NR 509 Week 3 Quiz / NR509 Week 3 Quiz (2019): Advanced Physical Assessment: Chamberlain (Already graded A)

NR 509 Week 3 Quiz / NR509 Week 3 Quiz (Latest): Advanced Physical Assessment: Chamberlain NR 509 Advanced Physical Assessment Quiz 3 / NR509 Advanced Physical Assessment Quiz 3 (Latest): Chamberlain NR 509 Week 3 Advanced Physical Assessment Quiz / NR509 Week 3 Advanced Physical Assessment Quiz (Latest): Chamberlain Question1. A patient tells the nurse that he has noticed that one of his moles has started to burn and bleed. When assessing his skin, the nurse would pay special attention to the danger signs for pigmented lesions and would be concerned with which additional finding? : Color variation Border regularity Symmetry of lesions Diameter less than 6 mm Question 2. The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax, and dry. This finding would be related to which factor? : Increased vascularity of the skin in the elderly Increased numbers of sweat and sebaceous glands in the elderly An increase in elastin and a decrease in subcutaneous fat in the elderly An increased loss of elastin and a decrease in subcutaneous fat in the elderly Question 3. 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 : pallor. coolness. distended veins. prolonged capillary filling time. Question 4. 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? : Anasarca Scleroderma Pedal erythema Clubbing of the nails Question 5. 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 pink, papular rash on the face and neck Pruritic vesicles over her trunk and neck Hyperpigmentation on the chest, abdomen, and the back of the arms A red-purple, maculopapular, blotchy rash behind the ears and on the face Question 6. During an examination, the nurse knows that Paget’s disease would be indicated by which of these assessment findings? : Positive Macewen sign Premature closure of the sagittal suture Headache, vertigo, tinnitus, and deafness Elongated head with heavy eyebrow ridge Question 7. A mother brings her newborn in for an assessment and asks, “Is there something wrong with my baby? His head seems so big.” The nurse recognizes that which statement is true regarding the relative proportions of the head and trunk of the newborn? : At birth, the head is one fifth the total length. Head circumference should be greater than chest circumference at birth. The head size reaches 90% of its final size when the child is 3 years old. When the anterior fontanel closes at 2 months, the head will be more proportioned to the body. Question 8. A male patient with a history of AIDS has come in for an examination and he states, “I think that I have the mumps.” The nurse would begin by examining the : thyroid gland. parotid gland. cervical lymph nodes. mouth and skin for lesions. Question 9. A patient visits the clinic because he has recently noticed that the left side of his mouth is paralyzed. He states that he cannot raise his eyebrow or whistle. The nurse suspects that he has : Cushing’s syndrome. Parkinson disease. Bell’s palsy. had a cerebrovascular accident (stroke). Question 10. The nurse is performing an eye-screening clinic at a daycare center. When examining a 2-year-old child, the nurse suspects that the child has “lazy eye” and should : examine the external structures of the eye. assess visual acuity with the Snellen eye chart. assess the child’s visual fields with the confrontation test. test for strabismus by performing the corneal light reflex test. Question 11. During an ophthalmoscopic examination of the eye, the nurse notices areas of exudate that look like “cotton wool” or fluffy gray-white cumulus clouds. This finding indicates which possible problem? : Diabetes Hyperthyroidism Glaucoma Hypotension Question 12. When examining the eye, the nurse notices that the patient’s eyelid margins approximate completely. The nurse recognizes that this assessment finding : is expected. may indicate a problem with extraocular muscles. may result in problems with tearing. indicates increased intraocular pressure. Question 13. A mother asks when her newborn infant’s eyesight will be developed. The nurse should reply : “Vision is not totally developed until 2 years of age.” “Infants develop the ability to focus on an object at around 8 months.” “By about 3 months, infants develop more coordinated eye movements and can fixate on an object.” “Most infants have uncoordinated eye movements for the first year of life.” Question 14. In performing an examination of a 3-year-old with a suspected ear infection, the nurse would : omit the otoscopic examination if the child has a fever. pull the ear up and back before inserting the speculum. ask the mother to leave the room while examining the child. perform the otoscopic examination at the end of the assessment. Question 15. The nurse is taking the history of a patient who may have a perforated eardrum. What would be an important question in this situation? : “Do you ever notice ringing or crackling in your ears?” “When was the last time you had your hearing checked?” “Have you ever been told you have any type of hearing loss?” “Was there any relationship between the ear pain and the discharge you mentioned?” Question 16. The nurse suspects that a patient has otitis media. Early signs of otitis media include which of these findings of the tympanic membrane? : Red and bulging Hypomobility Retraction with landmarks clearly visible Flat, slightly pulled in at the center, and moves with insufflation Question 17. The nurse is performing an ear examination of an 80-year-old patient. Which of these would be considered a normal finding? : A high-tone frequency loss Increased elasticity of the pinna A thin, translucent membrane A shiny, pink tympanic membrane Question 18. Which of these techniques best describes the test the nurse should use to assess the function of cranial nerve X? : Observe the patient’s ability to articulate specific words. Assess movement of the hard palate and uvula with the gag reflex. Have the patient stick out the tongue and observe for tremors or pulling to one side. Ask the patient to say “ahhh” and watch for movement of the soft palate and uvula. Question 19. A woman who is in the second trimester of pregnancy mentions that she has had “more nosebleeds than ever” since she became pregnant. The nurse recognizes that this is due to : a problem with the patient’s coagulation system. increased vascularity in the upper respiratory tract as a result of the pregnancy. increased susceptibility to colds and nasal irritation. inappropriate use of nasal sprays. Question 20. During a check-up, a 22-year-old woman tells the nurse that she uses an over-the-counter nasal spray because of her allergies. She also states that it does not work as well as it used to when she started using it. The best response by the nurse would be : “You should never use over-the-counter nasal sprays because of the risk of addiction.” “You should try switching to another brand of medication to prevent this problem.” “It is important to keep using this spray to keep your allergies under control.” “Using these nasal medications irritates the lining of the nose and may cause rebound swelling.” Question 21. The nurse notices that the mother of a 2-year-old boy brings him into the clinic quite frequently for various injuries and suspects there may be some child abuse involved. In doing the inspection of his mouth, the nurse should inspect for : swollen, red tonsils. ulcerations on the hard palate. bruising on the buccal mucosa or gums. small yellow papules along the hard palate. Question 22. A 45-year-old man is in the clinic for a physical examination. During the abdominal assessment, the nurse percusses the abdomen and notices an area of dullness above the right costal margin of about 10 cm. The nurse should : document the presence of hepatomegaly. ask additional history questions regarding his alcohol intake. describe this as an enlarged liver and refer him to a physician. consider this a normal finding and proceed with the examination. Question 23. A nurse notices that a patient has ascites, which indicates the presence of : fluid. feces. flatus. fibroid tumors. Question 24. An older patient has been diagnosed with pernicious anemia. The nurse knows that this condition could be related to : increased gastric acid secretion. decreased gastric acid secretion. delayed gastrointestinal emptying time. increased gastrointestinal emptying time. Question 25. During a health history, the patient tells the nurse, “I have pain all the time in my stomach. It’s worse two hours after I eat, but it gets better if I eat again!” The nurse suspects that the patient has which condition, based on these symptoms? : Appendicitis Gastric ulcer Duodenal ulcer Cholecystitis