi
hyperthyroidism.i Myxedemai cani alsoi occuri ini Hashimoto’si thyroiditisi ai formi ofi
hypothyroidism.
, NR 509 / NR509 Advanced Physical Assessment Midterm
i i i i i i i i
Exam Review | 100 Questions and Answers | Rated A
i i i i i i i i i
6. Ai 42i yearsi oldi womani withi ai pasti medicali historyi ofi migrainei headachesi isi
requestingi prophylactici medicationi treatment.i Whichi medicationi shouldi thei Nursei
practitioneri prescribe?
a) Sumatriptani (Imitrex)
b) Amitriptylinei (Elavil)
c) Verapamili (verelan)
d) Metoprololi (Lopressor)
Amitriptylinei (Elavil)i isi ai tricyclici antidepresanti andi isi consideredi offlabeli usei fori prophylactici
treatmenti ofi migrane.i Sumatriptani (Imimtrex)i Isi aTriptansi usedi toi aborti migraine
7. Ai pediatrici patienti hasi areasi ofi scalingi oni thei scalpi withi roundi patchesi ofi alopecia.i
Thisi clinicali findingi isi consistenti with:
a) Tineai capitis
b) Seborrheici dermatitis
c) Trichotillomania
d) Alopeciai areata
8. Whati isi thei appropriatei prophylactici medicationi fori ani 18i yearsi oldi womani withi ai
pasti medicali historyi ofi migrainei headaches?
a) Sumatriptani (Imitrex)
b) Propanololi (Inderal)
c) Ibuprofenoi (motrin)
d) Dihydroergotaminei (DHE)
9. Whyi wouldi ai combinedi hormonali contraceptivei bei contraindicatedi ini ai 36i yeari oldi
patienti withi ai pasti medicali historyi ofi typei 2i diabetes,i obesity,i chronici smokingi andi
sedentaryi life
a) Shei isi obese
b) Shei hasi typei 2i diabetesi mellitus
c) Heri agei andi tobaccoi use
d) Shei leadsi ai sedentaryi lifestyle
Combinedi orali contraceptivei isi contraindicatedi ini womeni olderi thani 45,i breastfeeding,i
smoking,i HTN,i diabetesi ori hxi ofi stroke
10. Duringi thei breasti examinationi ofi ai perimenopausali womani thei NPi detectsi ai
bloodyi spontaneousi dischargei fromi thei righti nipple.i Thisi indicatesi furtheri
evaluation.
a) Fibroadenoma
b) Polycystici breasti diseasei Generalizedi breasti paini ori tenderness.i Greeni ori darki
browni nonbloodyi nipplei dischargei thati tendsi toi leaki withouti pressurei ori squeezing
c) Ani intraductali papilloma
d) Pituitaryi prolactinoma
Intraductali papillomasi arei usuallyi solitaryi andi smalleri thani 1i cm.i Theyi arei locatedi ini largei
lactiferousi sinusesi ori ductsi andi havei ai tendencyi toi bleed.i Quizleti Nipplei Discharge
, NR 509 / NR509 Advanced Physical Assessment Midterm
i i i i i i i i
Exam Review | 100 Questions and Answers | Rated A
i i i i i i i i i
11. Rhi negativei womeni shouldi receivei Rhoi (D)i immunoglobulini ati whati gestationali time?
a) 6i weeks
b) 12i weeks
c) 28i weeks
d) 35i weeks
Whati happensi isi thei clienti isi Rhi negativei andi hasi ai negativei antibodyi screen?
Shei willi needi repeati antibodyi screensi andi shouldi receivei Rho(D)i immunei globulini
(RhoGAM)i ati 28i weeks'i gestationi (Quizleti Antepartumi Diagnostici Testingi Saunders)
12. Wheni interpretingi ai completei bloodi counti (CBC)i labi reporti whichi ofi thei followingi
resultsi describesi thei sizei ofi thei RBCs?
a) Hemoglobin
b) Meani corpusculari volumei (MCV)
c) Redi celli distributioni widthi (RDw)
d) Hematocrit
Thei meani corpusclei (cell)i volumei (MCV)i isi ai measurementi ofi thei averagei sizei ofi thei
RBCs.i Small-sizedi RBCsi resulti ini ai loweri MCV,i whilei largeri RBCsi resulti ini ai higheri
MCV.
