Advanced Physical Assessment NR 509 Midterm
and Final exams review questions and correct
answers graded A+ chamberlain/ NR 509
Midterm and Final exam prep/ NR509
The patient's laboratory data reveal an elevated thyroxine level. The FNP would
proceed with an examination of the _____ gland:
A) Thyroid
B) Parotid
C) Pituitary
D) Adrenal
-ANSWER- A) Thyroid
A patient says that she has recently noticed a lump in the front of her neck below
her "Adam's apple" that seems to be getting bigger. During the assessment, the
finding that leads the FNP to suspect that this may not be a cancerous thyroid
nodule is that the lump:
A) Is mobile and not hard
B) Is fixed and hard
C) Is painful to palpation
D) Has irregular borders
-ANSWER- A) Is mobile and not hard
A patient comes to the clinic complaining of neck and shoulder pain and is unable
to turn her head. The FNP suspects damage to cranial nerve ____ and proceeds
with the examination by:
A) XI; asking the patient to shrug her shoulders against resistance
B) X; assessing the gag reflex
C) XII; examining tongue movement
D) IX; testing the gag reflex
-ANSWER- A) XI; asking the patient to shrug her shoulders against resistance
When examining a patient's cranial nerve function, the FNP remembers that the
muscles in the neck that are innervated by CN XI are the:
1
,A) Sternomastoid and trapezius
B) Sternomastoid and scalene
C) Trapezius and scalene
D) Scalene and platysma
-ANSWER- A) Sternomastoid and trapezius
A patient comes to the clinic and tells the nurse that he has been confined to his
recliner chair for about three days with his feet down and he wants the nurse to
evaluate his feet. During the assessment, the nurse might expect to find
a. pallor.
b. coolness.
c. distended veins
d. prolonged capillary filling time. - ANSWER-distended veins
The nurse notices that a school-aged child has bluish-white, red-based spots in her
mouth that are elevated about 1 mm to 3 mm. What other signs would the nurse
expect to find in this patient?
a. A pink, papular rash on the face and neck
b. Pruritic vesicles over her trunk and neck
c. Hyperpigmentation on the chest, abdomen, and the back of the arms
d. A red-purple, maculopapular, blotchy rash behind the ears and on the face -
ANSWER-A red-purple, maculopapular, blotchy rash behind the ears and on the
face
The nurse notices that a patient has a solid, elevated, circumscribed lesion that is
less than 1 cm in diameter. When documenting this finding, the nurse would report
this as a
a. bulla.
b. wheal.
c. wheal.
2
,d. papule. - ANSWER-papule.
A 65-year-old man with emphysema and bronchitis has come to the clinic for a
follow-up appointment. On assessment, the nurse might expect to see which
assessment finding?
a. Anasarca
b. Scleroderma
c. Pedal erythema
d. Clubbing of the nails - ANSWER-Clubbing of the nails
A 19-year-old college student is brought to the emergency department with a
severe headache he describes as "like nothing I've ever had before." His
temperature is 104° F, and he has a stiff neck. The nurse looks for other signs and
symptoms of which problem?
a. Head injury
b. Cluster headache
c. Migraine headache
d. Meningeal inflammation - ANSWER-Meningeal inflammation
The FNP notices that the patient's submental lymph nodes are enlarged. In an effort
to identify the cause of the node enlargement, the FNP would assess the patient's:
A) Area proximal to the enlarged node
B) Area distal to the enlarged node
C) Contralateral lymph nodes
D) Axillary lymph nodes
-ANSWER- A) Area proximal to the enlarged node
The FNP is aware that the four areas in the body where lymph nodes are accessible
are the:
A) Head and neck, arms, inguinal area, and axillae
B) Head and neck, chest, abdomen, and legs
3
, C) Axillae, inguinal area, popliteal, and cervical
D) Cervical, axillary, inguinal, and popliteal
-ANSWER- A) Head and neck, arms, inguinal area, and axillae
A 52-year-old patient describes the presence of occasional floaters or spots moving
in front of his eyes. The FNP should know that floaters are usually not significant
and are caused by:
A) Condensed vitreous fibers
B) Retinal detachment
C) Corneal abrasion
D) Cataract formation
-ANSWER- A) Condensed vitreous fibers
The FNP is preparing to assess the visual acuity of a 16-year-old patient. How
should the FNP proceed?
A) Use the Snellen chart positioned 20 feet away from the patient
B) Use the Snellen chart positioned 10 feet away from the patient
C) Use the Rosenbaum chart
D) Use the Ishihara chart
-ANSWER- A) Use the Snellen chart positioned 20 feet away from the patient
A patient's vision is recorded as 20/30 when the Snellen eye chart is used. The FNP
interprets these results to indicate that:
A) The patient can read at 20 feet what a person with normal vision can read at 30
feet
B) The patient has better than normal vision
C) The patient can read at 30 feet what a person with normal vision can read at 20
feet
D) The patient has 20/20 vision
-ANSWER- A) The patient can read at 20 feet what a person with normal vision
can read at 30 feet
A patient is unable to read even the largest letters on the Snellen chart. The FNP
should take which action next?
