10/14/24, 11:11 NR 509 NR509 Advanced Physical Assessment Midterm Exam
AM Review 10…
NR509 FINAL EXAM 2022/2023 Advanced Physical
Assessment Questions and answers graded A+
3P’s EXAM
1. When performing a visual acuity test the nurse practitioner notes 20/30 in the left
eye and 20/40 in the right eye using the Snellen eye chart. This means:
a) have the patient returning in two weeks for a follow up vision screen
b) dilated the eye and retest
c) refer the patient to an ophthalmologist
d) document this as a normal finding
2. The American psychiatric association’s diagnostic and statistical manual of
mental disorder defines Munchausen Syndrome By Proxy
a) a self-inflicted injury to gain attention
b) a caregiver making up or causing an illness or injury in a person under his or
her care
c) an abusive behavior that does not involve the caregiver
d) a situation in which the abuser is often inattentive and uncaring toward the victim
Munchausen syndrome by proxy is a mental illness and a form of child abuse. The caretaker
of a child, most often a mother, either makes up fake symptoms or causes real symptoms to
make it look like the child is sick.
3. Symptoms of depression are a side effect of which neurotransmitter medication?
a) dopamine serotonin, norepinephrine
b) gabapentin
c) mil
d) cortisol
4. Which lesion is dark raised and asymmetric with irregular border? Quizlet Bates Chapter 20
a) Nevus
b) Actinic keratosis
c) Keratoacanthoma
d) Melanoma
5. A 32 years old woman presents with dull puffiness of the ayes pronounced
not pitting periorbital edema this finding is suggestive of this condition?
APEA
a) Nephrotic syndrome
b) Myxedema
c) Cushing syndrome
d) Sinusitis
Myxedema is a deposition of mucopolysaccarides in the dermis. Is commonly found if patients
with advanced hypothyroidism. The classic skin changes are: swelling of face, lips, eyelids,
and tongue or swelling and thickening of skin anywhere on the body, especially in the lower
legs.
about:blan 1/
k 34
,10/14/24, 11:11 NR 509 NR509 Advanced Physical Assessment Midterm Exam
AM Review 10…
Myxedema is the hallmark of Grave’s disease, an autoimmune form of
hyperthyroidism. Myxedema can also occur in Hashimoto’s thyroiditis a form of
hypothyroidism.
about:blan 2/
k 34
,10/14/24, 11:11 NR 509 NR509 Advanced Physical Assessment Midterm Exam
AM Review 10…
6. A 42 years old woman with a past medical history of migraine headaches is
requesting prophylactic medication treatment. Which medication should the
Nurse practitioner prescribe?
a) Sumatriptan (Imitrex)
b) Amitriptyline (Elavil)
c) Verapamil (verelan)
d) Metoprolol (Lopressor)
Amitriptyline (Elavil) is a tricyclic antidepresant and is considered offlabel use for prophylactic
treatment of migrane. Sumatriptan (Imimtrex) Is aTriptans used to abort migraine
7. A pediatric patient has areas of scaling on the scalp with round patches of
alopecia. This clinical finding is consistent with:
a) Tinea capitis
b) Seborrheic dermatitis
c) Trichotillomania
d) Alopecia areata
8. What is the appropriate prophylactic medication for an 18 years old woman with
a past medical history of migraine headaches?
a) Sumatriptan (Imitrex)
b) Propanolol (Inderal)
c) Ibuprofeno (motrin)
d) Dihydroergotamine (DHE)
9. Why would a combined hormonal contraceptive be contraindicated in a 36 year
old patient with a past medical history of type 2 diabetes, obesity, chronic
smoking and sedentary life
a) She is obese
b) She has type 2 diabetes mellitus
c) Her age and tobacco use
d) She leads a sedentary lifestyle
Combined oral contraceptive is contraindicated in women older than 45, breastfeeding,
smoking, HTN, diabetes or hx of stroke
10. During the breast examination of a perimenopausal woman the NP detects
a bloody spontaneous discharge from the right nipple. This indicates
further evaluation.
a) Fibroadenoma
b) Polycystic breast disease Generalized breast pain or tenderness. Green or dark
brown nonbloody nipple discharge that tends to leak without pressure or
squeezing
c) An intraductal papilloma
d) Pituitary prolactinoma
Intraductal papillomas are usually solitary and smaller than 1 cm. They are located in large
lactiferous sinuses or ducts and have a tendency to bleed. Quizlet Nipple Discharge
about:blan 3/
k 34
, 10/14/24, 11:11 NR 509 NR509 Advanced Physical Assessment Midterm Exam
AM Review 10…
11. Rh negative women should receive Rho (D) immunoglobulin at what gestational time?
a) 6 weeks
b) 12 weeks
c) 28 weeks
d) 35 weeks
What happens is the client is Rh negative and has a negative antibody screen?