13. Whati medicationi shouldi bei avoidedi wheni prescribei prophylactici therapyi fori headache
a) Verapamil
b) Propranolol
c) Venlataxini (Effexor)
d) Nimodipine
Serotonini Norepinephrinei Reuptakei inhibitori havei thei mosti seriousi sidei effect.i Patientsi shouldi
havei drugi freei periodi fori 3-4i weeksi afteri everyi 6i monthsi ofi treatmenti (pharmacologyi booki
pagei 1047)
14. Whati isi thei mechanismi ofi actioni ofi prostaglandini E1i (PG1)i ini ai patienti withi transpositioni
ofi thei greati arteries
a) Toi maintaini equali pressurei ini thei ventricles
b) Toi maintaini patencyi ofi thei greati arteries
c) Toi producei vasodilationi oni …………….
d) Toi preventi cyanotici episodesi byi trappingi bloodi ini thei loweri …………
15. i Whichi ofi thei followingi complaintsi besti describesi loweri extremityi calfi paini associatedi
withi peripherali arteryi disease
a) Ai sharpi stabbingi pains
b) Aidulli paini ori cramp
c) Ani electrici shock
d) Aipulsatingi pain
Peripherali arteryi diseasei signsi andi symptomsi include:i Painfuli crampingi ini onei ori bothi ofi youri
hips,i thighsi ori calfi musclesi afteri certaini activities,i suchi asi walkingi ori climbingi stairsi
(claudication)i Legi numbnessi ori weakness.i Coldnessi ini youri loweri legi ori foot,i especiallyi wheni
comparedi withi thei otheri side.i (Mayoclinic)
, NR 509 / NR509 Advanced Physical Assessment Midterm
i i i i i i i i
Exam Review | 100 Questions and Answers | Rated A
i i i i i i i i i
16. Whichi ofi thei followingi conditionsi isi NOTi ai typicali findingi ofi hyperprolactinemiai ini ai
47-i year-oldi premenopausali woman?
a) Hirsutism
b) Gynecomastia
c) Oligomenorrhea
d) Acne
Hyperprolactinemiai causesi typicali symptomsi ini premenopausali womeni andi ini men,i buti noti ini
postmenopausali women.i Premenopausali womeni —i Hyperprolactinemiai ini premenopausali
womeni causesi hypogonadism,i withi symptomsi thati includei infertility,i oligomenorrhea,i ori
amenorrheai andi lessi ofteni galactorrhea.i (uptodate.com/clinical-manifestations)
17. Wheni treatingi ai patienti withi asthmai whoi isi experiencingi acutei wheezingi whichi
medicationi shouldi bei giveni toi relievei thei symptom?
a) Shorti actingi bronchodilator
b) Longi actingi bronchodilator
c) Inhaledi corticosteroid
d) Combinationi ofi methylxanthinei andi longi actingi bronchodilator
Short-Actingi Betai Agonisti (SABA)i inhalers;i usedi fori acutei asthmai attacks;i quicklyi reducei
airwayi constrictioni &i restorei normali airflow;i agonists/stimulatorsi ofi adrenergici receptorsi ini
SNSi (sympathomimetics);i albuteroli (Ventolin),i levalburteroli (Xopenex),i pirbuteroli (Maxair),i
terbutalinei (Brethine),i metaproterenoli (Alupent).i (Quizleti Pharmi Chi 37i Respiratoryi drugs)
18. Whichi immunizationi reducesi ai patient’si riski fori infectioni withi thei virusi thati causesi
painfuli localizedi blisteringi rash?
