Final Exam: NR509 / NR-509 (Latest
Update) Advanced
Physical Assessment | Questions
and Answers | 100% Correct |
Grade A - Chamberlain
Question:
The NP is observing a female pediatric patient during a routine physical. She
can jump in place and balance on one foot. She speaks in full sentences and
her mother states that she can feed herself. Based on your observations and
the history, determine her developmental age
Answer:
4 years
Question:
The NP is observing a full-term infant male. He can pull to a stand, use
"mama" and "dada" specifically, and indicates his wants by vocalization and
pointing. Based on your observations, determine his developmental age.
Answer:
12 months
,Question:
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.
Question:
A 25-year-old male presents to the clinic with a complaint of severe rectal pain
during defecation. The pain is so severe he waits several days before having a
bowel movement. He has a history of ulcerative colitis (UC). He also reports
being in an active sexual new relationship with a male partner. After
conducting a history and physical exam, the NP documents the following
anorectal findings: Perirectal area inflamed; no ulcerations, open sores,
fissures, or verruca. Scant, whiteyellow, mucoid, rectal discharge noted.
Unable to examine external sphincter, rectal vault, or prostate because of
spasm of the external sphincter and marked inflammation and tenderness of
anal canal. Which of the following is the most accurate interpretation of these
findings?
Answer:
These findings suggest infectious proctitis
,Question:
A 54-year-old female with a history of migraines since childhood presents to
the clinic with chronic intermittent, progressive pulsatile headaches which
are similar in nature to prior attacks and precipitated by current life stressors.
The headaches are accompanied by nausea and vomiting. She denies
constitutional symptoms. On examination, she has elevated blood pressure
but otherwise a normal cardiovascular, neurologic, and fundoscopic
examination. Based on the history and physical examination findings, which
diagnoses are appropriate for the differential diagnosis (DDx) list? Select all
that apply.
Answer:
Migraine
Tension
Question:
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
, Question:
Which muscle(s) are being assessed during active rotation of the neck?
Answer:
Sternocleidomastoid
Question:
A 34-year-old female presents to the office with left elbow pain following
rigorous training for a tennis match. Tenderness is noted with palpation in
the area on the image marked by the red circle. What correlative diagnosis
does this assessment finding indicate?
Answer:
lateral epicondylitis
Question:
A 35-year-old male presents to the clinic for a routine physical examination.
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
discoloration. 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
Update) Advanced
Physical Assessment | Questions
and Answers | 100% Correct |
Grade A - Chamberlain
Question:
The NP is observing a female pediatric patient during a routine physical. She
can jump in place and balance on one foot. She speaks in full sentences and
her mother states that she can feed herself. Based on your observations and
the history, determine her developmental age
Answer:
4 years
Question:
The NP is observing a full-term infant male. He can pull to a stand, use
"mama" and "dada" specifically, and indicates his wants by vocalization and
pointing. Based on your observations, determine his developmental age.
Answer:
12 months
,Question:
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.
Question:
A 25-year-old male presents to the clinic with a complaint of severe rectal pain
during defecation. The pain is so severe he waits several days before having a
bowel movement. He has a history of ulcerative colitis (UC). He also reports
being in an active sexual new relationship with a male partner. After
conducting a history and physical exam, the NP documents the following
anorectal findings: Perirectal area inflamed; no ulcerations, open sores,
fissures, or verruca. Scant, whiteyellow, mucoid, rectal discharge noted.
Unable to examine external sphincter, rectal vault, or prostate because of
spasm of the external sphincter and marked inflammation and tenderness of
anal canal. Which of the following is the most accurate interpretation of these
findings?
Answer:
These findings suggest infectious proctitis
,Question:
A 54-year-old female with a history of migraines since childhood presents to
the clinic with chronic intermittent, progressive pulsatile headaches which
are similar in nature to prior attacks and precipitated by current life stressors.
The headaches are accompanied by nausea and vomiting. She denies
constitutional symptoms. On examination, she has elevated blood pressure
but otherwise a normal cardiovascular, neurologic, and fundoscopic
examination. Based on the history and physical examination findings, which
diagnoses are appropriate for the differential diagnosis (DDx) list? Select all
that apply.
Answer:
Migraine
Tension
Question:
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
, Question:
Which muscle(s) are being assessed during active rotation of the neck?
Answer:
Sternocleidomastoid
Question:
A 34-year-old female presents to the office with left elbow pain following
rigorous training for a tennis match. Tenderness is noted with palpation in
the area on the image marked by the red circle. What correlative diagnosis
does this assessment finding indicate?
Answer:
lateral epicondylitis
Question:
A 35-year-old male presents to the clinic for a routine physical examination.
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
discoloration. 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
