NR 509 FINAL EXAM LATEST
UPDATE Advanced Physical Assessment
Exam Questions and Answers| Chamberlain
Q A 20-year-old female presents to the clinic with symptoms of fatigue, nausea, and an increase in
urination. She is sexually active, and her male partner uses condoms occasionally. A urine
pregnancy test is positive. Her last menstrual period was 3 months ago (6/20/2021). Using the
Naegele rule, what is the estimated date of delivery (EDD, or due date)?
Answer: 3/27/22
Q An 11-month-old infant male is accompanied to the clinic by his father. The father is concerned
about the skin rash on this son's arms represented in this image. Family history is significant for
a 4-year-old sibling with atopic dermatitis and asthma. Which of the following is the best
documentation of the integument findings?
Answer: Erythematous, patches and plaques involving the extensor surfaces of
the bilateral antecubital fossa. Mild, secondary excoriations present with serous
exudate. No streaking. Scant purulent drainage
Q A 2-month-old female is accompanied by her parents for her first visit to the practice. When
reviewing the hospital medical records of her birth, the NP notes documentation regarding
significantly edematous hands and feet present at birth. Upon physical examination of the infant,
the NP finds skin folds that run along the sides of the neck down to the shoulders. Which of the
following should be assessed and monitored by the NP and parents related to these findings?
Select all that apply.
Answer: The infant's growth chart with concern for height and length.
The infant's ability to properly latch during breastfeeding. The infant's fluid gain
or loss.
Q Of the following statements, which is accurate regarding growth and assessment charts published
by the National Center for Health Statistics? Select all that apply.
Answer: All charts include height, weight, and head circumference for children
up to 36 months.
Growth charts are available for children with specific conditions such as Down
, syndrome or Turner syndrome.
Growth charts are available for use in infants born prematurely.
Q A 50-year-old female presents to the clinic for evaluation of neck stiffness and aching pain. She
was a restrained driver in a low-speed, rear-end, motor vehicle collision 1 day ago. The pain
started several hours after the accident. On physical examination, you note muscle spasms over
the paraspinous muscles on the left side of the neck, as well as pain reported during active range
of motion of the cervical spine. No neurological deficits are noted. Which of the following is the
most accurate interpretation of these findings?-
Answer: These findings suggest cervical strain
Q A 35-year-old male presents to the clinic for a routine physical examina- tion. His only complaint
is a feeling of heaviness in his scrotum. He denies injury or trauma. After conducting a history
and physical, the NP documents the following genitourinary (GU) findings: Uncircumcised
penis; prepuce easily retractable. No penile discharge or lesions. No scrotal swelling or dis-
coloration. Testes descended bilaterally; right testicle smooth; 1 × 1 cm firm, fixed, nontender,
nodule on the left lateral testicle. Epididymis nontender. No inguinal or femoral hernias.
Negative CVA tenderness. Which of the following is the most accurate interpretation of these
findings?
Answer: These findings suggest testicular cancer
Q An NP student conducted a clinical breast examination on a 27-year-old female with a history of
fibroadenomas. The NP palpated a rubbery, mobile, nontender mass in the right breast. The mass
was located 3 cm proximal to and 3 cm to the left of the nipple. Which of the following would be
the most appropriate way to document the physical assessment findings?
Answer: rubbery, mobile, nontender mass located in the right breast, in the
10:30 position from the nipple
Q A 27-year-old female presents to the outpatient clinic with acute abdom- inal pain and uterine
bleeding. Her last menstrual period was 6-weeks ago. She and her husband have been trying to
conceive for almost one year. On physical examination, the NP palpates an ill-defined, adnexal
mass in the left lower quadrant. The urine pregnancy test results are pending. Based on the
history and examination findings, what is the most likely etiology?
Answer: Ectopic pregnant
Q A grandmother is accompanying her 9-year-old granddaughter during a routine physical
, examination. She asks you privately if her granddaughter has started puberty yet. During the
examination, the NP notes asymmetric projection of the areola and nipple of the right chest to
form a secondary mound above the level of the breast. The left breast is underdeveloped. These
assessment findings are consistent with which Tanner Stage of development?
Answer: IV
QWhich of the following statements is true regarding recommendations by the eighth Joint
National Committee (JNC8) for adults aged 60 and older? Select all that apply.
Answer: Target blood pressure should be </= 150/90 mmHg but notes that if
treatment results in SBP <140 and is "well tolerated and without adverse effects
to health or quality of live, treatment does not need to be adjusted."
In those aged 80 or older, blood pressure targets of 140 to <150/70 to 80 appear
optimal for notable reductions in stroke, cardiovascular events, and all-cause
mortality.
Q A 16-year-old male presents to the clinic with a history of a congenital right upper eyelid
drooping as represented in this image. He has no complaints and denies injury or trauma. Which
cranial nerve (CN) is involved in this condition? Patient with eyelid drooping
Answer: CNIII
QWhich of the following statements is true regarding risks and rapid recognition of suspected
stroke? Select all that apply
Answer: Obesity doubles the risk of stroke even without associated glucose
intolerance
Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke
Q A 55-year-old female presents to the clinic with a headache. During the interview, which of the
following symptoms should prompt the NP to be concerned and investigate further?
Answer: The patient reports fever, night sweats, and thinks she lost weight.
Q A 62-year-old female has a diagnosis of rheumatoid arthritis (RA). Which of the following are
expected assessment findings consistent with the diagnosis?
Answer: Swelling of the synovial tissue in joints and tendon sheaths.