a) Smallpoxi vaccine
b) Varicellai vaccinei (chickeni Pox)
c) Shinglesi (herpesi zoster)i vaccine
d) Meningococcali vaccine
Shinglesi (herpesi zoster)i isi ani extremelyi painfuli skini rashi causedi byi thei varicellai zosteri virus,i
thei samei virusi thati causesi chickenpox.i Ini peoplei whoi havei hadi chickenpox,i thei virusi isi neveri
fullyi clearedi fromi thei body;i instead,i iti remainsi dormanti ini thei nervei tissues.i
(medicinet.com/shingles)
19. Headachei warningi signsi thati needi prompti investigationi includei alli ofi thei
followingi EXCEPT:
a) newi onseti afteri agei 50
b) aggravatedi ori relievedi byi changei ofi position
c) precipitatedi byiValsalvai maneuver
d) Headachei relievedi withi mildi infrequenti usei ofi analgesics
20. Thei clienti withi ironi deficiencyi anemiai shouldi bei advisedi toi takei thei ironi supplement
a) Withi milki toi avoidi stomachi upset
b) Withi milki ofi magnesiai ati bedtimei toi avoidi constipation
c) Oni ani emptyi stomachi betweeni meals
i i i i i i i i
Exam Review | 100 Questions and Answers | Rated A
i i i i i i i i i
3P’si EXAM
1. Wheni performingi ai visuali acuityi testi thei nursei practitioneri notesi 20/30i ini thei lefti eyei
andi 20/40i ini thei righti eyei usingi thei Snelleni eyei chart.i Thisi means:
a) havei thei patienti returningi ini twoi weeksi fori ai followi upi visioni screen
b) dilatedi thei eyei andi retest
c) referi thei patienti toi ani ophthalmologist
d) documenti thisi asi ai normali finding
2. Thei Americani psychiatrici association’si diagnostici andi statisticali manuali ofi mentali disorderi
definesi Munchauseni Syndromei Byi Proxy
a) ai self-inflictedi injuryi toi gaini attention
b) ai caregiveri makingi upi ori causingi ani illnessi ori injuryi ini ai personi underi hisi ori
heri care
c) ani abusivei behaviori thati doesi noti involvei thei caregiver
d) ai situationi ini whichi thei abuseri isi ofteni inattentivei andi uncaringi towardi thei victim
Munchauseni syndromei byi proxyi isi ai mentali illnessi andi ai formi ofi childi abuse.i Thei caretakeri ofi
ai child,i mosti ofteni ai mother,i eitheri makesi upi fakei symptomsi ori causesi reali symptomsi toi
makei iti looki likei thei childi isi sick.
3. Symptomsi ofi depressioni arei ai sidei effecti ofi whichi neurotransmitteri medication?
a) dopamine serotonin,i norepinephrine
b) gabapentin
c) mil
d) cortisol
4. Whichi lesioni isi darki raisedi andi asymmetrici withi irregulari border?i Quizleti Batesi Chapteri 20
a) Nevus
b) Actinici keratosis
c) Keratoacanthoma
d) Melanoma
5. Ai 32i yearsi oldi womani presentsi withi dulli puffinessi ofi thei ayesi pronouncedi noti
pittingi periorbitali edemai thisi findingi isi suggestivei ofi thisi condition?i APEA
a) Nephrotici syndrome
b) Myxedema
c) Cushingi syndrome
d) Sinusitis
Myxedemai isi ai depositioni ofi mucopolysaccaridesi ini thei dermis.i Isi commonlyi foundi ifi
patientsi withi advancedi hypothyroidism.i Thei classici skini changesi are:i swellingi ofi face,i lips,i
eyelids,i andi tonguei ori swellingi andi thickeningi ofi skini anywherei oni thei body,i especiallyi ini
thei loweri legs.
Myxedemai isi thei hallmarki ofi Grave’si disease,i ani autoimmunei formi ofi
hyperthyroidism.i Myxedemai cani alsoi occuri ini Hashimoto’si thyroiditisi ai formi ofi
hypothyroidism.
