NR 509 / NR509 Advanced Physical Assessment Final Exam Questions with Verified Answers - Chamberlain

NR 509 / NR509 Advanced Physical Assessment
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Final Exam ss




Questions with Verified Answers - Chamberlain ss ss ss ss ss




Consist of 100 multiple choices Questions with Answers
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1. A young man feels something in his scrotum and comes to you for
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ss clarifi- cation. On your examination, you note what feels like a "bag of
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worms" in theleft scrotum, superior to the testicles. Which of the following
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ss is most likely?
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A) Hydrocele of the spermatic cord ss ss ss ss




B) Varicocele
C) Testicular carcinoma ss




D) A normal vas deferens
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ANS Varicocle
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Varicoceles are common in normal men. They are often found in the left
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ss scrotum or bilaterally and should normally resolve in the supine position. This
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is because they represent varicosities within the scrotum. These require further
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investigation ifthey occur only on the right side or do not resolve in the supine
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,ss position. They can contribute to infertility because the testicles are unable to
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ss achieve a cool enough temperature for sperm production, due to increased blood
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ss flow from the varicocele.A hydrocele would be a painless mass on the spermatic cord
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and the vas deferens ispalpated as part of the spermatic cord.You should lightly pinch
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ss the scrotum mediallyand move laterally until you feel the spermatic cord pass
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ss between your fingers. ss ss




2. Which of the following changes are expected in vision as part of the normal
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aging process?
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A) Cataracts
B) Glaucoma
C) Macular degeneration ss




D) Blurring of near vision ss ss ss




ANS D ss




The lens loses its elasticity over time as part of the normal aging process, and
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ss the eye is less able to accommodate and focus on near objects; therefore, the
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ss patientwill be expected to have blurring of near vision.
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3. A 68-year-old mechanic presents to the emergency room for shortness
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ss of breath. You are concerned about a cardiac cause and measure his
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ss jugular venous pressure (JVP). It is elevated.Which one of the following
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ss conditions isa potential cause of elevated JVP? ss s ss ss ss ss ss




A) Left-sided heart failure ss ss




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,B) Mitral stenosis ss




C) Constrictive pericarditis ss




D) Aortic aneurysm ss




ANS Constrictive pericarditis
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4. Which of the following lymph node groups is most commonly involved
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ss inbreast cancer?
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A) Lateral
B) Subscapular
C) Pectoral
D) Central
ANS D.) Central
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5. You are beginning the examination of the skin on a 25-year-old teacher.
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Youhave previously elicited that she came to the office for evaluation of
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ss fatigue, weight gain, and hair loss.You strongly suspect that she has
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ss hypothyroidism.What is the expected moisture and texture of the skin of a
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ss patient with hypothyroidism?
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A) Moist and smooth ss ss




B) Moist and rough ss ss




C) Dry and smooth ss ss




D) Dry and rough ss ss




ANS D) Dry and rough
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6. Mrs. Hill is a 28-year-old African-American with a history of SLE
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ss (systemiclupus erythematosus). She has noticed a raised, dark red rash
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, ss on her legs. When you press on the rash, it doesn't blanch. What would
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ss you tell her regarding her rash?
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A) It is likely to be related to her lupus.
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B) It is likely to be related to an exposure to a chemical.
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C) It is likely to be related to an allergic reaction.
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D) It should not cause any problems.
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ANS A. It is likely to be related to her lupus
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7. You are palpating the abdomen and feel a small mass.Which of the following
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would you do next?
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A) Ultrasound
B) Examination with the abdominal muscles tensed ss ss ss ss ss




C) Surgery referral ss




D) Determine size by percussion ss ss ss




ANS b) examination with the abdominal musclestensed.
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8. You are evaluating a 40-year-old banker for coronary heart disease risk
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ss factors. He has a history of hypertension, which is well-controlled on his
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ss current medications. He does not smoke; he does 45 minutes of aerobic
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ss exercise five times weekly. You are calculating his 10-year coronary heart
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ss disease risk.Which of the following conditions is considered to be a coronary
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heart disease risk equivalent?
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A) Hypertension
B) Peripheral arterial disease ss ss




C) Systemic lupus erythematosus ss ss




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