Advanced Physical Assessment Study guides, Class notes & Summaries
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NR 509 Final Exam Practice Questions and Answers
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Suspicious breast mass-A mobile mass that becomes fixed when the arm relaxes is attached to the ribs and intercostal muscles; if fixed when the hand is pressed against the hip, it is attached to the pectoral fascia. 
-Hard irregular poorly circumscribed nodules, fixed to the skin or underlying tissues, strongly suggest cancer 
 
Risk for Breast cancer--*Age* 
-family history of breast/ovarian CA 
- inherited genetic mutations, 
-personal history of breast cancer 
- high levels of endogenous ho...
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NR 509 Advanced Physical Assessment Final Exam
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Appendicitis 1. McBurney point tenderness 
2. Rovsing sign 
3. the psoas sign 
4. the obturator sign 
--Appendicitis is twice as likely in the presence of RLQ tenderness, Rovsing sign, and the psoas sign 
--The pain of appendicitis classically begins near the umbilicus, then migrates to the RLQ. Older adults are less likely to report this pattern. 
--Localized tenderness anywhere in the RLQ, even in the right flank, suggests appendicitis. 
 
McBurney Point 1. McBurney point lies 2 inches from t...
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NR 509 Physical Assessment Midterm Exam Questions and Answers
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Cause of saddle numbness and urinary retention Cauda equina syndrome 
 
Presentation of retinal detachment If sudden visual loss is unilateral and painless, 
 
Obtunded patient opens the eyes and looks at you but responds slowly and is somewhat confused. Alertness and interest in the environment are decreased. 
 
Cranial nerve for lateral gaze CN6: Abducens 
 
Adult Illnesses Medical: Illnesses such as diabetes, hypertension, hepatitis, asthma, and human immunodeficiency virus (HIV); hospitaliza...
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NR509 Physical Assessment Final Exam Preparation Questions and Answers
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The nurse practitioner (NP) is completing a comprehensive assessment of Anita, a new client in a primary care facility. Which assessment finding(s) reported by Anita are related to social determinants of health? Select all that apply. occasionally running out of food, being discriminated against in the workplace, has a great amount of smog in their community, having difficulty making the rent payment 
 
Focused assessment: - addresses focused concerns or symptoms 
-used for established clients d...
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NR509 Head to Toe Assessment Review Questions and Answers
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Facial skin No discoloration or lesions 
 
Head Midline, symmetrical, normal in size 
 
Lymph node palpation (9 locations) *Preauricular* - in front of ear 
*Post auricular* - behind ear 
*Occipital* - back of head 
Move forward - *tonsillar* 
Under jawline - *submandibular*, 
*Submental* 
*Anterior cervical* 
*Posterior cervical* 
*Supraclavicular* - above clavicles 
 
---Do not feel any enlargement, equal bilaterally 
 
CN 5 *Trigeminal nerve* 
 
Motor component - palpate over the master muscl...
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NRP 509 Advanced Physical Assessment 10 Questions and Answers
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A patient tells the FNP that he is very nervous, that he is nauseated, and that he "feels hot". This type of data would be: 
 
A. objective 
B. subjective 
C. introspective 
D. reflective subjective 
 
The patient's record, laboratory studies, objective data and subjective data combine to for the: 
 
A. discharge summary 
B. data base 
C. admitting data 
D. financial statement data base 
 
The FNP is reviewing information about evidence-based practice (EBP). Which statement best reflects evid...
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NR 509 Practice Questions and Answers
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According to the holistic model, a narrow definition of holistic health includes: 
 
A. an optimal functioning of mind, body and spirit within the environment 
B. The absence of disease 
C. the response of the whole person to actual or potential problems 
D. the internal and external environment B. the absence of disease 
 
An example of subjective data is: 
A. Decrease range of motion 
B. crepitation in the left knee joint 
C. left knee has been swollen and hot for 3 days 
D. arthritis C. left ...
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NR509 Bates Test Bank – Midterm Exam Questions and Answers with Rationale
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patient presents for evaluation of a sharp, aching chest pain which increases with breathing. Which anatomic area would you localize the symptom to? 
 
A) Musculoskeletal 
B) Reproductive 
C) Urinary 
D) Endocrine A) Musculoskeletal 
 
Chest pain may be due to a musculoskeletal condition, such as costochondritis or 
intercostal muscle cramp. This would be worsened by motion of the chest wall. Pleuritic chest pain is also a sharp chest pain which increases with a deep breath. This type of pain ca...
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NR 509 Physical Assessment Final Exam Questions and Answers
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Palmer Grasp Reflex the infant will flex all finger to grasp your finger. *If seen beyond 4 mo= pyramidal tract dysfunction. 
Persistance of a clinched hand over 2 mo=CNS damage *especially if fingers overlap the thumb. 
 
Plantar grasp reflex 6-8 mo Touch the sole at the base of the toes , the toes will curl. -reflex after 8 months suggest pyramidal tract dysfunction. 
 
Moro reflex (startle reflex) Birth to 4 persistence beyond 4 mo =cerebral palsy, asymmetric response = fx clavicle, humerus, ...
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NR 509 Advanced Physical Quiz with 100% Correct Answers
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A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the FNP expect to see during an assessment of this patient? Enlarged and tender inguinal nodes 
 
The direction of blood flow through the heart is best described by which of these Right atrium > right ventricle > pulmonary artery > lungs > pulmonary vein > left atrium > left ventricle 
 
In assessing the carotid artery's of an older patient with cardiovascular disease, the...
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