, NR 509 / NR509 Advanced Physical Assessment Midterm
i i i i i i i i
Exam Review | 100 Questions and Answers | Rated A
i i i i i i i i i
6. Ai 42i yearsi oldi womani withi ai pasti medicali historyi ofi migrainei headachesi isi
requestingi prophylactici medicationi treatment.i Whichi medicationi shouldi thei Nursei
practitioneri prescribe?
a) Sumatriptani (Imitrex)
b) Amitriptylinei (Elavil)
c) Verapamili (verelan)
d) Metoprololi (Lopressor)
Amitriptylinei (Elavil)i isi ai tricyclici antidepresanti andi isi consideredi offlabeli usei fori prophylactici
treatmenti ofi migrane.i Sumatriptani (Imimtrex)i Isi aTriptansi usedi toi aborti migraine
7. Ai pediatrici patienti hasi areasi ofi scalingi oni thei scalpi withi roundi patchesi ofi alopecia.i
Thisi clinicali findingi isi consistenti with:
a) Tineai capitis
b) Seborrheici dermatitis
c) Trichotillomania
d) Alopeciai areata
8. Whati isi thei appropriatei prophylactici medicationi fori ani 18i yearsi oldi womani withi ai
pasti medicali historyi ofi migrainei headaches?
a) Sumatriptani (Imitrex)
b) Propanololi (Inderal)
c) Ibuprofenoi (motrin)
d) Dihydroergotaminei (DHE)
9. Whyi wouldi ai combinedi hormonali contraceptivei bei contraindicatedi ini ai 36i yeari oldi
patienti withi ai pasti medicali historyi ofi typei 2i diabetes,i obesity,i chronici smokingi andi
sedentaryi life
a) Shei isi obese
b) Shei hasi typei 2i diabetesi mellitus
c) Heri agei andi tobaccoi use
d) Shei leadsi ai sedentaryi lifestyle
Combinedi orali contraceptivei isi contraindicatedi ini womeni olderi thani 45,i breastfeeding,i
smoking,i HTN,i diabetesi ori hxi ofi stroke
10. Duringi thei breasti examinationi ofi ai perimenopausali womani thei NPi detectsi ai
bloodyi spontaneousi dischargei fromi thei righti nipple.i Thisi indicatesi furtheri
evaluation.
a) Fibroadenoma
b) Polycystici breasti diseasei Generalizedi breasti paini ori tenderness.i Greeni ori darki
browni nonbloodyi nipplei dischargei thati tendsi toi leaki withouti pressurei ori squeezing
c) Ani intraductali papilloma
d) Pituitaryi prolactinoma
Intraductali papillomasi arei usuallyi solitaryi andi smalleri thani 1i cm.i Theyi arei locatedi ini largei
lactiferousi sinusesi ori ductsi andi havei ai tendencyi toi bleed.i Quizleti Nipplei Discharge
, NR 509 / NR509 Advanced Physical Assessment Midterm
i i i i i i i i
Exam Review | 100 Questions and Answers | Rated A
i i i i i i i i i
11. Rhi negativei womeni shouldi receivei Rhoi (D)i immunoglobulini ati whati gestationali time?
a) 6i weeks
b) 12i weeks
c) 28i weeks
d) 35i weeks
Whati happensi isi thei clienti isi Rhi negativei andi hasi ai negativei antibodyi screen?
Shei willi needi repeati antibodyi screensi andi shouldi receivei Rho(D)i immunei globulini
(RhoGAM)i ati 28i weeks'i gestationi (Quizleti Antepartumi Diagnostici Testingi Saunders)
12. Wheni interpretingi ai completei bloodi counti (CBC)i labi reporti whichi ofi thei followingi
resultsi describesi thei sizei ofi thei RBCs?
a) Hemoglobin
b) Meani corpusculari volumei (MCV)
c) Redi celli distributioni widthi (RDw)
d) Hematocrit
Thei meani corpusclei (cell)i volumei (MCV)i isi ai measurementi ofi thei averagei sizei ofi thei
RBCs.i Small-sizedi RBCsi resulti ini ai loweri MCV,i whilei largeri RBCsi resulti ini ai higheri
MCV.