She will need repeat antibody screens and should receive Rho(D) immune globulin
(RhoGAM) at 28 weeks' gestation (Quizlet Antepartum Diagnostic Testing Saunders)
12. When interpreting a complete blood count (CBC) lab report which of the
following results describes the size of the RBCs?
a) Hemoglobin
b) Mean corpuscular volume (MCV)
c) Red cell distribution width (RDw)
d) Hematocrit
The mean corpuscle (cell) volume (MCV) is a measurement of the average size of the
RBCs. Small-sized RBCs result in a lower MCV, while larger RBCs result in a higher
MCV.
13. What medication should be avoided when prescribe prophylactic therapy for headache
a) Verapamil
b) Propranolol
c) Venlataxin (Effexor)
d) Nimodipine
Serotonin Norepinephrine Reuptake inhibitor have the most serious side effect. Patients
should have drug free period for 3-4 weeks after every 6 months of treatment (pharmacology
book page 1047)
14. What is the mechanism of action of prostaglandin E1 (PG1) in a patient with
transposition of the great arteries
a) To maintain equal pressure in the ventricles
b) To maintain patency of the great arteries
c) To produce vasodilation on …………….
d) To prevent cyanotic episodes by trapping blood in the lower …………
15. Which of the following complaints best describes lower extremity calf pain
associated with peripheral artery disease
a) A sharp stabbing pains
b) A dull pain or cramp
c) An electric shock
d) A pulsating pain
Peripheral artery disease signs and symptoms include: Painful cramping in one or both of your
hips, thighs or calf muscles after certain activities, such as walking or climbing stairs
(claudication) Leg numbness or weakness. Coldness in your lower leg or foot, especially when
compared with the other side. (Mayoclinic)
about:blan 4/
k 34
AM Review 10…
NR509 FINAL EXAM 2022/2023 Advanced Physical
Assessment Questions and answers graded A+
3P’s EXAM
1. When performing a visual acuity test the nurse practitioner notes 20/30 in the left
eye and 20/40 in the right eye using the Snellen eye chart. This means:
a) have the patient returning in two weeks for a follow up vision screen
b) dilated the eye and retest
c) refer the patient to an ophthalmologist
d) document this as a normal finding
2. The American psychiatric association’s diagnostic and statistical manual of
mental disorder defines Munchausen Syndrome By Proxy
a) a self-inflicted injury to gain attention
b) a caregiver making up or causing an illness or injury in a person under his or
her care
c) an abusive behavior that does not involve the caregiver
d) a situation in which the abuser is often inattentive and uncaring toward the victim
Munchausen syndrome by proxy is a mental illness and a form of child abuse. The caretaker
of a child, most often a mother, either makes up fake symptoms or causes real symptoms to
make it look like the child is sick.
3. Symptoms of depression are a side effect of which neurotransmitter medication?
a) dopamine serotonin, norepinephrine
b) gabapentin
c) mil
d) cortisol
4. Which lesion is dark raised and asymmetric with irregular border? Quizlet Bates Chapter 20
a) Nevus
b) Actinic keratosis
c) Keratoacanthoma
d) Melanoma
5. A 32 years old woman presents with dull puffiness of the ayes pronounced
not pitting periorbital edema this finding is suggestive of this condition?