UPDATE Advanced Physical Assessment
Exam Questions and Answers| Chamberlain
Q A 20-year-old female presents to the clinic with symptoms of fatigue, nausea, and an increase in
urination. She is sexually active, and her male partner uses condoms occasionally. A urine
pregnancy test is positive. Her last menstrual period was 3 months ago (6/20/2021). Using the
Naegele rule, what is the estimated date of delivery (EDD, or due date)?
Answer: 3/27/22
Q An 11-month-old infant male is accompanied to the clinic by his father. The father is concerned
about the skin rash on this son's arms represented in this image. Family history is significant for
a 4-year-old sibling with atopic dermatitis and asthma. Which of the following is the best
documentation of the integument findings?
Answer: Erythematous, patches and plaques involving the extensor surfaces of
the bilateral antecubital fossa. Mild, secondary excoriations present with serous
exudate. No streaking. Scant purulent drainage
Q A 2-month-old female is accompanied by her parents for her first visit to the practice. When
reviewing the hospital medical records of her birth, the NP notes documentation regarding
significantly edematous hands and feet present at birth. Upon physical examination of the infant,
the NP finds skin folds that run along the sides of the neck down to the shoulders. Which of the
following should be assessed and monitored by the NP and parents related to these findings?
Select all that apply.
Answer: The infant's growth chart with concern for height and length.
The infant's ability to properly latch during breastfeeding. The infant's fluid gain
or loss.
Q Of the following statements, which is accurate regarding growth and assessment charts published
by the National Center for Health Statistics? Select all that apply.
Answer: All charts include height, weight, and head circumference for children
up to 36 months.
Growth charts are available for children with specific conditions such as Down
, syndrome or Turner syndrome.
Growth charts are available for use in infants born prematurely.
Q A 50-year-old female presents to the clinic for evaluation of neck stiffness and aching pain. She
was a restrained driver in a low-speed, rear-end, motor vehicle collision 1 day ago. The pain
started several hours after the accident. On physical examination, you note muscle spasms over
the paraspinous muscles on the left side of the neck, as well as pain reported during active range
of motion of the cervical spine. No neurological deficits are noted. Which of the following is the
most accurate interpretation of these findings?-
Answer: These findings suggest cervical strain
Q A 35-year-old male presents to the clinic for a routine physical examina- tion. His only complaint
is a feeling of heaviness in his scrotum. He denies injury or trauma. After conducting a history
and physical, the NP documents the following genitourinary (GU) findings: Uncircumcised
penis; prepuce easily retractable. No penile discharge or lesions. No scrotal swelling or dis-
coloration. Testes descended bilaterally; right testicle smooth; 1 × 1 cm firm, fixed, nontender,
nodule on the left lateral testicle. Epididymis nontender. No inguinal or femoral hernias.
Negative CVA tenderness. Which of the following is the most accurate interpretation of these
findings?
Answer: These findings suggest testicular cancer
Q An NP student conducted a clinical breast examination on a 27-year-old female with a history of
fibroadenomas. The NP palpated a rubbery, mobile, nontender mass in the right breast. The mass
was located 3 cm proximal to and 3 cm to the left of the nipple. Which of the following would be
the most appropriate way to document the physical assessment findings?
Answer: rubbery, mobile, nontender mass located in the right breast, in the
10:30 position from the nipple
Q A 27-year-old female presents to the outpatient clinic with acute abdom- inal pain and uterine
bleeding. Her last menstrual period was 6-weeks ago. She and her husband have been trying to
conceive for almost one year. On physical examination, the NP palpates an ill-defined, adnexal
mass in the left lower quadrant. The urine pregnancy test results are pending. Based on the
history and examination findings, what is the most likely etiology?
Answer: Ectopic pregnant
Q A grandmother is accompanying her 9-year-old granddaughter during a routine physical
, examination. She asks you privately if her granddaughter has started puberty yet. During the
examination, the NP notes asymmetric projection of the areola and nipple of the right chest to
form a secondary mound above the level of the breast. The left breast is underdeveloped. These
assessment findings are consistent with which Tanner Stage of development?
Answer: IV
QWhich of the following statements is true regarding recommendations by the eighth Joint
National Committee (JNC8) for adults aged 60 and older? Select all that apply.
Answer: Target blood pressure should be </= 150/90 mmHg but notes that if
treatment results in SBP <140 and is "well tolerated and without adverse effects
to health or quality of live, treatment does not need to be adjusted."
In those aged 80 or older, blood pressure targets of 140 to <150/70 to 80 appear
optimal for notable reductions in stroke, cardiovascular events, and all-cause
mortality.
Q A 16-year-old male presents to the clinic with a history of a congenital right upper eyelid
drooping as represented in this image. He has no complaints and denies injury or trauma. Which
cranial nerve (CN) is involved in this condition? Patient with eyelid drooping
Answer: CNIII
QWhich of the following statements is true regarding risks and rapid recognition of suspected
stroke? Select all that apply
Answer: Obesity doubles the risk of stroke even without associated glucose
intolerance
Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke
Q A 55-year-old female presents to the clinic with a headache. During the interview, which of the
following symptoms should prompt the NP to be concerned and investigate further?
Answer: The patient reports fever, night sweats, and thinks she lost weight.
Q A 62-year-old female has a diagnosis of rheumatoid arthritis (RA). Which of the following are
expected assessment findings consistent with the diagnosis?
Answer: Swelling of the synovial tissue in joints and tendon sheaths.