13. Whati medicationi shouldi bei avoidedi wheni prescribei prophylactici therapyi fori headache
a) Verapamil
b) Propranolol
c) Venlataxini (Effexor)
d) Nimodipine
Serotonini Norepinephrinei Reuptakei inhibitori havei thei mosti seriousi sidei effect.i Patientsi shouldi
havei drugi freei periodi fori 3-4i weeksi afteri everyi 6i monthsi ofi treatmenti (pharmacologyi booki
pagei 1047)
14. Whati isi thei mechanismi ofi actioni ofi prostaglandini E1i (PG1)i ini ai patienti withi transpositioni
ofi thei greati arteries
a) Toi maintaini equali pressurei ini thei ventricles
b) Toi maintaini patencyi ofi thei greati arteries
c) Toi producei vasodilationi oni …………….
d) Toi preventi cyanotici episodesi byi trappingi bloodi ini thei loweri …………
15. i Whichi ofi thei followingi complaintsi besti describesi loweri extremityi calfi paini associatedi
withi peripherali arteryi disease
a) Ai sharpi stabbingi pains
b) Aidulli paini ori cramp
c) Ani electrici shock
d) Aipulsatingi pain
Peripherali arteryi diseasei signsi andi symptomsi include:i Painfuli crampingi ini onei ori bothi ofi youri
hips,i thighsi ori calfi musclesi afteri certaini activities,i suchi asi walkingi ori climbingi stairsi
(claudication)i Legi numbnessi ori weakness.i Coldnessi ini youri loweri legi ori foot,i especiallyi wheni
comparedi withi thei otheri side.i (Mayoclinic)
, NR 509 / NR509 Advanced Physical Assessment Midterm
i i i i i i i i
Exam Review | 100 Questions and Answers | Rated A
i i i i i i i i i
16. Whichi ofi thei followingi conditionsi isi NOTi ai typicali findingi ofi hyperprolactinemiai ini ai
47-i year-oldi premenopausali woman?
a) Hirsutism
b) Gynecomastia
c) Oligomenorrhea
d) Acne
Hyperprolactinemiai causesi typicali symptomsi ini premenopausali womeni andi ini men,i buti noti ini
postmenopausali women.i Premenopausali womeni —i Hyperprolactinemiai ini premenopausali
womeni causesi hypogonadism,i withi symptomsi thati includei infertility,i oligomenorrhea,i ori
amenorrheai andi lessi ofteni galactorrhea.i (uptodate.com/clinical-manifestations)
17. Wheni treatingi ai patienti withi asthmai whoi isi experiencingi acutei wheezingi whichi
medicationi shouldi bei giveni toi relievei thei symptom?
a) Shorti actingi bronchodilator
b) Longi actingi bronchodilator
c) Inhaledi corticosteroid
d) Combinationi ofi methylxanthinei andi longi actingi bronchodilator
Short-Actingi Betai Agonisti (SABA)i inhalers;i usedi fori acutei asthmai attacks;i quicklyi reducei
airwayi constrictioni &i restorei normali airflow;i agonists/stimulatorsi ofi adrenergici receptorsi ini
SNSi (sympathomimetics);i albuteroli (Ventolin),i levalburteroli (Xopenex),i pirbuteroli (Maxair),i
terbutalinei (Brethine),i metaproterenoli (Alupent).i (Quizleti Pharmi Chi 37i Respiratoryi drugs)
18. Whichi immunizationi reducesi ai patient’si riski fori infectioni withi thei virusi thati causesi
painfuli localizedi blisteringi rash?
a) Smallpoxi vaccine
b) Varicellai vaccinei (chickeni Pox)
c) Shinglesi (herpesi zoster)i vaccine
d) Meningococcali vaccine
Shinglesi (herpesi zoster)i isi ani extremelyi painfuli skini rashi causedi byi thei varicellai zosteri virus,i
thei samei virusi thati causesi chickenpox.i Ini peoplei whoi havei hadi chickenpox,i thei virusi isi neveri
fullyi clearedi fromi thei body;i instead,i iti remainsi dormanti ini thei nervei tissues.i
(medicinet.com/shingles)
19. Headachei warningi signsi thati needi prompti investigationi includei alli ofi thei
followingi EXCEPT:
a) newi onseti afteri agei 50
b) aggravatedi ori relievedi byi changei ofi position
c) precipitatedi byiValsalvai maneuver
d) Headachei relievedi withi mildi infrequenti usei ofi analgesics
20. Thei clienti withi ironi deficiencyi anemiai shouldi bei advisedi toi takei thei ironi supplement
a) Withi milki toi avoidi stomachi upset
b) Withi milki ofi magnesiai ati bedtimei toi avoidi constipation
c) Oni ani emptyi stomachi betweeni meals