A) Shorten the distance between the patient and the chart until it is seen and record
that distance
B) Have the patient count fingers
C) Use the Ishihara chart
D) Refer to ophthalmology
4
and Final exams review questions and correct
answers graded A+ chamberlain/ NR 509
Midterm and Final exam prep/ NR509
The patient's laboratory data reveal an elevated thyroxine level. The FNP would
proceed with an examination of the _____ gland:
A) Thyroid
B) Parotid
C) Pituitary
D) Adrenal
-ANSWER- A) Thyroid
A patient says that she has recently noticed a lump in the front of her neck below
her "Adam's apple" that seems to be getting bigger. During the assessment, the
finding that leads the FNP to suspect that this may not be a cancerous thyroid
nodule is that the lump:
A) Is mobile and not hard
B) Is fixed and hard
C) Is painful to palpation
D) Has irregular borders
-ANSWER- A) Is mobile and not hard
A patient comes to the clinic complaining of neck and shoulder pain and is unable
to turn her head. The FNP suspects damage to cranial nerve ____ and proceeds
with the examination by:
A) XI; asking the patient to shrug her shoulders against resistance
B) X; assessing the gag reflex
C) XII; examining tongue movement
D) IX; testing the gag reflex
-ANSWER- A) XI; asking the patient to shrug her shoulders against resistance
When examining a patient's cranial nerve function, the FNP remembers that the
muscles in the neck that are innervated by CN XI are the:
1
,A) Sternomastoid and trapezius
B) Sternomastoid and scalene
C) Trapezius and scalene
D) Scalene and platysma
-ANSWER- A) Sternomastoid and trapezius
A patient comes to the clinic and tells the nurse that he has been confined to his
recliner chair for about three days with his feet down and he wants the nurse to
evaluate his feet. During the assessment, the nurse might expect to find
a. pallor.
b. coolness.
c. distended veins
d. prolonged capillary filling time. - ANSWER-distended veins
The nurse notices that a school-aged child has bluish-white, red-based spots in her
mouth that are elevated about 1 mm to 3 mm. What other signs would the nurse
expect to find in this patient?
a. A pink, papular rash on the face and neck
b. Pruritic vesicles over her trunk and neck
c. Hyperpigmentation on the chest, abdomen, and the back of the arms
d. A red-purple, maculopapular, blotchy rash behind the ears and on the face -
ANSWER-A red-purple, maculopapular, blotchy rash behind the ears and on the
face
The nurse notices that a patient has a solid, elevated, circumscribed lesion that is
less than 1 cm in diameter. When documenting this finding, the nurse would report
this as a
a. bulla.
b. wheal.
c. wheal.
2
,d. papule. - ANSWER-papule.
A 65-year-old man with emphysema and bronchitis has come to the clinic for a
follow-up appointment. On assessment, the nurse might expect to see which
assessment finding?
a. Anasarca
b. Scleroderma
c. Pedal erythema
d. Clubbing of the nails - ANSWER-Clubbing of the nails
A 19-year-old college student is brought to the emergency department with a
severe headache he describes as "like nothing I've ever had before." His
temperature is 104° F, and he has a stiff neck. The nurse looks for other signs and
symptoms of which problem?
a. Head injury
b. Cluster headache
c. Migraine headache
d. Meningeal inflammation - ANSWER-Meningeal inflammation
The FNP notices that the patient's submental lymph nodes are enlarged. In an effort
to identify the cause of the node enlargement, the FNP would assess the patient's:
A) Area proximal to the enlarged node
B) Area distal to the enlarged node
C) Contralateral lymph nodes
D) Axillary lymph nodes
-ANSWER- A) Area proximal to the enlarged node
The FNP is aware that the four areas in the body where lymph nodes are accessible
are the:
A) Head and neck, arms, inguinal area, and axillae
B) Head and neck, chest, abdomen, and legs
3
, C) Axillae, inguinal area, popliteal, and cervical
D) Cervical, axillary, inguinal, and popliteal
-ANSWER- A) Head and neck, arms, inguinal area, and axillae
A 52-year-old patient describes the presence of occasional floaters or spots moving
in front of his eyes. The FNP should know that floaters are usually not significant
and are caused by:
A) Condensed vitreous fibers
B) Retinal detachment
C) Corneal abrasion
D) Cataract formation
-ANSWER- A) Condensed vitreous fibers
The FNP is preparing to assess the visual acuity of a 16-year-old patient. How
should the FNP proceed?
A) Use the Snellen chart positioned 20 feet away from the patient
B) Use the Snellen chart positioned 10 feet away from the patient
C) Use the Rosenbaum chart
D) Use the Ishihara chart
-ANSWER- A) Use the Snellen chart positioned 20 feet away from the patient
A patient's vision is recorded as 20/30 when the Snellen eye chart is used. The FNP
interprets these results to indicate that:
A) The patient can read at 20 feet what a person with normal vision can read at 30
feet
B) The patient has better than normal vision
C) The patient can read at 30 feet what a person with normal vision can read at 20
feet
D) The patient has 20/20 vision
-ANSWER- A) The patient can read at 20 feet what a person with normal vision
can read at 30 feet
A patient is unable to read even the largest letters on the Snellen chart. The FNP
should take which action next?
A) Shorten the distance between the patient and the chart until it is seen and record
that distance
B) Have the patient count fingers
C) Use the Ishihara chart
D) Refer to ophthalmology
4