APEA
a) Nephrotic syndrome
b) Myxedema
c) Cushing syndrome
d) Sinusitis
Myxedema is a deposition of mucopolysaccarides in the dermis. Is commonly found if patients
with advanced hypothyroidism. The classic skin changes are: swelling of face, lips, eyelids,
and tongue or swelling and thickening of skin anywhere on the body, especially in the lower
legs.
about:blan 1/
k 34
,10/14/24, 11:11 NR 509 NR509 Advanced Physical Assessment Midterm Exam
AM Review 10…
Myxedema is the hallmark of Grave’s disease, an autoimmune form of
hyperthyroidism. Myxedema can also occur in Hashimoto’s thyroiditis a form of
hypothyroidism.
about:blan 2/
k 34
,10/14/24, 11:11 NR 509 NR509 Advanced Physical Assessment Midterm Exam
AM Review 10…
6. A 42 years old woman with a past medical history of migraine headaches is
requesting prophylactic medication treatment. Which medication should the
Nurse practitioner prescribe?
a) Sumatriptan (Imitrex)
b) Amitriptyline (Elavil)
c) Verapamil (verelan)
d) Metoprolol (Lopressor)
Amitriptyline (Elavil) is a tricyclic antidepresant and is considered offlabel use for prophylactic
treatment of migrane. Sumatriptan (Imimtrex) Is aTriptans used to abort migraine
7. A pediatric patient has areas of scaling on the scalp with round patches of
alopecia. This clinical finding is consistent with:
a) Tinea capitis
b) Seborrheic dermatitis
c) Trichotillomania
d) Alopecia areata
8. What is the appropriate prophylactic medication for an 18 years old woman with
a past medical history of migraine headaches?
a) Sumatriptan (Imitrex)
b) Propanolol (Inderal)
c) Ibuprofeno (motrin)
d) Dihydroergotamine (DHE)
9. Why would a combined hormonal contraceptive be contraindicated in a 36 year
old patient with a past medical history of type 2 diabetes, obesity, chronic
smoking and sedentary life
a) She is obese
b) She has type 2 diabetes mellitus
c) Her age and tobacco use
d) She leads a sedentary lifestyle
Combined oral contraceptive is contraindicated in women older than 45, breastfeeding,
smoking, HTN, diabetes or hx of stroke
10. During the breast examination of a perimenopausal woman the NP detects
a bloody spontaneous discharge from the right nipple. This indicates
further evaluation.
a) Fibroadenoma
b) Polycystic breast disease Generalized breast pain or tenderness. Green or dark
brown nonbloody nipple discharge that tends to leak without pressure or
squeezing
c) An intraductal papilloma
d) Pituitary prolactinoma
Intraductal papillomas are usually solitary and smaller than 1 cm. They are located in large
lactiferous sinuses or ducts and have a tendency to bleed. Quizlet Nipple Discharge
about:blan 3/
k 34
, 10/14/24, 11:11 NR 509 NR509 Advanced Physical Assessment Midterm Exam
AM Review 10…
11. Rh negative women should receive Rho (D) immunoglobulin at what gestational time?
a) 6 weeks
b) 12 weeks
c) 28 weeks
d) 35 weeks
What happens is the client is Rh negative and has a negative antibody screen?
She will need repeat antibody screens and should receive Rho(D) immune globulin
(RhoGAM) at 28 weeks' gestation (Quizlet Antepartum Diagnostic Testing Saunders)
12. When interpreting a complete blood count (CBC) lab report which of the
following results describes the size of the RBCs?
a) Hemoglobin
b) Mean corpuscular volume (MCV)
c) Red cell distribution width (RDw)
d) Hematocrit
The mean corpuscle (cell) volume (MCV) is a measurement of the average size of the
RBCs. Small-sized RBCs result in a lower MCV, while larger RBCs result in a higher
MCV.
13. What medication should be avoided when prescribe prophylactic therapy for headache
a) Verapamil
b) Propranolol
c) Venlataxin (Effexor)
d) Nimodipine
Serotonin Norepinephrine Reuptake inhibitor have the most serious side effect. Patients
should have drug free period for 3-4 weeks after every 6 months of treatment (pharmacology
book page 1047)
14. What is the mechanism of action of prostaglandin E1 (PG1) in a patient with
transposition of the great arteries
a) To maintain equal pressure in the ventricles
b) To maintain patency of the great arteries
c) To produce vasodilation on …………….
d) To prevent cyanotic episodes by trapping blood in the lower …………
15. Which of the following complaints best describes lower extremity calf pain
associated with peripheral artery disease
a) A sharp stabbing pains
b) A dull pain or cramp
c) An electric shock
d) A pulsating pain
Peripheral artery disease signs and symptoms include: Painful cramping in one or both of your
hips, thighs or calf muscles after certain activities, such as walking or climbing stairs
(claudication) Leg numbness or weakness. Coldness in your lower leg or foot, especially when
compared with the other side. (Mayoclinic)
about:blan 4/
k 34
