NR 509 Midterm Exam Study Guide| Advanced Physical Assessment (NR-509) with 100% correct solutions | Latest 2025/2026 Update – Chamberlain.

NR 509 Midterm Exam Study Guide| i,- i,- i,- i,- i,- i,-




Advanced Physical Assessment (NR-509) i,- i,- i,- i,-




with 100% correct solutions | Latest i,- i,- i,- i,- i,- i,-




2025/2026 Update – Chamberlain. i,- i,- i,-




Adult Illnesses Medical: Illnesses such as diabetes,
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hypertension, hepatitis, asthma, and human immunodeficiency i,- i,- i,- i,- i,- i,-



virus (HIV); hospitalizations; number and gender of sexual
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partners; and risk-taking sexual practices
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■ Surgical: Dates, indications, and types of operations
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■ Obstetric/Gynecologic: Obstetric history, menstrual history,
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methods of contraception, and sexual function
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■ Psychiatric: Illness and time frame, diagnoses, hospitalizations,
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and treatments
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Present Illness chronologic description of the problems
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prompting the patient's visit, including the onset of the problem,
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the setting in which it developed, its manifestations, and any
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treatments to date.Each problem/symptom needs: (1) location; (2)
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quality; (3) quantity or severity; (4) timing, including onset,
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duration, and frequency; (5) the setting in which it occurs; (6)
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factors that have aggravatedi,- i,- i,- i,-




-meds, allergies, tobacco use, ETOH and drug use
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,Absence of red reflex an opacity of the lens (cataract) or,
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possibly, the vitreous (or even an artificial eye). Less commonly, a
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detached retina or, in children, a retinoblastoma may obscure this
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reflex.


S/S of seasonal allergies
i,- Itching, watery eyes, sneezing, ear
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congestion, postnasal drainage i,- i,-




Presentation of optic neuritis Enlarged blind spot, vision loss i,- i,- i,- i,-i,- i,- i,- i,- i,- i,- i,-



in 1 eye, loss of color vision, hole in center of vision, trouble
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seeing to the side, eye pain i,- i,- i,- i,- i,-




pityriasis rosea Multiple round to oval scaling violaceous
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plaques on abdomen and back i,- i,- i,- i,-




Acromion i,-i,- i,- tip of shoulder
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What to do for + finding on physical exam, but - workup
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continue using test, but less lab and diagnosticsi,- i,- i,- i,- i,- i,- i,-




Cause of falsely high BP i,- i,- i,- i,- i,-i,- i,- -too small of a BP cuff i,- i,- i,- i,- i,-




- if the brachial artery is below heart level
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, - loose cuff
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- bladder that balloons outside the cuff
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Check for nystagmus -involuntary jerking movement of the
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eyes with quick and slow components.
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- It is named for the direction of the quick component
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- seen in cerebellar disease and vestibular disorders and in
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internuclear ophthalmoplegia i,-




Jaundice i,-i,- i,- yellow sclera i,-




how do get a patient to open up when upset
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reassurance is simply identifying and acknowledging the patient's
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feelings.
-Partnering
-Summarizing
-Transitions
- Empowering the pt
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s/s of degenerative pain
i,- i,- -Slowly progressive, with temporary i,- i,-i,- i,- i,- i,- i,- i,-



exacerbations after periods of overuse i,- i,- i,- i,-




-usually insidious i,-